New Hampshire Direct Support Professional Requirements

State-specific requirements, guidelines, and resources for Direct Support Professionals in New Hampshire

DSP REQUIREMENTS

New Hampshire

Last Updated: August 25, 2026

Compliance pathway

Related: New Hampshire DSP training pathway

Overview

New Hampshire DSP training requirements are set by administrative rule He-M 506 (readopted August 2024), which stages requirements across the first six months of hire — client rights within one month, person-centered thinking within three, and a full topical curriculum within six — plus at least 16 hours of shadowing for new staff. Agencies choose their own training sources; there is no state curriculum or vendor approval process.

The Bureau for Developmental Services (BDS) within the New Hampshire Department of Health and Human Services regulates DSP training through administrative rule He-M 506, readopted in August 2024. The rule applies to area agencies and the provider agencies delivering developmental services under New Hampshire's system — residential, community participation, and individualized supports — and it lays out a staged training sequence tied to tenure milestones rather than a single hour count.

The sequence starts immediately. Within one month of hire, staff must be trained on the rights of people served under He-M 202 and He-M 310 and on understanding behavior as communication. Before working alone with any individual, staff complete individual-specific training on that person's needs and support strategies, verified through a supervisor competency check that is repeated annually. New staff must also complete at least 16 hours of shadowing an experienced worker before independent duty. Within three months, staff complete training in person-centered thinking — and the rule is specific that it be delivered according to a model recognized by NCAPPS or NADSP, with a repeat at least every five years.

Within six months, staff complete the topical curriculum: an overview of developmental disabilities, New Hampshire's service system, quality of life and valued social roles, positive behavior support, health and safety, teaching skills to the people they support, employment supports, self-advocacy, and fire safety. Ongoing requirements then settle into a rhythm — client-rights retraining annually, the supervisor's competency verification annually, and the person-centered thinking refresh on its five-year clock. An LMS that tracks each staff person against these staggered one-month/three-month/six-month/annual/five-year clocks removes most of the administrative risk.

Medication administration is governed separately by He-M 1201: unlicensed staff who administer medications must complete the state curriculum of at least eight hours, delivered through BDS-authorized nurse trainers, with competency verification. This is a state-controlled channel and cannot be met through a general-market course.

On delivery, New Hampshire is a genuinely open market. He-M 506 tells agencies what training must cover and when — not who must provide it. There is no state curriculum, no state LMS, and no approval process; agencies self-select their training sources and must retain training records for six years. The one named external standard cuts in favor of national training bodies: the person-centered thinking requirement expressly recognizes NCAPPS- and NADSP-recognized models.

Training and eTracking Solutions provides online DSP training built for New Hampshire's requirements — courses mapped to the He-M 506 topic areas from rights and behavior-as-communication through the six-month curriculum, with automatic tracking of the one-month, three-month, six-month, annual, and five-year cycles and six-year record retention that stands up in BDS certification reviews. As a NADSP-accredited training provider, TeTS' person-centered training aligns directly with the rule's NCAPPS/NADSP-recognized-model clause, and shadowing hours, supervisor competency checks, and He-M 1201 medication certifications can be logged alongside coursework for a complete file.

Did You Know?

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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Key Requirements at a Glance

Certification

Not Required

Formal certification is not mandated, but specific training requirements apply.

Training

Must complete all training within Staged: rights and behavior-as-communication within 1 month; individual-specific training and 16 hours of shadowing before working alone; person-centered thinking within 3 months; full topical curriculum within 6 months.

Continuing Ed

Ongoing education ensures DSPs maintain current knowledge and skills in best practices.

Background Check

Required — criminal background and registry screening for staff of certified developmental services agencies under state rules

Background checks help ensure the safety of vulnerable populations served by DSPs.

Training Requirements

New Hampshire 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 Staged: rights and behavior-as-communication within 1 month; individual-specific training and 16 hours of shadowing before working alone; person-centered thinking within 3 months; full topical curriculum within 6 months.

DSP Training Process

1
STEP 1

New Hire Orientation

Initial onboarding and basic orientation to the organization and role

2
STEP 2

Core Training Completion

Complete all required core competency training modules while working under supervision

Must complete within 90 days (3 months) of hire
3
STEP 3

Competency Verification

Demonstrate understanding and skills through assessments and observations

4
STEP 4

Independent Work Authorized

Upon successful completion, DSP can work independently with individuals

Ongoing continuing education required: Annual refreshers required for core topics

Core Training Requirements

  • Rights of persons served (He-M 202 and He-M 310) — within 1 month of hire
  • Understanding behavior as communication — within 1 month of hire
  • Individual-specific training with supervisor competency check — before working alone (check repeated annually)
  • At least 16 hours of shadowing an experienced staff person — new staff, before independent duty
  • Person-centered thinking per an NCAPPS- or NADSP-recognized model — within 3 months (repeated every 5 years)
  • Overview of developmental disabilities and the NH service system — within 6 months
  • Quality of life and valued social roles — within 6 months
  • Positive behavior support — within 6 months
  • Health and safety, and fire safety — within 6 months
  • Teaching skills, employment supports, and self-advocacy — within 6 months

Additional Training

  • Medication administration — He-M 1201: state curriculum of at least 8 hours through BDS-authorized nurse trainers, with competency verification
  • Supervisor competency checks — required before solo work and annually thereafter
  • CPR/First Aid as required by program type and agency policy

Renewal & Continuing Education

Client-rights training repeats annually, and each staff person's individual-specific competency is re-verified by a supervisor annually. Person-centered thinking training is refreshed at least every five years under an NCAPPS- or NADSP-recognized model. Agencies must retain training records for six years for BDS review.

Documentation

Keep detailed records of all training completions, including dates and instructors

Regular Updates

Set reminders for required renewal cycles for CPR/First Aid and other time-sensitive certifications

Professional Growth

Consider advanced training to develop specialized skills and enhance career opportunities

Professional DSP Training Programs

Get certified with our comprehensive Direct Support Professional training programs. Choose from state-specific packages and specialized courses.

State Compliant

Meets all regulatory requirements

Self-Paced

Learn at your own speed

Expert Support

Guidance when you need it

Regulatory Contact

New Hampshire DHHS Bureau for Developmental Services (BDS)

Contact Information:

Phone: (603) 271-5034

Email: bds@dhhs.nh.gov

Office Hours

Monday - Friday: 8:00 AM - 5:00 PM

Closed on State and Federal Holidays

Response Times

Email inquiries: 1-2 business days

Application processing: 2-3 weeks

Resources

The following resources can help DSPs understand and meet New Hampshire's requirements:

Official Resources

Bureau for Developmental Services

NH DHHS bureau overseeing the area agency system, provider certification, and developmental services policy.

Visit Resource

NH Administrative Rules — He-M chapters

The state's official compilation of DHHS administrative rules, including He-M 506, He-M 202/310, and He-M 1201.

Visit Resource

Professional Organizations

NADSP

The National Alliance for Direct Support Professionals — expressly relevant in New Hampshire, where He-M 506 recognizes NADSP-recognized person-centered thinking models.

Visit Website

Community Support Network, Inc. (CSNI)

The association of New Hampshire's ten area agencies serving people with developmental disabilities and acquired brain disorders.

Visit Website

Get Custom Resources for Your Organization

Need customized DSP training resources for your organization? Our team can develop state-compliant training materials tailored to your specific needs.

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Frequently Asked Questions

How many hours of training do DSPs need in New Hampshire?

He-M 506 sets deadlines and topics rather than a total hour count: rights training within one month, person-centered thinking within three months, and the full topical curriculum within six months. The rule's explicit hour figures are at least 16 hours of shadowing for new staff before working independently and the eight-hour minimum medication curriculum under He-M 1201.

Who approves DSP training in New Hampshire?

No one has to. New Hampshire has no state curriculum, no state LMS, and no vendor approval process — agencies select their own training sources against the He-M 506 requirements and keep six years of records for BDS review. The one named standard is that person-centered thinking training follow an NCAPPS- or NADSP-recognized model.

Can New Hampshire providers use an online training vendor?

Yes. Because He-M 506 regulates content and timing, not source, agencies are free to meet the requirements through online training such as Training and eTracking Solutions' New Hampshire courses — with the exceptions of He-M 1201 medication training (BDS nurse trainers only), hands-on shadowing, and the supervisor's in-person competency checks.

Does NADSP-accredited training count in New Hampshire?

For person-centered thinking, the rule says so directly: He-M 506 requires the training to follow a model recognized by NCAPPS or NADSP. Training from a NADSP-accredited provider aligns with that clause, and NADSP's broader competency framework maps well onto the rest of the six-month curriculum.

Can DSPs administer medication in New Hampshire?

Only after completing the He-M 1201 state curriculum — at least eight hours delivered through BDS-authorized nurse trainers — with competency verification. This channel is state-controlled and cannot be replaced by a general online course.

Complete Your DSP Training

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.

View All DSP Programs →
Available 24/7 • Self-paced learning

Need Help With DSP Training?

Our team can help your organization stay compliant with New Hampshire's requirements while developing your DSP workforce.