N.J. Admin. Code § 10:167B-6.9

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:167B-6.9 - Authorization

(a) By signing or marking the certification and authorization statement on a Senior Gold eligibility application or a renewal application form, an applicant or a reapplicant authorizes:

1. The Department to serve as the authorized representative of the applicant or reapplicant;

2. The Department to verify any information on the form by contacting the Social Security Administration, the Internal Revenue Service, the New Jersey Division of Taxation, employers and others as the need arises;

3. Visitation and review by representatives of the Department;

4. Assignment of benefits to the State of New Jersey if he or she or his or her spouse has any other plan of assistance or insurance that covers, at least in part, the cost of prescription drugs; and

5. Prescribing practitioners to release information concerning prescriptions which have been paid by the Senior Gold Program to the Department or any law enforcement authority of this State charged with the investigation or prosecution of violations of the civil and criminal provisions of the "Senior Gold Prescription Discount Act" or the criminal laws of this State.

N.J. Admin. Code § 10:167B-6.9

Amended by R.2006 d.431, effective 12/18/2006.
See: 38 N.J.R. 1124(a), 38 N.J.R. 5360(a).