New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 167 - PHARMACEUTICAL ASSISTANCE TO THE AGED AND DISABLED ELIGIBILITY MANUAL › Subchapter 6 - ELIGIBILITY REQUIREMENTS › Section 10:167-6.11 - Confidentiality and disclosure of information

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All
				personally identifiable information regarding applicants or beneficiaries
				obtained or maintained under this program shall be confidential and shall not
				be released without the written consent of the applicant or beneficiary or
				their authorized agent.
(b)
				Disclosure of information without the consent of the applicant, beneficiary or
				their authorized agent shall be limited to purposes directly connected with the
				administration of the program pursuant to State law and regulations.
(c) The prohibition of (a) above against
				unauthorized disclosure shall not be construed to prevent:
1. The release of statistical or summary data
				or information in which applicants or beneficiaries cannot be
				identified.
2. The release to the
				Attorney General or other legal representative of this State of information or
				files relating to the claim of any applicant, beneficiary or their authorized
				agent challenging the program's statute, regulations or a determination made
				pursuant thereto, or against whom an action or proceeding for the recovery of
				incorrectly paid benefits has been instituted.
3. The release of information to the
				program's contractors, the Lifeline Credit Program, Tenant Lifeline Assistance
				Program, Social Security Administration, the Division of Medical Assistance and
				Health Services and other plans of assistance or insurance that covers the cost
				of prescription drugs in whole or in part.
4. The release of information or files to the
				State Treasurer or other governmental agency or to their duly authorized
				representatives, for an audit, review of expenditures or similar activity
				authorized by law.
5. The release
				of information or files to 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.
6. The release
				of information to the Department of Health and participating licensed
				veterinarians for the purpose of verifying eligibility for benefits under the
				Animal Population Control Program.
7. The release of information or files to
				county welfare agencies for the purpose of determining eligibility for Medicaid
				or Supplemental Nutrition Assistance Program benefits or for subsequent
				verification of Medicaid eligibility.
8. The release of information or files to the
				Division of Motor Vehicles in the Department of Law and Public Safety for the
				implementation of the Fair Automobile Insurance Act of 1990 ( P.L. 1990,
				c.8).
9. The release of information
				or files to the beneficiary's telephone or telecommunications carrier, utility
				company, the Department of Community Affairs, the Department of the Treasury or
				the Board of Public Utilities for the purpose of determining eligibility for
				the Lifeline Telecommunication program, the Low Income Home Energy Assistance
				Program, the Universal Service Fund or for the distribution of Lifeline
				Telecommunication, Low Income Home Energy Assistance Program and Universal
				Service Fund benefits.
10. The
				release of beneficiary information or files to Medicare endorsed discount
				plans, Medicare Advantage Plans, Medicare Prescription Drug Plans or the Center
				for Medicare and Medicaid Services for the purpose of coordination of benefits
				between the Medicare Drug Plan and PAAD.
11. The release of information to the Federal
				Social Security Administration for the purposes of applying, on behalf of the
				PAAD applicant/reapplicant, for the Medicare Part D low income
				subsidy.