[{"data":1,"prerenderedAt":170},["ShallowReactive",2],{"\u002Fresources\u002Fnew-dsp-compliance-onboarding-checklist":3},{"id":4,"title":5,"accentColor":6,"assetType":7,"body":8,"description":155,"extension":156,"icon":157,"meta":158,"navigation":159,"order":160,"path":161,"readTime":162,"seo":163,"states":164,"stem":166,"type":167,"updated":168,"__hash__":169},"toolkit\u002Fresources\u002Fnew-dsp-compliance-onboarding-checklist.md","New DSP Compliance Onboarding Checklist","bg-slateSuccess-500","checklist",{"type":9,"value":10,"toc":145},"minimark",[11,19,22,27,54,58,84,88,99,103,111,115,123,127,133,136,139],[12,13,14,15],"p",{},"Here's a costly, common mistake: a new DSP starts delivering services before their file is complete, the agency bills for it, and an audit later disallows every one of those claims because a background check or required training wasn't on file on the date of service. ",[16,17,18],"strong",{},"A staff member is only billable once their qualifications are documented and current.",[12,20,21],{},"Use this checklist to gate that first billable shift. Nothing below should be \"in progress\" when the DSP starts delivering services.",[23,24,26],"h2",{"id":25},"pre-employment-eligibility","Pre-employment & eligibility",[28,29,30,34,37,44,51],"ul",{},[31,32,33],"li",{},"Application, resume, and verified references on file.",[31,35,36],{},"Identity and work-authorization verification completed.",[31,38,39,40,43],{},"All required ",[16,41,42],{},"background checks"," completed and cleared (criminal, and where applicable abuse\u002Fneglect registry, sex-offender registry, and exclusion-list checks).",[31,45,46,47,50],{},"Confirmation the individual is ",[16,48,49],{},"not on any federal or state exclusion list"," (excluded individuals cannot be paid with Medicaid funds).",[31,52,53],{},"Required licenses or certifications verified as current and authentic.",[23,55,57],{"id":56},"required-training-before-first-service","Required training (before first service)",[28,59,60,63,66,69,72,75,78,81],{},[31,61,62],{},"Agency policies, code of conduct, and mandatory-reporter responsibilities.",[31,64,65],{},"HIPAA \u002F privacy and security.",[31,67,68],{},"Person-centered practices and rights of the individuals served.",[31,70,71],{},"Abuse, neglect, and exploitation prevention and reporting.",[31,73,74],{},"Incident reporting procedures and emergency response.",[31,76,77],{},"Documentation standards and how to write a compliant service note.",[31,79,80],{},"EVV clock-in\u002Fclock-out procedure (where applicable).",[31,82,83],{},"Any service-specific or individual-specific training required by the plan of care (e.g., medication administration, transfers, behavior support plan).",[23,85,87],{"id":86},"competency-sign-off","Competency & sign-off",[28,89,90,93,96],{},[31,91,92],{},"Documented competency check for the specific services and supports the DSP will provide.",[31,94,95],{},"Supervisor sign-off that the DSP is cleared to work independently.",[31,97,98],{},"Date the DSP became eligible to deliver billable services is recorded.",[23,100,102],{"id":101},"systems-access","Systems & access",[28,104,105,108],{},[31,106,107],{},"DSP set up in scheduling, documentation, and EVV systems with appropriate (least-privilege) access.",[31,109,110],{},"Login tested and the DSP can complete a real note and an EVV check-in.",[23,112,114],{"id":113},"record-keeping","Record-keeping",[28,116,117,120],{},[31,118,119],{},"All of the above stored in the personnel file and retrievable on request.",[31,121,122],{},"A renewal tracker is in place for anything that expires (background checks, certifications, annual training) so no one drifts out of compliance mid-employment.",[23,124,126],{"id":125},"the-one-rule-to-enforce","The one rule to enforce",[128,129,130],"blockquote",{},[12,131,132],{},"Do not schedule a new DSP for a billable service until the eligibility date is recorded and every \"before first service\" item is complete and on file.",[12,134,135],{},"Build that gate into your scheduling system if you can, it's far cheaper than disallowed claims and a corrective action plan.",[137,138],"hr",{},[12,140,141],{},[142,143,144],"em",{},"This checklist provides general, federal\u002FCMS-level guidance and is not legal advice. Specific background-check requirements, required training, competency standards, and timelines vary by state, waiver program, and service type, confirm your exact requirements with your state Medicaid agency and licensing authorities.",{"title":146,"searchDepth":147,"depth":147,"links":148},"",2,[149,150,151,152,153,154],{"id":25,"depth":147,"text":26},{"id":56,"depth":147,"text":57},{"id":86,"depth":147,"text":87},{"id":101,"depth":147,"text":102},{"id":113,"depth":147,"text":114},{"id":125,"depth":147,"text":126},"Everything that should be complete and on file before a new Direct Support Professional delivers a billable service, so you never have to disallow a claim because a hire wasn't cleared yet.","md","i-heroicons-user-plus",{},true,5,"\u002Fresources\u002Fnew-dsp-compliance-onboarding-checklist",7,{"title":5,"description":155},[165],"All states","resources\u002Fnew-dsp-compliance-onboarding-checklist","Checklist","2026-06-05","kYruHVqBaiXXwsCHV3lW80cj2AOp0rRwlyKUF6in-Hg",1790093086479]