State-specific requirements, guidelines, and resources for Direct Support Professionals in Kentucky
Kentucky DSP training under the Supports for Community Living waiver is defined in 907 KAR 12:010, which names the Kentucky College of Direct Support as the required curriculum — Phase I before independent work and Phase II within six months. Medication administration is RN-delivered under a DBHDID-approved curriculum with scores posted to the CDS transcript.
Direct support professional training in Kentucky is regulated by the Cabinet for Health and Family Services through the Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) and its Division of Developmental and Intellectual Disabilities (DDID). For providers under the Supports for Community Living (SCL) waiver — Kentucky's primary 1915(c) HCBS waiver for people with intellectual and developmental disabilities — staff training requirements are written directly into regulation at 907 KAR 12:010, Section 3.
Under 907 KAR 12:010 §3, SCL direct support staff must complete First Aid and CPR, crisis prevention and intervention training (either DBHDID's own curriculum or a department-approved, accredited restraint-free alternative), and — the centerpiece — all Phase I modules of the Kentucky College of Direct Support before working independently with participants, followed by the Phase II modules within six months of hire. This is one of the few states where a specific curriculum platform is named in the regulation itself rather than left to agency choice.
Kentucky's other major IDD waiver, the Michelle P. waiver, carries a lighter training load: staff must be trained on abuse, neglect, and exploitation recognition and reporting and on the specific needs of the individuals they support, without the full CDS module sequence the SCL waiver requires. Providers serving both waivers should map each staff role to the correct requirement set rather than applying the heavier SCL rule across the board.
Medication administration under the SCL waiver is a nurse-delivered function: unlicensed staff complete a DBHDID-approved medication administration curriculum taught by a registered nurse, and their scores post to the staff member's Kentucky College of Direct Support transcript, keeping the medication record inside the same state system as the core modules.
The delivery model is the critical fact for any Kentucky provider evaluating training options: Kentucky is a state-run, single-platform state. The Kentucky College of Direct Support — a Kentucky tenant of the national DirectCourse/Elsevier College of Direct Support — is named in 907 KAR 12:010, and agencies administer staff enrollments through CDS Sub-Administrator accounts. There is no substitution or crosswalk path for the CDS modules; the only regulatory flexibility is in crisis prevention, where a department-approved accredited restraint-free alternative may replace DBHDID's own curriculum.
Because the SCL core is locked to the Kentucky College of Direct Support, Training and eTracking Solutions does not claim to satisfy 907 KAR 12:010's CDS requirement — no outside vendor can. Where TeTS supports Kentucky agencies is everything around that core: supplemental and elective training that builds skills beyond the state minimum, onboarding content for roles and waivers the CDS sequence doesn't cover, and compliance tracking that brings CDS completions, CPR/First Aid, crisis-prevention certifications, and medication training into a single audit-ready record for DBHDID reviews.
DSP requirements can vary significantly between states. While some states require formal certification, others focus on specific training hours and competency demonstrations.
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Not Required
Formal certification is not mandated, but specific training requirements apply.
Must complete all training within CDS Phase I modules, CPR/First Aid, and crisis prevention before independent work; CDS Phase II within 6 months of hire.
Ongoing education ensures DSPs maintain current knowledge and skills in best practices.
Required — criminal background screening under Kentucky Medicaid waiver provider rules
Background checks help ensure the safety of vulnerable populations served by DSPs.
Kentucky's DSP requirements are established by the following laws and regulations:
Kentucky 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 CDS Phase I modules, CPR/First Aid, and crisis prevention before independent work; CDS Phase II within 6 months of hire.
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
Ongoing requirements run through the Kentucky College of Direct Support system: Phase II modules complete the initial sequence within six months, CPR/First Aid and crisis-prevention certifications are maintained per their issuing bodies, and DBHDID monitors compliance through the CDS transcript and provider reviews. Michelle P. waiver staff maintain ANE and individual-specific training.
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
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The following resources can help DSPs understand and meet Kentucky's requirements:
Official DBHDID site with SCL waiver provider information, provider orientation materials, and the RN medication administration manual.
Visit ResourceThe national DirectCourse/Elsevier platform behind the Kentucky College of Direct Support; agencies enroll staff through Kentucky CDS Sub-Administrator accounts.
Visit ResourceThe National Alliance for Direct Support Professionals provides national DSP credentialing and competency standards that complement Kentucky's CDS curriculum.
Visit WebsiteThe American Network of Community Options and Resources represents community IDD providers, including Kentucky SCL agencies, on national HCBS workforce policy.
Visit WebsiteNeed customized DSP training resources for your organization? Our team can develop state-compliant training materials tailored to your specific needs.
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For the SCL waiver, the regulation itself does: 907 KAR 12:010 names the Kentucky College of Direct Support as the required curriculum, so there is no agency-level approval process for the core. The only approval pathway is for crisis prevention, where DBHDID can approve an accredited restraint-free alternative to its own curriculum.
Not for the SCL core — the Kentucky College of Direct Support (a DirectCourse/Elsevier platform) is named in 907 KAR 12:010 and administered through agency CDS Sub-Administrator accounts, with no substitution path. Third-party vendors like Training and eTracking Solutions fit in the supplemental space: elective skill-building beyond the state minimum, Michelle P. waiver training, and consolidated compliance tracking across CDS, CPR, crisis-prevention, and medication records.
No. Kentucky has no DSP certification or registry. Staff must complete the required curriculum — the CDS Phase I and II modules for the SCL waiver — and their completions live on their Kentucky College of Direct Support transcript, but that transcript is a training record, not a credential.
Yes, under the SCL waiver, after completing a DBHDID-approved medication administration curriculum delivered by a registered nurse. Scores post to the staff member's Kentucky College of Direct Support transcript, and the training cannot be replaced by a generic third-party medication course.
No. The Michelle P. waiver carries a lighter requirement set — training on abuse, neglect, and exploitation and on the specific needs of the individuals supported — without the SCL waiver's full CDS Phase I/II module sequence.
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 Kentucky's requirements while developing your DSP workforce.