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?
21 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
AuthorThanks 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
AuthorThis 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
AuthorOh, 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
AuthorThank 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
AuthorThat'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
AuthorI'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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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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