2) Prior Quarter PAS

Prior Quarter (PQ) coverage provides medical coverage for up to three months prior to the month of application. Children under age 19 and women ages 19-60 who are pregnant or in the postpartum period may qualify for prior quarter coverage. To be eligible the customer must:

Have a medical expense in the PQ month. The medical expense can be paid or unpaid; and

Meet all eligibility requirements in the month the medical expense was incurred.

Things to Keep in Mind When Completing a Prior Quarter (PQ) PAS:

To get the PQ PAS to autofill the answers, enter the Initial PAS first, then open the oldest PQ PAS, then the next oldest PQ, and then the most recent PQ.

If the Initial PAS and all the PQs score Eligible and do not need Physician Review (PR), select “Complete PAS” starting with the Initial PAS, then the oldest to most recent PQ PAS.

When the Initial PAS and PQ months need PR, do NOT select “Complete PAS” on the Initial or PQ months until the case is returned from PR.