Identification Number:
DI 23060 TN 2
Intended Audience:See Transmittal Sheet
Originating Office:ORDP ODP
Title:Evidence from Excluded Medical Sources of Evidence
Type:POMS Transmittals
Program:Disability
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part DI – Disability Insurance
Chapter 230 – Special Issues
Subchapter 60 – Evidence from Excluded Medical Sources of Evidence
Transmittal No. 2, 05/20/2021

Audience

PSC: CS, DEC, DTE, IES, RECONR;
OCO-OEIO: CR, ERE, FCR, FDE, RECONE;
OCO-ODO: DE, DEC, DS, RECONE;
ODD-DDS: ADJ, DHU;

Originating Component

ODP

Effective Date

Upon Receipt

Background

Updated reference with Allegation Referral Intake System (ARIS). .

Summary of Changes

DI 23060.040 Referring Non-Compliant Excluded Medical Sources of Evidence to the Social Security Administration’s Office of the Inspector General (SSA’s OIG)

The release of the Allegation Referral Intake System (ARIS) replaced the requirement to submit allegations via the e8551. The updated POMS reflects the use of ARIS; additionally, it provides an email address for personnel to refer allegations upon submitting the allegation in ARIS.

 

DI 23060.040 Referring Non-Compliant Excluded Medical Sources of Evidence to the Social Security Administration’s Office of the Inspector General (SSA’s OIG)

CITATIONS:

A. Referring excluded medical sources of evidence to SSA’s OIG

1. When to refer

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, individual or other entity, see DI 23060.020A. If an excluded medical source(s) of evidence does not include a written statement of exclusion with the furnished evidence, refer the source to SSA's OIG. For more information about excluded medical sources of evidence, see DI 23060.010.

EXAMPLE: An excluded medical source of evidence submits evidence without including a written statement of exclusion. The adjudicator receives clear documentation (e.g., an email from a DDS administrator or professional relations officer) that the source is an excluded medical source of evidence. Refer the source to SSA’s OIG.

2. How to refer

Follow these two steps when referring an excluded medical source(s) of evidence to SSA's OIG.

1. Use the Allegation Referral Intake System (ARIS). See GN 04142.001 for instructions.

2. Send an email containing the excluded source's name and date of violation to ^ODP BBA 812.

B. The referral does not delay case development or adjudication

Referring an excluded medical source of evidence to SSA’s OIG for not providing a written statement of exclusion does not delay case development or adjudication. Unless otherwise instructed by SSA’s OIG, continue to develop and adjudicate the case using normal procedures.

NOTE : Do not consider evidence furnished by an excluded medical source of evidence referred to SSA’s OIG unless there is sufficient information in the folder to apply a good cause exception(s).

For more information see DI 23060.010.B.3.

 


DI 23060 TN 2 - Evidence from Excluded Medical Sources of Evidence - 5/20/2021