MedicaidCoverageLow impact
Senior Services News Vol. 13, No. 04
New Jersey Medicaid·NJ · Pharmacy·Pharmacy
Effective date
Jan 1, 2011
We identified it
Jun 20, 2026
Summary
This policy updates income eligibility limits for New Jersey's pharmaceutical assistance programs (PAAD, Lifeline, HAAAD, and Senior Gold) effective January 1, 2011. Since there was no Social Security cost-of-living adjustment in 2010, the 2011 eligibility thresholds remain unchanged from 2010: PAAD/Lifeline eligibility caps at $24,432 (single) and $29,956 (married); Senior Gold ranges from $24,432-$34,432 (single) and $29,956-$39,956 (married).
Action Required
No immediate billing workflow changes required. This policy is informational for pharmacy providers and affects patient eligibility determination, not billing codes or claims processing. Front desk staff and eligibility specialists should be aware of the 2011 income limits when screening patients for PAAD, Lifeline, HAAAD, or Senior Gold programs. Post the provided notice in a patient-accessible location as directed by the policy. Retain this newsletter for reference during eligibility verification.