Texas CNA and HHA Certification Requirements State of Texas (TX)

by admin on July 3, 2019

Requirements for CNA and HHA Certification


In contrast with many other states, Texas has clear regulations governing HHAs. A HHA may be employed by an agency or facility to provide personal care services for disabled or elderly patients if the Aide appears in good standing in the Texas Nurse Aide registry.

HHAs need to take Aide certification training for 75 hours, plus 16 hours of practical experience which must be accomplished in a long term care setting, working with actual patients.

CNAs and HHAs may work in a long term care facility such as a nursing home for up to four months while they are preparing to take the exam. The facility will terminate their employment once they reach that threshold.

Note: Fed regulations require certified aides who work in Medicare or Medicaid-reimbursed facilities to accumulate 12 hours of continuing education per 12 month period.

We list the higher between Federal (Fed) and State requirements

Requirements CNA HHA
Work Eligibility Must be a citizen  or someone eligible to work in the U.S., as per Fed & state regulations. same
Type of Certification You get listed on the State Nurse Aide Registry; The Registry gives out certificates for both CNAs and HHAs. same
Application Form A filled application form is required together with all supplemental information, such as high school and training diplomas and proof of eligibility to work as described above. same
Age No age minimum is imposed; Most employers will require a minimum of 18 years of age. same
Driver’s License Driver’s license not required. same
Education Level You will be required to produce a high school diploma or equivalent (GED). same
Training hours & where 75 hours of classes at state-accredited establishments including 24 hours of practical training for CNAs; for HHAs, 75 hours of classes plus 16 hours of clinical work (see note above). same
Competence Training See above note for practical training; the state requires that the said hours be accomplished in a long term care setting with actual patients. same
Experience No prior professional experience required. same
Health Immunizations A negative TB test taken within 6 months and proof of immunization. same
Fingerprints Aides must submit fingerprint cards used for background checks. same
Background checks Applicants for the state exam are given state and Fed background checks before they get certified. same
Other Requirements Photo ID and two photos, TB test results, and diplomas from training academy as well as high school. same
Licensed in another state? You may qualify for reciprocal treatment if you are currently on the nurse aide registry in another state that is in compliance with applicable Federal laws and you complete the necessary documentation and be successful in taking the skills test. same
Exam Normally, your training program will schedule your examination with the Nurse Aide Competency Evaluation Services (NACES). same


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