Independent Medical Evaluations (IMEs) Explained

Question	Answer
What is an Independent Medical Evaluation (IME)?	An Independent Medical Evaluation (IME) is an objective assessment conducted by an impartial medical professional to evaluate an individual’s medical condition and provide an unbiased opinion.
What is a Substance Use Disorder (SUD) IME?	A Substance Use Disorder (SUD) IME focuses on evaluating individuals who have a diagnosable substance use disorder, including alcohol and drug addictions.
What is a Behavioral Disorder IME?	A Behavioral Disorder IME focuses on evaluating individuals who have behavioral disorders, such as attention deficit hyperactivity disorder (ADHD), conduct disorder, or oppositional defiant disorder (ODD).
What are the common objectives of Substance Use Disorder IMEs?	– Assess the severity and impact of substance abuse – Determine the appropriate level of care or treatment needed – Assess the individual’s response to previous treatments – Evaluate the individual’s ability to function in daily life.
What are the common objectives of Behavioral Disorder IMEs?	– Assess the presence and severity of the behavioral disorder – Evaluate the individual’s symptoms and functional impairment – Determine the most appropriate treatment plan – Assess the need for accommodations or supportive services.
Who typically requests Substance Use Disorder IMEs?	Substance Use Disorder IMEs are often requested by insurance companies, legal entities, employers, or disability determination agencies to assess the impact of substance abuse on an individual’s overall functioning and ability to work.
Who typically requests Behavioral Disorder IMEs?	Behavioral Disorder IMEs can be requested by a variety of parties, including schools, parents, legal entities, employers, or insurance companies, to evaluate the presence and impact of a behavioral disorder on an individual’s educational, family, or work life.
What can I expect during a Substance Use Disorder IME?	During a Substance Use Disorder IME, you will likely undergo a comprehensive assessment, which may include interviews, review of medical records, psychological testing, and laboratory tests, to determine the nature and extent of your substance abuse disorder.
What can I expect during a Behavioral Disorder IME?	During a Behavioral Disorder IME, you can expect a comprehensive evaluation that may involve interviews, behavioral observations, psychological assessments, and review of medical and educational records to assess the presence and impact of your behavioral disorder.
What is the role of the evaluator in Substance Use Disorder and Behavioral Disorder IMEs?	The role of the evaluator is to provide an objective assessment, diagnosis, and recommendations based on the information gathered during the evaluation process. They should remain impartial and unbiased throughout the evaluation.