Traditional MedicareAdministrativeMedium impact
Senior Services News Vol. 8, No. 09
New Jersey Medicaid·NJ·Provider Notice
Effective date
Jan 1, 2005
We identified it
Jun 20, 2026
Summary
Starting January 1, 2005, PAAD beneficiaries using the Medco Health Preferred Prescription Discount Card will receive an additional $600 of Medicare Transitional Assistance. Pharmacists must submit claims to Medco as primary payer before billing PAAD, using specific billing codes and coordination of benefits procedures.
Action Required
By January 1, 2005: Pharmacy billing team must update claim submission procedures to bill Medco Preferred Prescription Discount Card as primary payer before PAAD for eligible beneficiaries. Use Rx Bin number 610014, group number MDCRSNJ, person number '01', and report 'PAI' in Other Payer ID field. Follow coordination of benefits procedures with appropriate Other Coverage Codes. Claims without proper Medco billing will be denied.