Excluded medical sources of evidence must provide a written statement of exclusion
each time they furnish evidence to us directly or indirectly through a representative,
claimant, or other individual or entity.
Adjudicators have no duty to identify excluded medical sources of evidence on their
own. However, if there is no written statement of exclusion, and an adjudicator receives
clear documentation that a source is an excluded medical source of evidence, the adjudicator
must exclude the source’s evidence (unless there is sufficient information to apply
a good cause exception(s)).
Additionally, if there is no written statement of exclusion, and an adjudicator receives
clear documentation that a source is an excluded medical source of evidence, the adjudicator
should refer the source to the Social Security Administration’s Office of the Inspector
General (SSA’s OIG). See DI 23060.040 for how to refer an excluded medical source
of evidence to SSA’s OIG.
An example of clear documentation is an email from an administrator or professional
relations officer to all staff stating that John Doe, M.D., is an excluded medical
source of evidence because he was convicted of a felony under section 208 of the Social Security Act (Act) on November 2, 2016.
Another example of clear documentation that a source is an excluded medical source
of evidence is a flagged medical source in the Disability Case Processing System (DCPS)
vendor repository. After the excluded source's status has been verified by SSA personnel,
the medical source would be flagged with an "Excluded Source" badge in DCPS.