New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 167 - PHARMACEUTICAL ASSISTANCE TO THE AGED AND DISABLED ELIGIBILITY MANUAL
Subchapter 6 - ELIGIBILITY REQUIREMENTS
Section 10:167-6.9 - Authorization
Universal Citation: NJ Admin Code 10:167-6.9
Current through Register Vol. 56, No. 18, September 16, 2024
(a) By signing or marking the certification and authorization statement on an 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. Assignment of benefits to the State of New Jersey if he/she or his/her
spouse has any other plan of assistance or insurance that covers, at least in part, the cost of prescription
drugs; and
4. Prescribing practitioners to release information
concerning prescriptions which have been paid by the PAAD program, to the Department or any law enforcement
authority of this State charged with the investigation or prosecution of violations of the criminal
provisions of the "Pharmaceutical Assistance to the Aged and Disabled Act" or the criminal laws of this
State.
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