§ 40.297
(a) Except as provided in paragraph (b) of this section, no one (e.g., an employer, employee, a managed-care provider, any service agent) may change in any way the SAP`s evaluation or recommendations for assistance. For example, a third party is not permitted to make more or less stringent a SAP`s recommendation by changing the SAP`s evaluation or seeking another SAP`s evaluation.
(b) The SAP who made the initial evaluation may modify his or her initial evaluation and recommendations based on new or additional information (e.g., from an education or treatment program).