Ill. Admin. Code tit. 89, § 840.50 - Arranging for a Consultative Examination

Current through Register Vol. 45, No. 52, December 27, 2021

a) The Bureau incorporates the standards as stated in the Code of Federal Regulations 20 CFR 404.1519k, 404.1519m, 404.1519n, 416.919k, 416.919m, and 416.919n as amended August 1, 1991.

b) The Bureau has established the following procedure when arranging for a consultative examination:

1) The claimant will be sent a written notice as described in POMS DI 22510.016 D as revised August 1991.

2) In the event that the claimant has a representative, the Bureau will follow the criteria specified in POMS DI 22510.016E as revised August 1991.

3) A voucher authorization explaining the type of examination and tests to be performed, how the appointment will be scheduled, and how to complete the vouchers for payment will be sent to the examining consultant.

4) If a source other than the treating physician or psychologist is used, background disability material will be sent to the consultant for review prior to the examination.

5) When a claimant objects to the consultant used for the examination, the Bureau will follow the criteria specified in the POMS DI 22510.010 as revised August 1991.

6) When a claimant objects to the date or time of the scheduled examination, the Bureau will follow the criteria specified in the POMS DI 22510.017 as revised August 1991.

7) In regard to consultative examination follow-up schedules with claimants, the Bureau will follow the criteria set forth in the POMS DI 22510.017 as revised August 1991.

8) A claimant will be reimbursed for travel according to the policy stated in the Code of Federal Regulations 20 CFR 404.999a, 404.999b, 404.999c, 404.999d, 416.1495, 416.1496, 416.1498, and 416.1499 as amended March 14, 1986; and POMS DI 39525 as amended February 1989. Reimbursement for travel, meals, and lodging will be made in accordance with 80 Ill. Adm. Code 2800.

9) A consultant making a home visit will be paid $20.00 plus $.40 per mile or a minimum of $5.00 for travel and for mileage, if mileage is over 12 miles round trip from the consultant's office or home. Mileage will be computed using the most direct route from the consultant's office/home to the claimant's home.

Notes

Ill. Admin. Code tit. 89, § 840.50

Amended at 16 Ill. Reg. 10301, effective June 15, 1992