New CalFresh work requirements confusing me - can't work due to undiagnosed neuropathy pain
I'm completely stressed about the new 2025 CalFresh work requirements for 'able-bodied adults' because I don't think I qualify as 'able-bodied' but can't get proper documentation. I've been dealing with severe nerve pain and mobility issues for 3+ years that make it impossible to hold down a job. My doctors keep saying they "don't know exactly why" I can't walk properly and won't give me a specific diagnosis beyond "possible neuropathy" - just prescribe pain meds and physical therapy that doesn't help. I got a discontinuance notice saying I need to register for work activities or provide medical exemption documentation. When I asked my doctor for a medical exemption form, he said he "doesn't want to label me with a permanent condition yet" and suggested I try working part-time! He has no idea how much pain I'm in. I've applied for disability but that process takes forever and without a clear diagnosis, I'm worried I'll be denied. Meanwhile, I desperately need my CalFresh benefits to survive. Has anyone dealt with this type of situation with the new work requirements? What documentation worked for you if doctors wouldn't provide a clear diagnosis?
21 comments
Ravi Malhotra
You actually might qualify for a medical exemption even without a specific diagnosis. The CalFresh work requirement exemption doesn't necessarily need a named condition - just documentation that you're physically unable to work. Ask your doctor to complete the CW 61 form (Medical Report for Work Exemption) focusing on your functional limitations rather than a specific diagnosis. Have them document what you CANNOT do (stand for periods, walk distances, lift items) rather than naming your condition. Also, there are other exemptions that might apply to you. Are you receiving any state disability payments, even temporary ones? That would exempt you. Or if you're the primary caretaker for an incapacitated person or a child under 6, those are exemptions too.
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StarSurfer
•Thank you for this info! I didn't know about the CW 61 form specifically. Maybe if I approach it as documenting my limitations rather than asking for a diagnosis, my doctor will be more willing to help. I'm not receiving any disability payments yet (still in application phase) and don't qualify for the caretaker exemptions. I'll ask specifically for the CW 61 form at my next appointment.
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Freya Christensen
omg the same thing happend to me last year!!! my doc kept saying we need more tests but wouldnt write the exemption letter. i finaly had to switch doctors completely and the new one gave me the paperwork right away. sometimes u just need a different doctor who gets it!!
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StarSurfer
•That's actually really helpful to hear. I've been with this doctor for years but maybe I do need to consider switching. Did you just find a new primary care doctor or did you go to a specialist?
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Freya Christensen
•i went to a different primary care who was recommended in a chronic pain group. made ALL the difference!!
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Omar Hassan
The new ABAWD (Able-Bodied Adults Without Dependents) work requirements are causing a lot of confusion. You're right to be concerned, but there are multiple pathways to exemption. First, let me clarify something important: You don't necessarily need a specific diagnosis like "neuropathy" to qualify for a medical exemption. What matters is that a medical provider certifies you're physically unable to work. The form they need to complete (CW 61) focuses on functional capacity rather than diagnosis names. Second, while waiting for your disability application to process, request a temporary medical exemption. These can be approved for 30-90 days and renewed while you're sorting out longer-term documentation. Third, consider requesting a reasonable accommodation from your county office under ADA. Explain your situation and ask what alternative documentation they can accept. Finally, if you're getting any medical treatment whatsoever, that can sometimes qualify as a "work activity" under certain circumstances. Ask your worker if your physical therapy or medical appointments can count toward the work requirement hours.
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StarSurfer
•Thank you so much for this detailed explanation! I didn't know about the temporary exemption possibility - that could be a lifesaver while I'm waiting on disability. And I never considered that my PT appointments might count as work activities. I'll definitely ask about both options.
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Chloe Robinson
This is EXACTLY what's wrong with the system!! They make these rules without thinking about people with real problems. I've been through the same thing - couldn't work, doctors wouldn't commit to a diagnosis, CalFresh threatened to cut me off. It's cruel. They act like everyone who's not working is just lazy when some of us are literally in pain every day!!! The whole "able-bodied" requirement is ableist garbage.
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Omar Hassan
•While I understand your frustration, it's important to note that the system does include medical exemptions specifically to accommodate people with health issues. The implementation can definitely be improved, but the policy itself does recognize that not everyone can work. The challenge is often in the documentation process rather than the policy intent.
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Chloe Robinson
•Easy to say when you haven't been through it. The "exemptions" are meaningless if you can't get doctors to fill out the paperwork! The whole system is designed to kick people off benefits.
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Diego Chavez
hey there, i had a really similar problem last year trying to reach someone at the county to discuss my medical exemption. i kept getting stuck in automated phone systems and could never reach an actual human who could tell me what specific documentation i needed. after getting disconnected like 8 times, someone told me about this service called Claimyr that got me through to a real person at the CalFresh office in less than 30 minutes. they basically call for you and navigate the phone tree, then connect you when they get a real person. saved me hours of frustration. you can see how it works at https://youtu.be/eZ19FHRETv8?si=_CXnXqNXbLl26WB8 or just go to claimyr.com - seriously made dealing with my medical exemption so much easier because i could actually talk to someone who explained exactly what my doctor needed to write.
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StarSurfer
•This sounds really helpful! I've been trying to call my county office for days and just get voicemail or disconnected. I'll check out that service because I really need to talk to an actual person about what documentation will work in my situation. Thanks for the tip!
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NeonNebula
I know exactly what ur going through! I have fibromyalgia which took 5 YEARS to diagnose and doctors kept saying the same thing to me. What finally worked was asking my doc to write a letter about my "functional limitations" instead of a diagnosis. Like it said I couldn't stand for more than 20 min, couldn't lift more than 5 lbs, needed frequent breaks, etc. The county accepted that even though it didn't have a specific condition name on it. Also if your trying to get on disability maybe talk to legal aid? They can sometimes help with both the disability application AND getting the right medical exemption paperwork for CalFresh.
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StarSurfer
•Thank you for sharing your experience! That gives me hope. I'll definitely try the "functional limitations" approach. And I didn't think about legal aid - that's a great suggestion since I'm struggling with both CalFresh and disability applications.
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Anastasia Kozlov
Are you working with a specialist or just a primary care doctor? In my experience, neurologists are much more willing to document these kinds of symptoms even without a definitive diagnosis. Primary care doctors often hesitate because they don't specialize in those conditions. If you haven't seen a neurologist yet, try to get a referral. They can run nerve conduction studies and other specific tests that might give more concrete evidence of your condition, which would help with both CalFresh exemptions and your disability claim.
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StarSurfer
•I've only been working with my PCP because my insurance makes it really hard to get specialist referrals. But you're right - I should push harder for a neurology referral. Those nerve conduction tests might be exactly what I need for proper documentation. I'll call my insurance tomorrow and see what it would take to get approved for a neurologist.
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Ravi Malhotra
One other suggestion: If your current doctor won't complete the exemption paperwork, you can also ask if there's another provider in the same practice who might be willing to help. Sometimes physician assistants or nurse practitioners are more understanding about these documentation needs than doctors. Also, keep a detailed pain/activity journal for a few weeks documenting exactly how your condition limits you daily. Bring this to your next appointment as evidence. Having specific examples like "On Monday, I tried to walk to the mailbox (0.1 miles) and had to stop 3 times due to pain" is more compelling than general statements about pain.
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Freya Christensen
•this journal idea is so smart!! i wish i had done that. doctors take u more seriously when u have everything written down i noticed.
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StarSurfer
•The journal is a great idea. I've been trying to explain my limitations verbally, but having it all documented would probably make a much stronger case. And I hadn't thought about seeing the PA or NP instead of my doctor - worth trying!
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NeonNebula
wait wait I just thought of something else! If u have ANY kind of home health aide or even if family helps you with daily activities, that can sometimes count as proof too. My mom was helping me with grocery shopping and driving to appointments and we included that in my paperwork. CalFresh accepted that as evidence I couldn't work cuz I needed help with basic stuff. worth mentioning if thats ur situation too
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StarSurfer
•That's a really good point. My sister does help me with groceries and house cleaning because I can't manage on my own. I never thought to include that as evidence of my limitations, but it makes perfect sense. I'll definitely add that to my documentation. Thank you!
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