Originally developed as a remedy to the ill-targeted social programs the Albanian government inherited from the previous Communist regime, Albania’s Ndihma Ekonomike poverty-alleviation program has witnessed considerable growth since its inception in the early 1990s. As a result, the purpose of this study is to evaluate Ndihma Ekonomike’s effectiveness at targeting poverty in the new millennium. Overall, the program has witnessed a satisfactory amount of success. The foremost indicator of that success is the program’s relationship with Albania’s un-targeted pension schemes, in which Ndihma Ekonomike exhibited a far more progressive allocation of benefits. However, this is not to say that there is no room for improvement. One primary issue is the program’s difficulty in effectively targeting rural areas. Taken as a whole, subsequent social programs can look to the Ndihma Ekonomike model as an inspiration for reaching the impoverished in their own country. Furthermore, those programs using Ndihma Ekonomike as a model can take note of its slight difficulties in targeting families in rural areas and take special care when constructing programs that are to respond to the needs of those communities.