N.J. Admin. Code § 10:167A-1.25

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:167A-1.25 - Eligible PAAD beneficiary

(a) An applicant shall be determined to be eligible for Pharmaceutical Assistance to the Aged and Disabled only if physically present in New Jersey at the time of application and utilization, in accordance with the provisions of N.J.A.C. 10:167.

1. Benefits shall not be payable for patients in nursing facilities, hospitals or special hospitals by the PAAD program during any period recipients are covered for drug benefits by Medicaid, Medicare, Blue Cross and Blue Shield of New Jersey, Inc., or other insurance benefits or if such benefits are covered in the daily rate of the facility.

Amended by R.1998 d.464, effective 9/8/1998.
See: 30 N.J.R. 2197(a), 30 N.J.R. 3309(a).
Recodified from N.J.A.C. 8:83C-1.23 by R.2003 d. 248, effective 6/16/2003.
See: 34 N.J.R. 3456(a), 35 N.J.R. 2642(a).
Former N.J.A.C. 8:83C-1.25, Point-of-sale (POS) claims adjudication system, recodified to N.J.A.C. 8:83C-1.27.