106 CMR, § 361.960 - Delays Beyond 60 Days
If an eligibility determination is not made by the 60th day following the date the application was filed, the worker must ensure that the application process is completed.
(A)
Case Information and
Verification Complete. When the worker has received all needed
case information and verifications, the household has met all its obligations.
The worker must continue to process the application until the household is
found eligible or ineligible:.
(1)
Retroactive benefits are provided to eligible households in accordance with the
provisions of
106 CMR
361.940.
(2) If the household is found ineligible, the
worker must send a Notice of Denial to the household.
(B)
Case Information or
Verification Incomplete Department Fault. When the case
information or verification is incomplete and the Department is at fault at the
end of the second 30-day period, the worker must continue to process the
application until the household's eligibility is determined.
(1) Retroactive benefits are provided to
eligible households in accordance with the provisions of
106 CMR
361.940.
(2) If the household is found ineligible, the
worker must send a Notice of Denial to the household.
(C)
Case Information or
Verification Incomplete - Household Fault. When the case
information or verification is incomplete and the household is at fault at the
end of the second 30 day period, the application must be denied.
(1) If the household is also at fault for the
delay in the first 30-day period, the application is denied with no further
notice to the household.
(2) If the
Department is at fault for the delay in the first 30-day period, the worker
must send a Notice of Denial to the household. In these cases the household is
not entitled to Lost Benefits for the first 30-day period.
Notes
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