Excluded medical sources of evidence must provide a written statement of exclusion each time they furnish medical evidence to us directly or indirectly through an appointed representative, claimant, or other individual or entity.
Adjudicators have no duty to proactively research and identify whether a source of medical evidence is an excluded medical source of evidence on their own. However, if an excluded source has not provided a 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) based on DI 23060.030B); and
must refer the source to SSA’s OIG. See how to refer an excluded medical source of evidence to SSA’s OIG, in DI
An example of clear documentation is an email from an administrator or professional relations officer to staff stating that John Doe, M.D. is an excluded medical source of evidence because John 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 the existence of a badge for the medical source in the Disability Case Processing System (DCPS) vendor repository (DVR). DCPS includes the "Excluded Source" badge for the excluded medical source after the source's status is verified.