TITLE 89: SOCIAL SERVICES
CHAPTER IV: DEPARTMENT OF REHABILITATION SERVICES
SUBCHAPTER g: BUREAU OF DISABILITY DETERMINATION SERVICES
PART 840 THE CONSULTATIVE EXAMINATION PROCESS
SECTION 840.10 DEFINITIONS


 

Section 840.10  Definitions

 

"Adjudicative staff" means the staff who participate in making disability determinations.

 

"Bureau" means the Bureau of Disability Determination Services within the Illinois Department of Rehabilitation Services.

 

"Chief Medical Consultant" means the physician within the Bureau who, together with the Medical Relations Unit, has responsibility for coordinating and monitoring the panel of physicians who perform consultative examinations for the Bureau.

 

"Consultative examination" (CE) means a medical examination purchased by the Bureau from a treating physician or psychologist, another source of record, or an independent source to secure additional information necessary to make a disability determination or to resolve conflicting information.

 

"Curriculum vitae" means a summary of academic and professional qualifications submitted to the Bureau by consultative examination providers for review and approval.

 

"Department" means the Illinois Department of Rehabilitation Services.

 

"Evidence" means any information submitted relative to a claim for disability as described in the Code of Federal Regulations 20 CFR 404.1512 and 416.912 as amended August 1, 1991.

 

"Geographical section" means the operational component of the Bureau which is composed of five adjudicative units and is set up to provide service to disability claimants according to their place of residence.

 

"Hold status" means a situation where there is a temporary suspension of referrals to a consultative examination provider due to inability to schedule appointments within 30 days, unacceptable reports, pending Bureau investigation as described in Section 840.90(b)(3), late reports, or provider request.

 

"Key provider" means a consultative examination provider that meets at least one of the conditions described in the Code of Federal Regulations 20 CFR 404.1519s and 416.919s as amended August 1, 1991.

 

"Medical or psychological consultants" means those physicians and psychologists who work directly for the Bureau or under contract and also those who do review and adjudication work in the Bureau.

 

"Program Operations Manual System (POMS)" means the policies and procedures of the Social Security Administration which set forth the objectives and requirements of the disability programs and furnish the standards with which Social Security Administration operating components must comply in the administration of the functions they perform.  The Social Security Act is the basis for all standards set forth in the Program Operations Manual System.

 

"Treating source" means a medical source currently providing treatment to a claimant for alleged or documented impairments as described in the Code of Federal Regulations 20 CFR 404.1502 and 416.902 as amended August 1, 1991.

 

(Source:  Amended at 16 Ill. Reg. 10301, effective June 15, 1992)