Current through Register Vol. 54, No. 7, April 4, 2022
Department shall pay Medicare Part D premiums to the PDP on behalf of PAAD
beneficiaries in accordance with the Fiscal Year 2016 Appropriations Act, P.L.
2015, c. 63, approved June 26, 2015, as amended and supplemented by subsequent
State appropriations acts.
If the PDP is a
Medicare-authorized prescription drug plan associated with a Medicare-managed
care plan (MA-PD), the PAAD program shall pay an amount towards the
prescription portion of the premium up to and including the benchmark amount
set for New Jersey by CMS for the current benefit year pursuant to
, as amended
and supplemented, which is incorporated herein by reference.
2. If the PDP is an MA-PD and the premium
cost is above the benchmark amount set for New Jersey by CMS, the PAAD
beneficiary shall be responsible for any premium costs that are above the
N.J. Admin. Code §
New Rule, R.2009 d.16,
See: 40 N.J.R. 4479(a), 41 N.J.R. 221(a).
N.J.R. 1366(b), effective