A Healthy CollaborationSM

Caregivers

Becoming an Appointed Representative

An appointed representative can be a friend, relative, advocate, doctor or anyone else of the beneficiary’s choosing. In order to act as an appointed representative for someone enrolled in a Today’s Options plan, you and the person enrolled in the plan must sign and date an Appointment of Representative Form.

M0018_PFFSWebv6_1209 Pending CMS Approval Last updated: 1/11/2010

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