If the evidence provided by a claimant's own medical source is inadequate to determine whether he or she is disabled, we may seek additional medical information or arrange for a Consultative Examination (CE).

The treating source is generally the preferred source of purchased examinations; however, SSA's rules provide for using a source other than the treating source for a CE or diagnostic study if:

• The treating source prefers not to perform the examination;
• There are conflicts or inconsistencies in the file that cannot be resolved by going back to the treating source;
• The claimant prefers another source and has a good reason for doing so; or
• Prior experience indicates that the treating source may not be a productive source.

The type of examination and/or test (s) purchased depends upon the specific additional evidence needed for adjudication.

The medical source must be currently licensed in Vermont and have the training and experience to perform the type of examination or test we request. Also, the medical source must not be barred from participation in our programs. The medical source must also have the equipment required to provide an adequate assessment and record of the existence and level of severity of the individual's alleged impairments.

Medical professionals who perform CEs must have a good understanding of SSA's disability programs and their evidence requirements. The physician or psychologist chosen may use support staff to help perform the consultative examination. Any such support staff (e.g., X-ray technician, nurse, etc.) must meet appropriate state licensing or certification requirements.

Generally, sources are selected based on appointment availability, distance from a claimant's home and ability to perform specific examinations and tests.

If you are interested in becoming a Consultative Examiner for DDS, please contact Coreen Fluet, Professional Relations Officer, at 1-800-734-2463.