How do I appeal a denied Social Security disability claim in Massachusetts?
1. Federal Program. SSDI (Title II), SSI (Title XVI); 5-step evaluation (20 C.F.R. § 404.1520; § 416.920).
2. Initial Determination. Massachusetts DDS under MRC processes claims. About 65% denied initially.
3. Level 1: Reconsideration. SSA-561 within 60 days.
4. Level 2: ALJ Hearing. HA-501 within 60 days. OHO offices in Boston, Lawrence, Springfield, and Providence (RI, serving western MA). Wait 11-14 months.
5. Level 3: Appeals Council. HA-520 within 60 days.
6. Level 4: Federal District Court. 42 U.S.C. § 405(g); District of Massachusetts within 60 days.
7. Massachusetts Supplemental. MA Paid Family and Medical Leave (PFML) under M.G.L. c. 175M provides up to 20 weeks medical leave for serious health condition, funded by payroll contributions. Operates separately from SSDI but covers temporary disability gap.
8. Continuing Disability Reviews. Every 3-7 years.
9. Attorney Fees. 25%/$9,200 cap (42 U.S.C. § 406(a)).
10. Concurrent State Aid. Massachusetts is a "1634 state" — SSI auto-MassHealth.
This is legal information, not legal advice.
- Reconsideration was denied
- Coordinating PFML and SSDI claims
- Federal court appeal needed
- 42 U.S.C. § 405(g)
- 20 C.F.R. § 404.1520
- 20 C.F.R. § 416.920
- M.G.L. c. 175M
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.