The Health Care Worker Registry Application Form (pdf) is the DSP Registry Form and must be completed for each DSP to add their DSP training record to the Health Care Worker Registry. Follow the Markings Directions located on each Illinois Health Care Worker Registry Application Form. All requested information MUST be given on this form, with the exceptions noted below:
All provider agencies with DHS-approved DSP training programs are responsible for submitting the online Health Care Worker Registry Application Form for only the DSPs they employ upon their completion of the entire DSP training program (classroom and OJTs) regardless where the classoom training was completed whether outsourced to another agency or an approved online program.
The DSP Training Registry system is for agencies to report the completion of DSP training to Southern Illinois University for uploading to the Illinois Health Care Worker Registry.
Request for login credentials: If you do not have your SIU login credentials, please call (618) 453-1962 or email firstname.lastname@example.org to request your login.
Inquiry by Mail, Telephone, Fax, or Email:
Southern Illinois University (SIU)
Illinois Nurse Assistant/Aide Training
Competency Evaluation Program
DSP Training Project, Mail Code 4340
Carbondale, IL 62901
Phone: (618) 453-1962
Fax: (618) 453-4300
Please Note: Southern Illinois University does not process reimbursements. If you have specific questions regarding reimbursement, please call (217) 557-7673.
After submitting an online DSP Training Registry form to Southern Illinois University, allow three (3) working days for processing, and then check the Health Care Worker Registry to ensure that the DSP's name appears on the Registry with the designation "DD Aide" under Programs. This can be done on the Illinois Department of Public Health web site or by calling the Illinois Department of Public Health's Nurse Aide Registry toll-free number 1-844-789-3676 (TTY: 1-800-547-0466).
Note: Section 350.683 c. of the Illinois Administrative Code requires that an individual shall notify the Nurse Aide Registry of any change of address or name within 30 days and shall submit proof of any name change to the Department of Public Health. (Section 3-206.01 of the Act)
All new hires must have fingerprint criminal background checks once IDPH authorizes Provider access to the IDPH Web Portal. All Providers are required by the Health Care Worker Background Check Act to immediately request access to the IDPH Web Portal. For more details see the Criminal Background Checks information how the fingerprint criminal background checks are collected through IDPH-approved livescan vendors with the results reported electronically to the HCWR.
Requests for reimbursement should be mailed to the following address:
Illinois Department of Human Services
Division of Developmental Disabilities
Attention: Bureau of Community Reimbursement Unit
600 East Ash, Building 400, Mailstop 2 South
Springfield, IL 62703
For more detailed information, please see the Staff Training Billing and Reimbursement Process Bulletin for billing and payment of staff training.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
IDHS Office Locator
IDHS Help Line
© 2020 Illinois Department of Human Services