You are invited to participate in a survey regarding your experience using the AHCCCS
website. This survey will take approximately two minutes. Your responses will help
us ensure that you have a high quality experience.
Beginning January 1, 2014, the time period AHCCCS pays for covered services for an eligible individual
will be extended to include the three months prior to the month the individual applied for AHCCCS, if the individual met
AHCCCS eligibility requirements during the month in which the Medicaid covered service was provided.
If the individual is determined to qualify for AHCCCS during any one or more of the three months prior to the
month of application, then the individual will be determined to have “Prior Quarter Coverage” eligibility during
those months. As a result, AHCCCS will pay for AHCCCS covered services provided during those months.
Although the AHCCCS Program has previously been waived from including Prior Quarter Coverage as part of its
Medicaid Program, AHCCCS is now required to include Prior Quarter Coverage starting January 1, 2014.
Providers are encouraged to utilize the Health-e-Arizona Plus (HEAplus) application process to assist
in enrolling uninsured patients into AHCCCS coverage. HEAplus offers the most accurate, credible, real-time
eligibility determinations for public assistance programs such as AHCCCS to help providers better manage their
patients’ payment source. HEAplus will shorten the eligibility determination timeframe and simplify the process
for members and providers. Anyone can access
www.healthearizonaplus.gov from any internet connection. Today, hundreds of locations throughout the State use HEAplus to help Arizonans. More information about HEAplus, including how to
become a Contracted Community Partner can be found on the link below:
092413 Prior Quarter Memo
092413 Prior Quarter FAQ's
AHCCCS Prior Quarter Rule
Differences between Prior Quarter Coverage and Prior Period Coverage
SPA 13-006 – Prior Quarter Coverage
Updates the State Plan to reflect that prior quarter coverage will be covered, effective January 1, 2014.
State Plan Amendments