Does EDD SDI medical certification require California-licensed doctor?
I'm filling out my disability claim and getting confused about who can complete my medical certification. My primary doctor who diagnosed my condition is licensed in Nevada (I live near the border), but I work in California. Will EDD accept medical certification from an out-of-state doctor, or does it HAVE to be a California-licensed physician? The EDD website isn't clear on this specific situation and I'm worried about my claim being denied if I submit with the wrong certification. Has anyone dealt with this cross-state situation before?
36 comments


Liv Park
ya ur good. my doc was from arizona and edd approved my claim last year no problem
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Charlee Coleman
•Thanks for the quick response! That's reassuring. Did you have to provide any additional documentation because your doctor was out-of-state?
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Leeann Blackstein
The medical provider completing your certification form doesn't need to be licensed in California specifically. EDD requires that your medical certification come from a "licensed physician/practitioner" - but that license can be from any state. What matters is that they're properly licensed in their practicing state and qualified to certify your medical condition. Make sure your Nevada doctor completes all sections of the form thoroughly and includes their license number and contact information. Sometimes out-of-state providers aren't as familiar with California's SDI forms, so double-check that everything is filled out correctly before submission.
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Charlee Coleman
•This is exactly what I needed to know! I'll make sure to review the form with my doctor carefully. Really appreciate the detailed explanation.
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Ryder Greene
When I submitted my claim last month, I had a similar situation but with an Oregon doctor. EDD did end up calling my doctor's office to verify some information, so make sure your doctor's office staff knows they might get a call and should respond quickly. My claim was delayed by almost 2 weeks because of this verification step.
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Charlee Coleman
•Oh, that's good to know. I'll definitely give my doctor's office a heads-up about possible verification calls. Did EDD tell you they were doing this verification or did you only find out afterward?
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Ryder Greene
•They never told me! I only found out when I called my doctor's office in a panic after waiting for weeks with my claim stuck in "pending" status. Apparently EDD had called twice but the office staff didn't understand who was calling or why.
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Carmella Fromis
Actually this is WRONG information people are giving you!!! My brother-in-law tried to file with his Arizona doctor and EDD rejected it completely! They said the doctor has to be licensed in CA and have a CA medical license number. This was just 3 months ago so maybe the rules changed recently??!!
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Leeann Blackstein
•I believe there might be some confusion here. The California Code of Regulations does NOT specify that physicians must be California-licensed for SDI claims. The law only requires they be "duly licensed" in their state. However, there ARE differences between disability insurance and paid family leave requirements that sometimes cause confusion. Your brother-in-law's situation might have involved other factors - perhaps incomplete documentation, the doctor not being properly licensed in Arizona, or an EDD employee providing incorrect information (which unfortunately happens).
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Carmella Fromis
•Maybe ur right but we spent HOURS trying to fix this and they kept saying the doctor needed a CA license!! Maybe the EDD person was just wrong but it was such a nightmare getting it fixed.
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Theodore Nelson
Just to share my experience with out-of-state doctors and EDD SDI: I had my disability certified by a specialist in Nevada last year, and while my claim was eventually approved, it took much longer than usual. I think what happens is these claims get flagged for additional review. If you're running into trouble getting anyone at EDD to answer questions about this, I'd recommend trying Claimyr (claimyr.com). I was stuck in the same situation and couldn't get through on the phone for days, then I found their service. They connected me with an actual EDD representative in about 20 minutes. There's a video that shows how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. It really helped get my specific questions answered when I was dealing with my out-of-state doctor certification.
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Charlee Coleman
•Thank you for the recommendation! I've been trying to call EDD for two days with no luck. Will definitely check out that service if I can't get through soon. Really helpful to hear from someone who went through a similar situation.
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AaliyahAli
sorry to butt in but does anyone know if this applies to chiropractors too? my chiropractor is helping with my back injury disability but shes in Oregon not California
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Leeann Blackstein
•For chiropractors specifically, they can certify disabilities but only for the duration and condition permitted by their scope of practice (usually limited to back/spine issues and typically for shorter durations). The same rule applies - they need to be properly licensed in their state of practice, but not specifically in California. Just make sure they complete the medical certification form completely and include their license details.
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Ellie Simpson
I'm actually going through this exact situation right now! My doctor is licensed in Arizona but I work in California. My claim was pending for 2 weeks, then EDD called me asking for additional verification of my doctor's credentials. I had to get my doctor to send a copy of their medical license and a letter confirming they're my treating physician. After I uploaded those documents, my claim was approved within 3 days. So yes, out-of-state doctors are accepted, but be prepared for some extra verification steps and possible delays. Don't panic if it takes longer than usual!
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Charlee Coleman
•That's super helpful information! I'll ask my doctor to provide those extra documents upfront to hopefully avoid delays. Thanks for sharing your experience - it's almost exactly my situation.
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Arjun Kurti
why dont u just go to a CA doctor instead of making things complicated? thats what i would do
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Charlee Coleman
•I've been with my Nevada doctor for years and they know my medical history. Plus I live right on the border so it's actually much closer for me. Switching doctors just for paperwork would mean starting over with someone new who doesn't know my condition as well.
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Kara Yoshida
Just wanted to add my experience since I went through this exact situation about 6 months ago. My doctor is licensed in Oregon and I work in California. EDD did accept the medical certification without any issues, but like others mentioned, there was a verification process that added about 10 days to my claim. What really helped was being proactive - I called my doctor's office before submitting and explained that EDD might contact them for verification. I also made sure they had all my contact info updated in case they needed to reach me quickly. The office manager was super helpful and flagged my file so they'd know to respond promptly to any EDD calls. One tip: make sure your doctor uses their full legal name and includes their state license number clearly on the form. Sometimes the delay happens because EDD can't easily verify the credentials if the information isn't complete or legible.
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Lindsey Fry
•This is really great advice! I hadn't thought about calling ahead to prepare my doctor's office for potential verification calls. The tip about using the full legal name and making sure the license number is clearly written is especially helpful - I can see how sloppy handwriting or incomplete info could cause delays. Thanks for sharing such practical tips from your experience!
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Ava Thompson
I'm actually dealing with a very similar situation right now! My doctor is in Nevada but I work in California. After reading through all these responses, it sounds like out-of-state doctors are generally accepted but there might be some extra verification steps that could delay things. Based on what everyone's shared, I'm planning to: 1) Have my doctor double-check that all info on the form is complete and legible, especially their license number, 2) Give the office a heads up that EDD might call for verification, and 3) Maybe even ask for a copy of their license upfront just in case. It's so helpful to hear from people who've actually been through this process - the EDD website really doesn't make this clear at all! Thanks everyone for sharing your experiences.
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Miguel Ramos
•That sounds like a really solid plan! I'm new to this whole EDD process but reading through everyone's experiences here has been incredibly helpful. Your approach of being proactive with the documentation and preparing your doctor's office ahead of time seems like the smartest way to avoid unnecessary delays. It's frustrating that the EDD website doesn't clearly address the out-of-state doctor situation - seems like it comes up pretty frequently based on all these responses. Good luck with your claim, and thanks for summarizing those key steps so clearly!
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Isabella Santos
I'm new to this community and just started the SDI claim process myself. This thread has been incredibly informative! I'm in a similar situation - my doctor is licensed in Oregon but I work in California. After reading everyone's experiences, it's clear that out-of-state doctors are generally accepted, but there are some important steps to take to avoid delays: 1. Make sure your doctor completes ALL sections of the medical certification form thoroughly 2. Ensure their license number and contact info are clearly written 3. Give your doctor's office a heads up that EDD might call for verification 4. Consider getting a copy of their medical license proactively 5. Be prepared for potential delays of 1-2 weeks for the verification process It's really frustrating that the EDD website doesn't clearly explain this situation since it seems pretty common for people living near state borders. Thanks to everyone who shared their real experiences - this is way more helpful than anything I could find on the official EDD site! Has anyone had success getting EDD to clarify their policy on this in writing, or is it just based on individual case experiences?
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Edward McBride
•Welcome to the community! I'm also new here and just going through the SDI process myself. Your summary of the key steps is really helpful - I've been taking notes from everyone's experiences too since the official EDD info is so unclear on this. To answer your question about getting EDD's policy in writing - from what I've seen in other threads here, getting consistent written responses from EDD on specific situations like this is pretty difficult. Most people seem to rely on calling and getting verbal confirmation, but even then different representatives sometimes give different answers. That's why these real-world experiences from community members are so valuable! I'm planning to follow the same proactive steps you outlined when I submit my claim next week. Good luck with yours!
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Giovanni Conti
I just went through this exact situation last month! My doctor is licensed in Nevada and I work in California. EDD did accept my medical certification, but there was definitely an extra verification step that added about a week to my processing time. Here's what worked for me: I called my doctor's office before submitting and explained that EDD might contact them for verification. I also made sure they had my updated contact info in case EDD needed to reach me about anything. When EDD did call my doctor's office, they were prepared and responded quickly. One thing I learned - make absolutely sure your doctor includes their full name (exactly as it appears on their license), their license number, and their direct office phone number clearly on the form. Any missing or unclear information can cause delays in the verification process. Overall, yes - out-of-state doctors are accepted, but just be prepared for the extra verification step and allow a bit more time for processing. Your Nevada doctor should be fine!
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Marcelle Drum
•Thanks for sharing your experience! It's really reassuring to hear from someone who just went through this exact situation recently. Your tip about making sure the doctor includes their full name exactly as it appears on their license is something I hadn't thought of - that's a great detail that could definitely prevent verification delays. I'm curious - when EDD called your doctor's office for verification, did they tell you they were doing this or did you only find out because you had prepared your office to expect the call? I'm wondering if I should proactively check in with EDD after submitting or just wait to hear back.
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CosmicCowboy
I'm in almost the exact same situation! My primary care doctor is licensed in Nevada but I work in California. Reading through all these experiences has been super helpful since the EDD website is so vague about this. Based on what everyone's shared, it sounds like the key is being proactive - making sure the medical certification form is completely filled out with clear license info, and giving your doctor's office a heads up about potential verification calls from EDD. I'm planning to ask my doctor to include a copy of their Nevada medical license with my submission, just to potentially speed up any verification process. Has anyone tried submitting additional documentation like that upfront, or is it better to wait and see if EDD requests it? Thanks to everyone who shared their real experiences - this is way more useful than anything I could find on the official EDD resources!
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Christopher Morgan
•Hey there! I'm also new to this community and dealing with a similar cross-border situation. From reading through everyone's experiences, it seems like including extra documentation upfront might actually be a smart move - several people mentioned that the verification delays happened because EDD had to track down license info later. I think your idea of including a copy of your doctor's Nevada license with the initial submission could potentially save you that 1-2 week verification delay that others experienced. Even if EDD doesn't specifically request it, having it right there might help their reviewers process your claim faster. I'm definitely going to follow the same approach when I submit mine next week. Thanks for asking that question - I was wondering the same thing!
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Mei Zhang
I'm also dealing with this exact situation! My doctor is in Nevada and I work in California. After reading through everyone's experiences here, it's really clear that out-of-state doctors ARE accepted by EDD, but there's definitely some extra verification steps that can add time to your claim processing. From what I've gathered, the key things to do are: make sure your doctor fills out the form completely with clear license info, prep their office that EDD might call for verification, and maybe even include a copy of their medical license upfront to avoid delays. It's honestly frustrating that EDD's website doesn't clearly address this situation since it seems pretty common for people living near state borders! But this community discussion has been way more helpful than anything I found on the official site. Thanks everyone for sharing your real experiences - it's made me feel much more confident about moving forward with my Nevada doctor.
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Laura Lopez
•Welcome to the community! I just joined recently too and have been following this thread closely since I'm in a very similar situation - my doctor is across state lines but I work in California. Reading through everyone's experiences has been incredibly eye-opening. It's clear that while out-of-state doctors are generally accepted, being proactive really seems to make a difference in avoiding delays. Your summary of the key steps is spot on - thorough form completion, prepping the doctor's office, and potentially including extra documentation upfront. I'm also frustrated by how unclear EDD's official resources are on this topic! This community discussion has provided way more practical, actionable information than hours of searching through government websites. It's really valuable to hear from people who've actually navigated this process successfully. Good luck with your claim - sounds like you've got a solid plan based on everyone's shared wisdom here!
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NeonNova
I'm new to this community and just started navigating the SDI process myself. This thread has been incredibly helpful! I'm in a similar situation with my doctor being licensed in Arizona while I work in California. From reading everyone's experiences, it's clear that out-of-state doctors are accepted, but the verification process seems to be the key factor that can cause delays. I really appreciate how everyone has shared such specific, practical advice - like making sure the doctor's full legal name and license number are clearly written, and giving their office a heads up about potential EDD verification calls. One question I have based on the mixed experiences shared here - has anyone found it helpful to call EDD directly before submitting to confirm their specific situation, or is it generally better to just submit and be prepared for the verification process? I'm trying to decide if it's worth attempting to get through to them on the phone first, especially given how difficult it seems to be to reach them. Thanks to everyone who's shared their real-world experiences - this is so much more useful than the vague information on EDD's official website!
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Savannah Glover
•Welcome to the community! I'm also pretty new here and have been learning so much from everyone's shared experiences. From what I've seen in this thread and others, calling EDD directly before submitting seems to be hit-or-miss. Some people get helpful representatives who confirm that out-of-state doctors are fine, but others get conflicting information or can't get through at all (like that Theodore Nelson mentioned using Claimyr to actually reach someone). Based on all the experiences shared here, I think you're probably better off just submitting with your Arizona doctor and being prepared for the verification process. The consensus seems to be that out-of-state doctors ARE accepted, it's just a matter of being proactive about the extra steps - complete form, clear license info, prep the office for calls, maybe include license copy upfront. At least if you submit and run into issues, you'll have a specific case to reference when you do need to call EDD, rather than trying to get a hypothetical answer upfront. Good luck with your claim!
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Jace Caspullo
I'm new to this community and also dealing with this exact situation! My doctor is licensed in Oregon but I work in California. Reading through all these experiences has been incredibly reassuring - it sounds like out-of-state doctors are definitely accepted, but being proactive about the verification process is key. Based on everyone's advice, I'm planning to: 1) Make sure my doctor's license number and contact info are crystal clear on the form, 2) Give their office a heads up about potential EDD verification calls, 3) Consider including a copy of their Oregon medical license with my initial submission to potentially avoid delays. It's really frustrating how unclear EDD's official website is about this situation! This community discussion has provided way more practical guidance than anything I could find through official channels. Thanks to everyone who shared their real experiences - it's made me feel much more confident about proceeding with my out-of-state doctor rather than trying to find a new California provider who doesn't know my medical history. One quick question - for those who experienced verification delays, did EDD notify you that they were conducting verification, or did you only find out when you called to check on your claim status?
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Omar Hassan
•Welcome to the community! I'm also new here and just went through this process recently. To answer your question about EDD notifications - in my experience, they didn't proactively tell me they were doing verification. I only found out when my claim seemed to be taking longer than expected and I called to check the status. The representative mentioned they had reached out to my doctor's office for verification. That's actually why the advice about prepping your doctor's office is so valuable - if they're expecting the call and respond quickly, it can really speed things up. One thing I'd add to your plan is to make sure you have your doctor's office direct phone number handy in case EDD needs you to help facilitate contact during the verification process. Your approach sounds really solid though! Having all that documentation ready upfront seems like the smartest way to avoid unnecessary delays.
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Aisha Mohammed
I just went through this exact situation a few weeks ago! My doctor is licensed in Nevada and I work in California. After reading all these experiences, I can confirm that out-of-state doctors are definitely accepted by EDD, but there are some extra steps that can help avoid delays. What worked for me: I made sure my doctor filled out the medical certification form completely with their full legal name (exactly as it appears on their Nevada license), clear license number, and direct office phone. I also gave their office a heads-up that EDD might call for verification and made sure they had my updated contact info. EDD did end up calling my doctor's office about 5 days after I submitted, but because I had prepared them, they responded immediately and my claim was approved within 2 days after that. The whole process took about a week longer than it might have with a California doctor, but it was totally manageable. One tip I'd add: I included a brief cover letter with my submission explaining that my doctor practices in Nevada but treats me for my condition, just to give EDD context upfront. I'm not sure if it helped, but it felt like good practice to be transparent about the cross-state situation from the beginning.
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Tate Jensen
•This is such helpful advice! I'm also new to this process and dealing with an out-of-state doctor situation. Your tip about including a brief cover letter explaining the cross-state situation is really smart - I hadn't thought of that but it makes sense to be upfront about it from the beginning rather than leaving EDD to figure it out during processing. I'm curious about the timing - when you say EDD called your doctor's office 5 days after you submitted, was that 5 business days or calendar days? I'm trying to plan when to follow up if I don't hear anything back. Also, did they call during regular business hours or should I warn my doctor's office they might get calls at odd times? Thanks for sharing such detailed information about what worked for you - it's really reassuring to hear from someone who just successfully navigated this exact situation!
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