CalFresh denied - how to properly report children with disabilities for eligibility?
I just got a denial letter for CalFresh and I'm really confused. Our family of 5 (me, husband, and 3 kids) is struggling financially and I thought we'd qualify. Two of my children have documented disabilities with IEPs at school and regular therapy appointments. The monthly medical expenses for their treatments are over $800 even with insurance. When I filled out the application online, I couldn't figure out where to note their disabilities or our medical expenses. The denial letter just said our income was too high without any mention of disability deductions. Does having children with disabilities change the income calculations? Is there a special form or way to report this when applying? Should I appeal the denial?
19 comments


Katherine Ziminski
YES! You absolutely need to report those medical expenses! CalFresh has special deductions for households with elderly or disabled members. For your children to qualify as "disabled" for CalFresh purposes, they need to be receiving disability-based benefits (like SSI) or meet certain disability criteria. But regardless, you can deduct medical expenses over $35 per month for disabled/elderly household members, which can SIGNIFICANTLY affect your eligibility calculation. Call your county office and ask for an appeal. Explain that you have unreimbursed medical expenses for your children with disabilities that weren't considered in your application. They should send you a form to document these expenses. Make copies of all medical bills, therapy costs, special transportation, etc.
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Kaiya Rivera
•Thank you so much! Neither of my kids gets SSI (we applied but were denied). They both have autism and one also has ADHD. Do they still count as disabled for CalFresh? And should I be saving all receipts for their therapy copays and medications?
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Noah Irving
same thing happened to my sister last yr. they dont tell u that disabilities matter until after u get denied!! so frustrating. make sure u call and tell them asap
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Kaiya Rivera
•Did your sister eventually get approved after telling them about the disabilities? I'm worried about the appeal process taking too long when we need food assistance now.
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Vanessa Chang
The CalFresh system is RIDICULOUS when it comes to disabilities!! I spent TWO YEARS fighting with them to get them to properly account for my son's needs. The workers don't even understand their own rules half the time!!! The online application is completely inadequate for special situations like ours. You need to specifically ask for the "Medical Expense Deduction" form. And be prepared to FIGHT for your benefits because they will try to deny legitimate expenses. Also, transportation to medical appointments counts but they never tell you that!!
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Madison King
•This is so true! They never told me about transportation costs counting either until I happened to mention to my worker that I was driving 45 miles each way for my daughter's specialist appointments.
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Julian Paolo
To clarify some confusion here: For CalFresh purposes, disability status requires one of the following: 1. Receipt of disability benefits (SSI/SSDI, VA disability, etc.) 2. Receiving disability retirement benefits from a government agency 3. Receiving interim assistance pending SSI approval 4. Meeting the SSI disability criteria but not receiving SSI due to income However, medical expense deductions are available to elderly (60+) OR disabled household members. These deductions apply to out-of-pocket medical costs exceeding $35 monthly and can include: - Medical/dental care - Medications - Health insurance premiums - Medical equipment - Transportation to medical appointments - Therapy costs You should definitely appeal the denial and provide documentation of these expenses. The standard appeal form is called "Request for State Hearing" (DPA 479). You have 90 days from your denial to file it.
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Ella Knight
•wait so if the kids don't get SSI do they still count as disabled? my nephew has autism but got denied for SSI too and my sister hasn't applied for calfresh yet because she thinks she won't qualify
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Julian Paolo
•If the children don't receive SSI or other disability benefits, they may still qualify as disabled if they meet the disability criteria used for SSI (even if their income is too high for SSI). This requires medical documentation. A county eligibility worker should be able to help determine if they meet this criterion. Regardless, the key for CalFresh is documenting those medical expenses properly since they directly affect the benefit calculation.
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William Schwarz
I dealt with this same issue last year - calling the county office directly was IMPOSSIBLE. I'd wait on hold for hours only to get disconnected. After getting frustrated, I tried Claimyr (claimyr.com) which helped me actually get through to a real person at the CalFresh office without the endless hold times. I explained my situation about my daughter's disability expenses, and they helped me file an appeal right over the phone and told me exactly what documentation to submit. They have a video showing how it works: https://youtu.be/eZ19FHRETv8?si=_CXnXqNXbLl26WB8 After getting the right medical expenses counted, our family qualified for $750/month in CalFresh benefits compared to the initial denial.
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Kaiya Rivera
•$750 a month would be life-changing for us! I've been trying to call our county office for two days now with no luck. I'll check out that service if I can't get through tomorrow. Did they make you verify all the medical expenses with receipts?
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William Schwarz
•Yes, I had to provide receipts and documentation for everything. Make sure you track ALL costs - medications, copays, therapy, special dietary needs (if doctor-prescribed), medical equipment, and even gas/transportation to appointments. I actually created a spreadsheet with all our monthly medical costs that I submitted along with the receipts, which the worker said was really helpful.
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Madison King
my son has autism too and we get calfresh! what really helped was getting a note from his doctor about his condition and how it affects our expenses. bring that to ur interview!
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Kaiya Rivera
•That's a great idea! We have upcoming appointments with both kids' doctors next week, so I'll ask for documentation then. Did you have to get a specific form filled out by the doctor?
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Katherine Ziminski
Just to follow up on the excellent advice above - when you appeal, make sure you specifically mention "medical expense deduction" in your appeal letter. Also, gather these documents to strengthen your case: 1. Diagnosis documentation for both children 2. All medical/therapy receipts from the last 3 months 3. A list of ongoing monthly medical expenses 4. Documentation of any special dietary needs (if applicable) 5. Mileage log for medical appointments CalFresh regulations require them to consider these expenses, but you need to be proactive about presenting them. When properly documented, medical expense deductions can make a significant difference in your eligibility determination and benefit amount. The income limit is effectively raised when these deductions are applied correctly.
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Kaiya Rivera
•Thank you so much for this detailed list! I'll start gathering everything. Should I include their IEPs from school as part of the diagnosis documentation? And for the mileage log, can I create one retroactively based on our appointment history?
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Katherine Ziminski
•Yes, IEPs can be helpful supplementary documentation, especially if they mention specific accommodations related to their diagnosed conditions. For the mileage log, you can absolutely create one retroactively based on appointment records. Just list the dates, destinations, purpose (what type of appointment), and round-trip miles. Be honest but thorough - include all medical-related trips including pharmacy visits for their prescriptions.
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Jay Lincoln
I went through this exact same situation with my daughter who has cerebral palsy! The key thing that helped us was requesting a "disability determination" for CalFresh purposes, even though she doesn't receive SSI. You can ask your county worker to evaluate whether your children meet the disability criteria based on their medical conditions and functional limitations. Also, don't forget about these often-overlooked medical expenses that count toward your deduction: - Special foods/supplements if medically necessary - Assistive technology or adaptive equipment - Physical/occupational therapy copays - Behavioral therapy sessions - Special transportation costs (like wheelchair-accessible vehicles) When I appealed, I submitted a detailed monthly budget showing ALL disability-related expenses, and it made the difference between denial and approval. The appeal process took about 6 weeks for us, but we received retroactive benefits back to our original application date. Definitely worth fighting for!
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Paloma Clark
•This is incredibly helpful! I never thought about some of those expenses like special foods or assistive technology. My youngest son needs sensory toys recommended by his occupational therapist that we buy monthly, and we also have to buy specific protein shakes that his doctor recommended because of his eating difficulties. Those costs add up but I didn't realize they could count as medical expenses for CalFresh. How detailed should I be when documenting these types of expenses? Do I need a prescription for the special foods to have them count?
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