State-specific requirements, guidelines, and resources for Direct Support Professionals in New Hampshire
Related: New Hampshire DSP training pathway
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.
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 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.
Ongoing education ensures DSPs maintain current knowledge and skills in best practices.
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.
New Hampshire's DSP requirements are established by the following laws and regulations:
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.
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
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.
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 New Hampshire's requirements:
NH DHHS bureau overseeing the area agency system, provider certification, and developmental services policy.
Visit ResourceThe state's official compilation of DHHS administrative rules, including He-M 506, He-M 202/310, and He-M 1201.
Visit ResourceThe National Alliance for Direct Support Professionals — expressly relevant in New Hampshire, where He-M 506 recognizes NADSP-recognized person-centered thinking models.
Visit WebsiteThe association of New Hampshire's ten area agencies serving people with developmental disabilities and acquired brain disorders.
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
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.
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.
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.
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.
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.
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 New Hampshire's requirements while developing your DSP workforce.