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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (46 Votes)
2018	4.3 Satisfied (211 Votes)
2015	4.4 Satisfied (371 Votes)
2014	4.3 Satisfied (69 Votes)

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Why do I need an authorized representative?

An authorized representative is not always needed but it should be highly considered if the individual is mentally impaired or disabled, or if there are any incompetency in language. In these cases, it is highly advised to appoint an authorized representative.

What can an authorized representative do?

An authorized representative's primary role is to represent an individual or company in different official transactions. They have the authority to communicate, liaise, negotiate, and make decisions according to goals and project requirements.

What is ARD in MassHealth?

Note: An authorized representative has the authority to act on an applicant's or member's behalf in all matters with MassHealth and the Health Connector, and will receive personal information about the applicant or member until we receive a cancellation notice terminating their authority.

What is a designation of authorized representative form?

An Authorized Representative is a person who you appoint to be your representative in carrying out a grievance or appeal, including any external review rights that may be available to you. They must be 18 years of age or older.

What does it mean to designate an authorized representative?

Authorized representatives. An authorized representative is an individual authorized under State or other applicable law to act on behalf of a beneficiary or other party involved in the appeal.

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