DSP training for West Virginia's Intellectual/Developmental Disabilities Waiver (IDDW) is governed by the Department of Human Services' Bureau for Medical Services through the Chapter 513 policy manual, with the current edition effective August 1, 2026. Acentra Health serves as the waiver's utilization management contractor (UMC), and the Office of Health Facility Licensure and Certification (OHFLAC) oversees the state's medication administration program (AMAP). The requirements apply to direct care staff of IDDW provider agencies across residential, day, and in-home services.

At hire, DSPs must complete training in crisis and emergency procedures, recognition and reporting of abuse and neglect, and CPR and First Aid from an approved certification list. Each DSP also completes a one-time three-hour Positive Behavior Support Overview from the West Virginia Association for Positive Behavior Support (WV APBS) or the equivalent from the WVU Center for Excellence in Disabilities, plus member-specific training before serving each individual.

The recurring core is competency-verified: initial and annual trainings — covering agency policies and confidentiality, member rights, infectious disease, direct-care ethics (nine defined elements), and abuse reporting — must each be passed with an 80% post-test score, alongside member-specific training renewed annually. Completions are documented on the IDD06 training certificate, and Chapter 513 makes training portable: a DSP's completed trainings transfer between waiver agencies rather than resetting at each new employer — which makes clean, transferable training records genuinely valuable to both agencies and staff.

Medication administration runs through AMAP under W. Va. Code § 16-5O and rule 64CSR60: agency RNs become OHFLAC-approved AMAP trainers and deliver the state curriculum, with staff recertifying every two years. This is the one fully state-curriculum gate in the system.

The delivery model is open market — verified across both the 2018 and 2026 manual editions, West Virginia operates no state LMS and holds no statewide training vendor contract. Better still, the crosswalk is explicit and cheap: under Section 513.2, a provider or vendor submits the training source's name, web address, and course names to the UMC (Acentra Health) and receives a written response on whether it meets the criteria — effectively a one-time approval rather than a course-by-course grind.

Training and eTracking Solutions provides online DSP training built for West Virginia's Chapter 513 requirements — courses mapped to the hire-date and annual competency topics, 80%-threshold post-tests built in, IDD06-ready completion documentation, and automatic tracking of annual cycles, CPR expirations, and AMAP two-year recertifications. TeTS supports the Section 513.2 written-approval process with Acentra Health directly, so an agency adopting TeTS can put its catalog in front of the UMC once and rely on the written response thereafter.