MedicaidCoverageMedium impact
Senior Services News Vol. 17, No. 01
New Jersey Medicaid·NJ · Pharmacy, Geriatrics·Pharmacy
Effective date
Jan 1, 2015
We identified it
Jun 20, 2026
Summary
New Jersey updated income eligibility limits for pharmaceutical assistance programs (PAAD, Lifeline, HAAAD, and Senior Gold) effective January 1, 2015, based on a 1.7% Social Security COLA adjustment. PAAD/Lifeline/HAAAD limits are now less than $26,575 for singles and less than $32,582 for married couples; Senior Gold limits are $26,575-$36,575 for singles and $32,582-$42,582 for married couples.
Action Required
By December 31, 2014: Billing and eligibility verification staff must update patient eligibility screening tools and intake systems to reflect new 2015 income thresholds for all four programs (PAAD, Lifeline, HAAAD, Senior Gold). Front desk and patient registration staff should post the attached public notice in accessible waiting areas. Update any eligibility determination worksheets or software algorithms to automatically apply the new income limits when verifying patient pharmaceutical assistance eligibility. Contact the Division of Aging Services at 1-800-792-9745 with questions. Failure to apply correct eligibility limits may result in inappropriate program denials or enrollments.