Family Healthcare (FAMIS) Manual – Table of Contents

0905.015.05.05 Prior Quarter (MAF Pregnant Women)

When application is made for a newborn child, the mother can receive coverage for the period prior to the birth if she met eligibility requirements for the MC+ for pregnant women program in the prior quarter. If the MAF case is approved, provide prior quarter coverage in the MAF case even though eligibility is based on the MC+ for pregnant women program. If, however, the mother already receives MC+ for pregnant women coverage, do not show prior quarter eligibility in the MAF case. If the MAF case is rejected but prior quarter eligibility exists, provide prior quarter coverage through a MC+ for pregnant women case rather than MAF. In these instances, register a MC+ for pregnant women application and backdate it to the MAF application date. It is not necessary for the applicant to sign the MC+ for pregnant women application but refer to the signature on the MAF application.