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).
Who Does Consultative Examinations
The treating source is generally the preferred source of purchased examinations; however, SSA's rules provide for using someone 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 productive.
The type of examination and/or test(s) purchased depends on the specific additional evidence needed for adjudication.
Qualifications to Consult for DDS
- Be currently licensed in Vermont;
- Have the training and experience needed to perform the type of examination or test requested;
- Not be barred from participation in our programs; and
- Have the equipment necessary to provide an adequate assessment and record of the existence and level of severity of the individual's alleged impairments.
- Medical professionals who perform CE's must have a good understanding of SSA's disability programs and their evidence requirements.
- Physicians or psychologists chosen may use support staff to help perform consultative examinations. Any such support staff (e.g., X-ray technician, nurse, etc.) must meet appropriate state licensing or certification requirements.
- Sources are selected based on appointment availability, distance from a claimant's home, and ability to perform specific examinations and tests.
For More Information
To become a Consultative Examiner for DDS, please contact our Professional Relations Officer at 1-800-734-2463.