MB ACES and RAC changes effective 10/2015



STATE OF WASHINGTON

DEPARTMENT OF SOCIAL AND HEALTH SERVICES

Aging and Long-Term Support Administration

Home and Community Services Division

PO Box 45600, Olympia, WA 98504-5600

H19 - 040 Policy & Procedure

July 9, 2019

|TO: |Home and Community Services (HCS) Division Regional Administrators |

| |Area Agency on Aging (AAA) Directors |

| |Developmental Disabilities Administration (DDA) Regional Administrators |

|FROM: |Bea Rector, Director, Home and Community Services Division |

| | |

| |Debbie Roberts , Deputy Assistant Secretary, Developmental Disabilities Administration |

|SUBJECT: |Training Requirements for Direct Support Professionals when transitioning to other Long Term Care employment. |

|Purpose: |To inform staff about the training requirements for Direct Support Professionals who transition to other Home and |

| |Community Based settings as Long Term Care workers. |

|Background: |DDA Direct Support Professionals (DSP) are Long Term Care (LTC) workers that work with individuals who have |

| |developmental disabilities in Community Residential Settings (CRS) (example-Supported Living Programs). DDA DSPs in |

| |Community Residential Settings have specific training requirements outlined in the WAC 388-829.  When these DSPs |

| |transition to other Long Term Care employment for DDA and/or ALTSA clients, they may have different or additional |

| |training requirements. |

| | |

| |Requirements as Direct Support Professionals: |

| | |

| |DSP that entered the CRS workforce PRIOR TO 1/1/2016 may be exempted from further Basic Training for their work only |

| |in Community Residential Settings, and must complete 12 hours of continuing education each year to retain this |

| |exemption. |

| | |

| |DSP that entered the CRS workforce AFTER January 1, 2016 are required to complete 75 hours of DDA approved |

| |Orientation and Safety / Basic Training and 12 hours of continuing education for each year worked after the calendar |

| |year in which they completed Basic Training. DSP in this situation are NOT required to obtain their Home Care Aide |

| |certification from the Department of Health in order to (only) work in the Community Residential Settings. |

| | |

| | |

| | |

| |DSP that transition to providing care in other (non-CRS) Home and Community Based settings become subject to the |

| |training requirements of any other LTC provider, as explained below: |

| | |

| | |

|What’s new, changed, or |DSP that worked in a Community Residential Setting prior to 1/1/2016. |

|ClarifieD: | |

| |Once transitioned to a (non-CRS) Home and Community Based Setting (such as employment as an Individual Provider, for |

| |an Agency, or in an AFH or Assisted Living), training requirements become those of any other (non-CRS) Long Term Care|

| |provider. Training and certification requirements must be fulfilled within the timeframes determined for LTC |

| |providers as shown below. (When speaking of “Basic Training”, 5 hours of Orientation and Safety is included): |

| | |

| |Standard Home Care Aide (in any LTC setting): |

| |75 hours of basic training within 120 days of beginning providing paid care, and HCA credential active within 200 (or|

| |260) days. For IPs (and some Home Care Agencies) this training is completed through the Training Partnership. Other |

| |Home Care Agencies, AFH and AL train through DSHS approved community instructors. In this case, the training may |

| |consist of 40 CORE hours, and 30 hours of population specific training. These providers also have the continuing |

| |education (CE) and HCA renewal requirements of a Standard HCA |

| | |

| |Adult Child Providers (ACP): |

| |35 hours of basic training. These providers also have the continuing education (CE) requirements for ACP |

| | |

| |Limited Service Providers (LSP): |

| |35 hours of basic training required by LSP. LSP have no CE requirements. |

| | |

| |Non-DDA Parent Providers |

| |35 hours of basic training Non-DDA Parent Providers have no CE requirements. |

| | |

| |Respite Providers: |

| |14 hours of basic training required Respite providers have no CE requirements. |

| | |

| |DDA Parent Providers: |

| |12 hours of basic training. DDA Parent Providers have no CE requirements. |

| | |

| | |

| | |

| | |

| | |

| |For DSP that began work in a Community Residential setting after 1/1/2016: |

| | |

| |Once transitioned to a (non-CRS) Home and Community Based Setting, training requirements become those of a (non-CRS) |

| |Long Term Care provider. Training and certification requirements must be fulfilled within the timeframes determined |

| |for LTC providers. |

| | |

| |If these new LTC providers have NOT completed the 75 hours of basic training, their training requirements are those |

| |of a new LTC provider. |

| | |

| |If these new LTC providers have completed the 75 hours of basic training required by the CRS setting, the new |

| |training requirements are as follows: |

| | |

| |Standard Home Care Aide (HCA) in any Home and Community Based Setting: |

| | |

| |If the 75 hours of training IS ACCEPTABLE to the Department of Health (DOH) for Home Care Aide testing: |

| | |

| |The LTC provider will have 200 (or 260) days from the first date of employment in non-CRS LTC to have an active HCA |

| |credential. If the LTC provider does not have an active HCA credential by the 200th (or 260th) day, they are out of |

| |compliance with the Standard HCA requirements, and may not be paid as a LTC provider until the credential becomes |

| |active. |

| | |

| |If the 75 hours of training IS NOT acceptable to DOH for Home Care Aide testing: |

| | |

| |Before working, the LTC provider must complete 5 hours of O/S. They will need to complete 70 hours of Basic Training|

| |within 120 days of employment, and obtain their HCA credential within 200 (or 260) days of employment. |

| | |

| |Adult Child (ACP): |

| | |

| |The 75 hours of DSP training may be used to fulfill the 35 hours of basic training required by ACP. These providers |

| |also must complete 12 hours of continuing education (CE) for each year that they work in LTC. |

| | |

| |Limited Service Providers (LSP): |

| | |

| |The 75 hours of DSP training may be used to fulfill the required 35 hours of basic training. LSP have no CE |

| |requirements. |

| | |

| |Non-DDA Parent Providers |

| | |

| |The 75 hours of DSP training may be used to fulfill the required 35 hours of basic training Non-DDA Parent |

| |Providers have no CE requirements. |

| |Respite Providers: |

| | |

| |The 75 hours of DSP training may be used to fulfill the required 14 hours of basic training. Respite Providers have |

| |no CE requirements. |

| | |

| |DDA Parent Providers: |

| | |

| |The 75 hours of DSP training may be used to fulfill the 12 hours of basic training required by DDA Parent Providers. |

| |DDA Parent Providers have no CE requirements. |

|CONTACT(S): |Sarah Blanchette (DDA) |

| |Residential Provider Training Manager |

| |BlancSR@dshs. |

| |360.407.1540 |

| | |

| |Melissa Randles |

| |Individual Provider Program Manager, DDA |

| |randlmf@dshs. |

| |360.407.1515 |

| | |

| |Brad McFadden TCDU, HCS |

| |mcfadbs@dshs. |

| |360 725 2563 |

| | |

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