N.J. Admin. Code § 8:61-3.5

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

Section 8:61-3.5 - ADDP application process

(a) An applicant for enrollment in the ADDP shall submit to the Division, a completed application and supporting documentation in the forms at chapter Appendices A, B, and C, "Application for Participation in the AIDS Drug Distribution Program" (DHSTS-27), "Certification of Licensed Health Care Provider" (DHSTS-37); and "Application for Participation in the Health Premium Payment Program" (DHSTS-47).

1. ADDP application and certification forms can be obtained by calling the Division, toll-free, at 1-877-613-4533, or from the Department's forms page at www.nj.gov/health/forms.

(b) The Division will notify an applicant, in writing, upon determining the applicant's eligibility, and, if an applicant is eligible, the Division will notify the applicant's health care provider of the applicant's enrollment in the ADDP.

N.J. Admin. Code § 8:61-3.5

Adopted by 57 N.J.R. 29(a), effective 1/6/2025