Home Health Aide Training Requirements by State
A state-by-state analysis of training requirements for home health aides in regards to the federally-required minimum of 75 hours.
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Minimum Training Hours
75
140
75
75
120
75
75
75
25
75
75
100
120
120
75
75
110
75
75
180
100
75
75
75
75
75
91
75
75
100
76
75
75
75
75
75
75
75
75
100
75
75
75
75
100
80
75
85
75
120
91
Minimum Clinical Hours
16
80
16
16
20
16
16
16
40
16
16
70
40
40
16
16
45
16
16
70
40
16
16
16
16
16
25
16
16
60
16
16
16
16
16
16
16
16
16
20
16
16
16
16
24
30
16
550
16
32
16
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BACKGROUND Federal legislation (42 CFR 484.36) requires that Medicare-certified home health agencies employ home health aides who are trained and evaluated through training programs approved by their states. Federal regulations require that these training programs consist of at least 75 hours of training, including at least 16 hours of supervised practical or clinical training and 12 hours of continuing education per each 12-month period. Federal regulations also list the subject areas and skills to be taught, outline the qualifications for approved trainers, and define the competency evaluation process. In its recent report on the adequacy of the healthcare workforce for older Americans (Retooling for an Aging America, 2008), the National Academy of Medicine (formerly the Institute of Medicine) recommends that “federal requirements for the minimum training of certified nursing assistants (CNAs) and home health aides should be raised to at least 120 hours and should include demonstration of competence in the care of older adults as a criterion for certification” (Recommendation 5-1).
State Regulations On Training Requirements Alabama: Follows the Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Alaska: Alaska Administrative Code, Title 7, 12.519. Arizona: Arizona Revised Statutes, Title 36, Article 2, 36.2939 (B.2.a). Arkansas: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. California: California Code of Regulations, Title 22, Division 5, Chapter 6, §74747. Colorado: Code of Colorado Regulations, 10 CCR 2505‐10 8.525. Connecticut: Connecticut Department of Public Health Regulations, Public Health Code, Title 19‐13‐D69. DC: District of Columbia Municipal Regulations, Title 17, Chapter 93, §9327.3. Delaware: Delaware Administrative Code, Title 16, §4406. Florida: Florida Administrative Code, Rule Chapter 59A‐8.0095. Georgia: Follows Federal Code of Regulations: CFR Title 42, Vol.3, 484. Hawaii: Hawaii Administrative Rules, Title 11, Chapter 97, Section 1. Idaho: Idaho Administrative Code, IDAPA 16.03.07. Illinois: Illinois Administrative Code, Title 77, §245.70; 77 IL Admin. Code §395.150. Indiana: Indiana Code 16‐27‐1.5‐1 Iowa: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Kansas: Kansas Administrative Regulations 28‐51‐100. Kentucky: Follows Federal Code of Regulations: CFR Title 42, Vol.3, 48Louisiana: Follows Federal Code of Regulations: CFR Title 42, Vol.3, 484. Maine: Code of Maine Rules, 10‐144, Chapter 119. Maryland: Code of Maryland Regulations, Title 10.39.01.08. Massachusetts: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Michigan: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Minnesota: Minnesota Administrative Rules, 4664.0260. Mississippi: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Missouri: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Montana: Montana Department of Public Health and Human Services, Policies and Procedures, State Certification of Competency for Home Health Aides. Nebraska: Nebraska Administrative Code, Title 175, 14‐006.04G5. Nevada: Nevada Department of Health & Human Services, Medicaid Service Manuals, 1403.8. New Hampshire: New Hampshire Code of Administrative Rules, Chapter He‐W 553. New Jersey: New Jersey Administrative Code, Title 13:37‐14.4. New Mexico: New Mexico Administrative Code, 7.28.2.30.C. New York: New York Codes, Rules, and Regulations (NYCRR), Title 10, § 700.2., New York State Department of Health North Carolina: Division of Medical Assistance, Medicaid Clinical Coverage Policies and Provider Manuals, Clinical Coverage Policy No.: 3A (6.2). North Dakota: North Dakota Administrative Code, 33.03.10.1.18. Ohio: Ohio Administrative Code, 5160-12-03. Oklahoma: Oklahoma Administrative code, Title 310, 677-9-4. Oregon: Oregon Administrative Rules, 410‐127‐0020. Pennsylvania: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Rhode Island: Rhode Island Rules and Regulations, R23‐17‐HNC/HC/PRO.South Carolina: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. South Dakota: South Dakota Administrative Code, 67‐16:05:01. Tennessee: Rules of the Tennessee Department of Health, Board of Licensing Health Care Facilities, Chapter 1200.08.26. Texas: Texas Administrative Code, Title 40, Part 1, Chapter 97, Sub-Chapter D, §97.701. Utah: Utah Administrative Code, Rule R432-700-22. Vermont: Regulations for the Designation and Operation of Home Health Agencies, Part X, 10.1. Virginia: Virginia Administrative Code, Title 12, Agency 30, Chapter 50, Section 160. Washington: Washington Administrative Code, 246- 335-015-23. West Virginia: Follows Federal Code of Regulations: CFR Title 42, Vol. 3, 484. Wisconsin: Wisconsin Administrative Code, Chapter DHS 129, Certification of Programs for Training and Testing Nurse Aides, Medication Aides and Feeding Assistants, Subchapter II. Wyoming: Wyoming Department of Health, Aging Division, Rules for Program Administration of Home Health Agencies, Chapter 9.