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Federal Medicaid rules require immediate reporting of abuse and neglect in ICF/IIDs and a state incident system for HCBS waivers. This guide explains 42 CFR 483.420, 483.430 and 441.302, what a federal audit found when incidents went unreported, and how to build reporting training that staff can use.
· 7 min read
ICF/IIDs must train all staff, contractors and volunteers on their emergency plan at hire and at least every 2 years under 42 CFR 483.475. Here's who needs training, how to prove staff know the plan, the twice-yearly exercises and quarterly evacuation drills, and how the timing differs for hospice, home health and nursing homes.
· 7 min
North Carolina sets DSP training by topic and competency rather than hours, under 10A NCAC 27G and 27E. Here's what providers must cover before and after hire, from rights and bloodborne pathogens to de-escalation, medication training and NC Innovations staff rules.
· 8 min
Federal Medicaid rules say the person leads their own HCBS service plan, and they spell out what the plan must include and when it's reviewed. Here's what 42 CFR 441.301 means for DSPs and provider agencies, including rules on restrictions and the 2024 annual review standard.
· 8 min
A delegating nurse is the registered nurse who authorizes DSPs to give medications and do other nursing tasks, and stays accountable for them. Here's what nurse delegation means in I/DD services, what can't be delegated, and how Maryland and Washington set visit and training rules.
· 8 min
OSHA requires bloodborne pathogens training for care staff before exposure tasks begin and within one year of their last session. Here's what 29 CFR 1910.1030 says training must cover, how online courses can qualify, and which records to keep for three years.
· 7 min
Happy Halloween from all of us at Training and eTracking Solutions.
· 4 min
Minnesota DSPs at 245D-licensed providers need an 11-topic orientation within 60 days of hire, plus maltreatment reporting training within 72 hours. Here's what Minn. Stat. 245D.09 requires, from person-specific training to annual retraining and the new 90-day grace period.
· 9 min
Nearly two in three DSPs who leave an I/DD provider quit within their first year. Here are seven evidence-based steps managers can take to keep new hires through that window, from realistic job previews and peer mentors to career ladders.
· 8 min
Happy Halloween from all of us at Training and eTracking Solutions.
· 4 min
Federal Medicaid rules require immediate reporting of abuse and neglect in ICF/IIDs and a state incident system for HCBS waivers. This guide explains 42 CFR 483.420, 483.430 and 441.302, what a federal audit found when incidents went unreported, and how to build reporting training that staff can use.
· 7 min
ICF/IIDs must train all staff, contractors and volunteers on their emergency plan at hire and at least every 2 years under 42 CFR 483.475. Here's who needs training, how to prove staff know the plan, the twice-yearly exercises and quarterly evacuation drills, and how the timing differs for hospice, home health and nursing homes.
· 7 min
Federal Medicaid rules say the person leads their own HCBS service plan, and they spell out what the plan must include and when it's reviewed. Here's what 42 CFR 441.301 means for DSPs and provider agencies, including rules on restrictions and the 2024 annual review standard.
· 8 min
OSHA requires bloodborne pathogens training for care staff before exposure tasks begin and within one year of their last session. Here's what 29 CFR 1910.1030 says training must cover, how online courses can qualify, and which records to keep for three years.
· 7 min
State rules expect care agencies to prove every requirement was met on time. Why training spreadsheets break down, and what to look for in training tracking software built for human services.
· 5 min
Virginia DD waiver DSPs must pass an 80% orientation test before billable work and finish observed competencies within 180 days. This guide explains how DMAS waiver rule 12VAC30-122-180 and DBHDS licensing rules in 12VAC35-105 fit together, including the 15-business-day orientation, retraining policy, first aid and CPR, and a file checklist for providers.
· 10 min
Michigan adult foster care staff must be trained in nine areas, including CPR with a hands-on demonstration, before working independently. This guide explains rule R 400.629 and the related emergency, crisis, medication and recipient rights training duties for AFC homes that serve adults with developmental disabilities, with a checklist for providers.
· 8 min
North Carolina sets DSP training by topic and competency rather than hours, under 10A NCAC 27G and 27E. Here's what providers must cover before and after hire, from rights and bloodborne pathogens to de-escalation, medication training and NC Innovations staff rules.
· 8 min
Minnesota DSPs at 245D-licensed providers need an 11-topic orientation within 60 days of hire, plus maltreatment reporting training within 72 hours. Here's what Minn. Stat. 245D.09 requires, from person-specific training to annual retraining and the new 90-day grace period.
· 9 min
Georgia DSPs need orientation before any contact with individuals, a core curriculum within 60 days of hire and at least 16 hours of training a year. Here's what DBHDD's FY27 provider manual requires.
· 6 min
Assisted living aide training is set by each state, from Pennsylvania's 18 hours before unsupervised care to Oregon's 12 annual in-service hours. This guide explains what the role involves and compares orientation, first-30-day, dementia and annual training rules in Pennsylvania, Florida and Oregon, with a checklist for administrators.
· 8 min
A delegating nurse is the registered nurse who authorizes DSPs to give medications and do other nursing tasks, and stays accountable for them. Here's what nurse delegation means in I/DD services, what can't be delegated, and how Maryland and Washington set visit and training rules.
· 8 min
Nearly two in three DSPs who leave an I/DD provider quit within their first year. Here are seven evidence-based steps managers can take to keep new hires through that window, from realistic job previews and peer mentors to career ladders.
· 8 min
An RBT is a BACB-certified paraprofessional who helps deliver ABA services under close supervision. Here's how to become one under the 2026 rules, from the 40-hour training and competency assessment to the exam and recertification.
· 7 min
DSP supervisors and group home managers lead an average of 10 DSPs each. Here's what the job involves under the National Frontline Supervisor Competencies, how states regulate it, and how to train new supervisors.
· 6 min
