< Back to California Disability

Issac Nightingale

Therapist licensing requirements for California EDD SDI certification - out-of-state provider issue

I'm on medical leave for severe anxiety/depression and my therapist has been treating me for about 8 months. When I filed my SDI claim last week, I realized my therapist is licensed in Nevada (where I used to live) but not in California. She filled out the medical certification portion of my claim, but now I'm worried EDD will reject it since she's not CA-licensed. Has anyone dealt with this before? Will EDD accept certification from an out-of-state mental health provider? I can't afford to switch therapists right now when I'm in the middle of treatment, and I definitely need this disability income to cover my bills while I'm not working. Getting really stressed about this on top of everything else.

Romeo Barrett

•

Unfortunately, California EDD DOES require that your medical provider be licensed in California to certify your disability claim. This is a common issue that trips people up. Your therapist needs to have a valid California license number to put on the form for it to be accepted. If you filed online, you might already have gotten (or will soon get) a notice saying your certification is incomplete or invalid.

0 coins

Oh no... that's what I was afraid of. Do you know if there's ANY exception to this? Like if my primary care doctor in CA co-signs it or something?

0 coins

same thing happnd to me but with my chiropractor from Arizona. EDD refused my claim and i had to get a CA doctor to certify instead. total nightmare.

0 coins

That sounds awful. How long did it take you to find a CA doctor who would help? Did they make you start treatment over from scratch?

0 coins

Justin Trejo

•

Actually, there IS a solution! You can have a CA-licensed physician review your medical records and your therapist's treatment notes, then have THEM fill out the medical certification portion. You'll need to find a doctor willing to do this - ideally your primary care doctor who can verify your mental health condition based on your history and the Nevada therapist's documentation. The form doesn't require that the certifying doctor be your only or primary treating physician, just that they're qualified to certify your condition. You'll probably need to schedule an appointment with your CA doctor and bring all your therapy records.

0 coins

THANK YOU!! This gives me hope. I do have a primary care doctor here in California who knows about my mental health issues. I'll call tomorrow and see if they can help with this. Do you know if there's any specific documentation my therapist should provide to make this easier?

0 coins

Justin Trejo

•

Your therapist should provide: 1) Formal diagnosis with DSM codes, 2) Treatment plan, 3) Session notes showing ongoing treatment, 4) Professional assessment of why you're unable to perform your job duties, and 5) Expected recovery timeline. The more detailed documentation you have, the easier it will be for your CA doctor to certify your claim.

0 coins

Alana Willis

•

the whole california licensing thing is such bs in my opinion. like my doctor in oregon knows me better than some random CA doctor i've never met, but EDD doesn't care about that! they just want their precious CA license number. the system is designed to make us fail i swear.

0 coins

Tyler Murphy

•

right??!! my sister had same problem with her psychiatrist when she moved from washington. ended up having to pay $300 for a new doctor visit just to get the stupid form signed by someone with a CA license.

0 coins

Sara Unger

•

Have you tried calling EDD to ask about this specific situation? They might have some exceptions or alternatives for out-of-state providers, especially if you're still establishing care in California.

0 coins

I've been trying to call them for two days but keep getting disconnected or told the wait time is over 3 hours. It's incredibly frustrating.

0 coins

If you need to reach EDD quickly, try using Claimyr (claimyr.com). I was in a similar situation with an out-of-state doctor issue and needed answers ASAP. They got me connected to an actual EDD agent in about 20 minutes instead of spending days trying to get through. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd. Helped me resolve my certification issue when I was stressing about paying rent.

0 coins

Thanks, I'll check that out! At this point I'm willing to try anything to get some clear answers.

0 coins

Romeo Barrett

•

Another option is to ask your current therapist if they have any colleagues with dual licensure in Nevada and California who could potentially take over your case temporarily just for certification purposes. Some therapists maintain licenses in multiple states specifically to handle these situations.

0 coins

That's a clever idea! I'll definitely ask her about that too. Maybe there's someone in her practice who could help.

0 coins

Sara Unger

•

Quick question - are you doing telehealth with your Nevada therapist? Because that might actually complicate things further since there are interstate telehealth regulations that might apply.

0 coins

Yes, we've been doing telehealth since I moved to California. Ugh, this just keeps getting more complicated!

0 coins

Justin Trejo

•

Update to my earlier comment: I checked the EDD physician/practitioner's guide, and it specifically states the certifying medical provider must be licensed in California. Section 2708 of the California Unemployment Insurance Code requires certification from a "duly licensed physician or practitioner." In California, this means licensed by the appropriate California licensing board. Your best option is definitely getting a CA doctor to review your records and certify your disability.

0 coins

Thank you for checking this! I really appreciate the detailed information. I'm calling my primary care doctor first thing tomorrow.

0 coins

let us know what happens! lots of us deal with this stupid problem

0 coins

UPDATE: I talked to my primary care doctor in California and explained the situation. She agreed to review my therapy records and fill out a new certification form! I had my Nevada therapist send over detailed notes and my diagnosis, and my CA doctor will submit the certification by the end of the week. She said she's done this before for other patients. Such a relief! Thanks everyone for your help - especially the suggestion to use my primary care doctor instead.

0 coins

Romeo Barrett

•

That's fantastic news! Make sure to follow up with EDD after your doctor submits the certification to confirm they received it and that everything looks good. Sometimes they need additional information, so stay on top of it!

0 coins

Justin Trejo

•

Great outcome! This is exactly why it's important to have a good relationship with a primary care doctor - they can often help navigate these complex healthcare/disability situations. Glad it worked out for you!

0 coins

Anna Kerber

•

So glad this worked out for you! Your story gives me hope for my own situation. I'm dealing with something similar but with a psychiatrist from Texas. Going to try the same approach with my CA primary care doctor. Thanks for sharing the update - it really helps to know there's a solution!

0 coins

California Disability AI

Expert Assistant
Secure

Powered by Claimyr AI

T
I
+
43,533 users helped today