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


Nurses Clock In At Home As A Nurse Resource Provider...

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.

Here is the EPSDT Private Duty Nursing ProgramClick Here

Check out AIW's State ~ California's State Law Chapter #490. 

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.  Please make sure you have 3-5 months of living expenses, and do not quit your job until you are completely done with the program as well as ready to accept a medically fragile foster care child (or two) within your home.   Being a Nurse-Foster Provider will be one of the most gallant endeavors of your Nursing Career! 

Start Here:

EPSDT In Home Private Duty Nursing Packet...

The Online Packet will be your fastest approach:

Do Not Pay The Fee or have your packet Notarized

*You're not a business, fill out the form as a Sole Proprietor.

*Obtain your NPI number prior to filling out the form: New Account: Click Here 


Below is a link to independent nurse provider forms, fill out all forms except for the opioid clinic form.

(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.

Becoming A Foster Parent

A faster option in becoming a Nurse-Resource (foster) Provider to get your family, and home certified by a Foster Family Agency (FFA) who is contracting for the medically fragile foster care population.  Angels In Waiting is working with Olive Crest FFA . Please speak to Katie Takeshita and tell her Linda from Angels in Waiting sent you; Katie is our nurse-resource provider contact at Olive Crest her contact Information: Katie Takeshita, LCSW

Adoption Social Worker/ Supervisor of Specialized Medical Care 2130 E. Fourth St. Suite 200, Santa Ana, CA 92705 Katie's Number; 657-622-4110 / Olive Crest Office; 714-543-5437 x1134 Fax 714-543-5463

[email protected]

County or other FFA Agencies:

Once you have become a INP and a certified or licensed resource nurse-provider, 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 12 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 -Foster Care Orientation Coordinator, (661) 631-6204

Email: [email protected]


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 - 805 654-3220

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, please 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 Nursing Forms and Sample: See INP Help Link

 (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!