What is an Acceptable Medical Source? A Comprehensive Legal Overview

Definition & Meaning

An acceptable medical source refers to a healthcare professional who is licensed to provide medical opinions and evaluations. This typically includes licensed physicians, such as medical doctors (MDs) and osteopathic doctors (DOs). These professionals are recognized for their authority to assess a person's medical condition and contribute to legal or insurance-related matters.

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Real-world examples

Here are a couple of examples of abatement:

Example 1: A person applying for Social Security Disability Insurance (SSDI) must submit medical records and evaluations from an acceptable medical source to support their claim.

Example 2: In a workers' compensation case, an injured employee may need a report from their treating physician, who is an acceptable medical source, to validate their injury and treatment plan. (hypothetical example)

State-by-state differences

State Notes
California Acceptable medical sources include licensed psychologists for mental health claims.
New York Only MDs and DOs are recognized as acceptable medical sources for disability claims.
Texas Acceptable medical sources may include nurse practitioners under certain conditions.

This is not a complete list. State laws vary and users should consult local rules for specific guidance.

Comparison with related terms

Term Definition Difference
Acceptable Medical Source Licensed professionals authorized to provide medical opinions. Focuses on credentials and licensing.
Treating Physician A doctor who manages a patient's ongoing care. May not always be an acceptable medical source for legal purposes.
Consultative Examiner A physician who evaluates a patient for a specific purpose, often for insurance. May or may not be a treating physician.

What to do if this term applies to you

If you need to provide medical evidence for a legal claim, ensure that your documentation comes from an acceptable medical source. Gather evaluations and reports from licensed physicians who can substantiate your medical condition. Consider using US Legal Forms to access templates for necessary legal documentation. If your situation is complex, seeking professional legal assistance may be advisable.

Quick facts

  • Typical fees for evaluations can vary widely.
  • Jurisdiction: Varies by state.
  • Possible penalties for using non-credible sources include claim denial.

Key takeaways

Frequently asked questions

An acceptable medical source is a licensed physician authorized to provide medical evaluations and opinions.