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Home Health Aide — HHA
Total cost: $455-$1,400
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
76 hrs
Training Hours
Yes
Exceeds Federal Min
Required
Background Check
Required
CPR/First Aid
Required
Registry
$455-$1,400
Total Initial Fees
All HHAs at Medicare-certified agencies must comply with these federal requirements
VerifiedMinimum Training Hours
75 hours
Per 42 CFR §484.36 for Medicare-certified home health agencies
Competency Evaluation
Required
Written or oral exam plus a skills demonstration observed and evaluated by a registered nurse (RN)
Background Check
Required
Registry Listing
Required
States must maintain a home health aide registry or include HHAs on the nurse aide registry
Federal Regulation
42 CFR §484.36
42 CFR §484.36 — Condition of participation: Home health aide services
Home Health Aide training and competency requirements are established at the federal level by CMS under 42 CFR §484.36. HHAs working for Medicare-certified home health agencies must complete at least 75 hours of training (including 16 hours of supervised practical/clinical training) and pass a competency evaluation administered by an RN. States may require additional hours beyond this federal minimum.
Not sure if you need a home health aide license? Check whether your state requires one.
State-specific HHA certification requirements
Mostly verifiedRequired Training Hours
76 hours
Exceeds federal 75-hour minimum
VerifiedCertification Title
Certified Home Health Aide (NYS DOH)
Mostly verifiedCPR/First Aid
Required
Mostly verifiedState Registry
New York Home Care Aide Registry (DOH)
Additional State Requirements
New York requires 76 hours of training. HHA certification is through NYS Department of Health.
HHA requirements vary by state. While the federal minimum is 75 hours of training, some states require significantly more. All states require criminal background checks and abuse registry screening. HHAs must be listed on their state's nurse aide registry or equivalent HHA registry to maintain active certification.
Education, Training & Skills Requirements
VerifiedMinimum Education
High school diploma or GED (typically required, though not always mandated by federal regulation)
Clinical Training
Minimum 16 hours of supervised practical (clinical) training required by federal regulations
Training Program Details
76-hour state-approved HHA training program covering classroom instruction and supervised clinical practice. Training must be provided by a Medicare-certified home health agency or an approved educational institution.
Skills Covered in Training
HHA training programs must be approved by the state and include both classroom instruction and supervised clinical practice. Federal regulations require at least 16 hours of supervised practical training. Training covers vital signs, personal care, safety, infection control, and basic health monitoring. No formal education beyond high school is typically required by federal regulation, though individual programs may have their own prerequisites.
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| Fee | Amount |
|---|---|
Training Program Cost Approximate cost range for New York HHA training programs. Many employers offer free or subsidized training. | $400-$1,200 |
Background Check Fee Criminal background check and abuse registry screening | $30-$75 |
Certification/Registry Fee State certification/registry fee — many states charge minimal or no fee | $0-$50 |
CPR/First Aid Certification American Heart Association or American Red Cross CPR/First Aid certification | $25-$75 |
Total Initial Fees Includes training program, background check, certification fee, and CPR certification. Many employers cover all or part of these costs. | $455-$1,400 |
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Renewal Requirements & Continuing Education
Mostly verified12 hours per year
In-Service Training
Annual
Renewal Period
Required
Continuing Education
Continuing Education Details
12 hours of in-service training per year required for HHAs at Medicare-certified agencies. Training must address areas identified during performance evaluations and must include patient rights, safety, and infection control.
Renewal Fee
$0-$25
Regulatory Board
Federal regulations require a minimum of 12 hours of in-service training per year for HHAs working at Medicare-certified home health agencies. Training must address areas identified in performance evaluations and include topics such as patient rights, safety, and infection control. HHAs must maintain active status on their state registry. Failure to complete required in-service training may result in registry removal.
New York requires 76 hours of HHA training, slightly above the federal minimum. NYS DOH oversees certification. The state's large elderly population drives very high demand.
Home Health Aides working for Medicare-certified agencies must complete at least 75 hours of training and pass a competency evaluation per federal requirements (42 CFR §484.36).
New York requires 76 hours of training, which exceeds the federal minimum of 75 hours.
HHAs are distinct from CNAs — HHAs work primarily in home settings while CNAs work in facilities. HHAs are also distinct from Personal Care Aides (PCAs) — HHAs can perform clinical tasks under RN supervision.
All states require a criminal background check. Most states also require an abuse registry check before HHA certification.
New York maintains a nurse aide registry that includes HHAs. Active registry status is required for employment.
Federal minimum continuing education requirement is 12 hours of in-service training per year for HHAs at Medicare-certified agencies.
There is no interstate compact for home health aides. Federal Medicare/Medicaid minimum training standards (75 hours) apply nationwide.
Home Health Aide requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| New York (you) | $250–$1,400 | 6–10 wks | |
| Connecticut | $250–$1,400 | 8–12 wks | → |
| Massachusetts | $250–$1,400 | 6–10 wks | → |
| New Jersey | $250–$1,400 | 6–10 wks | → |
| Pennsylvania | $250–$1,400 | 6–10 wks | → |
See how New York compares: Home Health Aide License Fees by State — Cheapest to Most Expensive →
Compare home health aide requirements across all states →
Home Health Aide licensing requirements nationwide →
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How does New York compare to other states for home health aide? See the full comparison →
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Explore requirements for other professional licenses in New York.
Home Health Aide Schools in New York
Compare approved training programs, costs, and requirements.
Study guides and training materials for HHA certification and competency exams.
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Official Sources
Home Health Aide requirements in New York verified against New York State Department of Health (NYS DOH), March 2026.
Accessed 2025-01-15
Accessed 2025-01-15
Accessed 2025-01-15
Moving to New York? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your Home Health Aide license to New York →
Transfer your Home Health Aide license from New York to: Connecticut → | Massachusetts → | New Jersey → | Pennsylvania → | Vermont →
New York requires 76 hours of HHA training. This exceeds the federal 75-hour minimum. New York requires 76 hours of training. HHA certification is through NYS Department of Health. Certification is managed through the New York State Department of Health (NYS DOH).
Requirements vary by state. Always verify current requirements with your state health department.