MedicaidCoverageMedium impact
Senior Services News Vol. 20, No. 01
New Jersey Medicaid·NJ · Pharmacy, Geriatrics·Pharmacy
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
New Jersey's PAAD (Pharmaceutical Assistance to the Aged and Disabled) and Senior Gold programs have updated income eligibility limits effective January 1, 2018, based on a 2% Social Security COLA adjustment. PAAD limits are now less than $27,189 for single persons and less than $33,334 for married couples. Senior Gold limits are $27,189-$37,189 for singles and $33,334-$43,334 for married persons. Billing teams must verify patient eligibility against these new thresholds when processing pharmacy benefits.
Action Required
By December 31, 2017: Billing team and front desk staff must update patient eligibility verification systems to reflect new PAAD and Senior Gold income thresholds. Update all patient intake forms and eligibility screening tools to capture income information against the new limits: PAAD (<$27,189 single, <$33,334 married) and Senior Gold ($27,189-$37,189 single, $33,334-$43,334 married). Verify all existing PAAD/Senior Gold patients' eligibility under new limits and flag any patients who no longer qualify. Direct patients with eligibility questions to the Division of Aging Services hotline: 1-800-792-9745. Post the official notice in patient-accessible areas. Update internal referral and eligibility documentation processes to use new thresholds when determining program enrollment.