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Home Health Aide (HHA)
Home Health Aide certification is regulated at both federal and state levels. Federal law requires at least 75 hours of training, but many states require more. Compare training hours, certification requirements, and costs across all 50 states.
51
Total States
7
Exceed Federal Min
80 hrs
Avg Training Hours
$304
Avg Initial Fees
HHA certification involves meeting both federal requirements (42 CFR §484.36) and state-specific training and registry requirements. Here are the three key areas.
All HHAs at Medicare-certified agencies must complete at least 75 hours of training (including 16 hours supervised clinical) and pass a competency evaluation — a written/oral exam plus skills demonstration observed by an RN. Many states require more than 75 hours.
All states require criminal background checks and abuse registry screening. HHAs must be placed on their state's nurse aide registry or HHA registry. Active registry status must be maintained for continued employment.
HHAs at Medicare-certified agencies must complete 12 hours of in-service training per year. Training addresses skills identified in performance evaluations and must include patient rights, safety, and infection control topics.
Click any column header to sort. Click a state to view full requirements.
| State | Training Hours | Exceeds Federal | Certification | CPR Required | Total Fees | Renewal | Confidence | Verified |
|---|---|---|---|---|---|---|---|---|
| Alabama(AL) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Alaska(AK) | 75 hrs | No | Certified Home Health Aide | Yes | $460-$1,400 | Annual | medium | Mar 2026 |
| Arizona(AZ) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$1,085 | Annual | medium | Mar 2026 |
| Arkansas(AR) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| California(CA) | 120 hrs | Yes | Home Health Aide (CDPH Certification) | Yes | $455-$1,700 | Annual | medium | Mar 2026 |
| Colorado(CO) | 75 hrs | No | Certified Home Health Aide | Yes | $350-$1,185 | Annual | medium | Mar 2026 |
| Connecticut(CT) | 120 hrs | Yes | Home Health Aide (DPH Certified) | Yes | $455-$1,400 | Annual | medium | Mar 2026 |
| Delaware(DE) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| District of Columbia(DC) | 125 hrs | Yes | Home Health Aide (DOH Certified) | Yes | $460-$1,400 | Annual | medium | Mar 2026 |
| Florida(FL) | 75 hrs | No | Home Health Aide (AHCA Licensed) | Yes | $250-$1,085 | Annual | medium | Mar 2026 |
| Georgia(GA) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Hawaii(HI) | 75 hrs | No | Certified Home Health Aide | Yes | $455-$1,390 | Annual | medium | Mar 2026 |
| Idaho(ID) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Illinois(IL) | 120 hrs | Yes | Home Health Aide (IDPH Certified) | Yes | $355-$1,390 | Annual | medium | Mar 2026 |
| Indiana(IN) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Iowa(IA) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Kansas(KS) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Kentucky(KY) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Louisiana(LA) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Maine(ME) | 75 hrs | No | Certified Home Health Aide | Yes | $350-$1,080 | Annual | medium | Mar 2026 |
| Maryland(MD) | 75 hrs | No | Certified Home Health Aide | Yes | $355-$1,185 | Annual | medium | Mar 2026 |
| Massachusetts(MA) | 75 hrs | No | Home Health Aide (DPH Certified) | Yes | $455-$1,400 | Annual | medium | Mar 2026 |
| Michigan(MI) | 75 hrs | No | Home Health Aide (LARA Certified) | Yes | $250-$980 | Annual | medium | Mar 2026 |
| Minnesota(MN) | 75 hrs | No | Home Health Aide (MDH Certified) | Yes | $350-$1,185 | Annual | medium | Mar 2026 |
| Mississippi(MS) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Missouri(MO) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Montana(MT) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Nebraska(NE) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Nevada(NV) | 75 hrs | No | Certified Home Health Aide | Yes | $350-$1,085 | Annual | medium | Mar 2026 |
| New Hampshire(NH) | 75 hrs | No | Certified Home Health Aide | Yes | $350-$1,080 | Annual | medium | Mar 2026 |
| New Jersey(NJ) | 76 hrs | Yes | Certified Homemaker-Home Health Aide | Yes | $355-$1,290 | Annual | medium | Mar 2026 |
| New Mexico(NM) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| New York(NY) | 76 hrs | Yes | Certified Home Health Aide (NYS DOH) | Yes | $455-$1,400 | Annual | medium | Mar 2026 |
| North Carolina(NC) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$980 | Annual | medium | Mar 2026 |
| North Dakota(ND) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Ohio(OH) | 75 hrs | No | Home Health Aide (ODH Certified) | Yes | $250-$980 | Annual | medium | Mar 2026 |
| Oklahoma(OK) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Oregon(OR) | 155 hrs | Yes | Home Care Worker (OHCC Certified) | Yes | $455-$1,695 | Annual | medium | Mar 2026 |
| Pennsylvania(PA) | 75 hrs | No | Home Health Aide (DOH Certified) | Yes | $250-$1,085 | Annual | medium | Mar 2026 |
| Rhode Island(RI) | 75 hrs | No | Certified Home Health Aide | Yes | $350-$1,080 | Annual | medium | Mar 2026 |
| South Carolina(SC) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| South Dakota(SD) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Tennessee(TN) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Texas(TX) | 75 hrs | No | Home Health Aide (HHSC Regulated) | Yes | $250-$1,080 | Annual | medium | Mar 2026 |
| Utah(UT) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$975 | Annual | medium | Mar 2026 |
| Vermont(VT) | 75 hrs | No | Certified Home Health Aide | Yes | $350-$1,080 | Annual | medium | Mar 2026 |
| Virginia(VA) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$1,080 | Annual | medium | Mar 2026 |
| Washington(WA) | 75 hrs | No | Home Care Aide (DOH Certified) | Yes | $355-$1,190 | Annual | medium | Mar 2026 |
| West Virginia(WV) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
| Wisconsin(WI) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$980 | Annual | medium | Mar 2026 |
| Wyoming(WY) | 75 hrs | No | Certified Home Health Aide | Yes | $250-$875 | Annual | medium | Mar 2026 |
Home Health Aides work alongside other licensed healthcare professionals. Explore related licensing requirements.
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See the full comparison table above for all 51 states.