State-specific requirements, guidelines, and resources for Direct Support Professionals in Colorado
Related: Colorado DSP training pathway
Colorado DSP training is regulated by the Department of Health Care Policy & Financing under 10 CCR 2505-10 §8.7409, which requires an organized, competency-based orientation before unsupervised contact rather than a fixed statewide hour count. Medication administration by unlicensed staff runs through the separate QMAP program overseen by CDPHE-approved training entities.
Direct support professional training in Colorado is governed by the Department of Health Care Policy & Financing (HCPF), whose Office of Community Living administers the Home and Community-Based Services (HCBS) waivers serving people with intellectual and developmental disabilities. The controlling rule is 10 CCR 2505-10 §8.7409, which sets training obligations for provider agencies delivering waiver services.
Under §8.7409.D, provider agencies must give staff an organized orientation program and complete required training before a worker has unsupervised contact with the people they support. The mandated content areas include person-centered practices — the Person-Centered Support Plan (PCSP) and dignity of risk — health and safety topics including diagnosis-specific needs of the individuals served, each person's individual protocols, and the agency's own policies and procedures. Colorado does not attach a statewide hour count to this core training; the standard is competency-based and pre-unsupervised-contact.
Ongoing training in Colorado is likewise topic- and competency-driven rather than hour-driven. Agencies are expected to keep staff current as PCSPs and individual protocols change, and to document that training in a form that stands up in HCPF program reviews. Federal HCBS Settings Rule training is a live area to watch: under HCPF Operational Memo OM 26-035 (May 2026), settings training obligations currently attach to administrators and supervisors, while a direct-care-worker requirement has been deferred — providers should expect future guidance on the DCW piece.
Medication administration is a separate, gated pathway. Unlicensed staff who administer medications must complete Qualified Medication Administration Personnel (QMAP) training under 6 CCR 1011-1, Chapter 24, which is overseen by the Colorado Department of Public Health & Environment (CDPHE). QMAP training may only be delivered by a CDPHE Approved Training Entity (ATE); ATEs author their own rule-compliant curricula, and commercial ATEs operate in the state alongside agency-based ones.
Who may deliver the core DSP training? Colorado is an open-market state. HCPF's OM 26-035 states plainly that the state's COTrain LTSS curriculum is one option, "but not the only acceptable method" — provider agencies may build or buy their own person-centered training programs so long as the required content areas are covered and documented. There is no state-run platform lock and no single mandated vendor for DSP core training.
Training and eTracking Solutions provides online DSP training built for Colorado's requirements — courses mapped to the §8.7409.D content areas (person-centered practices, dignity of risk, health and safety, abuse and neglect), automatic tracking of pre-unsupervised-contact completion and ongoing in-service, and documentation designed to stand up in HCPF reviews. Because Colorado accepts provider-selected curricula, agencies can deploy TeTS courses immediately as their organized orientation program while using the platform's records to evidence compliance at survey time.
DSP requirements can vary significantly between states. While some states require formal certification, others focus on specific training hours and competency demonstrations.
Access our comprehensive library of Direct Support Professional training programs. From basic certification to advanced specialized courses, we have everything you need to excel in your role.
Not Required
Formal certification is not mandated, but specific training requirements apply.
Must complete all training within Required training must be completed before unsupervised contact with individuals served.
Ongoing education ensures DSPs maintain current knowledge and skills in best practices.
Required — criminal background screening under Colorado Medicaid provider participation rules
Background checks help ensure the safety of vulnerable populations served by DSPs.
Colorado's DSP requirements are established by the following laws and regulations:
Colorado does not set a statewide hour count for DSP training — requirements are topic- and competency-based, and providers must document that each required area is covered. Training must be completed Required training must be completed before unsupervised contact with individuals served.
Initial onboarding and basic orientation to the organization and role
Complete all required core competency training modules while working under supervision
Demonstrate understanding and skills through assessments and observations
Upon successful completion, DSP can work independently with individuals
Colorado does not impose a statewide annual hour minimum for DSPs. Providers must keep staff training current as individual protocols and Person-Centered Support Plans change, and maintain documentation for HCPF program reviews. HCBS Settings Rule training currently applies to administrators and supervisors under Operational Memo OM 26-035; a direct-care-worker settings training requirement has been deferred pending future guidance.
Keep detailed records of all training completions, including dates and instructors
Set reminders for required renewal cycles for CPR/First Aid and other time-sensitive certifications
Consider advanced training to develop specialized skills and enhance career opportunities
Get certified with our comprehensive Direct Support Professional training programs. Choose from state-specific packages and specialized courses.
Meets all regulatory requirements
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Guidance when you need it
Contact Information:
Phone: (303) 866-2993
Email: hcpf_communications@state.co.us
Monday - Friday: 8:00 AM - 5:00 PM
Closed on State and Federal Holidays
Email inquiries: 1-2 business days
Application processing: 2-3 weeks
The following resources can help DSPs understand and meet Colorado's requirements:
Colorado's administering office for IDD HCBS waivers, provider bulletins, and operational memos.
Visit ResourceColorado Department of Public Health & Environment page for the QMAP medication administration training regime and Approved Training Entities.
Visit ResourceThe National Alliance for Direct Support Professionals — national credentialing, competency standards, and an accredited-education pathway for DSPs.
Visit WebsiteNational association of community providers serving people with disabilities; policy and workforce resources for Colorado agencies.
Visit WebsiteNeed customized DSP training resources for your organization? Our team can develop state-compliant training materials tailored to your specific needs.
Request Custom ResourcesBrowse our comprehensive DSP training programs
Colorado does not set a statewide hour count for core DSP training. Under 10 CCR 2505-10 §8.7409.D, agencies must deliver an organized orientation covering person-centered practices, health and safety, individual protocols, and agency policies — completed before the DSP has unsupervised contact with the people they support. The standard is competency- and content-based, not hour-based.
Yes. HCPF's Operational Memo OM 26-035 states the state's COTrain LTSS curriculum is one option "but not the only acceptable method." Provider agencies may choose their own training source — including online platforms like Training and eTracking Solutions — as long as required content is covered and documented.
Only after completing QMAP (Qualified Medication Administration Personnel) training under 6 CCR 1011-1, Chapter 24. QMAP courses must be delivered by a CDPHE Approved Training Entity; general DSP training does not confer medication administration authority.
No. Colorado has no state DSP certification or registry. The requirement is documented completion of the §8.7409 training content before unsupervised contact, plus QMAP for staff who administer medications.
Not yet at the direct-care-worker level. Under OM 26-035 (May 2026), settings training obligations currently apply to administrators and supervisors; the direct-care-worker requirement has been deferred, so providers should watch for future HCPF guidance.
Access our comprehensive library of Direct Support Professional training programs. From basic certification to advanced specialized courses, we have everything you need to excel in your role.
Our team can help your organization stay compliant with Colorado's requirements while developing your DSP workforce.