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22.1.10 Incentive Payments .................................................................................................................. 319 22.1.11 Other Programs ........................................................................................................................ 319 22.2 Overpayments ................................................................................................................................... 319 22.3 Interagency Coordination ................................................................................................................. 319 22.3.1 Intercounty Placements ............................................................................................................. 320 22.4 Undue Hardship ................................................................................................................................ 320 22.4.1 Application of Policy .................................................................................................................. 320 22.4.2 Undue Hardship Waiver Request Process ................................................................................. 320 22.4.3 Valid Request ............................................................................................................................. 321 22.4.4 Effective Date of Approved Undue Hardship Waivers ............................................................... 321 22.4.4.1 Timely Request—Received Within 20 Calendar Days After Notification Is Mailed ............ 321 22.4.4.2 Untimely Request—Received Later Than 20 Calendar Days After Notification Is Mailed .. 322 22.4.5 Required Documentation ........................................................................................................... 322 22.4.6 Determination Process Time Frame .......................................................................................... 323 22.4.7 Bed Hold Payments and Notifications (Divestment Only) ......................................................... 323 22.4.8 Fair Hearing Rights ..................................................................................................................... 324 22.4.9 Referrals to Adult-at-Risk Agency .............................................................................................. 324 22.5 Legal Guardians, Conservators, Power of Attorney, and Other Representatives ............................ 324 22.5.1 Authorized Representatives ....................................................................................................... 324 22.5.2 Additional Responsibilities ......................................................................................................... 326 22.5.3 Community Spouse as Representative ...................................................................................... 327 22.5.4 Legal Guardians and Conservators ............................................................................................ 327 22.5.5 Power of Attorney ...................................................................................................................... 328 22.5.6 Patient's Representative ............................................................................................................ 328 22.6 Restoration of Benefits ..................................................................................................................... 329 22.6.1 Incorrect Member Contribution ................................................................................................ 330 22.6.1.1 Premiums ............................................................................................................................ 330 22.7 Affirmative Action and Civil Rights.................................................................................................... 330 23.1 Notices .............................................................................................................................................. 330 23.1.1 Notice Requirements ................................................................................................................. 330 23.1.2 Notice of Approval ..................................................................................................................... 330 23.1.3 Notice of Denial ......................................................................................................................... 331 23.1.4 Notice of Adverse Action ........................................................................................................... 331 23.1.4.1 Adequate Notice of Adverse Action .................................................................................... 331 23.1.4.2 Timely Notice of Adverse Action ......................................................................................... 331