Traditional MedicareAdministrativeMedium impact
Senior Services News Vol. 8, No. 04
New Jersey Medicaid·NJ·Pharmacy
Effective date
Jun 1, 2004
We identified it
Jun 20, 2026
Summary
New Jersey is implementing a Medicare Transitional Assistance program through Medco Preferred Prescription Discount Card for PAAD beneficiaries. Pharmacies must submit claims to Medco as primary payer before billing the state, with specific billing codes and coordination of benefits requirements.
Action Required
By June 1, 2004: Pharmacy billing team must update systems to submit claims to Medco Preferred Prescription Discount Card as primary payer before submitting to Unisys for PAAD beneficiaries with TA coverage. Use Rx Bin number 610014, group number MDCRSNJ, person number '01', and obtain ID from beneficiary's Medco card. Report 'PAI' in Other Payer ID field or claims will deny. Continue collecting $5.00 PAAD copayment unless drug cost is less.