DDSs may use a qualified medical source in a neighboring State for a consultative
examination (CE), if necessary.
Purchasing DDS will notify the non-purchasing DDS in the manner agreed upon between
DDSs should work together to reach mutually acceptable arrangements. For example,
the DDS should check with its non-purchasing DDS for any medical relations problem
with the out-of-State CE source.
If the agreement between the DDSs includes interstate purchases, the purchasing DDS
must check with the DDS in the other State to verify proper licensing or certification
and the absence of any program integrity or professional relations problems.
If the provider is not a current member of the non-purchasing State’s DDS CE panel,
the purchasing DDS must check the System for Award Management (SAM) before requesting
the CE. (To report fraud see, The Office of Inspector General website (http://oig.hhs.gov).
Purchasing DDS should use the fee schedule of the State in which the CE provider practices.
If the non-purchasing DDS has a higher rate of payment, the purchasing DDS should
pay the higher fee if such payment is not prohibited by State law or regulation. This
will help to preserve a good working relationship between the medical source and the