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 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 our medically fragile foster care population.
Here is the EPSDT Private Duty Nursing Program: Click Here
Contact Cecilia Wolff process can take 4-6 mos. please call first to make sure nothing has changed with enrollment requirements. (916)713-8351.
Individual Nurse Provider (INP)
Application Requirements Info...
- Legal Name
- NPI#, (Link to apply for a NPI: https://nppes.cms.hhs.gov/#/)
- Contact Name and Number
- DCA License Printout
- Insurance Policy Number and Effective Date
- State Issued ID#
- Resume (include a breakdown of hours worked, i.e., 40 hours per week x 4 weeks x 12 months = total # hours per year)
Please complete all forms and mail to the address listed below:
Medi-Cal Provider Application (DHCS 6204):
Medi-Cal Disclosure Statement (DHCS 6207):
Medi-Cal Provider Agreement (DHCS 6208):
Department of Health Care Services
Integrated Systems of Care Division
Provider Enrollment Unit
1501 Capitol Avenue, MS 4502
P.O. Box 997437
Sacramento, CA 95899-7437
* DO NOT SEND ANY DOCUMENTS TO THE PROVIDER ENROLLMENT DIVISION
If you have questions regarding the application requirements,
call 916-552-9105, option 5, then option 2.
Email inquiries can be sent to [email protected]
* Do Not Pay The Fee or have your packet Notarized!
* You're not a business, so fill out the form as a Sole Proprietor.
* Obtain your NPI number prior to filling out the form: New Account: Click Here
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.
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. It requires nurses to have one year of acute care, NICU, PICU, ICU or hospital 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 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!
Becoming A Foster Parent
A faster option for becoming a Nurse-Resource (foster) Provider is to get your family and home certified by a Foster Family Agency (FFA) which is contracting for the medically fragile foster care population. Angels In Waiting is working with Olive Crest FFA . Please speak to Katie, and tell her Linda from Angels in Waiting sent you. Katie is our nurse-resource provider at Olive Crest. Her contact information:
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
County or Other FFA Agencies:
Once you have become an 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) which 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 county's 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
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 in some instances (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 License and/or are 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)
Nurse foster providers for medically fragile foster care infants and children