Page 5
UNOFFICIAL 1700.1-5 (4) The household's right to request a hearing; (5) The household’s right to request and obtain an interpreter or auxiliary aids as needed, and shall be provided by the department at no cost; (6) The name of the person to contact for additional information; (7) The availability of continued benefits; (8) The liability of the household for any overpayments received while awaiting a hearing if the hearing official's decision is adverse to the household; and (9) The availability of free legal representation, if applicable. “Adjusted PPS rate” means the basic PPS rate and any adjustments to that rate that are applicable to a particular provider. A formula to determine the adjusted PPS rate is defined in section 17-1739.2- 19(f). “Administrative hearing” means an administrative proceeding which affords an individual an opportunity to present an appeal of an adverse action before an impartial department representative for a formal decision. “Adult” means an individual nineteen years of age or older. “Adverse action” means denial of or failure to act with reasonable promptness on a claim for medical assistance, or the suspension, reduction, termination, or withholding of medical assistance, or an increase in spenddown or premium-share amounts. “Affordable Care Act” means the Patient Protection and Affordable Care Act (Public Law 111- 148), as amended by the Health Care and Education Reconciliation Act of 2010 (Public Law 111-152). “Aged” means an applicant or beneficiary of medical assistance from the department who is at least sixty-five years old. “Aid paid pending a hearing decision” means the continuation or reinstatement of medical assistance or coverage between the date of timely request for a hearing and the date the hearing decision is made.