Nurses Clocking In At Home & Saving Medically Fragile Foster Care Infants & Children


Nurses Clock In At Home As A Nurse Foster Provider

Nursing home Facility

Nurses, California Has A New State Law; AB 1133/Chapter # 490

Our Assembly Bill 1133 became California State Law on October 2nd, 2013. The state bill requires that, when determining the placement of a foster child who is medically fragile, “Priority Consideration” will be given to the placement with a foster parent who is also an independent nurse provider via EPSDT private duty nursing programs. AIW created this law for the growing medically fragile foster care population including micro-preemies, infants, children and youths. If they don’t come to us Nurses first, they are passed back and forth between Group Homes, Institutional Care Settings, and into and out of under-educated and poorly supported foster homes. This is a childhood no child should endure, let alone out medically fragile foster care population.

Check out AIW's, AB 1133-Mitchell ~ California's State Law Chapter #490. 

Nurse caring for baby

Getting Started; " Clocking In At Home."

Thank you for your interest in helping foster and heal California's medically fragile foster care infants, children and youths.  As nurses, we work under Medi-Cal's EPSDT Private Duty Nursing program. This is a "NON-WAIVER," EPSDT program. It requires Nurses to have acute care NICU, PICU, ICU or Pediatric nursing experience. For pediatric in-home-care nurses, 2000 hours or equivalent nursing experience is required.  If you have the required nursing experience and if you meet EPSDT’s requirements, this is truly an opportunity to make a deep impact in the life of a child. Being a Nurse-Foster Provider will be one of the most gallant endeavors of your Nursing Career!

Start Here:

Please start by calling the numbers below and requesting a packet for becoming an Independent Nurse Provider for EPSDT In Home Private Duty Nursing...

The Online Packet will be your fastest approach

(Click the "blue links" in the middle of the document: Download and Print the Packets)

Or Call 916 552-9105, 0r 916-9106 Please request for an, "Independent Nurse Provider Packet" for the EPSDT In-Home Nursing. 

2. Once you have the packet and have questions on how to complete the packet, please contact the number located in the EPSDT packet for more help. Their contact information is provided in the packet in several locations. 

3. Once you've submitted your application, go to and select Provider Enrollment to check the status of your provider application. Or you can call 1-800-786-4346 to check your application process as well. The approval process for becoming an Independent Nurse Provider (INP) can take several weeks to several months to complete.

Founder/ CEO Linda West

Becoming A Foster Parent

Once you have become a INP, the next step is to contact your local Department of Children and Family Services or a Foster Family Agency (FFA) who contracts for medically fragile foster care children. You and your significant other, will need to go through the requirements of becoming foster parents for "Medically Fragile Infants and Children." It can take up to 8 months to become licensed as a foster parent through the Department of Children and Family Services (DCFS). Find out your counties waiting period for licensing foster parents prior to making your decision.

County Agencies Contact Numbers:

Kern Co. - 661 631-6006

Orange Co. - 714 704-8000

   Foster Care - 888 871-5437

Riverside Co. - 951 358-3645

   Foster Care - 800 665-5437

San Bernardino Co. - 909 891-3300

San Diego Co. - 858 694-5451

Santa Barbara Co. - 805 568-3327

Ventura Co - 805 240-2737

A faster options may be to get your home certified by a Foster Family Agency (FFA) who is contracting for the medically fragile foster care population. Even though the FFA may be able to get you certified and ready to take foster children in a shorter amount of time than the County, with a FFA you may have a much longer wait between clients. The County will fill their "County Licensed Homes" first, and utilize foster family agencies second. If you are a Licensed County Home you will get the first call, and have more infants, children and youths to choose from. 

Here is a list of Foster Family Agencies who are contracted for the Medically Fragile Foster Care Population in Southern and Central California:

Olive Crest

Katie 657.622.4110

1800 550-Child

Hugs Foster Family Agency
(951) 695-0888

Olivia 3 days old
When caring for medically fragile foster care population, the brunt of your nursing wage will comes from billing the EPSDT Private Duty Nursing Section of Medi-Cal as an Independent Nurse Provider for your in-home skilled nursing hours. Nurse-Foster Providers also receive minimal compensation by the Department of Family and Children Service (DCFS).

The certification process for becoming a Foster Parent varies from county to county and foster agency to foster agency but can easily be completed while maintaining your current employment. The approval process for becoming an Independent Nurse Provider (INP) can take several weeks to several months to complete. Because you are dealing with two state agencies, don't get too discouraged with the bureaucratic quagmires of the agencies. Please, for the sake of these little Angels, call numerous times and follow through with supervisors. If you do not get answers, returned calls, or the dates and times for foster parent courses and or EPSDT information, be persistent. Your patience will be rewarded in the end. 

Moreover, feel free to contact AIW and we will try to help facilitate your efforts in becoming a Nurse-Foster Provider.  AIW will hold your hand through this convoluted process so please, contact us if you have any questions and please contact us prior to getting your first medically fragile foster care infant or child. MediCal will not pay nursing hours on some conditions (refer to Title 22 or INP Help in the navigation bar on this website). Once you are on board with all requirements and have received your INP Number and Licensed and/or Certified as a Foster Parent, please contact AIW and we will add you to our " Registry of Independent Nurse-Foster Providers" (i-NFP). Furthermore, we will be more than happy to address any of your questions or concerns. 

Need Forms and Sample: (check your download folder after clicking on link)

Need A POT Form ? Click Here!

Need Initial Nursing Intake Form? Click Here!

Need To View A Sample POT? Click Here!

Need Medication MAR ? Click Here!

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