First-Time Claim of Disability - TAFDC

 

An applicant who applies for TAFDC and is approved is subject to the Federal 60-month clock.  Within that 60-month period any client who requests an exemption from certain TAFDC rules (work program, time-limited benefits) due to a disability, is presumed disabled until or unless UMASS/DES determines the client is not disabled.  If UMASS/DES determines the client is not disabled and the client requests a second or subsequent disability exemption during that 60-month period, the exemption is not presumed. UMASS/DES must determine that the client is disabled for him/her to be allowed the exemption.

If UMASS/DES determines the client is disabled for 30 days or more, UMASS/DES will send the client a notice stating that they have approved the disability.  A copy will be sent to you.

  1. if the client was exempt pending the review, the Disability page will be automatically updated with the Approval Information, Disposition Date, Expiration Date and Disposition Reason.

  2. if the client was nonexempt pending the review:

    1. the Review Tracking tab of the Disability Determination page will be automatically updated with the Approval Information, Disposition Date, Expiration Date and Disposition Reason;

    2. you must update the Work requirements TAFDC page by changing the AU  Exemption Status from Nonexempt to Exempt and change Work Program Required radio button to No, effective the disability start date with the reason Disability Approved, if applicable and update all other appropriate fields. This will allow the clock months to be subtracted automatically.

If the disability duration is expected to last fewer than 90 days from receiving the UMASS/DES decision in the TAO, you must enter a three-month duration from the date the UMASS/DES disability determination information is entered on the Review Tracking tab.  This will ensure the case will be selected for the automated disability mailing based on the Expiration date entered on the Review Tracking tab.  See Automated Mailing of Disability Supplements.

Clients found disabled under the MassHealth Disability program may have disability durations up to five years.  If the disability duration is expected to last more than one year, enter the maximum duration up to five years.

 

 

Disability Policy and Procedures – TAFDC

 

 

  Last Update:  February 21, 2019