New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 167A - PROVISION OF PHARMACEUTICAL SERVICES UNDER THE PHARMACEUTICAL ASSISTANCE TO THE AGED AND DISABLED PROGRAM (PAAD)
Subchapter 1 - REQUIREMENTS FOR PROVISION OF PHARMACEUTICAL SERVICES
Section 10:167A-1.3 - Participation of eligible providers

1. Operate under a valid retail or institutional permit issued by the Board of Pharmacy of the State of New Jersey and be assigned a national provider identifier. A pharmacy operating under an out-of-State retail or institutional pharmacy permit may not participate as an approved provider in the PAAD program, except for a voluntary prescription drug mail-order program or specialty pharmacy in a Medicare Part D Plan or a mail order prescription drug program required by a PAAD beneficiary's primary payer and, which maintain a permit from the Board of Pharmacy of the State of New Jersey.

2. File an application and sign an agreement with the Department of Human Services (DHS), Division of Medical Assistance and Health Services (DMAHS) and maintain a Medicaid provider number issued by DMAHS.

3. To enroll as a Medicaid provider of pharmaceutical services, a pharmacy shall obtain a copy of the provider application on-line at www.njmmis.com or contact the Fiscal Agent Provider Enrollment Unit (see N.J.A.C. 10:51, Appendix D, Fiscal Agent Billing Supplement).