| AlabamaADMH Division of Developmental Disabilities | Training specific to each individual served, including their person-centered plan and service implementation plans, before staff are assigned to provide direct supports. | ADMH Operational Guidelines Manual §B.4.1 |
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| ArkansasDHS Division of Developmental Disabilities Services | Beneficiary-specific training on each person's non-clinical treatment plan, diagnoses and medical needs, medication plan, behavior plans and emergency procedures before unsupervised contact, refreshed every other year. | CES Waiver Agency Provider Standards §303 |
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| ColoradoHealth Care Policy & Financing | Training specific to each individual served, including medical or behavioral protocols, supervision, dietary and daily-living needs, before unsupervised contact. | 10 CCR 2505-10 §8.7409.D |
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| ConnecticutDepartment of Developmental Services | Training on each individual's health, safety and programmatic support needs within 30 days of hire and before working alone, and again annually and/or as changes occur. | DDS Operations Center Memo 2020-06; QSR indicator D35 |
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| District of ColumbiaDepartment on Disability Services | Phase II training on each person's specific needs, such as the ISP, behavior support plan, health care management plan, protocols and medications, before staff work alone with them and whenever the ISP or BSP changes, with a signed training record. | DDS DSP Training Procedure, Phase II |
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| IdahoDepartment of Health and Welfare | Participant-specific training on medical and health requirements and assistive devices before delivering services, and again when the plan of service or the participant's condition changes. | IDAPA 16.03.21 §302.03–.04 |
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| IndianaFSSA Bureau of Disabilities Services | Training on individual-specific treatments and interventions, including seizures, behavior, medication side effects, diet, swallowing, crises and health concerns, before anyone works with the individual. | 460 IAC 6-14-4 |
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| KentuckyDBHDID, Supports for Community Living waiver | Individualized instruction on the person-centered service plan of each participant supported, with competency verified, before working independently. | 907 KAR 12:010 §3(3)(gg) |
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| LouisianaLouisiana Department of Health | Training in the care each beneficiary needs, with verified competency on their emergency evacuation plan, before a worker is solely responsible for them. | NOW and ROW waiver manuals, §32.6 and §38.6 |
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| MinnesotaDepartment of Human Services | Instruction on each person's support plan, abuse prevention plan, and medication and equipment procedures before unsupervised contact, and again whenever those plans are revised. | Minn. Stat. 245D.09, subd. 4a |
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| MissouriDMH Division of Developmental Disabilities | Training in each individual's current person-centered support plan and addenda within one month of the plan's implementation or of hire. | DD Waiver Manual, service staff requirements |
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| NebraskaDHHS Division of Developmental Disabilities | Orientation on the individual support plan and any medical, behavioral or safety protocols of each participant served, before working alone, with competencies verified. | 404 NAC 4-003.03 |
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| New HampshireDHHS Bureau of Developmental Services | Training on each individual's profile, health requirements and protocols, safety plan and behavior or risk plan before working directly with them; supervisors check understanding before the start and every year. | He-M 506.05 |
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| New JerseyDivision of Developmental Disabilities | Specialized training about each individual supported, including the ISP, behavior plans, and medical and mealtime needs, before sole responsibility or within 60 days of hire, and as needed. | Supports Program Manual, Appendix E; DSP Training Guide |
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| New MexicoHealth Care Authority, Developmental Disabilities Supports Division | Individual-Specific Training on each person's ISP and plans, such as healthcare, aspiration risk, behavior and risk plans, every ISP year, when plans change and when a new DSP is assigned, recorded on training rosters. | DD Waiver Service Standards §17.9 |
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| North CarolinaDepartment of Health and Human Services | Training to meet the needs of each client as specified in their treatment or habilitation plan. | 10A NCAC 27G .0202(g) |
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| North DakotaDHHS Developmental Disabilities Section | Competency on each consumer's plan and related behavior support plans, plus client-specific health and safety information, before sole responsibility and every year. | Policy PI 18-05 |
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| OhioDepartment of Developmental Disabilities | Training specific to the individual service plan of each individual a DSP will support, before providing services, with a competency method the agency defines. | OAC 5123-2-08, Appendix C |
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| OklahomaOKDHS Developmental Disabilities Services | Individual-specific in-service training named in each person's Individual Plan, completed before working with them unless the Team sets other timelines, with a Team member verifying skills. | OAC 340:100-3-38.1(e) |
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| OregonODHS Office of Developmental Disabilities Services | Knowledge of the ISP and the medical and behavioral supports of every individual served, with competency demonstrated before working unassisted. | OAR 411-325-0025(6); DSP Core Competencies |
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| TennesseeDDA and TennCare | Training on all services specific to each person before working unsupervised, documented on a skills checklist, and repeated when the person's plan changes. | TennCare LTSS Training Requirements Protocol §III |
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| TexasHHSC, Home and Community-based Services | Documented training specific to each individual's needs before service provision and at least every 12 months, with observed competency. | 26 TAC §565.7(b)(2) |
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| VermontDAIL Developmental Disabilities Services Division | Individual-specific training on behavior, health and safety, communication and the ISA before working alone, repeated for each different individual. | HCAR 7.100.10(d) |
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| VirginiaDBHDS and DMAS | Supervisor-confirmed competencies, including each individual's health and behavioral support needs and plans, before working without proficient staff, in full within 180 days of hire, and reconfirmed every year. | 12VAC30-122-180; 12VAC35-105-665.D; DMAS P241a |
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| WashingtonDSHS Developmental Disabilities Administration | Training on the current instruction and support plan of each client before an employee works alone with them. | WAC 388-101D-0095 |
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| West VirginiaBureau for Medical Services, I/DD Waiver | Member-specific training on crisis plans, behavioral and habilitation needs, diagnoses, medications and side effects before providing services, and at least annually. | IDDW Manual Ch. 513, §513.2 |
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| WyomingWyoming Department of Health | Participant-specific training before working alone, before the plan of care starts and before any plan change, with a record of how the trainee showed understanding. | Medicaid Rules Ch. 45 §15 |
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