Because of the comprehensive medical information required for the disability claims process, DDS has established the following fee schedule. This fee schedule is authorized only for use by DDS and may not be used by other units of Rehabilitation Services or the Department of Social and Rehabilitation Services.
1. Disability Determination Consultative Examination (DDCE)
• Payment up to a maximum of $85
• This examination includes a review of a comprehensive medical history and physical examination with decision making of exceptional complexity.
• Specifically this includes:
a. See Comprehensive Report (DDCR) description for report requirements.
• Examinations may be provided by any contracting medically acceptable source as defined by the Social Security Administration
2. Disability Determination Consultative Examination - LIMITED (DDCE-L)
• Payment not to exceed $55.
• Same as DDCE only scope to include less comprehensive examination. See Comprehensive Report (DDCR) description for report requirements.
3. Disability Determination Consultive Examination - CHILD (DDCE-C)
• Payment up to a maximum of $85.
• This includes a comprehensive history and physical examination with decision making of exceptional complexity. Specifically this includes documentation of:
a. The child's major or chief alleged impairments.
b. A detailed description, within the area of specialty, of history of impairments.
c. Description, and disposition, of pertinent “positive” and “negative” detailed findings based on history, examination, and laboratory tests and any other abnormalities or lack thereof reported or found during examination or tests
d. Diagnosis and prognosis for the child's impairments
e. Statements made by the child's parents/caregivers about what the child can still do despite his/her impairment.
• Consulting opinion about the child’s ability, despite impairment to complete age-appropriate activities.
• See Comprehensive Report (DDCR) description for report requirements.
Developmental screening should be performed if requested by DDS.
• Examinations may be provided by any contracting medically acceptable source as defined by the Social Security Administration.
4. Speech/Language Evaluation (SPLGN)
• Payment up to a maximum of $90.
• These exams require a review of background material and a statement of problems and findings including quality, fluency, intelligibility, both oral and written.
• Hearing screening is to be provided with comments and conclusions on all positive speech, language and hearing findings. Copy of all testing protocol is to be provided.
• The Comprehensive Report (DDCR) fee is not available for this evaluation service.
5. Audiology Evaluation (AUDIO)
• Payment up to a maximum of $60.
• The Comprehensive Report (DDCR) fee is not available for this evaluation service.
6. Goldman Evaluation (GOLDM)
• Payment up to a maximum of $100
• The Comprehensive Report(DDCR) fee is not available for this evaluation service.