MedicaidCoverageMedium impact
Senior Services News Vol. 5, No. 10
New Jersey Medicaid·NJ · Pharmacy, Geriatrics·Pharmacy
Effective date
Jan 1, 2002
We identified it
Jun 20, 2026
Summary
This policy updates income eligibility limits for New Jersey pharmaceutical assistance programs (PAAD, Lifeline, HAAAD, and Senior Gold) effective January 1, 2002, reflecting the Social Security Cost of Living increase. PAAD/Lifeline/HAAAD limits are now $19,739 (single) and $24,203 (married); Senior Gold ranges from $19,739-$29,739 (single) and $24,203-$34,203 (married). Billing teams must verify patient eligibility against these new thresholds when processing pharmacy claims.
Action Required
By January 1, 2002: Billing and eligibility verification staff must update patient income eligibility screening in practice systems to reflect new PAAD, Lifeline, HAAAD, and Senior Gold income limits. Create or update eligibility checklist documenting: $19,739/$24,203 for PAAD/Lifeline/HAAAD programs and $19,739-$29,739/$24,203-$34,203 ranges for Senior Gold. When processing pharmacy claims from New Jersey patients, verify current income against these limits before claim submission. Direct patients with eligibility questions to Division of Senior Benefits & Utilization Management at 1-800-792-9745 or mail to P.O. Box 715, Trenton, NJ 08625-0715. Post the attached public notice in patient-accessible areas.