Auto-Adjust ROSI/PQA for URA Resubmissions February 01, 2019 20:05 Updated Follow In Medicaid Payer > Settings > Config Settings, make sure to have the Show URA Resubmissions Alert checked. This will alert you when there are previous quarter URA changes and posted invoices need to be adjusted by quarter. Your Medicaid Payer TAL will show a work flow item when the alert is set when there are previous invoices that need to be restated.You can then go to Medicaid Maintenance, Auto Adjust ROSI/PQAs to select, by Quarter, the invoices to reconcile again with the new URA to pay the difference owed to the State. Select the desired invoices and hit submit to create PQAs for the URA adjustments. Related articles Electronic CMS-304 and CMS-304a formats Comments 0 comments Article is closed for comments.