If objective medical evidence from an AMS already establishes the existence of the
MDI, authorize purchase of a CE from a qualified CE source who is not an AMS to document
the severity of the impairment and its effect on the claimant’s functioning.
Example 1 (physical impairment): Evidence from an AMS establishes the existence of a musculoskeletal MDI. However,
you need more information about the current severity of the impairment. A qualified
physical therapist may perform the CE required to show the severity of the impairment
and its effect on the claimant’s functioning.
Example 2 (mental impairment): Evidence from an AMS establishes the existence of a mental MDI. However, you need
more information about the severity and functional effects of the mental impairment.
You may obtain a CE from a qualified licensed clinical social worker to document the
severity and functional effects of the mental impairment.