SSDI Acceptable Medical Sources: What You Need to Know

 SSDI Acceptable Medical Sources: What You Need to Know

SSDI Acceptable Medical Sources: What You Need to Know

Applying for Social Security Disability Insurance (SSDI) can be a complex process, and one of the most crucial aspects of your claim is medical evidence. The Social Security Administration (SSA) relies on medical records to determine the severity of your condition and whether you qualify for benefits.

However, not all medical professionals are considered "acceptable medical sources" by the SSA. Understanding who qualifies and how to present strong medical evidence can significantly impact your chances of approval.

In this guide, we'll cover:

  • What acceptable medical sources (AMS) are

  • The role of treating physicians vs. non-AMS providers

  • The types of medical evidence SSA considers

  • How to strengthen your SSDI claim with the right documentation


What Are Acceptable Medical Sources (AMS)?

The SSA maintains strict criteria on which medical professionals can provide evidence to establish a medically determinable impairment (MDI). These professionals are considered "Acceptable Medical Sources (AMS)," meaning their opinions and diagnoses hold the most weight in SSDI determinations.

List of Acceptable Medical Sources (As of SSA’s Latest Guidelines)

  1. Licensed Physicians (MD or DO) – Medical doctors and doctors of osteopathy can diagnose and provide medical records for a wide range of conditions.

  2. Licensed Psychologists – For claims involving mental impairments, licensed psychologists, including clinical psychologists and neuropsychologists, are considered AMS.

  3. Licensed Optometrists – Can provide evidence for visual impairments and blindness.

  4. Licensed Podiatrists – Only for impairments related to the feet, ankles, or lower extremities.

  5. Qualified Speech-Language Pathologists (SLPs) – Can provide evidence for speech and language disorders.

  6. Licensed Physician Assistants (PAs) and Advanced Practice Registered Nurses (APRNs) – These professionals, including nurse practitioners, clinical nurse specialists, and physician assistants, are now recognized as AMS (as of SSA's revised rules in 2017).

Who Is NOT an Acceptable Medical Source?

While the following professionals can provide valuable medical evidence, they are not considered AMS for establishing a medically determinable impairment:

  • Chiropractors

  • Physical therapists

  • Occupational therapists

  • Acupuncturists

  • Licensed social workers

  • Holistic medicine practitioners

That said, their records can still support your claim, but they must be supplemented with records from an AMS.


The Role of Treating Physicians vs. Non-AMS Providers

Treating Physicians (Preferred Source)

The SSA gives greater weight to the opinion of a doctor who has treated you over time because they have a detailed understanding of your condition. These doctors can:

  • Provide a diagnosis and prognosis

  • Document how your condition limits your ability to work

  • Track progression or worsening of symptoms

Consultative Examinations (CEs)

If your medical records are insufficient, the SSA may send you to a doctor for a consultative examination (CE). This is typically a one-time evaluation by an SSA-appointed medical provider.

CEs can be helpful, but they may not always reflect the severity of your condition as well as records from your treating physician. That’s why it’s crucial to submit comprehensive records from your own doctors.


Types of Medical Evidence SSA Considers

For your SSDI claim to be approved, your medical records must demonstrate the severity and duration of your impairment. The SSA evaluates the following types of medical evidence:

1. Objective Medical Evidence (Best Type of Evidence)

This includes medical test results that confirm a condition, such as:

  • X-rays, MRIs, CT scans

  • Blood tests, lab results

  • Pulmonary function tests

  • Nerve conduction studies

  • Electrocardiograms (EKGs)

2. Treatment History & Progress Notes

  • Doctor’s visits documenting your symptoms

  • Specialist reports (e.g., neurologist, rheumatologist)

  • Medications prescribed

  • Side effects from treatment

  • Hospitalizations or surgeries

3. Functional Capacity Evaluations (FCEs)

An FCE is a specialized assessment that measures your physical limitations, such as:

  • How long you can sit, stand, or walk

  • Your ability to lift or carry weight

  • Range of motion and strength deficits

4. Mental Health Records

For those applying based on mental impairments, SSA will review:

  • Psychological evaluations

  • Counseling/therapy records

  • Psychiatric hospitalization history

5. Statements from Medical Providers

A Residual Functional Capacity (RFC) assessment from your doctor can significantly strengthen your claim. This document explains your limitations in a work setting, such as:

  • Inability to lift heavy objects

  • Difficulty sitting/standing for long periods

  • Cognitive impairments affecting concentration


How to Strengthen Your SSDI Claim with the Right Documentation

  1. Ensure Your Doctor is an AMS

    • If possible, obtain medical opinions from a licensed physician, psychologist, or other AMS provider rather than relying solely on therapists or alternative practitioners.

  2. Get Detailed Medical Reports

    • Ask your doctor to explain your limitations in detail rather than just providing a diagnosis.

  3. Request an RFC Form

    • Have your doctor complete an RFC assessment to document specific work-related limitations.

  4. Include Consistent Treatment Records

    • Frequent gaps in treatment or lack of follow-up care can weaken your claim.

  5. Submit Objective Test Results

    • If you have imaging studies, lab results, or other hard evidence, include them with your application.

  6. Comply with SSA Requests for Exams

    • If SSA schedules you for a Consultative Examination (CE), attend the appointment and cooperate fully.


Are you ready to Apply for SSDI?

Understanding SSDI Acceptable Medical Sources is critical for a successful disability claim. The stronger your medical evidence, the better your chances of approval. Make sure your documentation:

  • Comes from an acceptable medical source (AMS)

  • Includes objective medical tests

  • Contains a clear RFC assessment from your doctor

If you are unsure whether your medical evidence is strong enough, consult with a disability attorney or advocate to help guide you through the process.

Have questions about SSDI and medical sources? Drop them in the comments below! 🚀


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