Independent Medical Evaluations (IMEs) Explained

FAQs	Answers
What is a Substance Use Disorders IME?	A Substance Use Disorders IME is an evaluation conducted by an independent medical professional to assess an individual’s substance use disorder and its impact on their overall health and functioning.
What is the purpose of a Substance Use Disorders IME?	The purpose of a Substance Use Disorders IME is to provide an objective assessment of an individual’s substance use disorder, including its severity, underlying causes, and any co-occurring mental health conditions. This evaluation helps determine appropriate treatment plans, disability claims, or legal matters related to substance use disorders.
Who performs Substance Use Disorders IMEs?	Substance Use Disorders IMEs are typically conducted by independent medical professionals who specialize in addiction medicine, psychiatry, or psychology. These professionals have expertise in assessing substance use disorders and their impact on individual functioning.
How long does a Substance Use Disorders IME usually take?	The duration of a Substance Use Disorders IME can vary depending on the complexity of the case and the specific requirements set by the referring party. Typically, these evaluations can range from a few hours to a full day.
What should I expect during a Substance Use Disorders IME?	During a Substance Use Disorders IME, you will be asked to provide a detailed medical and substance use history. The evaluating professional will conduct a clinical interview, perform relevant assessments, and review any available medical records. They may also request additional tests or interviews with collateral sources, such as family members or treatment providers.
Will the results of a Substance Use Disorders IME be confidential?	Yes, the results of a Substance Use Disorders IME are typically confidential and protected by patient privacy laws. The evaluating professional will only release the information to the referring party or other authorized individuals with appropriate consent.
Can I choose the evaluator for a Substance Use Disorders IME?	In most cases, the evaluator for a Substance Use Disorders IME is chosen by the referring party, such as an insurance company or legal entity. However, you can usually provide input or request a different evaluator if you have valid concerns about bias or conflict of interest.
How should I prepare for a Substance Use Disorders IME?	Prior to the evaluation, it is important to gather and organize any relevant medical records, including previous treatment history, therapy records, and laboratory results. It may also be helpful to prepare a list of current medications and any questions you have about the evaluation process. Finally, make sure to arrive on time and bring any required identification or documentation.
What happens after a Substance Use Disorders IME?	After a Substance Use Disorders IME, the evaluating professional will compile their findings into a comprehensive report. This report will outline the assessment results, including the diagnosis, severity of the substance use disorder, treatment recommendations, and prognosis. The report will then be provided to the referring party for further decision-making.
Can I appeal the results of a Substance Use Disorders IME?	If you disagree with the results of a Substance Use Disorders IME, you may have the right to appeal. The specific appeal process will depend on the policies set by the referring party. It is advisable to consult with legal or medical professionals for guidance on how to proceed with an appeal.