AT/PERS Replacement Request

Updated on: 04/20/2026

Provider Type(s) for Which These Instructions ApplyProgram(s) for Which These Instructions Apply
Case ManagementADvantage

This process will be used as a guide for submission of request to replace AT/PERS equipment. 

  1. Navigate to the PQ Chapter
    Harmony navigation showing PQ Chapter tab highlighted
  2. Hover over “File”
    Select “Add PQ”
    File menu expanded showing Add PQ option highlighted
  3. Complete the blank field(s) of the record
    Select Program of “ADvantage”
    Click the box with the three dots ( … ) associated with the “Select User’s Provider Record” field
    PQ form showing Program dropdown set to ADvantage and Select User's Provider Record field with three-dot button
    Type in a minimum of the first 3 letters of the Provider you are associated with
    Click on “Search”
    Provider search dialog with search text field and Search button
    Select the appropriate record from the list
    *The user must select the Provider Name and branch that are associated with the Member’s Provider Enrollments
    Provider search results showing provider records to select from
    Select the Inquiry Type of “AT/PERS Replacement Request” 
    Inquiry Type dropdown with AT/PERS Replacement Request option selected
  4. Hover over “File”
    Select “Save PQ”
    File menu expanded showing Save PQ option highlighted
  5. Select “Member” Sub-Tab
    PQ sub-tabs showing Member sub-tab highlighted
    Hover over “Add Participant” on the menu bar
    Select “Member Participant”
    Add Participant menu expanded showing Member Participant option
    Hover over “Tools” on the menu bar
    Select “Search for Person”
    Tools menu expanded showing Search for Person option
    * If the next step does not populate, please check your browser settings to ensure that pop-up blockers are disabled for the Harmony site. If you need assistance adjusting these settings, contact your supervisor or your Agency’s IT department.
    Click on the + 
    Person search dialog showing plus button to expand search options
    Type in the Member last name in the blank box
    *Member last name must be spelled exactly as it is on their provider record. 
    Click on Search
    Member search dialog with last name search field and Search button
    Select the appropriate Member record from the list
    Member search results showing Member records to select from
    Click on the circle in front of “Link to Participant”
    *Do not select “Overwrite Participant Data”
    Select “OK
    Link to Participant dialog with Link to Participant option selected and OK button
    Hover over “File” 
    Select “Save and Close Member”
    File menu expanded showing Save and Close Member option highlighted
  6. Select “Documentation” Sub-Tab
    PQ sub-tabs showing Documentation sub-tab highlighted
    Hover over “File” from the Menu Bar
    Select “Add Documentation”
    File menu expanded showing Add Documentation option highlighted
    Select “ADv – AT/PERS Replacement Request” 
    Documentation type selection showing ADv - AT/PERS Replacement Request option
    Complete the form with all appropriate information
    AT/PERS Replacement Request form with fields for entering replacement request information
    Update the status in the header to “Complete” once all required documentation has been entered. 
    * The document may be saved with a status of ‘Draft’ if the user needs to pause and gather additional information; however, it must be set to ‘Complete’ before submitting the AT/PERS Replacement Request.
    Documentation header showing Status dropdown with Complete option to be selected
    Hover over “File” from the menu bar
    Select “Save and Close Documentation”
    File menu expanded showing Save and Close Documentation option highlighted
    Hover over “File” from the menu bar
    Select “Close Documentation” to exit the PQ Ticket
    File menu expanded showing Close Documentation option to exit the PQ Ticket

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