DI 39563.454 Medical/Vocational Development Controls
Good management control of the agency's medical-vocational development criteria means that procedures should be clearly written, current, easily available and uniformly applied. Periodically, management should check to see if medical or vocational development procedures are well written, effective and are being followed. Where a procedure is not working or not followed, management should review the situation and take appropriate action.
B. Controlled procedures
DDS management, through regularly scheduled aged case and elapsed processing time reviews, should assure that timely development and followup actions are taken so that the agency can achieve acceptable accuracy and processing time performance levels.
The following procedures, therefore, should be carefully controlled in order to achieve desired results. These guides should be understood by all staff with regular followup by supervisors.
Timeframe for requesting evidence
Method of development
Maintenance of developmental action
Interaction with DO's
Contact with the claimant
Method of access to State agency medical consultants
Consultative exam process
Unproductive/uncooperative medical sources
Decision to order a C/E
Method of approving C/E request
Scheduling and making pre/post followups of C/E appointments
Followup on missed C/E's and on C/E reports
Quality review of C/E reports
These and other procedures should be formalized agency wide. Regular supervisory review should reveal whether the procedures are being followed. A breakdown in procedures will normally result in lost processing time or decreased quality and should be promptly remedied.