Adult criteria, exemptions

For the purposes of this policy the Disability Evaluation Services (hereinafter referred to as DES) workforce shall include all DES employees as well as certain other personnel, such as contractors, consultants, interns, and volunteers, who perform services for DES, either on the premises of DES, or…

This memo was revised May 24, 2018.  It was previously titled "Pursuit of supplemental information from a treating provider." Attached is the revised version.

Revised April 10, 2017. This is the revised version.

Revised April 20, 2016. This is the recent version.

For the purposes of this policy Disability Evaluation Services (hereinafter referred to as DES) workforce shall include all DES employees as well as certain other personnel, such as contractors, consultants, interns, and volunteers, who perform services for DES, either on the premises…

Revised May 27, 2014. This is the revised version.

This Procedural Standard was revised on March 24, 2014. This is the revised version.

In English and Spanish.

Explains DES' procedures for handling DTA-originated cases where the available information is insufficient to determine that the individual meets SSI disability standards.

DES must review all prior DES disability files of a recipient when making determinations on new claims. Memo provides procedures for doing this.

The title of Nurse Practitioner also includes the following titles: Advanced Practice Psychiatric Nurse (MS APRN) or a Psychiatric Nurse Mental Health Clinical Specialist. These are Nurse Practitioners for psychiatric patients. Provided the disability described on the form meets the requirements…

EAEDC: Disability verification (Medical Report and Disability Supplement) not needed when receiving MassHealth disability benefits or in Mass Rehab program. Nurse Practitioners can sign Medical Reports. Q. My EAEDC applicant is receiving MassHealth Disability benefits. Is he still required to…

This form was revised on February 24, 2009.  The revised version is attached.

Nurse practitioners are now considered "competent medical authorities" for TAFDC and EAEDC. Note that DTA already allows a "licensed medical practitioner" (including a nurse practitioner) to certify disabilty so an elder noncitzen can qualify for food stamps/SNAP without regard…

The Children’s Behavioral Health Initiative (CBHI) is the result of the decision in the Rosie D. et. al. v. Patrick lawsuit.  It is a joint collaboration between the Executive Office of Health and Human Services (EOHHS) and MassHealth to implement the decision and to take additional steps to promote…

Revised on August 1, 2007. This is the revised version.

Revised June 1, 2007. This is the revised version.

Revised March 19, 2007. This is the revised version.

Revised February 26, 2007. This is the revised version.

DES procedural memo to its staff regarding how to determine when pregnant women meet the disability standards for EAEDC and TAFDC.

Explains DES requirements for medical release forms, including that every individual provider at a particular clinic must be listed separately on a separate form. Case workers are responsible for contacting clients when additional release forms are needed. Missing or incorrectly completed release…

Revised on September 6, 2006. This is the revision.

This memorandum summarizes the situations when reopening of a prior determination is appropriate and describes the procedures to follow in reopening and closing the case.

This document was revised in 2006; the revised version is attached.

The automated process on the Disability Window is being enhanced with the August mailings of Medical Reports and Disability Supplements from BEACON. This Field Operations Memo tells TAO staff about the enhancements as well as two new reports on Actuate to help AU Managers track the AUs sent a…

This field Op Memo addresses three issues called into the System's Help Desk regarding the automated disability process.

The Department recently automated the flow of information to the Disability window with information received from PRO (DES) and SSA tape files in an effort to streamline the disability process. Field Operations Memo 2004-1 (dated January 30, 2004) told TAO staff about the automated process.

Procedures for case workers to follow if a recipient with a nonpresumptive disability exemption request (second or later request) is found disabled. [Ed. note: Good Cause Medical forms can be used to excuse people in this position from required activities while the exemption requests are pending.]

In April of 2003 the provisions of HIPAA went into effect. These federal privacy provisions protect patients' medical records and other health information provided to health plans, doctors, hospitals, pharmacies and other health care providers. These provisions also provide patients with access to…

As a result of the Thibeault Settlemetn Agreeement, the Department has agreed to provide retroactive relief to certain current TAFDC recipients and a notice to certain former TAFDC recipients whose disability application had been previously denied by HealthPro for reasons other than failing to meet…

As a result of the Thibeault Settlement Agreeement, the Department has agreed to provide retroactive relief to certain current TAFDC recipients and a notice to certain former TAFDC recipients whose disability application had been previously denied by HealthPro for reasons other than failing to meet…

SSI Special Benefits for disaster and moving; TAFDC exemptions in two-parent families where one parent is disabled; FS work requirement and school employees over summer vacation; transportation and lodging as part of excess medical deductions for FS.

TAFDC: child support for child on SSI not countable; TAFDC: disability exemption request counts as first request if first in 5 year clock cycle; EA: no school requirement, eligibility for pregnant women at any stage of pregnancy.

This issuance is no longer in effect. See Procedural Standards PS 04-1, 04-2, and 04-3 for current language regarding similar issues.

TFADC: notice of second disability denial; TAFDC: verifying domestic violence for dv waiver purposes-- including caseworker responsibilities; TAFDC: domestic violence waivers of the work requirement, recipients' right to apply for dv waivers despite caseworker thinking they do not qualify.

This document was revised on March 1, 2006.  The revised version is posted here, as it replaces the one written in 1998.

TAFDC: start of 60 month time clock; TAFDC: sanctioning of dependent child teen not meeting ESP requirements; TAFDC: teen parent in custody of DSS; TAFDC: how to adjust time clock upon approval of disability exemption.

TAFDC: recipients enrolling in community college near end of time limit eligible for child care and transportation but may not get extension; time clock in two-parent households and households where one parent moves out; accessing EBT cards out of state; FS: immigrant work quarters; TAFDC:…