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. REGULATORY AUTHORITY