How Caregiver Training Requirements Vary by State (2024)

Licensed senior home care agencies provide "private-duty" senior care services given by certified caregivers. Caregivers may be trained as Companion Caregivers, Home Health Aides or Certified Nursing Aides. Senior Care Co.'s Train Staff for companion care, meeting each state’s requirement for caregiver certification. Caregivers may purchase annual certification training for $59 or $79.

Caregiver training requirements for each state are shown below. Purchase an 8-hour or 10-hour online Certified Caregiver Training course meeting the standards recommended by the Professional Association of Caregivers. State training topics for certification may be viewed on each state’s page, showing the specific topics that are covered in the online certification course.

Caregiver certification varies in each state. Click to see your state’s initial training, renewal training, Alzheimer’s disease and related dementia training and hours and topics. See below chart to understand how states create caregiver certification requirements, why state certification hours and topics vary and how you may become a certified caregiver and renew your certification annually, long-term care insurance caregiver certification.

StateTraining HoursHome Care LicensingNon-Medical TraningAdditional
Alabama8

No licensing requirements

No training hours required

Alaska8No licensing requirements (only business license required)Professional Association of Caregivers Recommends 8 hour Certification CourseCPR, First Aid Training, TB test are required.
Arizona8

Licensure for Home Care Agencies Requires Basic Caregiver Training. DCW Caregivers for Medicaid (ALTECS) Must Have 6 Hours of Training1

Professional Association of Caregivers Recommends 8 hour Certification Course

Arkansas8

Professional Association of Caregivers Recommends 8 hour Certification Course

California10

5 Hours Training Prior to Presence with a Client + 5 Hours Annual Training

Caregiverlist Basic California Training Meets 10 Hour Requirement

Colorado8

Personal Care

8 Hours

Connecticut8

Personal Care - Home care agencies not licensed under Dept. of Health but "registered" under Dept. of Consumer Protection, which requires background checks, basic training.

Professional Association of Caregivers Recommends 8 hour Certification Course

Background check required.

Delaware8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

District of Columbia8Personal CareProfessional Association of Caregivers Recommends 8 hour Certification Course
Florida8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Georgia8

Companion/Homemaker, Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Hawaii8

Professional Association of Caregivers Recommends 8 hour Certification Course

Idaho8

No training required

Illinois8

Home Services

8 hours

Indiana8

Companion/Homemaker, Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Iowa8

No license required

Professional Association of Caregivers Recommends 8 hour Certification Course

Home care agency provides training.

Kansas8

Professional Association of Caregivers Recommends 8 hour Certification Course

Home care agency provides training.

Kentucky8

Professional Association of Caregivers Recommends 8 hour Certification Course

Louisiana12

Professional Association of Caregivers Recommends 8 hour Certification Course

Home care agency provides training. training details

Maine8

Professional Association of Caregivers Recommends 8 hour Certification Course

Home care agency provides training.

Maryland8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Massachusetts8

Special Business License

Professional Association of Caregivers Recommends 8 hour Certification Course

Michigan8

No licensing required

Professional Association of Caregivers Recommends 8 hour Certification Course

Minnesota8

Special Business License, Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Mississippi8

Professional Association of Caregivers Recommends 8 hour Certification Course

Missouri8

Professional Association of Caregivers Recommends 8 hour Certification Course

Montana8

Professional Association of Caregivers Recommends 8 hour Certification Course

Nebraska8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

16 of the 75 hours must be supervised training

Nevada8

Companion/Homemaker, Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course Covering 16 Subjects

No specified number of required training hours, but training in 16 subjects is required by the state.

New Hampshire8

Companion/Homemaker, Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Home care agency provides training.

New Jersey12

Companion/Homemaker, Personal Care

76 hours

New Mexico8

Professional Association of Caregivers Recommends 8 hour Certification Course

New York8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

North Carolina8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

North Dakota8

No training required

Ohio8

No training required

Oklahoma8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Oregon8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Pennsylvania8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

Must be completed within first 3 months of employment

Rhode Island8

Personal Care

Professional Association of Caregivers Recommends 8 hour Certification Course

20 hours in classroom; 5 hours practical

South Carolina8Established - postponed drafting specifics until OctoberProfessional Association of Caregivers Recommends 8 hour Certification Course
South Dakota8Professional Association of Caregivers Recommends 8 hour Certification Course
Tennessee8Personal CareProfessional Association of Caregivers Recommends 8 hour Certification Course
Texas8Personal CareProfessional Association of Caregivers Recommends 8 hour Certification Course
Utah8Companion/Homemaker, Personal CareProfessional Association of Caregivers Recommends 8 hour Certification Course
Vermont8Professional Association of Caregivers Recommends 8 hour Certification CourseCaregivers must pass a state test as well as a background check and drug test.
Virginia8Personal CareProfessional Association of Caregivers Recommends 8 hour Certification Course
WashingtonN/A

NOT AVAILABLE

Initial Training Required

+ 12-Hours Annually

85 hours to become a CNA

West Virginia8No licensing requirementsProfessional Association of Caregivers Recommends 8 hour Certification Course
Wisconsin8No licensing requirements for personal careProfessional Association of Caregivers Recommends 8 hour Certification Course
Wyoming8Professional Association of Caregivers Recommends 8 hour Certification Course

Why Do Caregivers Obtain Caregiver Certification Online?

Online caregiver training allows caregivers to get certified at anytime, from anywhere. It also makes it easy for caregivers to get annual certification training each year. Caregiver certification training delivers a standard of quality for caregiving, for both the caregivers delivering the care and the senior care companies managing the care. There are many state regulations that protect caregivers as workers, and protect the privacy of care recipients, who may be seniors who are experiencing changing health conditions and memory loss.

Professional caregivers receive the status of certification for completing state-mandated caregiver training along with the added value of passing an exam to confirm retention of the knowledge.

Senior caregivers will care for adults who sometimes are not accepting of receiving care and who may not have family members who live close to them. The senior caregiver certification courses teach caregivers how to professionally manage all the different aspects of senior care, and to understand the systems that can be implemented to deliver high quality care.

Caregivers provide emotional care and also have the challenge of caring for their own needs. The Caregiverlist® caregiver certification training supports caregivers with tools to help relieve caregiver stress and certificates to reward them for their training accomplishments. Read our article and learn more about how to become a caregiver.

How does caregiver certification training work?

Courses are available in Spanish, English, Tagalog, and Hindi. Once a caregiver purchases the training course or receives an enrollment invitation from a senior care company, they will log-in to their own caregiver certification training account. Caregivers may log-in and out, as needed, and take the training at their own pace. Once they finish reading the training content and watching the videos, they may click on the exam to confirm their knowledge and receive their certificate to show they are a certified caregiver.

The ​Caregiverlist® training leads the industry in offering easy-to-use training on any device. Caregivers may become certified on a smartphone, tablet, laptop or desktop. And, best of all, the ​Caregiverlist® training was created by senior care professionals who understand the challenges of caregiving. Senior care companies enjoy the many unique tools our learning management system delivers to make it easy to provide reports to senior company state training auditors and to keep up with state mandated caregiver training topics. If you aren’t sure about your state’s laws and mandates, just reach out to us.

Are Caregivers Required to Take Annual Renewal Training?

States require renewal training each year in order to maintain certification as a caregiver. As senior caregivers will experience care needs for many different age-related diseases and conditions, the ongoing training allows caregivers to expand their knowledge as caregivers for Parkinsons’ disease and all the various types of dementia. Renewal caregiver certification may be taken online each year. Caregivers are able to keep all of their previous training certifications in their online caregiver profile.

How do Caregivers Receive their Online Caregiver Certificates?

Certificates are available for caregivers in wall-size or wallet-size. Caregivers may also upload their photos onto their certificates after they have finished their course and passed the exam. Caregivers may also take the exam again if they would like to be given a new set of questions and try for a higher score. The recognition of certification assists in growing a career in the senior care industry.

Online caregiver certification delivers the benefit of being able to take the training from anywhere at anytime. Caregiverlist® has lead the way in online caregiver training, and allows caregivers to keep all of their training certificates in one place and return each year for renewal training. Senior care companies nationwide turn to Caregiverlist® to train their caregivers, consistently confirming the Caregiver Training University learning management system as the easiest for caregivers to use and the best online caregiver training on the market. Caregivers enjoy the recognition they receive and knowing the training has been created just for in-home caregivers by experienced senior care professionals. Training updates happen continuously, keeping up with new developments and techniques in senior care and, of course, new viruses. The in-the-cloud training platform delivers an enjoyable experience for caregivers with modern interactive content.

Caregiver T-shirts and Lapel Pins

Caregivers may purchase a pink or gray certification t-shirt and a lapel pin to showcase their caregiver certification. Styles and sizes vary from fits-like-a-medium close-fitting Large Scoop-neck to Beefy-T Unisex T-shirts in Large, XL and XXL. Some caregivers wear the t-shirts as a uniform.

Long-term Care Insurance Caregiver Certification

Long-term care insurance companies also usually require caregivers to be certified in order for their policies to pay for their care. The Caregiverlist® training fulfills the requirements for long-term care insurance caregiver certification training.

The team at Caregiverlist has worked in senior care for more than 20 years, with founders who operated a successful senior care company (that was purchased by a national corporation). Our courses are written for caregivers, not for doctors and nurses! We also enjoy connecting with caregivers and are available to speak with anyone who has questions or needs assistance with their caregiver certification. Just give us a call at: 312-669-8820. Or email us at: susan@caregiverlist.com

We’re Certified Too

​Caregiverlist® delivers the U.S.A.’s only online senior caregiver certification training approved as a diversity supplier Women’s Business Enterprise , successfully completing a rigorous and stringent certification process to confirm the business is owned, managed and controlled by a woman or women to be a WBENC-Certified business. WBENC Certification serves as the most widely recognized and respected national certification for women-owned businesses in the U.S.A.

How Do Caregiver Training Requirements Vary by State?

Each state in the U.S.A. creates their own mandates for caregiver certification by passing legislation to require senior care companies, including senior home care agencies, Medicaid community home care providers and assisted living companies to train caregivers for certification for caregiving skills. Initial training prior to working with a client and annual training to maintain caregiver certification status are required. Most employee certification training programs will require taking a training course every year to verify the person has maintained their capabilities. Certified caregivers are able to take a new course at Caregiver Training University each year along with an exam to confirm their capabilities and certified caregiver status.

As states pass legislation for caregiver certification training requirements, they may also revisit the requirements after they are being implemented to change them or update them. For example, Illinois mandated an 8-hour annual caregiver training certification program and then followed this requirement up with additional training needed for any caregiver to be certified for Alzheimer’s and dementia caregiving. Any senior care company must provide documentation of caregiver training certificates for their staff in order to maintain their license.

California began the process for caregiver certification training in Assembly Bill 1217 which then was passed by the legislature and signed by their governor to require 10 hours of initial training and 5 hours of annual caregiver renewal training to be a certified caregiver in California.

Caregiver course requirements will usually include training in skills for safety for the caregiver and the senior along with skills for protecting the privacy of the person receiving the care. Typical state caregiver certification training topics will vary in each state, while maintaining some consistent requirements for in-home caregiver certification. The courses will provide a caregiver certification course outline to provide the subjects the caregivers will be trained on with some states providing the specific topics to be a state certified caregiver and other states simply requiring caregivers are trained.

Home Caregiver Certification Requirements Commonly Included:

  • Communication skills
  • Safe Transfers
  • Infection Control
  • Environmental Safety
  • Emergency Planning
  • HIPAA (Health Information Privacy and Accountability)
  • Documentation of Care
  • Nutrition
  • Activities of Daily Living: Bathing, Toileting, Dental
  • Age-Related Diseases

How Do Caregivers Earn the Caregiver Certification Designation?

The caregiver certification test will review the concepts taught in the caregiver course. Caregiver course requirements will vary slightly in each state. Some states will mandate specific topics, or caregiver course requirements, along with an estimate of the number of hours the training should take for the caregiver to review the caregiver certification course online. Other states only require a caregiver to take training of any length or type, to be a state certified caregiver. A caregiver license is not really a term that is used, instead caregivers are “certified” to confirm they have met the training requirements in their state. A state certified caregiver will be able to provide in-home caregiving services, or, care in an assisted living facility.

How do Caregivers Confirm to Employers they are State Certified Caregivers?

State certified caregivers will receive a certificate upon completion of their course and caregiver training exam on Caregiver Training University. The caregiver certification test is not always required in state caregiver certification laws, but Caregiver Training University requires all caregivers to pass the caregiver certification test provided at the end of the training course to become a state certified caregiver. Caregivers may download and print their certificate after finishing the course to be an official state certified caregiver.

The levels of caregiver training will begin to build with each annual caregiver certification course. Caregivers maintain their certificates to show their year’s of caregiver certification training courses. In-home caregiver training has only been required in the last 20 years, with the majority of state caregiver certification mandates only being required for licensed home care in the last 10 years. As more senior care moves to the home, additional certified caregiver training courses will most likely be mandated in more and more states.

What Topics are Typically Required for Caregiver Certification Training?

State Caregiver Certification will be consistent for each industry and is segmented according to these different classifications:

  • In-Home Caregiver Certification (caregivers providing care in homes)
  • Community Care Caregiver Certification (Medicaid in-home caregivers)
  • Residential Assisted Living Caregiver Certification (R.A.L.)
  • Assisted Living Caregiver Certification: Caregivers working in Assisted Living communities

More than 25 states in the U.S.A. provide specific caregiver certification hours and topics. Some states, such as Florida, provide specific state certification guidelines for Alzheimer’s and Dementia care and include training for HIV/AIDS and medication monitoring. New Jersey’s state caregiver certification requirements are the most detailed, requiring Certified Home Health Aides (or C.H.H.A.’s) to have more than 60 hours of training and 12-hours of annual caregiver certification training. Caregiver certification levels are usually referred to as these 3 levels of caregiver certification: Beginner, Intermediate, Advanced. The levels are simply built by taking renewal caregiver training annually.

Review your state’s training requirements in the chart above and learn more about how to become a caregiver and then take your training course through Caregiver Training University, the nation’s only caregiver training created just for certified caregivers. Scroll up to find your state's caregiver training requirements to become a certified caregiver for in-home care, residential assisted living care or assisted living care.

How Caregiver Training Requirements Vary by State (2024)
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