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If you long for a career that combines compassion with healthcare skills and positively impacts people’s lives but you don’t want to spend years in medical school, an entry-level certified nursing assistant job (CNA) might be the answer. Get ready to explore a rewarding CNA career where care meets opportunity and dedication leads to an expanding career path.
Whether you want to practice in sunny California, bustling New York or picturesque Colorado, this guide dives into what it takes to become a CNA in every corner of the nation. For those not ready to put down roots, it also provides valuable details on reciprocity agreements that allow you to travel across states and explore the country in travel CNA roles. Keep reading to embark on a state-by-state exploration of a career that offers boundless opportunities for personal and professional growth.
RELATED: Find Top Paying CNA Jobs
Steps to Becoming a CNA
Some states call CNAs something else, such as licensed nursing assistants, and a few have two levels of certified nursing assistants. The steps to becoming a CNA are similar in most states, but some may have unique regulations and requirements.
Prospective CNAs must usually complete a state-approved training program at an accredited institution. Training programs may last between 1 and 4 months, but accelerated programs allow you to finish in 4 weeks. Programs typically include classroom and clinical training hours.
Each state usually provides a list of approved CNA training programs but often accepts training programs completed in other states if they meet their standard requirements. CNA programs typically require prospective students to possess a high school diploma or GED equivalent and current immunizations, including the Hepatitis B series and a TB skin test. Some programs may require students to pass a criminal background check and drug screening.
Once you complete a training program, you must pass a state competency exam. These tests involve a written or oral exam and a skills evaluation exam, and applicants must pass both before the state adds them to its CNA Registry. You must pass your CNA certification exams within a set period following CNA program completion, usually within 24 months. Some states allow you to challenge the certification exam without completing a state-approved training program if you meet specific qualifications.
The National Nurse Aide Assessment Program (NNAAP), developed by the National Council of State Boards of Nursing (NCSBN,) is the largest nurse aide certification examination program in the United States. As of early March 2024, 18 NCSBN jurisdictions used the NNAAP exam for testing CNAs, including 13 states (California counts as two jurisdictions), three U.S. territories and the District of Columbia.
Nearly all states require some version of a CNA certification application, but not all charge an application fee. Many require fingerprinting for a background check, which usually requires a fee, even if the application process doesn’t require one.
You might pay a testing fee, but federal and/or state laws may require certain employers to cover this cost. If you’re already employed or have been offered a travel, staff, per diem or local contract CNA job, confirm whether the employer is responsible for testing and retesting charges.
Certification typically lasts for 2 years. Before expiration, you must follow the state’s requirements for renewal. If you’ve earned reciprocal certification in another state, you must also renew this to continue traveling to and working in any state you have reciprocity.
RELATED: Find the Best Travel CNA Jobs
State-by-State CNA Certification & Reciprocity
Each state has similar certification and reciprocity guidelines, but some details may vary. When a state offers reciprocity, it agrees to allow a CNA certified in good standing in another state to practice without further training or testing requirements. However, it may charge an application fee and may or may not have additional requirements. Learn more about each state’s specific certification and reciprocity requirements in the guidelines below. We’ve also added downloadable PDF checklists with specific CNA certification requirements within each state to make it easy to track your progress.
Click on your state below to learn the certification and reciprocity requirements for CNAs.
Alabama
CNA Certification Requirements
Download Alabama CNA Certification Checklist
- Complete a CNA program approved by the Alabama Department of Health that has at least 75 clock hours of training, including 16 hours of clinical training and 16 hours of labs
- May also qualify by completing equivalent training through higher education, such as an LPN or RN program approved by the Alabama Board of Nursing or a state-approved training program at a long-term care facility
- Online CNA programs not approved in Alabama
- Must be CPR-certified before starting clinical training (Basic Life Support certification recommended)
- Must have current immunizations, TB skin test and Hepatitis B series before beginning training
- Pass the Nurse Aide Competency Exam administered by Prometric or the NNAAP exam administered by Credentia
- Failure to pass the competency exam within three attempts and 24 months requires retaking a State-approved nurse aide training program before retesting
Application Fees
Alabama doesn’t have an application fee. CNA training is free through an approved nursing home, but costs vary if completing training through a college, trade school or other approved training program.
Exam Fees:
- Prometric: $40 Written/Oral Exam and $45 Clinical Skills Exam
- NNAAP: $55 Written/Oral Exam and $80 Skills Evaluation
Renewal Requirements: No Fee
Alabama doesn’t require a renewal application, continuing education (CE) or other renewal requirements. However, to maintain CNA certification, you must:
- Work at least 8 hours every 24 months in a paid role at a nursing home, hospital, home health agency, hospice agency or mental health facility
Although CE isn’t required to maintain certification, skilled nursing facilities must provide 12 mandatory hours of CE for CNAs each year.
CNA Reciprocity: No Fee
Alabama doesn’t charge a fee or have a form for CNAs to fill out for reciprocity. Instead, CNAs certified in other states must have their employers contact the State agency and have their name placed on the Alabama Nurse Aide Registry. Thus, the only way to get on the state’s registry is to apply for a job at a nursing facility and have it submit your name once it verifies your active certification in the state you’re transferring from. You can’t transfer your CNA certification yourself.
For More Information
Alabama Certified Nurse Aide Registry
AL Department of Public Health
Division of Health Care Facilities
The RSA Tower, Suite 600
201 Monroe Street
Montgomery, AL 36104
Phone: (334) 206-5169
Email: [email protected]
Alaska
CNA Certification Requirements
Download Alaska CNA Certification Checklist
- Complete approved CNA program with a minimum of 140 training hours, with at least 60 classroom hours and 80 hours of lab/clinical practice
- May also qualify through equivalent nursing education of at least one year that included classroom and clinical training and occurred within the last 2 years, military training and service as a U.S. corpsman or medic within the past 5 years, a nursing training program in a foreign country or possession of a current or lapsed unencumbered registered nursing license
- Complete fingerprinting for criminal background checks through the Department of Public Safety and the FBI
- Submit Alaska’s Nurse Aide Certification by Examination application
- Pass the NNAAP exam administered by Credentia
Applicants behind on child support payments per the Alaska Child Support Enforcement Division receive a nonrenewable 150-day temporary CNA license to use while resolving payment issues.
Application Fees
- Nonrefundable Application Fee: $100
- Certificate Fee: $100
- Nonrefundable Fingerprint Processing Fee: $75
Renewal Requirements: $100 Fee
- Certificates are valid for 2 years and expire on March 31 of every even-numbered year.
- Must complete 24 contact hours of continuing education (CE) and 160 hours of paid employment as a CNA or similar role.
CNA Reciprocity: $100 Application, $100 Certificate, $75 Fingerprinting
Applicants may qualify for a nurse aide by endorsement in Alaska if they have proof they completed a state-approved CNA training program that meets minimum federal standards, possess a current, unencumbered nurse aide certification or registration issued by any state, U.S. territory or Canadian province or territory and passed a competency evaluation.
To apply, submit a completed application, fees, fingerprinting and background check reports and Authorization for Release of Records, Verification of Nurse Aide Training or Nursing School Training and Verification of Nurse Aide Certification forms.
For More Information:
Alaska Nurse Aide Registry
AK Department of Commerce, Community & Economic Development
Division of Corporations, Business and Professional Licensing
Board of Nursing
550 West 7th Avenue, Suite 1500
Anchorage, AK 99501-3567
Phone: (907) 269-8169
Email: [email protected]
Arizona
CNA Certification Requirements
Download Arizona CNA Certification Checklist
The Arizona State Board of Nursing has two levels of nursing assistants:
Certified Nursing Assistant:
- Complete a board-approved CNA program with at least 120 CNA training hours
- Pass the state’s written and manual skills exam
- Submit proof of legal residency
Licensed Nursing Assistant:
- Meet CNA education and exam requirements
- Submit fingerprints for background check
- Submit proof of legal residency
- License renews every 2 years
Application Fees
- CNA: No Fee
- LNA: $50 license fee and $50 fingerprint fee
Renewal Requirements: No Fee CNA / $50 Fee LNA
CNA:
- Must work a minimum of 8 hours in the past 2 years
LNA:
- License requires renewal every 2 years
- Must work at least 160 hours in the past 2 years
CNA Reciprocity: $50 CNA / $100 LNA
Nursing assistants from other states may apply for endorsement as a CNA for a $50 fee or an LNA for a $100 fee ($50 license and $50 fingerprinting). All applicants must:
- Complete the CNA Endorsement application
- Provide proof of graduation from a comparable nursing assistant program
- Pass the state nursing assistant written and manual skills competency exams
- Be listed on another state’s CNA registry
- Worked with the past 2 years
LNAs must also submit fingerprints for a background check.
For More Information
Arizona State Board of Nursing
AZ State Board of Nursing
Nurse Aide Registration Program
4747 North 7th Street, Suite 200
Phoenix, AZ 85014-3653
Phone: (602) 771-7800
Email: [email protected]
Arkansas
CNA Certification Requirements
Download Arkansas CNA Certification Checklist
- Complete a state-approved CNA program with at least 90 hours of education/training
- Create an Arkansas TMU account
- Pass the Nursing Assistant Competency Exam within one year of completing training and within 3 attempts
- $30 Knowledge Exam (per attempt)
- $95 Manual Skills Test (per attempt)
- Testing performed by D&S Diversified Technologies/Headmaster
Renewal Requirements: No Fee
- Must renew every 24 months using TMU Account
- Must have been paid for at least 8 consecutive hours as a nurse aide during the past 24 months
- Must not have misconduct restrictions on the CNA Registry
CNA Reciprocity: $25
CNAs may be placed on the Arkansas Nurse Aide Registry (ARNAR) through the out-of-state registry process if they’re in current, good standing on the NAR in another state.
Applicants who’ve completed a nurse aide competency exam that’s the same or substantially similar to Arkansas’ exam within a year of completing a training program of at least 90 hours
- Complete the Out-of-State ARNAR Reciprocity Form 9110AR.
Applicants who haven’t passed a competency exam must pass the Arkansas competency exam within one year of completing their training
- Complete an Out-of-State Training Waiver Application
For More Information
Arkansas Nurse Aide Testing, Certification and Registry Services
AR Department of Human Services
Office of Long-Term Care
PO Box 8059, Slot S405
Little Rock, AR 72203-8059
Registry Phone: (888) 401-0465
Email: [email protected]
California
CNA Certification Requirements
Download California CNA Certification Checklist
The Healthcare Workforce Branch, Healthcare Professional Certification and Training Section is primarily responsible for certifying nurse assistants.
- Be at least 16 years old
- Complete a CNA training program approved by the California Department of Health that includes knowledge and skills test
- Submit electronic fingerprints through Live Scan
- Obtain a criminal record clearance
- Complete the Certified Nursing Assistant Initial Application
- Pass the Competency Evaluation Examination
- $30 Knowledge Exam (per attempt)
- $95 Manual Skills Test (per attempt)
Renewal Requirements: No Fee
CNA certificates are issued for two birthdays, not two calendar years and expire on the CNA’s birthday, renewal applicants must:
- Submit a completed Renewal Application (CDPH 283C)
- Submit documentation proving 48 hours of In-Service Training/Continuing Education Units (CEUs) within the 2-year certification period
- Have worked for compensation in a facility as a CNA during the 2-year certification period
Applicants who don’t meet all renewal requirements must reactivate their CNA certification by passing the Competency Evaluation.
CNA Reciprocity: $32 Fingerprinting (Cards), Live Scan Fingerprinting (Varies)
To transfer your out-of-state certificate to California, complete and submit the following:
- Certified Nurse Assistant Equivalency/Reciprocity Application
- Electronic fingerprints or fingerprint cards for background check
- Copy of out-of-state CNA certificate
- Completed Verification of Current Nurse Assistant Certification Form
- Proof of paid employment providing nursing/nursing-related services in a facility under the supervision of a licensed health professional within the last 2 years
For More Information
California Department of Public Health
Licensing and Certification Division
Healthcare Workforce Branch
MS 3301, PO Box 997416
Sacramento, CA 95899-7416
Phone: (916) 327-2445
Email: [email protected]
Colorado
CNA Certification Requirements
Download Colorado CNA Certification Checklist
- Complete a state-approved nurse aide training program that includes 75 hours of education and clinicals
- Create an account on Colorado’s online CNA365 system to register for testing
- Pass the NNAAP written/oral exam and skills evaluation administered through Credentia
- $85 Written Exam (per attempt)
- $50 Oral Exam (per attempt)
- $85 Skills Evaluation (per attempt)
- Allowed 3 attempts to pass both portions of the exam within 2 years of application
Look for your name on the state’s registry within 10 calendar days of passing unless your application requires Board review
CNAs may add Medical Aide Authority by passing the Colorado Medication Aide (COMA) Authority Competency Evaluation Examination administered by Iso-Quality Testing
- $125 Written Exam (per attempt)
Renewal Requirements: Fee Changes Annually (per DORA)
- All CNA certifications expire on January 31 of odd-numbered years
- CNA receives a renewal reminder and must log in to their online profile to complete the renewal process (per DORA)
Reciprocity: $50
- Submit the non-refundable application fee via credit card
- Provide details on all other healthcare licenses held outside of Colorado
- Upload verification of out-of-state CNA license
- Answer general and criminal history screening questions and upload supporting documentation
- Complete the Healthcare Professions Profile, including uploads of supporting documentation
For More Information
Colorado Board of Nursing
Colorado Department of Regulatory Agencies
Division of Professions and Occupations
1560 Broadway, Suite 1350
Denver, CO 80202
Phone: (303) 894-2458
Email: [email protected]
Connecticut
CNA Certification Requirements
Download Connecticut CNA Certification Checklist
- Complete a board-approved CNA program, including 100 education hours
- Complete an online application or the paper Connecticut Certified Nursing Assistant Examination Application
- Pass the Connecticut Nurse Aide written and practical exams administered by Prometric within 24 months of completing a CNA program
- $118 for clinical skills and written exam
- $128 for clinical skills and oral exam
- Plus $20 processing fee
Renewal Requirements: No Fee
- Must have worked at least one 8-hour shift of paid employment as a nurse aide or in a position providing nursing-related services
- Valid for 2 years from the date of verified employment
Expired/lapsed CNA certification without appropriate employment must retake and pass the Connecticut Nurse’s Aide exam (written and practical exams) administered by Prometric
CNA credentials must be active and in good standing. Applicants must complete an online application or download a printable application from the Prometric website.
Reciprocity: $55 Fee
CNA credentials must be active and in good standing. Applicants must complete an online application or download a printable application from the Prometric website.
For More Information
Connecticut State Department of Public Health
CT Nurse Aide Registry Program
Department of Public Health
410 Capitol Avenue, MS#12MQA
PO Box 340308
Hartford, CT 06134-308
Phone: (860) 509-7603 Option#1
Email: [email protected]
Delaware
CNA Certification Requirements
Download Delaware CNA Certification Checklist
- Complete a Delaware Division of Long Term Care Residents Protection-approved CNA training program
- Pass the CNA Competency Exam (written and clinical skills exams) through Prometric within 24 months of the date listed on the training program’s certificate of completion
- Must pass both exams within 3 attempts or retrain/retest
- $115 non-refundable fee for written/oral and clinical skills exams
Alternate Route 2: Complete a licensed nursing program that includes 75 hours of clinical instruction in a long-term care facility and pass a Fundamentals/Basic Nursing course
Renewal Requirements: $25 Fee
- Complete at least 24 hours of approved continuing education (Relias CEUs)
- Must include 6 hours of Dementia training and 2 hours of training related to resident/patient abuse prevention/neglect and/or mistreatment
- Must work at least 64 hours for pay under nurse/physician supervision during certification period
- Complete the online self-reporting 64-hour worked renewal form
CNAs not meeting renewal requirements must retake the State of Delaware CNA written and clinical skills exams through Prometric ($115 fee).
Reciprocity: $30 Fee
Applicants with an active CNA credential in good standing in another state who received CNA training equivalent to or exceeding the federal nurse aid training program requirements may be granted reciprocity if they:
- Have a current CNA certificate from the jurisdiction in which they currently practice
- State of Maryland applicants must hold a current Geriatric Nursing Assistant certificate
- Completed 3 months of paid full-time nursing-related services (420 clock hours) within the last 24 months under supervision or completed a training or competency evaluation program to State of Delaware requirements
For More Information
Delaware Division of Health Care Quality
Delaware Division of Long-Term Care Residents Protection
CNA Reciprocity
ATTN: Aleen Wilker
263 Chapman Road
Suite 200, Cambridge Building
Newark, DE 19702
Phone: (302) 421-7410
Email: [email protected]
District of Columbia
CNA Certification Requirements
Download District of Columbia CNA Certification Checklist
DC Health contracts with Credentia for CNA registry processes, including CNA testing.
- Must be at least 18 years old
- Complete a Board-approved nurse aide training program consisting of 65 hours classroom instruction, 20 hours clinical labs and 40 hours clinical within the past 24 months
- Undergo a criminal background check before issuance of certification
- Pass the nurse aide exams via Credentia
- $55 written/oral exam fee
- $110 skills evaluation fee
Renewal Requirements: $12 Fee
- Perform at least 8 hours of CNA functions for pay over the past 24 months
- Completed 24 hours of in-service training or continuing education over the last 2 years
- 2 hours must be in cultural competency or specialized clinical training focusing on patients or clients who identify as LGBTQ
- 10% of hours must be in subjects determined by the Director as public health priorities of the District
- Receive criminal background check clearance
Reciprocity: $15 Fee
Applicants currently working in another jurisdiction as a CNA may apply for CNA by endorsement in the District of Columbia. They must:
- Be at least 18 years old
- Provide proof of current unencumbered CNA certification or registration in another jurisdiction
- Provide proof of completion of CNA training program with standards substantially equivalent to those in the District of Columbia
- Undergo a criminal background check
For More Information
DC Department of Health
DC Nurse Aide Registry
Health Regulation and Licensing Administration
Health Care Facilities Division
899 North Capitol Street NE, 1st Floor
Washington, D.C. 20002
Phone: (202) 724-8800
Florida
CNA Certification Requirements
Download Florida CNA Certification Checklist
- Complete an approved 120-hour CNA training program unless challenging the exam
- Complete all pages of the Florida Certified Nursing Assistant Application
- Complete a Level II background screening with image capture
- Achieve a minimum score on the nursing assistant competency examination administered through Prometric
- $155 fee for written/oral and clinical skills exams
Exam challengers must be 18 or older and have a high school diploma or equivalent but don’t need nursing assistant training or experience.
Renewal Requirements: $55 Fee
- Must renew every 2 years to remain on the registry
- Complete at 24 hours of in-service training every two-year certification period
- Must perform nursing-related services for monetary compensation within the last 24 consecutive months
- Fees:
- $55 on-time renewal
- $105 late renewal
- $160 renewal after 120-day Notified Delinquent
Reciprocity: Live Scan Fee (Varies)
Applicants to become a Certified Nursing Assistant by Endorsement must:
- Pass the required background screening
- Be currently certified in another state, U.S. territory or the District of Columbia
- Be listed on that jurisdiction’s certified nursing assistant registry
- Not have been found to have committed neglect, abuse or exploitation in that jurisdiction
For More Information
Florida Board of Nursing
CNA Registry/Board of Nursing
4052 Bald Cypress Way, BIN # C13
Tallahassee, FL 32399-3263
Phone: (850) 245-4125
Email: [email protected]
Georgia
CNA Certification Requirements
Download Georgia CNA Certification Checklist
- Complete a board-approved CNA program
- At least 85 hours of training curriculum, including classroom/lab hours
- Mandatory 24 hours of clinical training
- Pass both parts of the NNAAP exam, administered by Credentia
- $130 written/oral and skills exams
Renewal Requirements: No Fee
- Work as a CNA for pay for at least 8 hours under a nurse’s supervision within the last 2 years
Reciprocity: No Fee
CNAs currently listed on another state’s Nurse Aide Registry with an active status and without encumbrances, discipline or pending or substantiated finding of patient neglect, abuse or misappropriation of property on the state’s registry may file for reciprocity by:
- Completing the Application for Nurse Aide Registry Listing by Reciprocity form
- Submitting proof of CNA certification, employment and government-issues social security card and photo ID
- Submitting proof of paid employment as a CNA for at least 8 hours under RN supervision within the past 2 years
The Georgia Nurse Aide Registry verifies registry status on the Nurse Aide Registry in the state CNAs list on their applications, then evaluates completed application and state verification information before adding the CNA’s name to the Georgia registry without taking the Georgia Written/Oral and Skills Competency Examination.
For More Information
Georgia Nurse Aide Program
1455 Lincoln Parkway East, Suite 750
Atlanta, GA 30346-2200
Phone: (678) 527-3010 or (800) 414-4358
Email: [email protected]
Hawaii
CNA Certification Requirements
Download Hawaii CNA Certification Checklist
The Hawaii Department of Commerce and Consumer Affairs contracts with Prometric to develop and administer its Nurse Aide Competency Exam and manage the Nurse Aide Registry.
- Complete an approved CNA training program with 100 education hours
- Submit a copy of training completion document from a Hawaii-approved 100-hour training program with application
- Complete the Hawaii Nurse Aide Examination Application form and send it to Prometric
- Pass both parts of the Hawaii Nurse Aide Competency Exam administered by Prometric within 2 years of the first testing date or within 3 attempts or retraining required
Once you pass the exam, the CNA certificate will be mailed to you and your name will be added to the Hawaii Nurse Aide Registry.
Application Fees
- Initial Application Processing: $25 (nonrefundable)
- Initial Written/Oral and Clinical Skills exams: $216
- Written/Oral exam only: $54
- Clinical Skills exam only: $162
Renewal Requirements: $27 Fee
- Renew certification every 2 years
- Must have worked for pay as a nurse aide providing nursing-related care for at least 8 hours during the most recent certification period
- Must mail renewal application
Reciprocity: $27 Fee
- Complete the Application form
- Submit a copy of current state CNA certificate that includes the expiration date and state of transfer
Applicants whose certifications aren’t current/active must take the Competency Exam.
For More Information
Hawaii Department of Commerce and Consumer Affairs Professional & Vocational Licensing
PO Box 3469
Honolulu, HI 96801
Phone: (808) 586-3000
Email: mailto:[email protected]
Idaho
CNA Certification Requirements
Download Idaho CNA Certification Checklist
The Idaho Department of Health and Welfare utilizes Prometric to administer its written Certified Nurse Aide exam.
- Complete a state-approved CNA training program that includes a minimum of 120 training hours
- Pass the Manual Skills evaluation within 6 months of completing a training program
- Bring proof of completion when taking the Idaho Nurse Aide exam within 12 months of completing a training program
- Written exam: $29 plus testing site fees
- Oral exam: $39 plus testing site fees
Renewal Requirements: No Fee
- Must work at least 8 hours as a paid CNA in the 2 years before expiration date
- Volunteer hours don’t count
Reciprocity: No Fee
Reciprocity is only granted to CNAs offered employment or living in Idaho.
- Submit completed Idaho Reciprocity Form – Out of State Credential Verification via mail, fax or email
- Submit required documents in PDF format not photos or screenshots
- Submit a printed verification from your state’s online Nurse Aide Registry indicating active/good standing
- Submit Nurse Aide NATCEP course certificate or transcript showing completion of 1 semester of nursing school
For More Information
Idaho Department of Health and Welfare
Idaho Nurse Aide Registry
Licensing & Certification–Bureau of Facility Standards
PO Box 83720, PTC 6th Floor
Boise, ID 83720-0009
Phone: (208) 334-6620 or (800) 748-2480
Email: [email protected]
Illinois
CNA Certification Requirements
Download Illinois CNA Certification Checklist
- Complete an Illinois-approved CNA training course
- Must include 80 hours of education and 40 hours of clinicals, with at least 12 hours focused on dementia
- Complete a criminal history background check
- Pass the written Nursing Assistant Proficiency Exam administered by the Southern Illinois University at Carbondale within 3 attempts
Renewal Requirements: No Fee
CNA certification doesn’t expire, but CNAs must continue to provide nursing or nursing-related services for pay. If CNAs don’t work in this capacity for more than 24 months, their certification becomes inactive and they must retake the manual skills and competency tests to become recertified.
Reciprocity: $25 Fee
Applicants deemed competent on another state’s CNA registry may apply for reciprocity if they:
- Complete the Out-of-State Nurse Aide Application to Become an Illinois Certified Nurse Aide
- Provide documentation of current registration showing Code of Federal Regulations requirements have been met
- Don’t have any administrative findings of neglect, abuse or misappropriation of property on their home state’s or any other state’s CNA registry
- Don’t have any disqualifying convictions on their home state’s CNA registry
For More Information
Illinois Department of Public Health
Health Care Worker Registry
525 West Jefferson Street, 4th Floor
Springfield , IL 62761
Phone: (844) 789-3676
Email: [email protected]
Indiana
CNA Certification Requirements
Download Indiana CNA Certification Checklist
Ivy Tech Community College administers the Nurse Aide Competency certification exams for qualified candidates for the Indiana Department of Health (IDOH).
- Complete an IDOH-approved 105-hour Nurse Aide Training Program
- Submit an Original Nurse Aide Competency Evaluation application completed by the training entity
- Pass the Indiana Nurse Aide written and skills evaluation exams within 3 attempts
- $75 written/oral and skills exams
- $65 written/oral exam only
- $65 skills exam only
Renewal Requirements: No Fee
- Must work in nursing or nursing-related activities for at least 8 hours during each 2-year certification cycle
- Private care hours aren’t accepted
- Renew certification and registration through the Online Licensing System
- CNA certification that expired more than 8 months ago must have verifying employer complete and email or fax a completed Certified Nurse Aide Renewal Form
Reciprocity: $65 Testing Fee
To qualify for reciprocity, applicants must:
- Be currently on the nurse aide registry in another state without any verified complaints
- Take the written portion of the Indiana Nurse Aide Exam administered at Ivy Tech Testing Centers statewide
- Complete the IDOH Nurse Aide Competency Evaluation application
- Submit a copy of current out-of-state CNA certification showing the registry number and expiration date
Applicants from states that don’t include a registry number or expiration date on certifications must submit a letter from their employer indicating they’ve worked at least one 8-hour shift in the past 24 months if the registry was certified more than 2 years ago.
For More Information
Indiana State Department of Health
Aides Registry
2 North Meridian Street, 4B
Indianapolis, IN 46204
Phone: (317) 233-7442, Option 1
Email: [email protected]
Iowa
CNA Certification Requirements
Download Iowa CNA Certification Checklist
Iowa places CNAs, also called nurse’s aides, on its Direct Care Worker Registry. CNAs must apply online to be added to this registry to be eligible to work in long-term care facilities in the state. However, CNAs are only required to be on the registry if they’re employed in nursing homes, skilled nursing facilities or skilled or swing-bed units of hospitals.
To apply, CNAs must:
- Complete a 75-hour state-approved CNA training program
- Pass the written and skills components of the CNA exam within 3 attempts and 4 months of hire date
- $60 written exam
- $115 skills exam
Once Registry staff receive notification that an applicant passed the exam from the testing entity, they place the CNA on the registry. CNAs may print their Registry cards from the Iowa Direct Care Worker database.
Renewal Requirements: No Fee
- Must perform at least 1 day of nursing or nursing-related duties every 24 months
- Must complete at least 12 hours of in-service training annually at long-term facilities
Reciprocity: No Fee
A CNA wanting to transfer to Iowa from another state registry must apply online.
For More Information
Iowa Department of Inspections, Appeals & Licensing
Iowa Direct Care Worker Registry
6200 Park Avenue, Suite 100
Des Moines, Iowa 50321
Phone: (515) 281-4115
Email: [email protected]
Kansas
CNA Certification Requirements
Download Kansas CNA Certification Checklist
- Complete a 90-hour approved CNA training program
- 20 hours of didactic or classroom training
- 20 hours of supervised laboratory and clinical instruction
- 25 hours of advanced didactic or classroom instruction
- 25 hours of supervised clinical instruction in a licensed adult care home
- Submit a Nurse Aide Training & Competency Evaluation Program (NATCEP) Checklist testing the applicant’s Resident Care Knowledge and Skill completed by an RN
- Earn a score of 75% or higher on the state CNA exam within 3 attempts and 12 months of the beginning date of the training course
Renewal Requirements: No Fee
- CNAs must work at least 8 hours in each 2-year certification period
- Employer must submit proof of employment
- Hours worked in a doctor’s office or clinic don’t count
- CNAs without work hours must have an RN at a hospital or long-term care facility administer a Skils Checklist or take a 10-hour CNA refresher course through a post-secondary school
Reciprocity: $20 Fee
To be eligible to sit for the Kansas Nurse Aide Test, candidates must:
- Be listed as current, active and in good standing on any other State’s registry
- Never have been certified as a CNA in Kansas
- Submit an Interstate Application
- Submit a copy of identification with your current name and social security number
- Pass the Kansas Nurse Aide Test
- Reciprocity candidates can take the KS Nurse Aide Test once based on their out-of-state certification
- Those who fail must complete a state-approved nurse aide training course
For More Information
Kansas Department for Aging and Disability Services
Health Occupations Credentialing
503 South Kansas Avenue
Topeka, KS 66603-3404
Phone: (785) 296-6958
Email: [email protected]
Kentucky
CNA Certification Requirements
Download Kentucky CNA Certification Checklist
CNAs are called State Registered Nurse Aides (SRNAs) in Kentucky. The Kentucky Community and Technical College System (KCTCS) is the state’s sole provider of nurse aide testing, with testing available at various colleges throughout the state.
- Complete an approved CNA course consisting of a minimum of 75 hours, with 16 hours of supervised clinical training
- Create a Kentucky Board of Nursing Nurse Portal account
- Upload required documents during the application
- Pass the competency exams
- $115 written and skills exams
- $40 written exam only
- $75 skills exam only
Renewal Requirements: Fee Unknown
- Apply for renewal up to 60 days before expiration through the Kentucky BON Portal
- Upload required documents
- Provide proof of at least 8 hours of employment for pay as an SRNA performing nursing or nursing-related functions in each 24-month period
- Paycheck stub, W-2 from the previous year or letter from a healthcare facility on official letterhead signed by the employer and notarized
Reciprocity: No Fee
CNAs with an active status in another state must:
- Submit the State Registered Nurse Aide Reciprocity application through the Kentucky Board of Nursing Nurse Portal or via email to [email protected]
- Include the name of the state currently certified in and the certification/registration number
- Upload copies of social security card, driver’s license and state certification
- Upload a copy of current paystub if requested
For More Information
Kentucky Cabinet for Health and Family Services
Department for Medicaid Services
Division of Policy & Operations
275 East Main Street, 6W-D
Frankfort, Kentucky 40621
Phone: (502)564-6890
Email: [email protected]
Louisiana
CNA Certification Requirements
Download Louisiana CNA Certification Checklist
The Louisiana Department of Health (LDH) – Health Standards Section manages the Louisiana Nurse Aide Registry and the Direct Service Worker Registry. The LDH also administers the state’s nurse aide program and contracts with Prometric to develop and administer its CNA Competency Evaluation Program. Applicants must:
- Complete a state-approved CNA training program, including 40 hours of classroom education and 40 hours of clinical training within the last 12 months
- Complete the Louisiana Nurse Aide Application form on Prometric
- Pass the Clinical Skills exam and Written or Oral exam to earn CNA certification
- $125 written/oral and clinical skills exams
- $40 written/oral exam only retest
- $85 clinical skills exam only retest
Prometric sends successful candidates’ information to LDH to be placed on the Louisiana Registry. Candidates also receive a Certification of Completion from Prometric via email to the address provided on their applications.
Renewal Requirements: No Fee
CNAs are automatically recertified if the required work history is reported to the Nurse Aide Registry before the certification period ends. Nurse aides without the required work history may be eligible to test for recertification.
Reciprocity: $35 Fee
Prometric also handles the processing of reciprocity applications for Louisiana. Applicants must:
- Be active and in good standing in all states in which they’re currently certified
- Complete the application found under the Candidate Resources section of the Prometric website using the Route 8 Reciprocity option
- Submit a copy of social security card and government-issued Louisiana ID or military ID
Applicants with addresses within 30 miles of Louisiana won’t be required to obtain a Louisiana ID to process their reciprocity application. Once Prometric verifies an application, it sends the information to LDH, which places the applicant’s name on the Louisiana Nurse Aide Registry.
For More Information
Louisiana Department of Health
Louisiana Nurse Aide/Direct Service Worker Registry
PO Box 3767
Baton Rouge, LA 70821
Phone: (225) 342-0138
Email: [email protected]
Maine
CNA Certification Requirements
Download Maine CNA Certification Checklist
- Be at least 16 years old
- Complete 130 hours through a Maine-approved CNA training program
- 70 hours classroom theory
- 20 hours clinical lab work
- 40 hours supervised clinical practice
- Pass the Maine CNA competency test consisting of a written or oral exam and a skills demonstration
- Written/oral exam may be administered directly by the State or a State-approved entity that’s not a nursing or skilled nursing facility that participates in Medicaid
- Skills demonstration must be performed in a facility comparable to the setting where the applicant will function as a nurse aide
- Competency tests are given once a month in Auburn, Bangor, Biddeford, Caribou and Houlton with a $200 fee
- Pass a criminal background check
- Complete and submit the CNA Application with appropriate documentation attached
Applicants may also complete “Non-Traditional CNA Competency Testing Evaluation” testing.
Renewal Requirements: No Fee
- Must renew every 2 years by mailing a completed paper application or applying online
- Must complete at least 8 hours of qualifying employment every 24 months
- Employment verification must come from the employer on official letterhead
- Must have no disqualifying annotations
Reciprocity: No Fee
CNAs trained in a state or jurisdiction other than Maine may apply for listing on the Maine Registry of Certified Nursing and Direct Care Workers:
- Complete the CNA application online or send the completed paper application
- Include a copy of current photo ID and verification from all states in which applicant currently holds or has held CNA certification
- Allow 2 to 4 weeks for processing
Applicants receive an email when their listing is active, which they can view on the Maine Registry using their full name or CNA number.
For More Information
Maine Registry of Certified Nursing Assistants & Direct Care Workers
DLC, c/o CNA Registry
41 Anthony Avenue
Augusta, ME 04333
Phone: (207) 624-7300 or (800) 791-4080
Email: [email protected]
Maryland
CNA Certification Requirements
Download Maryland CNA Certification Checklist
- Complete 100 hours of CNA instruction through a Board-approved CNA program
- Pass the CNA competency examination (written and manual skills) offered through Credentia and the Maryland Geriatric Nursing Assistant Testing Services (MDGNATS)
CNA certification is the basic level of certification in Maryland, with other certifications in addition to this certification. Applicants must complete the CNA certification first or in conjunction with additional certifications, including:
- Geriatric Nursing Assistant (GNA) for all nursing assistants working in licensed comprehensive care facilities
- Home Health Aide (HHA) required to work in licensed home health agencies
- Certified Medicine Aide (CMA) required to administer medications in a licensed comprehensive care facility
- Only GNAs with 1 year of experience and completion of an approved 60-hour medicine aide course taught in a community college can become a CMA
All certifications appear on the CNA certification card; most reciprocating states require GNA certification. The Susquehanna Red Cross (MDGNATS) offers exams and tells the Board of Nursing who passed. There’s no cost for GNA certification or renewal if the applicant meets GNA certification requirements. GNA certification expires at the same time as CNA certification.
Application Fees
- Initial CNA Certification fee: $20
- Competency Evaluation (written/oral and skills exams): $130
- Written/Oral exam only: $45
- Skills exam only: 85
Renewal Requirements: $40 Fee
CNAs can renew online 60 days before or 30 days after the expiration date of their current certification. Certifications expire every 2 years on the 28th of the CNA’s birth month.
- Implicit Bias training required
- Background check may be required
- Disclosure of social security number required
Reciprocity: $20 Fee
Out-of-state applicants must meet the Maryland Board of Nursing training program requirements to qualify for CNA certification. To be considered for endorsement, candidates must:
- Have a current, active CNA certificate in good standing on the State’s Nurse Aide Registry that meets the Omnibus Budget Reconciliation Act of 1987 (OBRA) requirement
- Be free of abuse or neglect findings on the out-of-state registry
Out-of-state candidates not on any state registry must complete a Maryland Board-approved 100-hour training program to qualify for Maryland CNA certification.
For More Information
Maryland Board of Nursing
Nursing Assistant Certification Program
4140 Patterson Avenue
Baltimore, MD 21215
Phone: (410) 585-1900
Email:
| Information on Initial CNA or GNA Certification | [email protected] |
| Information on CNA Renewal | [email protected] |
| Information on CNA Endorsement | [email protected] |
Massachusetts
Download Massachusetts CNA Certification Checklist
CNA Certification Requirements
- Complete a department-approved Nurse Aide Training Program with 75 hours of education
- Pass the Nurse Aide Competency Evaluation through D&S Diversified Technologies / Headmaster
- $40 written knowledge test (each attempt up to 4)
- $50 audio knowledge test (each attempt up to 4)
- $70 skills test (each attempt up to 3)
Applicants can attempt the written or audio knowledge test up to 4 times and the skills test up to 3 times. Those who don’t pass either test in the maximum number of attempts must complete a new Massachusetts Department of Public Health-approved training program to become eligible to attempt the Massachusetts NA exams again.
Allow at least 3 weeks to receive test results and for your name to appear on the license verification website.
Renewal Requirements: No Fee
- Must have worked for pay as a nurse aide for at least 8 hours performing nursing-related duties within the past 2 years
- Complete the Renewal Application process
Reciprocity: No fee
CNAs may apply for reciprocity in Massachusetts if they:
- Are certified in another state
- Have a current certification in good standing
- Have never been certified in Massachusetts
- Complete and submit the Reciprocity Application to the Massachusetts Nurse Aide Registry
For More Information
Massachusetts Nurse Aide Registry Program
Massachusetts Department of Health (DPH)
67 Forest Street
Marlborough, MA 01752
Phone: (617) 753-8144
Email: [email protected]
Michigan
CNA Certification Requirements
Download Michigan CNA Certification Checklist
Effective July 26, 2023, the Michigan Department of Licensing & Regulatory Affairs transitioned its Nurse Aide Registry services to the Bureau of Community and Health Systems (BCHS), calling the new system Michigan Nurse Aide, Training, and Enforcement System (MI-NATES). D&S Diversified Technologies/Headmaster provides nurse aide testing services.
Applicants must:
- Complete an approved Michigan nurse aide course that includes 75 hours of training
- Pass the written/oral and clinical evaluation exam administered through Headmaster within 24 months of course completion
- Create a MILogin account
- Request access to MI-NATES and set up a user profile
Application Fees
- $40 registration fee
- $175 written knowledge/audio and skills exams fee (each attempt)
Renewal Requirements: $40 Fee
- Log into your account in MI-NATES and submit a renewal application
- Acknowledge proof of paid CNA employment providing nursing or nursing-related services for at least 40 hours in the last 24 months
- Submit attestation of completion of at least 24 hours of continuing education annually (Effective March 23, 2026)
Reciprocity: $20 Fee
Nurse aide candidates from approved states may request reciprocity if their training program is consistent with the Federal Code of Regulations and includes 75 course hours before taking a competency evaluation exam. Michigan reciprocity doesn’t allow candidates to exempt out of training course hours or testing. Fill out the Out-of-State Training Waiver for Michigan Test Eligibility and pass them exam once deemed eligible to test.
The State of Michigan grants reciprocity from CNAs certified in 37 states. It doesn’t grant reciprocity to those certified in Delaware, Florida, Maryland, Massachusetts, Michigan Minnesota, Montana, North Carolina, Rhode Island, Vermont, Virginia, West Virginia and Wyoming.
For More Information
Michigan Nurse Aide Registry
Michigan Department of Licensing and Regulatory Affairs
Bureau of Community and Health Systems
Health Facility Professional and Nurse Aide Section
PO Box 30664
Lansing, MI 48909
Phone: (517) 284-8961
Email: [email protected]
Minnesota
CNA Certification Requirements
Download Minnesota CNA Certification Checklist
Minnesota automatically adds nursing assistants who complete an approved nursing assistant training and competency evaluation program in Minnesota or pass the Minnesota-approved competency test for nursing assistants to its Nursing Assistant Registry (NAR).
Minnesota contracts with D&S Diversified Technologies/Headmaster to place candidates on the NAR. Minnesota State Colleges and Universities administers the Nurse Aide Skills and Knowledge tests for a $275 fee for both. Applicants can take the knowledge test up to 4 times and the skills test up to 3 times.
Renewal Requirements: No Fee
- Work at least 8 hours as a paid nursing assistant every 24 months
- Complete the Nursing Assistant Registry Update form
- Provide a copy of a recent pay stub from employer
Reciprocity: No Fee
CNAs in good standing on the Nursing Assistant Registry in another state with a minimum of 8 hours of work in that state within the last 24 months may apply for reciprocity. They must:
- Complete the Interstate Endorsement Forms
- Attach a copy of their social security card, nurse aide certification and all other items listed in the Employment Verification section
- Include test results from their Nurse Aide competency exam if they took the test within the last 24 months
- Scan completed application and all requested items and send to [email protected] in one email
Reciprocity applicants aren’t eligible to work in Minnesota nursing homes or certified boarding care homes until their request has been approved and their name added to the Minnesota Nurse Aide Registry. It can take up to 30 days to process endorsement applications.
For More Information
Minnesota Nursing Assistant Registry
MN Department of Health
Compliance Monitoring Division
PO Box 64501
St. Paul, MN 55164-0501
Phone: (651) 215-8705
Email: [email protected]
Mississippi
CNA Certification Requirements
Download Mississippi CNA Certification Checklist
- Complete a Mississippi state-approved CNA training program at a non-facility-based proprietary school or college that includes 75 hours of education or a Mississippi state-approved facility-based nurse aide training program
- Create an account with the state’s online Credentia CNA365 system to register for testing
- Pass the NNAAP written/oral exam and skills evaluation
- $32 written/oral exam
- $69 skills evaluation
Renewal Requirements: $26 Fee
- Work as a nurse aide for pay at least 8 consecutive hours in 1 documented day in an approved facility during the past 24 months
- Complete the paper CNA Renewal Application and upload it to the CNA365 system
- Employer must complete and sign sections 3 and 4
Reciprocity: $26 Plus $101 for Retesting (if applicable)
- Request a Reciprocity Application Form from the Mississippi NNAAP Registry by calling (888) 204-6213
- Applicants with expired certifications must take and pass both parts of the NNAAP Exam
- Applicants who fail either part of the exam must complete a Mississippi-approved nurse aide training program before retesting
For More Information
Mississippi State Department of Health
Bureau of Health Facilities Licensure and Certification
PO Box 1700, Jackson, MS 39215
143B LeFleur’s Square Jackson, MS 39211
Phone: (601) 364-1100
Email: [email protected]
Missouri
CNA Certification Requirements
Download Missouri CNA Certification Checklist
Missouri contracts with D&S Diversified Technologies/Headmaster for CNA testing and scoring. Applicants meeting all the following requirements will be listed on the Missouri Certified Nurse Aide Registry (MOCNAR).
- Complete a state-approved CNA course comprised of 75 hours of classroom training and 100 hours of on-the-job training
- Meet all federal and/or state requirements
- Pass the two-part (written/oral knowledge and skills) competency exam within 1 year of the training start date
- $30 knowledge exam
- $40 audio version of the knowledge exam
- $95 skills test
Candidates who don’t pass both parts of the exam may attempt one or both parts twice more, within 90 days of the initial exam. Upon failing 3 times, they must complete the entire basic course again before retesting.
Applicants who meet the CNA challenge requirement may take the CNA written and practicum exam without taking the CNA course. If they fail either part of the exam, they must complete the full CNA course and retake the exam upon completion.
Renewal Requirements: $20 Fee
- Must renew electronically every 24 months
- Must work for pay as a CNA performing nursing or nursing-related services at least 8 consecutive hours during the past 24 months
Reciprocity: No Fee
CNAs certified in another state in good standing can apply for reciprocity in Missouri without taking the Missouri CNA exam. Applicants must:
- Complete the reciprocity form
- Submit a copy of CNA certificate or printout of state’s registry where currently registered
- Email both documents to [email protected]
- Allow 7-10 business days to process the request
Applicants coming from Alabama must provide proof of work within the last two years via a pay stub.
For More Information
Missouri Department of Health & Senior Services
3418 Knipp Drive, Suite F
Jefferson City, MO 65102
Phone: (573) 526-5686
Email: [email protected]
Montana
CNA Certification Requirements
Download Montana CNA Certification Checklist
- Complete an approved Montana Nurse Aide Training Program
- Complete an online BOUNDS Montana CNA by Exam Application
- Pass the Montana Certified Nurse Aide exams administered by D&S Diversified Technologies/Headmaster within 3 attempts and 6 months from the date of training program completion
- $20 written knowledge exam
- $31 audio knowledge exam
- $77 skills exam
Applicants may also challenge the Montana Certified Nurse Aide exams without completing a training program. If they pass, they follow the same next steps. All successful candidates are placed on the Montana Certified Nurse Aide Registry.
Renewal Requirements: No Fee
Renewals must be completed online through the BOUNDS portal and no longer accepted via email.
Reciprocity: No Fee
CNAs with current Certified Nurse Aide registration in at least one U.S. state or territory can apply for Interstate Endorsement in Montana. Complete the Montana Nurse Aide Registry Interstate Endorsement Application on the BOUNDS portal, inputting at least one current Certified Nurse Aide number from another state.
For More Information
Montana Nurse Aide Registry
2401 Colonial Drive, 2nd Floor
PO Box 202953
Helena, MT 59620
Phone: (406) 444-4980
Email: [email protected]
Nebraska
CNA Certification Requirements
Download Nebraska CNA Certification Checklist
- Must be at least 16 years old
- Not have been convicted of a crime involving moral turpitude related to the nurse aide position
- Able to speak and understand English or the language understood by a substantial portion of the nursing home residents
- Complete a state-approved training program consisting of at least 75 hours or a 21-hour basic resident-care course for intermediate care facilities for the developmentally disabled
- Complete one hour of Nebraska-specific abuse/neglect/misappropriation training
- Pass the Nebraska-approved written/oral exam and skills competency exam
CNA candidates don’t fill out an application or pay a fee. Once they’ve completed all requirements, the facility employer must complete and submit the Registry form to put the CNA’s name on the state’s registry upon hire.
Renewal Requirements: No Fee
Must work as a nurse aide in a paid position within 24 months of the last date of previous CNA employment.
Reciprocity: $25-$30 for Online Abuse Training
To qualify for reciprocity, Nebraska requires applicants to:
- Be active in the State they’re seeking reciprocity
- Completed a minimum 75-hour nurse aide training program
- Passed written and clinical exams
- Employed as a nurse aide in the last 24 months (if they didn’t test in the last 24 months)
- Complete an Application for Nebraska Nurse Registry by Interstate Endorsement form
- Complete Nebraska’s one-hour in-service on reporting abuse and neglect online, at some community colleges or through applicant’s first Nebraska nursing home employer
Applicants won’t be made active on the Nebraska Nurse Aide Registry until they’ve completed the required in-service. Application processing can take up to 30 days.
For More Information
Nebraska Department of Health and Human Services
DHHS Licensure Unit
Attn: Nurse Aide
PO Box 94986
Lincoln NE 68509
Phone: (402) 471-4322
Email: [email protected]
Nevada
CNA Certification Requirements
Download Nevada CNA Certification Checklist
- Complete a Nevada-approved CNA training program that includes 75 education hours
- Submit a paper fingerprint card or electronic fingerprints for a background check
- Pass the Written/Oral Knowledge exam and Skills Evaluation administered through Credentia
Application Fees:
- $50 nonrefundable application fee
- $50 written/oral exam only
- $90 skills evaluation only
Renewal Requirements: $50 Fee (may require a fee for fingerprinting)
- Begin the renewal process online up to 60 days before their current certification expires.
- Must have completed 24 CE hours and practiced at least 40 hours as a CNA within the previous 2 years
- CNAs who don’t meet these qualifications must retake a state-approved CNA program or retake and pass the CNA written and skills exams to be eligible for renewal
- May be required to submit to fingerprinting for an updated background check
- $40 fingerprint cards
- Varies for electronically captured fingerprints
Reciprocity: $50
- Completed application submitted via the Nevada Nurse Portal
- Copy of active certificate/license in another state with an expiration date
- Copy of certificate of successful completion of a state-approved training program meeting current OBRA requirements or a transcript showing completion of nursing fundamentals
- Proof of 8 hours of employment as a CNA in a licensed medical facility within the past 2 years
- Endorsement form(s) from the first state in which licensed/certified as a CNA
- Submit fingerprints
- Permanent CNA certificate won’t be issued until the Board receives fingerprint reports from the Nevada Department of Public Safety and the Federal Bureau of Investigation, with any issues resolved
The Nevada BON may issue a one-time, nonrenewable temporary license valid for 6 months while waiting for processing to be completed
For More Information
Nevada State Board of Nursing
NV Nurse Aide Registry
5011 Meadow Mall Way, Suite 300
Reno, NV 89502-6547
Phone: (888) 590-6726
Email: [email protected]
New Hampshire
CNA Certification Requirements
Download New Hampshire CNA Certification Checklist
CNAs are called licensed nursing assistants (LNAs) in New Hampshire. The New Hampshire Office of Professional Licensure and Certification (OPLC) handles LNA licensing.
- Complete a state-approved training program with at least 75 education hours
- Submit an official transcript or letter from the nursing program verifying completion of the Nursing Fundamentals Course within 5 years of the application date (sent directly from the school)
- Complete criminal background check
- Complete an online application
- Pass the CNA competency exams within 2 years of application date or complete at least 200 hours of nursing assistant-related activities under licensed nurse supervision within the 2 years preceding application
Application Fees
- $63 application fee [includes mandatory $28 Professional Health Program (PHP) fee]
- $48.25 fingerprinting fee
- $20 certificate fee
- $10 license verification fee
Renewal Requirements: $63 Fee (includes mandatory $28 PHP fee)
LNA licenses expire 2 years from the date of issuance on the last day of the month in which it was issued.
- Renew LNA license online
- Complete at least 12 CE hours per year during each 2-year certification period
- Complete CE attestation during the renewal process
Reciprocity: $63 Application, $48.25 Fingerprinting, $20 Certificate, $10 License Verification
- Complete an online application
- Upload a copy of out-of-state nursing assistant license
- Upload a completed Contact Hour Documentation form
- Must include 24 contact hours of continuing education within 2 years immediately before application
- Request verification of all out-of-state licenses, certifications and registrations to be sent directly to OPLC
- Complete a Criminal Background Check
For More Information:
New Hampshire Board of Nursing
The Office of Professional Licensure and Certification
7 Eagle Square, Suite 200
Concord, NH 03301
Phone: (603) 271-6282
Email: [email protected]
New Jersey
CNA Certification Requirements
Download New Jersey CNA Certification Checklist
- Complete the Nurse Aide in Long Term Care Facilities Training and Competency Evaluation Program (NATCEP) consisting of 50 hours of classroom hours and 40 clinical hours
- Complete a Criminal Background Investigation application and fingerprinting for a criminal background check
- Pass the state’s CNA certification exams
- Skills evaluation first administered through D&S Diversified Technologies/Headmaster
- Written/oral exam second administered through PSI
- Pay PSI for both exams
- $76 skills evaluation and written exam
- $90 skills evaluation and oral exam
- $23 retake skills evaluation only
- $53 retake written exam only
- $67 retake oral exam only
New Jersey doesn’t require nurse aides to be certified to work in an acute care hospital, but certified nurse aids must staff any licensed long-term care unit or licensed sub-acute units within the hospital.
Renewal Requirements: Fee Unknown
- Required every 2 years
- Current, valid nurse aide certificate
- At least 7 hours of paid employment providing nursing or nursing-related services in a licensed healthcare facility/agency over the last 24 months
- Criminal background check with fingerprinting
- No revocation or suspension of a certificate
Reciprocity: $30 Fee
CNAs certified in another state or U.S. territory may be placed on the New Jersey registry if they:
- Call (877) 774-4243 to apply for reciprocity
- Provide documentation from the CNA registry of the state or U.S. territory where they have a current, valid certificate
- Haven’t been convicted of any crimes or have any findings of neglect, abuse or misappropriation of resident property
- Meet the requirements of Reciprocity Route 1 or Route 2
Reciprocity Route 1: Complete 24 hours of approved continuing education units (CEUs) in the past 24 months, including 12 hours in caring for residents with Alzheimer’s or other dementia-related disorders and 12 hours in resident rights, infection control procedures, pharmacy, emergency procedures and neglect, abuse and misappropriation of resident property.
Reciprocity Route 2: Have 24 months of full-time CNA employment consisting of at least 35 hours per week in current state or territory where performing nursing-related services under supervision in a nursing home and pass the NJ clinical skills and written/oral competency exams.
For More Information
New Jersey Department of Health
PO Box 358
120 S. Stockton Street, 3rd Floor
Trenton, NJ 08611
Phone: (866) 561-5914
Email: [email protected]
New Mexico
CNA Certification Requirements
Download New Mexico CNA Certification Checklist
The New Mexico Human Services Department and the New Mexico Department of Health (DOH) contract with Prometric to develop and administer the New Mexico Nurse Aide Competency Exam and manage the CNA Registry.
- Complete a state-approved CNA training program that includes 75 education hours within the past 24 months
- Complete Prometric’s Nurse Aide Testing Application
- Pass the written and clinical skills competency exams
- $107.10 written/oral and clinical skills exams (first time)
- $38.85 written/oral exam retest
- $68.25 clinical skills retest
The State of New Mexico pays test fees for candidates testing for the first if they’ve been offered employment or are currently employed by a Medicaid-certified nursing facility. All others are responsible for their own fees.
Renewal Requirements: $26.25 Fee
- New Mexico employment verification form required
- Prometric processes renewals
- Renewed for 2 years from date of last employment
Reciprocity: No Fee
Out-of-state nurse aides currently certified in another state may apply to the New Mexico DOH, Division of Health Improvement, Health Facility Licensing and Certification Bureau (HFLC) for reciprocity. Applicants receive a New Mexico CNA Certificate without further training or testing if approved.
Contact the HFLC at (505) 861-9680 for more information or complete a CNA Reciprocity Form and mail, email or fax it along with a copy of your driver’s license or other state-issued photo ID, social security card and all current, active certifications in good standing from other states to the New Mexico Department of Health, New Mexico Nurse Aide Training and Registry.
For More Information
New Mexico Department of Health Certified Nurse Aide Registry
5300 Homestead Road NE, Suite 300-3116
Albuquerque, NM 87110
Phone: (505) 861-9680
Email: [email protected]
New York
CNA Certification Requirements
Download New York CNA Certification Checklist
New York contracts with Prometric to administer the NYS Nursing Home Nurse Aide Competency Exam and manage the NYS Nursing Home Nurse Aide Registry.
- Be at least age 16
- Have a high school diploma or equivalent
- Complete a New York State-approved nurse aide training program within the last 24 months
- Complete the New York State Nursing Home Nurse Aide Registry application
- Pass the nurse aide exams administered through Prometric consisting of a Clinical Skills exam and a Written/Oral exam
- $115 written and clinical skills exams
- $135 oral and clinical skills exams (includes a reading comprehension test)
- $57 written exam only restest
- $67 oral exam only retest
- $68 clinical skills exam only retest
The New York State Department of Health requires all nursing homes and home care agencies to conduct fingerprint-based criminal history record checks of CNAs.
Renewal Requirements: $40 (paid by employer)
Nurse Aide Certification is valid for 24 months and expires on the last day of the month in which the aide was last certified.
- Must have worked at least 7 hours for pay as a nurse aide in an NYS nursing home or at an NYS-approved nurse aide employer within the past 24 months
- Employers must recertify and pay the fees of CNAs (including nurse aides employed and paid by staffing agencies who physically worked in the nursing home)
- CNAs not employed by an approved employer or didn’t work at least 7 hours must retest or retrain and retest using an appropriate certification route
Reciprocity: $50 Fee
- Complete and submit the application
- Provide a copy of your current out-of-state nurse aide certificate(s)
- Provide proof of paid employment if the state of certification doesn’t include expiration dates on its registry
- Must be on facility letterhead and indicate you’ve worked at least 7 hours in the past 24 months, performing nurse aide duties, signed by your supervisor
For More Information
New York State Department of Health Nurse Aide Registry
Board of Examiners of Nursing Home Administrators
Bureau of Professional Credentialing
875 Central Avenue
Albany, New York 12206
Phone: (877) 877-1827
Email: [email protected]
North Carolina
CNA Certification Requirements
Download North Carolina CNA Certification Checklist
- Complete a 75-hour or longer state-approved Nurse Aide I training program
- Pass the state-approved Nurse Aide I competency evaluation administered through Credentia
- $140 written/oral exam and skills evaluation
- $40 written/oral exam only retest
- $100 skills evaluation only retest
Candidates employed as nurse aides in nursing homes participating in Medicaid/Medicare programs are prohibited from paying exam fees. The facility must pay all initial testing and retesting fees.
Renewal Requirements: No Fee
- Worked at least 8 hours for pay in a qualified nursing home or other healthcare setting performing nurse aide duties supervised by an RN during each 2-year certification period
- Private duty employment doesn’t qualify for renewal
- Nurse aides not meeting employment requirements must complete a new state-approved nurse aide I training program and pass competency testing
- Online Employment Verification Form must be completed by an RN
Reciprocity: No Fee
Out-of-state nurse aides may be listed on the NC Nurse Aide I Registry by either completing a Training Waiver or Reciprocity Application.
Training Waiver:
- Completed a state-approved nurse aide training program in another state within the last 24 months
- Currently listed on another state’s registry in good standing with an unexpired status
Reciprocity Application:
- Completed a state-approved nurse aide training program
- Passed competency testing
- Listed on another state’s nurse aide registry in good standing with an unexpired status
- Have no pending or substantial findings of neglect, abuse, exploitation or misappropriation of resident property
- Employed as a paid nurse aide performing nursing-related tasks supervised by an RN for at least 8 hours in the past 24 months
For More Information
North Carolina Nurse Aide Registry
Health Care Personnel Education and Credentialing Section
2709 Mail Service Center
Raleigh, NC 27699-2709
Phone: (919) 855-3969
Email: [email protected]
North Dakota
CNA Certification Requirements
Download North Dakota CNA Certification Checklist
The North Dakota Department of Health and Human Services approved D&S Diversified Technologies/Headmaster for nurse aide testing in North Dakota.
- Complete a state-approved nurse aide training and competency program (NATCP) that includes 75 education hours
- Pass both parts of the state’s CNA competency evaluation within 3 attempts and 6 months of earning testing eligibility
- Candidates who fail all 3 times must complete another nurse aide training program
Application Fees
- $25 nonrefundable application fee
- Nurse aide applying for home health aide or medication
- Home health aides applying for nurse aide with competency
- Certified nurse aide applying for home health aide or medication aide
- No fee
- Certified nurse aide or home health aides applying for certified nurse aide
Renewal Requirements: No Fee (for CNAs)
- Required approximately every 2 years
- Completed certified nurse aide renewal application
- Verification of employment within the past 24 months
- Must include at least 8 hours of paid work in nursing or nursing-related services
- Candidates without required work experience must complete state-approved training and competency evaluation program or competency evaluation
Reciprocity: No Fee
CNA applicants who submit proof of meeting the requirements of another jurisdiction will be granted reciprocity and entered into the North Dakota Nurse Aide Registry if they meet North Dakota requirements for active registry status.
For More Information
North Dakota Nurse Aide Registry
North Dakota Department of Health and Human Services
Health Facilities Unit
1720 Burlington Drive, Suite A
Bismarck ND 58504-7736
Phone: (701) 328-2353
Email: [email protected]
Ohio
CNA Certification Requirements
Download Ohio CNA Certification Checklist
Ohio refers to CNAs as State Tested Nurse Aides (STNA). The state contracts with D&S Diversified Technologies/Headmaster to administer nurse aide competency exams in Ohio.
- Complete a state-approved 100-hour nurse aide training program
- Pass both parts of the state CNA exams within 3 attempts and 2 years from the date of nurse aide training program completion
- $26 written knowledge exam
- $36 audio knowledge exam
- $78 skills exam
Renewal Requirements: Fee Unlikely
CNAs remain on Ohio’s nurse aide registry as long as they perform at least 7.5 consecutive hours or 8 hours in a 48-hour period of paid work providing nursing or nursing-related services during the 24 months immediately following being added to the registry or most recent date of verified work.
Reciprocity: No Fee
- Complete the Ohio Department of Health, Nurse Aide Registry, Request for Reciprocity form
- Attach a clear copy of your social security card and a photo ID with your birthday and the correct spelling of your name
- Ensure the referring state completes all required information, signs the form and sends it to the Ohio Nurse Aide Registry
For More Information
Ohio Department of Health Nurse Aide Registry
Bureau of Regulatory Operations
246 North High Street
Columbus, OH 43215
Phone: (614) 752-9500
Email: [email protected]
Oklahoma
CNA Certification Requirements
Download Oklahoma CNA Certification Checklist
The Oklahoma State Department of Health approves training and competency evaluation programs, including educational-based and employer-based programs. Employer-based programs must complete the State-required criminal background check. All programs must use a performance record/skills performance checklist. Only Department-approved entities approved as test sites with Prometric shall administer and evaluate competency exams, including a written or oral portion in English.
The Health Certification Project offers additional written certification exams for nurse aides and Oklahoma recognizes each of these roles as a type of CNA:
- Long Term Care
- Home Health
- Developmentally Disabled Care
- Adult Day Care
- Residential Care
Oklahoma CNA applicants must:
- Complete a state-approved nurse aide training program of at least 75 hours to be eligible to test
- Submit the Original Training Verification Form signed by the training program supervisor
- Pass both the written/oral exam and the skills exam to be placed on the Oklahoma Nurse Aide Registry
Application Fees
- $15 application fee for all but Long Term Care CNAs
- Exam fees vary by test site
Candidates employed by or have a promise of employment from a Medicaid-certified nursing home can have their exam fees paid by the employer.
Renewal Requirements: $10 for all but Long Term Care CNA
- Must provide at least 8 hours of nursing or health-related services for pay during the previous 24 months no matter the CNA type
- Must complete Nurse Aide Renewal Application, with the type(s) of nurse aide certification(s) the applicant wants to renew
Reciprocity: No Fee for Long-Term Care / $15 for Home Health Aide
CNAs listed on another state’s registry as a certified home care nurse aide without any notations of confirmed neglect, abuse, mistreatment or misappropriation of property may apply for placement on the Oklahoma Nurse Aide Registry by reciprocity.
For More Information
Oklahoma Nurse Aide Registry
NAR-OSDH
PO Box 268816
Oklahoma City, OK 73126-8816
Phone: (405) 426-8150
Email: [email protected]
Oregon
CNA Certification Requirements
Download Oregon CNA Certification Checklist
All CNA Level 1 Certification applicants must:
- Complete an Oregon State Board of Nursing-approved level 1 nursing assistant training program of at least 75 hours
- Provide fingerprints for state and federal criminal history record checks through the Oregon State Police and the FBI
- Pass a criminal background check
- Attest to at least 2 hours of cultural competency education in the 2 years before application submission
- Pass the Board-approved competency examination through D&S Diversified Technologies/Headmaster within 1 year of application
- $106 written knowledge exam and skills test
- $141 oral knowledge exam and skills test
- $70 retake knowledge and skills exams
- $25 retake knowledge exam only
- $45 retake skills exam only
Applicants seeking CNA 1 certification in Oregon may perform the authorized duties of a nursing assistant at a licensed nursing facility for up to 120 days from their date of hire if they’ve completed a Board-approved CNA 1 training program.
All CNA Level 2 Certification applicants must:
- Submit a fully completed application established by the Board
- Hold active Oregon CNA 1 certification
- Qualify for CNA 2 training through 75 hours from a CNA 1 training, 75 work hours as a CNA 1 or a combination of the two
- Pass the training programs’ competency evaluation
Renewal Requirements: Fee Unknown
- Submit completed application before the expiration date of CNA 1 certification
- Attest to having at least 2 hours of cultural competency education in the 2 years before application submission
- Worked at least 400 hours in a paid position within the last 2 years
- Applicants who can’t meet employment requirements may apply for reactivation of certification
CNAs may renew certifications up to 30 days past their expiration date by paying a late fee.
Reciprocity: Fee Unknown
CNAs from another State or U.S. Jurisdiction may apply for endorsement. They must:
- Provide proof of completion of a nursing assistant training program that meets OBRA standards
- Certificate or verification from training entity or state regulatory agency on official letterhead stating completion date and number of classroom and clinical hours
- Worked a minimum of 400 hours in the last 2 years in another U.S. state or jurisdiction in a paid position doing CNA-authorized duties with an active CNA certification under the supervision of an LPN or RN
- Requirement waived if it’s been less than 2 years since completion of training program
- Arrange for primary source verification of active CNA certification to be sent directly to the Board from the certifying State or U.S. jurisdiction
Applicants who can’t satisfy these requirements must complete a Board-approved CNA Level 1 training program and pass the Board-approved competency exam within 1 year of application.
For More Information
Oregon State Board of Nursing
17938 Southwest Upper Boones Ferry Road
Portland, OR 97224-7012
Phone: (971) 673-0685
Email: [email protected]
Pennsylvania
CNA Certification Requirements
Download Pennsylvania CNA Certification Checklist
The Pennsylvania Department of Health contracts with Credentia to administer the Pennsylvania Nurse Aide Registry competency exam and develop, score and report the results of these exams. Credentia also processes PA Nurse Aide Registry applications.
Applicants must be at least 16 years old and:
- Complete an 80-hour Pennsylvania Department of Education-approved nurse aide training program, including 37.5 hours of supervised clinical experience
- Submit to a criminal background check before enrolling in a CNA training class
- PA State Police Criminal History Record Information (CHRI) report for applicants who’ve been PA residents for at least 2 consecutive years
- PA-CHRI and FBI report for applicants who haven’t been residents for the last 2 consecutive years
- Pass the Written/Oral Exam and the Skills Evaluation within 24 months of program completion
- $135 written/oral exam and skills evaluation
- $50 retest written/oral exam only
- $85 retest skills evaluation only
- Fee exception: employed by a nursing home required to pay NNAAP testing and retesting fees for nurse aide employees
Renewal Requirements: Fee Unknown
To remain on the registry, CNAs must work as a nurse aide for pay for at least one documented day (8 consecutive hours) in an approved facility during the past 24 months. Applicants renew online through Credentia.
Reciprocity: No Fee
CNAs listed on another State’s Nurse Aide Registry in good standing seeking endorsement and inclusion on the PA Nurse Aide Registry must complete the Pennsylvania Nurse Aide Program NNAAP Registration Application for Enrollment by Reciprocity, including personal and certification information.
For More Information
Pennsylvania Department of Health Nurse Aide Registry
Bureau of Career and Technical Education
607 South Drive, 5th Floor
Harrisburg, PA 17120-0600
Phone: (717) 787-1816
Email: [email protected]
Rhode Island
CNA Certification Requirements
Download Rhode Island CNA Certification Checklist
- Must be at least 16 years old
- Complete a Rhode Island Nursing Assistant Training Program licensed by the State of Rhode Island Department of Health containing 80 hours of classroom education and 40 hours of clinical training
- Apply for a nursing assistant license using the Application for License as a Nursing Assistant by Examination
- Submit Original Background Check with stamp and seal from the Rhode Island Attorney General’s Office
- Submit a copy of driver’s license or state-issued photo ID
- Submit the online application through Credentia to sit for NNAAP Examinations, including written and skills testing
- Pass both parts of the CNA competency examinations within 1 year of beginning CNA training program
Application Fees
- $35 nonrefundable application fee to RI General Treasurer
- $55 written/oral exam
- $110 skills evaluation
Renewal Requirements: $35 Fee
- Must renew CNA license through the Rhode Island Department of Health
- Must have worked as a nursing assistant for at least 8 hours in the past 24 months
Reciprocity: $35 Fee
- Complete a License as a Nursing Assistant by Endorsement Application
- Include copy of driver’s license or state-issued photo ID
- Submit the Original Background Check with stamp and seal from the Rhode Island Attorney General’s Office
- Qualify for reciprocity through one of the following pathways:
- Submit a copy of your Nursing Assistant Training Program Certificate of Completion or a letter from your school on company letterhead indicating 100 training program hours, including at least 20 hours of practical clinical training under supervision OR
- Provide an employer’s statement indicating at least 3 months of full-time employment within the last year as a CNA, with a completed Employment Verification Form that includes 1 hour per month of in-service training for each month of employment
- Submit completed interstate verification providing evidence of current license as a CNA in another state
For More Information
State of Rhode Island Department of Health
Three Capitol Hill, Room 104
Providence, RI 02908
Phone: (401) 222-5588
Email: [email protected]
South Carolina
CNA Certification Requirements
Download South Carolina CNA Certification Checklist
The South Carolina Department of Health and Human Services contracts with Credentia to administer the NNAAP Examination for the South Carolina Nurse Aide Registry and develop, score and report the results of these exams. Credentia also processes SC Nurse Aide Registry applications. Applicants must:
- Complete a 100-hour state-approved CNA training program that includes 40 hours of clinical training
- Complete an online Application for Registration by Competency Examination form at the Credential Management Services
- Pass the SC Nurse Aide exam within 24 months of completing a training program
- Applicants must pass the Written or Oral Exam and the Skills Evaluation on the same day to be certified and listed on the SC Nurse Aide Registry
- $45 for written/oral exam
- $95 for the skills evaluation
Non-certified nurse aides may work up to 4 months in a Medicaid-certified nursing facility if they’ve enrolled in a state-approved training program or completed a state-approved training program but haven’t passed their certification exam yet.
Renewal Requirements: $35 Fee
- Must work as a nurse aide for pay at least one documented day (8 consecutive hours) under RN or LPN supervision during the previous 24 months
- Renew certification through Credentia every 2 years
Reciprocity: No Fee
- Complete a 100-hour State-approved Nurse Aide Training Program within the last 24 months
- Submit a completion certificate or diploma letter on letterhead from the program or State indicating the number of classroom and clinical hours
Applicants with a nurse aide course of less than 100 hours must provide proof that they’ve worked as a nurse aide for a minimum of 6 months in the last 24 months.
For More Information
SC Department of Health and Human Services
Division of Community and Facility Services
SC Nurse Aide Registry
PO Box 8206
1801 Main Street
Columbia, SC 29202
Phone: (803) 898-2587
Email: [email protected]
South Dakota
CNA Certification Requirements
Download South Dakota CNA Certification Checklist
- Must be at least 16 years old
- Print the CNA Training Enrollment Verification Form
- Complete the applicant section and have the school, organization or employer complete their section
- Upload the completed CNA Training Enrollment Verification Form
- Complete the online CNA Initial Registration Application
- Enroll in a South Dakota Board-approved nurse aide training program of at least 75 hours
- Pass the CNA written and skills competency evaluations administered by the South Dakota Health Care Association (SDHCA)
Renewal Requirements: No Fee
- Can renew up to 90 days before expiration
- Must have completed at least 12 hours of training each year
- Must have at least 12 hours of paid employment as a nurse aide during the past 24 months
- Submit the CNA Online Renewal application
Reciprocity: No Fee
- Complete the South Dakota Certified Nurse Aide Registry by Interstate Endorsement Application
- Print the Employment Verification Form and have current/previous employer fill out employment details
- Verify or print your registration card on the South Dakota Registry
First-time endorsement applicants may work in South Dakota for up to 4 months while their application is being processed.
For More Information
South Dakota Board of Nursing
SD Nurse Aide Registry
4305 South Louise Avenue, Suite 201
Sioux Falls, SD 57106-3115
Phone: 605-362-2760
Email: [email protected]
Tennessee
CNA Certification Requirements
Download Tennessee CNA Certification Checklist
The Tennessee Department of Health certifies and lists individuals who complete a State-approved training program and competency evaluation. It also lists and maintains a registry of those found to have abused or neglected elderly/vulnerable persons or misappropriated their property.
- Complete an approved nurse aide training program of 75 hours
- Pass the Tennessee CNA competency exam administered by D&S Diversified Technologies/Headmaster within 3 attempts and 24 months of program completion
- $40 written/oral knowledge exam
- $90 skills evaluation
Candidates training in a nursing home-based program and employed by a skilled nursing facility don’t pay for training or testing. The fees, length of study and other requirements vary for private programs.
Renewal Requirements: No Fee
- Renew Online every 2 years, no earlier than 45 days prior to expiration of current certification
- Must have worked at least 8 hours in a facility licensed or certified by the Office of Health Care Facilities during the past 24 months
- Proof of employment must be a pay stub, payroll printout or notarized attestation form
Reciprocity: $20 Fee
CNAs listed as active on another State’s list of certified individuals without derogatory or abuse information on file may apply for reciprocity. Tennessee approves reciprocity to CNAs from every state except Florida. Applicants from Florida must retrain and retest to become CNAs in Tennessee.
Tennessee’s State Testing Agency processes reciprocity applications. The process usually takes about 1 week upon receipt of all required information.
For More Information
Tennessee Department of Health
Tennessee Nurse Aide Registry
665 Mainstream Drive, 2nd Floor
Nashville, TN 37243
Phone: (615) 532-5171 or (800) 778-4504
Email: [email protected]
Texas
CNA Certification Requirements
Download Texas CNA Certification Checklist
Texas Health and Human Services (THHS) maintains a registry of all nurse aides certified to provide services in licensed nursing facilities and skilled nursing facilities. CNA applicants must apply through the Texas Unified License Information Portal (TULIP), specifically designed for licensees and licensed long-term care providers. THHS approves applicants to test and notifies Prometric of their eligibility.
NATCEP requirements include:
- Completing a 100-hour State-approved nurse aide training and competency evaluation program
- Completing and submitting a competency evaluation application
- Passing the competency evaluation within 24 months of completing the training program and within 3 attempts
- $125 written and clinical skills exams
- $135 oral and clinical skills exams (includes reading comprehension)
- $35 written exam only retest
- $45 oral exam only retest
- $90 clinical skills text only retest
Renewal Requirements: No Fee
Certification doesn’t expire, but CNAs must contact the Texas NAR at least every 2 two years to verify employment to remain active.
Reciprocity: No Fee
- Must have an active nurse aide certification from another State
- Must be listed on another State’s Nurse Aide Registry
- Must not be listed as unemployable on the Employee Misconduct Registry
- Must not have been convicted of a criminal offense barring employment
- Complete the Request for Entry on the Texas Nurse Aide Registry Through Reciprocity (Form 5505-NAR)
- Submit proof of completion of a nurse aide training program of at least 100 hours
- Complete the Employment Verification (Form 5506-NAR)
- Submit a copy of current photo ID
- Submit criminal history check completed by the Texas Department of Public Safety crime records division
For More Information
Texas Health and Human Services Nurse Aide Registry
Mail Code E-414
PO Box 149030
Austin, TX 78714-9030
Phone: (512) 438-2050
Email: [email protected]
Utah
CNA Certification Requirements
Download Utah CNA Certification Checklist
The Utah Nursing Assistant Registry (UNAR) provides certification and reciprocity services for CNAs in the State. UNAR also approves and oversees all nursing assistant training programs. The CNA certification process in Utah requires applicants to:
- Complete a 100-hour State-approved CNA training program
- Must learn and demonstrate the ability to perform over 70 skills documented through the UNAR Nursing Assistant Skill Proficiency List
- UNAR partners with various assessment centers statewide that conduct nursing assistant certification testing
- Pass the State’s CNA competency exams, including a knowledge exam consisting of 75 multiple-choice questions and a skills demonstration exam, within 3 attempts and 1 year of program completion
- $35 written knowledge exam (per attempt)
- $55 manual skills exam (per attempt)
- $90 expired certification testing fee
Renewal Requirements: $20 late renewal fee (up to 30 days)/$40 late renewal fee (2-6 months)
- Must complete at least 200 paid hours as a nurse aide
- Log in to your TMU account to complete the online Renewal Form
- Available 90 days prior to expiration and up to 6 months past expiration
Reciprocity: $50 Fee
Complete an application for reciprocity using an assigned personal portal, username and password.
For More Information
Utah Nursing Assistant Registry
450 Simmons Way
Kaysville, UT 84037
Phone: (801) 547-9947
Email: [email protected]
Vermont
CNA Certification Requirements
Download Vermont CNA Certification Checklist
The Vermont Board of Nursing uses the licensed nursing assistants (LPN) title and contracts with Excel Testing for nursing assistant competency exams in Vermont.
- Complete a 75-hour State-approved nursing assistant program
- Use the Online Services Platform to complete an online application and pay fees
- Complete a Criminal Background Check
- Register with Excel Testing for NNAAP knowledge and skills tests
LPN applicants in Vermont may receive provisional licensure for up to 90 days while awaiting their criminal background checks.
Application Fees
- $25 nonrefundable application fee to VT BON
- $100 written knowledge test fee to Excel
- $100 skills test fee to Excel
Renewal Requirements: $65 Fee
LPNs in Vermont must renew their certification every 2 years on or before November 30 of even numbered years.
- Complete Vermont online renewal application
- Pay non-refundable renewal fee
- Complete Criminal Background Check
- Provide proof of meeting active practice hour requirement of 50 days (400 hours) in the last 2 years
- Applicants who don’t meet the active practice requirement must repeat the nursing assistant education program and competency exam
For questions on LPN renewal, contact the Renewal Clerk at [email protected].
Reciprocity: $20 Fee
To qualify for endorsement in Vermont, applicants must be currently licensed or certified in good standing in another State or jurisdiction, with standards and qualifications equal to Vermont’s.
- Complete online application
- Pay nonrefundable application fee
- Submit verification of licensure from original state of licensure and most recent state of licensure (if different)
- Enter CNA employment information verifying a minimum of 50 days (400 hours) worked in the last 2 years under the supervision of a licensed nurse (if applying with work experience)
- Complete Criminal Background Check
CNAs can fast-track their endorsement if they can show proof of continuous licensure for 3 years. Applicants may receive provisional licensure for up to 90 days if all their application is missing is the criminal background check or licensure verification.
For More Information
VT State Board of Nursing
VT Nurse Aide Registry
National Life Building
Office of Professional Regulation
North Floor 2
Montpelier, VT 05620-3402
Phone: (802) 828-2396 or (888) 287-5006
Email: [email protected]
Virginia
CNA Certification Requirements
Download Virginia CNA Certification Checklist
- Must be at least 16 years old
- Verification of completion of a nurse aide education program approved by the Virginia Board of Nursing (VBON) consisting of at least 120 clock hours within the last 24 months
- Pass the Nurse Aide written/oral examination and skills evaluation administered through Credentia for Virginia within 3 attempts and 2 years
Application Fees
- $0 Standard CNA application fee
- $25 Advanced CNA application fee
- $45 written/oral exam fee
- $95 skills evaluation fee
Renewal Requirements: $30 Fee (CNA) / $20 Fee (Advanced CNA)
CNAs and Advanced CNAs must renew annually by submitting a completed renewal application with the required fee and attestation that they performed paid nursing-related activities within the 2 years immediately preceding the expiration date of their certification.
CNAs who don’t meet employment requirements must take and pass the nurse aide state exam again before applying for renewal of certification.
Reciprocity: CNA $0 / Advanced CNA $25
Applicants for certification by endorsement must submit written evidence that they:
- Possess certification in good standing to practice as a CNA from another State or U.S. territory with requirements similar to VBON’s requirements
- Haven’t committed any act or omission constituting grounds for discipline or denial of certification
- Have no record of negligence, abuse or misappropriation of property or any disciplinary action taken/pending in any other State or U.S. territory
For More Information
Virginia Board of Nursing
VA Nurse Aide Registry
Perimeter Center
9960 Mayland Drive, Suite 300
Henrico, VA 23233-1463
Phone: (804) 367-4569
Email: [email protected]
Washington
CNA Certification Requirements
Download Washington CNA Certification Checklist
The Washington Board of Nursing (WABON) is responsible for the state certification exam for nursing assistants. The Washington State Department of Health (DOH) issues nursing assistant certifications, endorsements, renewals and the rules governing certification.
- Complete a minimum of 85 hours of training through a State-approved program, including 7 hours of AIDS/HIV training
- Get a Credentia Candidate ID number (required to register for testing)
- Register for the skills evaluation exam first through the CNA training program or WABON online scheduling if training program doesn’t offer testing
- Pass the skills evaluation exam before registering for and passing the written nursing assistant competency exam administered through Credentia
- Apply for nursing assistant-certified (NAC) credential with the Department of Health
Application Fees
- $85 application fee
- $55 written/oral exam fee
- $100 skills evaluation fee
Renewal Requirements: $95 Certification Renewal Fee / $10 Endorsement Renewal Fee
CNAs must renew their certification on or before their birthday each year. CNAs who renew late must pay a $50 late fee along with the renewal fee. There aren’t any continuing education requirements.
Reciprocity: $25 Fee
Applicants applying for endorsement from another State must:
- Provide verification of placement on a State OBRA and current CNA certification
- Provide proof of completion of training requirements
- Have exam results sent directly to the Department of Health
- Submit work history, including professional training and experience
- List all states where currently hold or previously held credentials, including those where applicant applied for a credential but wasn’t granted
- Jurisdictions where applicant is/was credentialed must complete verification forms and send them directly to the Department
For More Information
Washington State Department of Health
111 Israel Road SE, Tumwater, WA 98501
Mail with Fees: PO Box 1099, Olympia, WA 98504-1099
Mail without Fees: PO Box 47877, Olympia, WA 98504-7877
Phone: (360) 236-4700
Email: [email protected] / [email protected]
West Virginia
CNA Certification Requirements
Download West Virginia CNA Certification Checklist
- Completion of a 120-hour State-approved CNA training and/or competency evaluation program, including at least 55 hours spent in supervised practical training
- Pass the nurse aide competency exam consisting of written and skills performance components within 3 attempts and 24 months of graduation from training program
- $125 written exam and skills evaluation
- $160 oral exam and skills evaluation
- $55 written exam only
- $95 oral exam only
- $70 skills evaluation only
- Professional HealthCare Development is West Virginia’s contracted vendor for Nurse Aide testing
Renewal Requirements: Fee Unknown
CNAs must renew every 2 years. Renewal is the individual’s responsibility, not the facility or employer. To qualify for renewal, applicants must:
- Have completed at least 8 hours of paid employment as a nurse aide within the past 2 years
- Complete and return the renewal application before the expiration date
- Have employers (except nursing homes) verify employment
Reciprocity: No Fee
CNAs listed on other States’ registries in good standing where the other States’ requirements are substantially the same as West Virginia’s education and competency evaluation requirements may apply for inclusion on the WV Nurse Aide Registry by endorsement.
Applicants must complete a Nurse Aide Application for Reciprocity with the required attachment(s) and submit it to the Office of Health Facility Licensure and Certification Nurse Aide Program within the West Virginia Department of Health and Human Resources for review.
For More Information
West Virginia Office of Health Facility Licensure and Certification
Nurse Aide/AMAP Programs
408 Leon Sullivan Way
Charleston, WV 25301
Phone: (304) 558-0050
Email: [email protected]
Wisconsin
CNA Certification Requirements
Download Wisconsin CNA Certification Checklist
Wisconsin utilizes D&S Diversified Technologies/Headmaster to provide nurse aide competency testing and scoring services and maintenance of the Wisconsin Nurse Aide Registry (WNAR).
Candidates must:
- Complete an approved 75-hour Wisconsin Nurse Aide training program
- Pass the competency evaluation consisting of a multiple-choice knowledge exam and a skills test
- $125 for Written Knowledge and Demonstration/Skills exams
- $130 for Oral Knowledge and Demonstration/Skills exams
- $32 written knowledge exam only
- $37 oral knowledge exam only
- $93 demonstration/skills exam only
- Meet all other requirements of the Wisconsin Department of Health Services to be listed on the WNAR
Renewal Requirements: Fee Unlikely
- Must renew every 24 months, beginning up to 90 days before expiration of current certification
- Work for pay as nurse aide for at least 8 hours under RN/LPN supervision during the past 24 months
- Log in to the online portal and list work hours and where worked to allow an email verification link to be sent to employer for employment verification
- Applicants without required work experience must take and pass both components of the competency exam again
Reciprocity: No Fee
- Be current and in good standing on a nurse aide registry in another state
- Complete the Nurse Aide Registry Out-of-State Applicant form
- Attach a copy of the certificate/diploma received for completion of a basic nurse aide course or a transcript verifying completion of a basic nurse aide course
- Must include date of completion and number of training hours received
- Alabama applicants who originally trained in Alabama more than 2 years ago and are only certified in Alabama must also include employment verification
Applicants from California, Colorado, District of Columbia, Florida, Louisiana, Mississippi, Missouri, North Carolina or Pennsylvania must complete part 1 of the application and submit it and all supporting documentation to:
Wisconsin Department of Health Services
Office of Caregiver Quality
PO Box 2969
Madison, WI 53701-2969
Applicants from all other states must mail the completed part 1 of the application to the State where they received their initial basic nurse aide training. The NCSBN has a complete list of State Nurse Aide Registries. These applicants will complete part 2 and send it to the Wisconsin Department of Health Services addressed listed above.
For More Information
Wisconsin Department of Health Services
WI Nurse Aide Registry
PO Box 2969
Madison, WI 53701-2969
Phone: (608) 261-9315
Email: [email protected]
Wyoming
CNA Certification Requirements
Download Wyoming CNA Certification Checklist
Applicants must create a profile in Wyoming’s nurse portal before submitting their CNA application. Wyoming State Board of Nursing (WSBN) no longer accepts paper applications; all payments must be made by debit or credit card. WSBN contracts with D&S Diversified Technologies/Headmaster to administer CNA exams. Candidates must:
- Complete a state-approved CNA training program
- Send application and fingerprint cards to the WSBN
- Complete a criminal background check from the Department of Criminal Investigations and the FBI
- Pass the CNA knowledge and skills tests
Wyoming offers a one-time temporary permit to CNAs for 120 days for a $25 fee.
Application Fees
- $60 criminal background check
- $25 temporary license (optional)
- $60 certification by exam
- $32 written knowledge test
- $42 oral knowledge test
- $95 skills test
Renewal Requirements: $50
CNAs must renew their certification every even-numbered year. For each renewal, CNAs must demonstrate their continued competency by fulfilling one of the following within the previous 2-year certification period:
- Work 400 hours in a CNA role
- Work 200 hours in a CNA role and complete 15 hours of continuing education
- Complete 30 hours of continuing education
- Pass the NATCEP
Applicants who haven’t worked 400 hours or 200 hours and completed 15 hours of CE in the past 5 years must complete a state-approved CNA training and competency evaluation program again or pass the NATCEP or similar national exam again.
Reciprocity: $60 without Temporary Permit / $85 with Temporary Permit
- Create an account on the WSBN’s Nurse Portal
- Apply for licensure by endorsement
- Hold current CNA certification in good standing
- Never been certified in Wyoming
- Submit fingerprint cards for a Criminal Background Check from the Department of Criminal Investigations and the FBI
Endorsement applicants may request a temporary permit on their application, usually issued within 1 to 3 business days after receipt of completed application and all required documentation.
For More Information
Wyoming State Board of Nursing
130 Hobbs Avenue, Suite B
Cheyenne, WY 87002
Phone: (307) 777-7601
Email: [email protected]
Certified nursing assistant candidates who become employed by a nursing home within 12 months of receiving their certification must be reimbursed for their costs. Federal law requires these facilities to pay for your training and testing fees. Every state must adhere to this law.
Which state is your favorite to work as a CNA? Share your insights with other CNAs in the comments below.
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Hello my name is Nelia. I am a CNA with 5 years experience working in long term care. I am looking for a travel contract job. I only have my license in Delaware and 1 other state.
Hello Nelia and thanks for reaching out. Travel CNA jobs tend to be limited, but you can find what’s currently available when you browse jobs. You can filter by job type and location. You can also set up job alerts to get notified when our partners post new jobs matching your career goals on our site. If you need help navigating the platform or setting up your alerts, please don’t hesitate to reach out by clicking “Contact Vivian” under the “Resources” tab. We’re always happy to help!