Classroom

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

Contact Us for your training topics, training plans, &  tracking

Thanks for submitting!

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.