QIDP Training QR4200

REVISED 09/19/23

Agency Name:

Programs: _ ISC _ CILA _ CDS _ CRW _ SDA _ AHBS _ CSW

Date(s) of Review:

Reviewer(s):

(3, 4, 5 not applicable if training completion date is listed on the DDD QIDP Database.)

Item	E	E	E	E	E	E	E	E
QIDP Employee Initials:
Date of Hire:
1. Is the QIDP listed on the DDD database as of the first date of the review?	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No
2. Enter training completion date if not listed on DDD database.
3. Has the QIDP completed a DHS approved (min. 40 hour) QIDP training program?	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No
4. Was the QIDP training completed within 120 days of initiation of the training?	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No
5. Was the QIDP training completed within 6 months of hire OR starting to work as a QIDP?	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No
6. Is there evidence that the QIDP has completed 12 hours of continuing education during the prior or current fiscal year? (N/A if QIDP was hired during the last fiscal year.) *	_Yes _No _N/A	_Yes _No _N/A	_Yes _No _N/A	_Yes _No _N/A	_Yes _No _N/A	_Yes _No _N/A	_Yes _No _N/A	_Yes _No _N/A
7. Remediation required?	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No	_Yes _No
8. Item for remediation?
9. Comments

* QIDPs must complete 12 hours of continuing education (CE) each state fiscal year (July 1 - June 30) beginning the first state fiscal year AFTER completing the 40-hour QIDP Orientation training. Six of the 12 annual required CE hours must be obtained outside the employing agency. Reviewers will request the previous fiscal year's CEs for the selected QIDPs, however, if a QIDP has already completed their CEs for the current fiscal year, those will also be accepted. No CE credit is given for routine required training or refreshers such as CPR/FA or OIG Rule 50 training.

Excerpt from the Program Manual, Attachment A:

It is the Provider's responsibility to ensure that all QIDPs receive the 40-hour DHS-approved QIDP training course within the required timeframe and the 12 hours of continuing education units each fiscal year. The Provider is required to maintain all training records for QIDPs who complete the 40-hour training program and continuing education units at the Provider's administrative office. This includes the QIDP Orientation Training Competency Area Checklist, the sign-in sheets verifying attendance in the classroom training and documentation of 12 hours of continuing education each fiscal year for each QIDP.

Reference links:

QIDP Training Requirements:

QIDP spending 20% or more of their time providing direct support:

QIDP Continuing Education: