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Regulatory State

Home Care Registry.

Relevant Home Care Information

A Home Care Registry, also known as Home Aide or Home Health Registry, is a data set containing information on home care workers who have completed a state-approved training program. Each state has a registry separate from the others. In most states, the specific information is supplied by the workers themselves or a third party like a home care agency, meaning those registries cannot guarantee accurate results.

Smart hiring teams know this limitation and build verification strategies that go beyond registry checks. Because when patient safety is on the line, "good enough" isn't good enough.

Home Care Registry Information and Verification


Hiring teams need to perform extra levels of verification to ensure the data is  matched to the correct person, or partner with a background screening provider to verify on your behalf. Each state records slightly different information, however, all of them will contain the individual’s name, company, job title, and name of the training or certificate they received to obtain their title.

State-Specific Registry Examples


Across the United States, home care registries serve as essential tools for verifying worker qualifications and compliance. However, the decentralized nature of these systems presents unique challenges. In most states, the information is supplied by the workers themselves or third-party agencies like home care organizations, which means no single registry can guarantee completely accurate results. This decentralized approach requires employers to develop comprehensive verification strategies that account for varying state requirements while maintaining consistent internal standards.

New York State Registry


New York’s Home Care Registry, for example, contains additional information on the subjects’ eligibility for employment. Workers who apply for employment with a home care services agency in New York State are required to undergo a background investigation. The NYS Department of Health will then review the information found in the investigation and determine if the individual is fit for employment. The New York State Home Care Registry will return a “yes”, “no”, or “unknown” for the individuals’ employment eligibility.

California State Registry


California takes a different approach through its Home Care Aide Registry (HCAR), administered by the Department of Social Services. California requires all Home Care Organizations (HCOs) to be licensed and their affiliated Home Care Aides (HCAs) to be registered before providing services. The California registry offers public access to verify both HCO licenses and HCA registrations, including details such as registration numbers, current status, and any administrative actions. This comprehensive approach provides employers with detailed information while ensuring regulatory compliance.

The Other 48 States


Each has its own approach, requirements, and limitations. Some are robust, others are basic. All require additional verification steps for complete hiring confidence. Scroll further to read more details on each state's registry!

Best Practices for Hiring Teams


Given the variations between state systems, employers should not base their decision solely on the Home Care Registry results, as the information could be out-of-date or inaccurate. Proper due diligence is required to verify an individual’s identity and confirm that the information in any state’s registry is accurate. Partnering with a professional background screening provider adds assistance with your verification process, so your hiring teams can be sure the information they receive is relevant and accurate.

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50 State Home Care Registry Compliance Guide.


Home care verification requirements vary dramatically across all 50 states, with each jurisdiction maintaining unique training mandates, renewal cycles, and specialty certifications. Our comprehensive state-by-state intelligence reveals the regulatory complexities that can derail compliance efforts - from Tennessee's dual-registry tracking systems to California's HCA licensing requirements. Master the nuances that separate expert verification partners from basic database providers.

 

The Alabama Department of Public Health (ADPH) maintains the state's Home Care Registry through its Division of Health Care Facilities. Home care workers in Alabama must complete a state-approved training program consisting of 75 hours of instruction, including 16 hours of supervised practical training. The registry integrates with the state's Nurse Aide Registry system, providing a unified verification platform for healthcare employers. Verification can be completed through the ADPH's online portal or by calling (334) 206-5169. Alabama requires annual renewal of registration and mandates reporting of any criminal convictions within 30 days. The state also requires home care agencies to verify worker credentials every 12 months and maintain documentation of these checks. Recent legislation has expanded the registry to include specialized endorsements for dementia care and end-of-life support services.
Alaska's Home Care Registry operates under the Division of Health Care Services within the Department of Health and Social Services. The state implements unique requirements that address its diverse geographic and cultural needs. Home care workers must complete 40 hours of basic training and maintain certification through 12 hours of continuing education annually. For those serving in remote communities, an additional 8-hour Rural Healthcare Delivery certification is mandatory. The registry can be accessed online or by phone at (907) 269-8160. Alaska's system stands out for its integration with tribal healthcare services and special provisions for workers serving in designated frontier areas. The state provides real-time verification of certification status, background check clearance, and specialized training completions. Employers must verify credentials upon hire and every six months thereafter.
Arizona's Home Care Registry is administered by the Arizona Department of Health Services (ADHS) through its Division of Public Health Licensing. The state requires home care workers to complete a 120-hour training program, one of the most comprehensive in the nation. Arizona's registry system provides detailed information about worker qualifications, including specialized certifications for respiratory care and diabetic care management. The state implements a unique tiered certification system: Level 1 for basic care, Level 2 for advanced care, and Level 3 for specialized medical support. Each tier requires additional training and testing. Arizona also maintains reciprocity agreements with California and New Mexico, streamlining the verification process for workers moving between these states. Employers can verify credentials online or by calling (602) 364-2536. The state mandates quarterly verification of worker status and requires agencies to report any incidents of misconduct within 24 hours.
The Arkansas Department of Human Services oversees the state's Home Care Registry through its Office of Long Term Care. Arkansas requires home care workers to complete 80 hours of training, including 16 hours of hands-on clinical practice. The state's registry features an innovative compliance tracking system that automatically notifies employers when workers' certifications are approaching expiration. Arkansas has implemented a unique mentorship program requirement where new home care workers must complete 40 hours of supervised work with an experienced caregiver before independent practice. The registry provides comprehensive verification services, including criminal background check status and abuse registry screening results. Employers can access the system online or contact (501) 682-8430 for support. Arkansas requires verification of credentials at hire and every three months thereafter, with mandatory reporting of any disciplinary issues within 5 business days.
The California Department of Public Health (CDPH) manages the state's Home Care Registry through its Home Care Services Bureau. Home care workers must complete a comprehensive 160-hour training program, which includes 40 hours of supervised clinical training in an approved facility. The registry system integrates with the state's background check database and can be accessed online or by calling (877) 424-5778. California employs a three-tier certification structure with specialized endorsements available for wound care, ventilator management, and hospice support. The state maintains robust reciprocity agreements with Arizona, Nevada, and Oregon, facilitating workforce mobility across state lines. California requires employers to verify worker credentials upon hiring and every four months thereafter. Any incidents of misconduct or changes in criminal history must be reported within 48 hours. The state's registry system features automated compliance monitoring and sends electronic notifications when certifications approach expiration.
The Colorado Department of Public Health and Environment (CDPHE) oversees the state's Home Care Registry through its Health Facilities and Emergency Medical Services Division. Home care workers are required to complete 75 hours of state-approved training, including 20 hours of practical clinical experience. The registry can be accessed through the state's online portal or by phone at (303) 692-2836. Colorado implements a unique altitude-specific certification requirement for workers serving in communities above 7,000 feet in elevation. The registry provides comprehensive verification of credentials, background checks, and specialized certifications in areas such as high-altitude care and mountain emergency response. Employers must verify worker credentials at the time of hire and every six months thereafter. The state requires reporting of any adverse events or changes in certification status within 72 hours. Colorado's system includes integration with the state's emergency response network and maintains special provisions for workers serving in rural mountain communities.
The Connecticut Department of Public Health operates the state's comprehensive Home Care Registry through its Practitioner Licensing and Investigations Division in partnership with Prometric testing services. Home care workers must complete state-approved Nurse Aide Training and Competency Evaluation Programs (NATCEP) consisting of 100 hours of instruction - the highest requirement among New England states - including 75 hours of core training and 25 hours of specialized instruction in understanding and responding to challenging behaviors related to physical, psychiatric, psychosocial, and cognitive disorders. The registry system can be accessed through Prometric's online verification portal or by calling the Connecticut Nurse Aide Registry at (860) 509-7603, option 1. Connecticut has implemented unique requirements for workers serving in dense metropolitan areas like Hartford and New Haven, as well as seasonal coastal communities, including specialized training in urban healthcare delivery and hurricane preparedness protocols for Long Island Sound coastal regions. The state maintains a sophisticated dual-verification system that tracks both the Connecticut Nurse Aide Registry through Prometric and employment verification through the Department of Public Health, providing comprehensive background verification and certification status monitoring. Employers must verify worker credentials upon hiring and conduct biennial renewals requiring proof of at least 8 hours of paid employment within the past 24 months under registered nurse supervision. Connecticut requires immediate incident reporting and mandates annual completion of in-service training requirements including specialized modules for post-traumatic stress disorder screening, suicide prevention, and depression recognition. The registry features integration with Prometric's comprehensive testing platform and maintains specific protocols for healthcare workers serving in both urban centers and seasonal coastal communities during severe weather events, with automatic notifications for certification renewals and employment eligibility verification.
The Delaware Department of Health and Social Services administers the state's Home Care Registry through its Division of Health Care Quality. Home care workers must complete an 88-hour training program, which includes 24 hours of supervised clinical practice in a state-approved facility. The registry system provides integrated access to credential verification and background check status through its online portal or via telephone at (302) 421-7410. Delaware implements a coastal care specialization requirement for workers serving in beach communities, addressing the specific needs of seasonal populations and maritime environments. The state maintains a sophisticated tracking system that monitors both initial certification and continuing education requirements, which total 18 hours annually. Employers must verify worker credentials upon hiring and conduct quarterly verification thereafter. Delaware requires immediate reporting of any adverse events and mandates notification of changes in criminal history within 48 hours. The registry system features automatic alerts for certification renewals and seamless integration with neighboring states' verification systems.
The District of Columbia Department of Health oversees the Home Care Registry through its Health Regulation and Licensing Administration. The District requires home care workers to complete 100 hours of training, including 25 hours of urban healthcare delivery instruction specifically designed for metropolitan caregiving. The registry can be accessed online or by calling (202) 442-5955. The District has implemented a unique urban mobility certification requirement, ensuring workers can effectively navigate public transportation systems while accompanying clients. The registry provides comprehensive verification services, including real-time status updates of certifications, background checks, and specialized urban care endorsements. Employers must verify credentials at hire and every three months thereafter. The District mandates reporting of any incidents within 24 hours and requires documentation of continuing education completion every six months. The system features integration with regional transportation authorities and maintains special provisions for workers serving in diplomatic households.
The Florida Department of Health manages the state's Home Care Registry through its Division of Health Quality Assurance. Home care workers must complete 120 hours of training, including 30 hours focused on geriatric care and 15 hours on tropical climate health management. The registry system can be accessed through the state's verification portal or by calling (888) 419-3456. Florida implements comprehensive disaster preparedness requirements, mandating additional certification in hurricane protocols and emergency evacuation procedures. The registry integrates with the state's Emergency Operations Center and provides real-time updates during natural disasters. Workers serving in coastal regions must complete supplementary training in heat illness prevention and maritime emergency response. Employers must verify worker credentials upon hiring and every three months thereafter, with more frequent verification required during hurricane season. Florida mandates reporting of any incidents within 24 hours and requires immediate notification of emergency relocations. The system features automated alerts for severe weather events and maintains specialized protocols for barrier island communities and high-rise residential facilities.
The Georgia Department of Community Health oversees the state's Home Care Registry through its Healthcare Facility Regulation Division. Home care workers must complete 85 hours of state-approved training, including 25 hours of hands-on clinical experience in both urban and rural settings. The registry system can be accessed online or by contacting (404) 657-5700. Georgia has implemented a distinctive regional specialization program that addresses the diverse needs of its metropolitan Atlanta area, coastal region, and rural communities. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized training endorsements for areas such as diabetes management and cognitive care. Employers must verify worker credentials at hiring and every four months thereafter. Georgia requires reporting of any incidents within 48 hours and mandates documentation of continuing education completion annually. The registry features integration with the state's emergency preparedness network and includes specific protocols for workers serving in areas prone to severe weather events.
The Hawaii Department of Health administers the state's Home Care Registry through its Office of Health Care Assurance. Home care workers must complete 90 hours of training, including 25 hours focused on cultural competency and island-specific healthcare delivery. The registry system can be accessed online or by calling (808) 692-7400. Hawaii implements unique requirements for workers serving across multiple islands, including specialized training in medical transport protocols and maritime emergency response. The state maintains a comprehensive verification platform that integrates with inter-island healthcare networks and tracks specialized certifications for tropical medicine and native Hawaiian healthcare practices. Employers must verify worker credentials upon hiring and every four months thereafter. Hawaii requires reporting of any incidents within 24 hours and mandates documentation of island-specific certifications. The registry features advanced tracking for natural disaster preparedness and maintains special provisions for remote island communities, including coordination with air ambulance services and tribal healthcare facilities.
The Idaho Department of Health and Welfare oversees the state's Home Care Registry through its Division of Licensing and Certification. Home care workers must complete 120 hours of training, including 30 hours dedicated to rural healthcare delivery and mountain terrain considerations. The registry system can be accessed online or by calling (208) 334-6626. Idaho implements specialized certification requirements for workers serving in remote mountain communities and maintains additional training protocols for extreme weather conditions. The state's verification system integrates with regional medical centers and tracks certifications for wilderness first aid and high-elevation care. Employers must verify worker credentials upon hiring and every three months thereafter. Idaho requires reporting of any incidents within 48 hours and mandates annual renewal of wilderness care certifications. The registry features integration with search and rescue networks and maintains special provisions for workers serving in areas with limited medical access.
The Illinois Department of Public Health manages the state's Home Care Registry through its Division of Long-Term Care Field Operations. Home care workers must complete 75 hours of state-approved training, including 20 hours of supervised clinical experience and specialized urban-rural care protocols. The registry system can be accessed online or by contacting (217) 782-2913. Illinois has implemented a comprehensive verification system that addresses the diverse needs of both its metropolitan Chicago region and rural communities. The state maintains detailed tracking of certifications, background checks, and specialized endorsements for areas such as dementia care and chronic disease management. Employers must verify worker credentials at hiring and every six months thereafter. Illinois requires reporting of any incidents within 36 hours and mandates quarterly documentation of continuing education progress. The registry features automated compliance monitoring and maintains specific protocols for workers serving in high-rise facilities and remote farming communities.
The Indiana State Department of Health administers the state's Home Care Registry through its Division of Long Term Care. Home care workers must complete 100 hours of training, including 25 hours focused on geriatric care and 15 hours on chronic disease management. The registry system can be accessed online or by calling (317) 233-7442. Indiana implements a distinctive regional approach that addresses both urban and rural healthcare needs, with additional certification requirements for specialized care services. The state maintains an integrated verification platform that connects with hospital networks and tracks specialized certifications for diabetes care and wound management. Employers must verify worker credentials upon hiring and every four months thereafter. Indiana requires reporting of any incidents within 24 hours and mandates biannual renewal of specialized care certifications. The registry features comprehensive background check integration and maintains special provisions for workers serving in medically underserved areas.
The Iowa Department of Inspections and Appeals operates the state's Home Care Registry through its Health Facilities Division. Home care workers must complete 75 hours of training, including 20 hours dedicated to rural healthcare delivery and agricultural community needs. The registry system can be accessed online or by calling (515) 281-4115. Iowa has implemented unique requirements for workers serving in farming communities, including specialized training in agricultural health risks and emergency response. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized training in rural healthcare delivery. Employers must verify worker credentials upon hiring and every five months thereafter. Iowa requires reporting of any incidents within 48 hours and mandates annual completion of rural healthcare continuing education. The registry features integration with rural emergency services and maintains specific protocols for workers serving in isolated farming communities.
The Kansas Department for Aging and Disability Services manages the state's Home Care Registry through its Health Occupations Credentialing Division. Home care workers must complete 90 hours of training, including 25 hours focused on rural healthcare delivery and severe weather preparedness. The registry system can be accessed online or by calling (785) 296-1240. Kansas implements specialized requirements for workers serving in tornado-prone regions and maintains comprehensive emergency response protocols. The state's verification system integrates with weather alert networks and tracks certifications for both urban and rural healthcare delivery. Employers must verify worker credentials upon hiring and every four months thereafter. Kansas requires reporting of any incidents within 36 hours and mandates annual renewal of emergency preparedness certifications. The registry features integration with rural medical networks and maintains special provisions for workers serving in remote agricultural communities.
The Kentucky Cabinet for Health and Family Services oversees the state's Home Care Registry through its Office of Inspector General. Home care workers must complete 75 hours of training, including 20 hours of supervised clinical experience and specialized training in Appalachian healthcare delivery. The registry system can be accessed online or by contacting (502) 564-7963. Kentucky has implemented unique requirements addressing the diverse needs of its urban centers and mountain communities. The state maintains a comprehensive verification platform that tracks certifications, background checks, and specialized endorsements for mountain terrain healthcare and coal mining community service. Employers must verify worker credentials upon hiring and every five months thereafter. Kentucky requires reporting of any incidents within 48 hours and mandates documentation of regional-specific training completion. The registry features automated compliance monitoring and maintains specific protocols for workers serving in medically underserved mountain regions.
The Louisiana Department of Health manages home care services through its Health Standards Section and maintains both the Certified Nursing Assistant Registry and Direct Service Worker Registry. Home care workers must complete 75 hours of training, including 16 hours of clinical instruction and specialized training in emergency preparedness protocols unique to Louisiana's hurricane-prone coastal regions and flood management. The registry system can be accessed online or by calling (225) 342-0138. Louisiana has implemented comprehensive requirements for workers serving in areas vulnerable to hurricanes, flooding, and severe weather events, including specialized training in disaster response and evacuation procedures for vulnerable populations. The state maintains a dual verification system that tracks certifications, background checks, and specialized endorsements for coastal healthcare delivery and emergency response protocols. Employers must verify worker credentials upon hiring and every six months thereafter through both the CNA and DSW registries. Louisiana requires reporting of any incidents within 24 hours and mandates annual completion of emergency preparedness and disaster response continuing education. The registry features integration with the state's emergency management systems and maintains specific protocols for workers serving in hurricane evacuation zones and flood-prone communities.
The Maine Department of Health and Human Services operates the state's CNA and Direct Care Worker Registry through its Division of Licensing and Certification. Home care workers must complete 180 hours of training (the highest requirement in the nation), including 90 hours of theory, 20 hours of laboratory work, and 70 hours of clinical practice, with specialized training in coastal emergency preparedness and winter weather response protocols unique to Maine's maritime environment and harsh seasonal conditions. The registry system can be accessed online or by calling the Division of Licensing and Certification. Maine has implemented comprehensive requirements for workers serving in remote coastal areas, island communities, and regions affected by severe winter weather, including specialized training in maritime emergency response, hypothermia prevention, and isolation protocol management. The state maintains an integrated verification system through the Maine Background Check Center that tracks certifications, background checks, and specialized endorsements for coastal healthcare delivery and seasonal weather response capabilities. Employers must verify worker credentials upon hiring and conduct registry checks every six months thereafter to ensure no disqualifying annotations. Maine requires reporting of any incidents within 24 hours and mandates annual completion of 12 hours of in-service training focused on weather emergency preparedness and coastal healthcare challenges. The registry features integration with state emergency management systems and maintains specific protocols for workers serving in island communities and areas prone to severe winter isolation.
The Maryland Department of Health's Office of Health Care Quality oversees home care worker certification through its Board of Nursing. Home care workers must complete 100 hours of training as Certified Nursing Assistants (CNAs), including supervised clinical experience in licensed facilities. The registry system can be accessed online through the Maryland Board of Nursing License Verification portal or by calling (410) 764-4747. Maryland has implemented unique requirements for home care workers, including mandatory CNA certification for those performing nursing tasks under registered nurse supervision. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized endorsements through the Maryland Nurse Aide Registry. Employers must verify worker credentials upon hiring and ensure ongoing compliance with state regulations. Maryland requires criminal background checks through the Criminal Justice Information System every five years and mandates annual continuing education for certification renewal. The registry features integration with Medicare certification requirements and maintains specific protocols for workers in both skilled home health agencies and residential service agencies.
The Massachusetts Department of Public Health oversees home care worker certification through its Nurse Aide Registry Services and Executive Office of Elder Affairs manages the Home Care Worker Registry. Home care workers must complete 75 hours of training, including supervised clinical experience and competency evaluation administered by state-approved programs. The registry system can be accessed online through the Massachusetts Health Professions License Verification website or by calling (617) 753-8144. Massachusetts has implemented dual requirements including both CNA certification for certain roles and a separate Home Care Worker Registry for state-contracted agencies established in 2017. The state maintains comprehensive verification systems that track certifications, background checks, and specialized training through both the Nurse Aide Registry Inquiry System (NARIS) and the Home Care Worker Registry. Employers must verify worker credentials upon hiring through mandatory background checks conducted by the Department of Public Health. Massachusetts requires annual reporting of incidents and mandates 12 hours of continuing education annually for certified home health aides. The registry features integration with MassHealth programs and maintains specific protocols for workers serving in state-contracted home care agencies with exemption processes for worker privacy protection.
The Michigan Department of Licensing and Regulatory Affairs oversees home care worker certification through its Bureau of Community and Health Systems using the MI-NATES system. Home care workers must complete 75 hours of training, including 16 hours of supervised clinical experience and competency evaluation administered by state-approved programs. The registry system can be accessed online through the BCHS Nurse Aide Public Registry or by calling (517) 284-8961. Michigan has implemented comprehensive requirements, including mandatory CNA certification for home health aides with fingerprint-based background checks for all workers having direct patient access. The state maintains a robust verification system that tracks certifications, background checks, and workforce compliance through the Michigan Nurse Aide, Training, and Enforcement System (MI-NATES). Employers must verify worker credentials upon hiring and conduct mandatory workforce background checks every two years. Michigan requires reporting of incidents within 24 hours and mandates 12 hours of continuing education annually for CNA renewal. The registry features integration with Medicare certification requirements and maintains specific protocols for workers in nursing homes, adult foster care facilities, and home health agencies, with automated Clean Slate legislation considerations for eligible convictions.
The Minnesota Department of Health oversees home care worker certification through its Nurse Aide Registry, administered by the Health Regulation Division. Home care workers must complete 75 hours of training, including 16 hours of supervised clinical practice and competency evaluation administered by Headmaster testing services. The registry system can be accessed online through the Minnesota Nurse Aide Registry Search or by calling (651) 215-8705. Minnesota has implemented comprehensive requirements, including mandatory CNA certification for nursing home and certified boarding care home workers with background study requirements for home care agency licensure. The state maintains a robust digital verification system that tracks certifications, substantiated findings of abuse or neglect, and employment eligibility through the fully online Nurse Aide Registry platform. Employers must verify worker credentials upon hiring, and home care agencies must complete background studies for all owners and officials. Minnesota requires reporting of incidents within 24 hours and mandates renewal every 24 months with proof of at least 8 hours of paid nursing work. The registry features integration with Medicare certification requirements and maintains specific protocols for workers in nursing homes and certified boarding care homes with streamlined digital applications and automated renewal processes.
The Mississippi State Department of Health operates the state's Home Care Registry through its Division of Health Facilities Licensure and Certification. Home care workers must complete 75 hours of training, including at least 16 hours of supervised clinical experience and specialized training in rural healthcare delivery. The registry system can be accessed through the CNA Registry lookup online or by calling (601) 364-2718. Mississippi has implemented unique requirements for workers serving in Delta region communities, including specialized training in agricultural health risks and flood emergency response protocols. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized endorsements through the Mississippi Nurse Aide Registry managed by Headmaster/TMU. Employers must verify worker credentials upon hiring and every 24 months thereafter to maintain active status on the registry. Mississippi requires reporting of any incidents within 48 hours and mandates workers maintain at least 8 consecutive paid hours of nursing or nursing-related services in approved facilities during each 24-month period. The registry features integration with Medicare certification requirements and maintains specific protocols for workers serving in rural Delta communities with enhanced emergency preparedness for natural disasters.
The Missouri Department of Health and Senior Services operates the state's Home Care Registry through its Health Education Unit and Bureau of Home Care and Rehabilitative Standards. Home care workers must complete 175 hours of training, including 75 hours of classroom instruction and 100 hours of supervised clinical (on-the-job) training with specialized focus on rural healthcare delivery and agricultural community needs. The registry system can be accessed through the New Missouri Registry online or by calling (573) 526-5686. Missouri has implemented unique requirements for workers serving in rural farming communities, including enhanced training in dementia care, fire safety, and disaster preparedness protocols. The state maintains a comprehensive verification system through the Missouri Nurse Aide Registry that tracks certifications, background checks, and specialized credentials via the TestMaster Universe (TMU) system operated by D&SDT-Headmaster. Employers must verify worker credentials before hiring and ensure renewal every 24 months with proof of at least 8 hours of nursing-related services. Missouri requires reporting of any incidents within 48 hours and mandates continuous competency evaluation for specialty certifications including Certified Medication Technician (CMT) and Insulin Administration (IA). The registry features integration with Medicare certification requirements and maintains specific protocols for workers serving in rural communities with enhanced emergency response capabilities and disaster preparedness training.
The Montana Department of Public Health and Human Services operates the state's Home Care Registry through its Quality Assurance Division and Certification Bureau. Home care workers must complete 91 hours of training, including 75 hours of classroom instruction and 16 hours of supervised clinical practice with specialized training in rural healthcare delivery and remote area emergency response. The registry system can be accessed through the BOUNDS Portal online or by calling (406) 444-4980. Montana has implemented unique requirements for workers serving in frontier communities, including specialized training in agricultural health risks, wildlife encounters, and extreme weather emergency protocols. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized endorsements through the Montana TestMaster Universe (TMU) system operated by D&SDT-Headmaster. Employers must verify worker credentials before hiring and ensure renewal every 24 months with proof of at least 16 hours of paid nursing services and 24 hours of in-service training. Montana requires reporting of any incidents within 48 hours and mandates completion of ongoing competency evaluations for Home Health Aide (HHA) endorsements. The registry features integration with Medicare certification requirements and maintains specific protocols for workers serving in isolated frontier communities with enhanced emergency preparedness and wilderness safety training protocols.
The Nebraska Department of Health and Human Services operates the state's Home Care Registry through its Division of Public Health and Licensure Unit. Home care workers must complete 75 hours of training, including at least 16 hours of supervised clinical experience and specialized training in rural healthcare delivery and agricultural community needs. The registry system can be accessed through the Nebraska Nurse Aide Registry online or by calling (402) 471-0537. Nebraska has implemented unique requirements for workers serving in rural farming communities, including specialized training in agricultural health risks, severe weather emergency protocols, and mandated one-hour Nebraska-specific abuse / neglect / misappropriation training. The state maintains a comprehensive verification system that tracks certifications, background checks, and employment history through the Nebraska Nurse Aide Registry managed by the Nebraska Health Care Learning Center (NHCLC). Employers must verify worker credentials upon hiring and submit registry forms for both the start and end of employment to maintain active status. Nebraska requires completion of at least 8 hours of paid CNA work within the past 24 months and mandates 12 hours of continuing education annually provided by each employer. The registry features integration with Medicare certification requirements and maintains specific protocols for workers serving in rural communities with enhanced emergency preparedness for severe weather events and agricultural safety training.
The Nevada Division of Public and Behavioral Health operates the state's Home Care Registry through its Bureau of Health Care Quality and Compliance. Home care workers must complete 75 hours of training, including 16 hours of supervised clinical practice and specialized training in desert climate health risks and extreme weather protocols. The registry system can be accessed online or by calling (775) 687-7707. Nevada has implemented unique requirements for workers serving in high desert regions, including specialized training in dehydration prevention, heat-related illness recognition, and emergency response for remote rural areas. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized training in desert healthcare delivery through the Nevada State Board of Nursing. Employers must verify worker credentials upon hiring and every two years thereafter. Nevada requires completion of 12 hours of continuing education annually and mandates biennial certification renewal with proof of 40 hours of paid employment. The registry features integration with rural emergency services and maintains specific protocols for workers serving in isolated mining communities and tribal territories with streamlined digital applications through the Nevada Nurse Portal.
The New Hampshire Department of Health and Human Services operates the state's Home Care Registry through its Office of Professional Licensure and Certification in coordination with the Board of Nursing. Home care workers must complete 100 hours of training, including 60 hours of supervised clinical practice and specialized training in winter weather emergency preparedness and seasonal affective care. The registry system can be accessed online or by calling (603) 271-2323. New Hampshire has implemented unique requirements for workers serving in mountain and rural regions, including specialized training in cold weather health risks, ice storm response, and emergency heating system protocols. The state maintains a comprehensive verification system that tracks Licensed Nursing Assistant certifications, background checks, and specialized training in seasonal healthcare delivery. Employers must verify worker credentials upon hiring and every two years thereafter. New Hampshire requires completion of 24 hours of continuing education every two years and mandates active employment of 200 hours during each two-year licensing period. The registry features integration with winter emergency services and maintains specific protocols for workers serving in isolated mountain communities and seasonal resort areas with streamlined digital applications through the NH Online Licensing Portal.
The New Jersey Division of Consumer Affairs operates the state's Home Care Registry through its Board of Nursing in coordination with the Department of Health. Home care workers must complete 76 hours of training, including 16 hours of clinical instruction and specialized training in coastal storm preparedness and hurricane emergency response. The registry system can be accessed online or by calling (973) 504-6430. New Jersey has implemented unique requirements for workers serving in coastal and urban areas, including specialized training in flood response protocols, hurricane evacuation procedures, and post-storm health hazards management. The state maintains a comprehensive verification system that tracks Certified Homemaker-Home Health Aide (CHHA) certifications, background checks, and specialized training in coastal emergency healthcare delivery. Employers must verify worker credentials upon hiring and every two years thereafter. New Jersey requires biennial certification renewal with proof of active employment and completion of continuing competency requirements. The registry features integration with coastal emergency management systems and maintains specific protocols for workers serving in hurricane-prone regions and densely populated urban areas with streamlined digital applications through the NJ Division of Consumer Affairs portal.
The New Mexico Health Care Authority operates the state's Home Care Registry through its Division of Health Improvement in coordination with the New Mexico Department of Health. Home care workers must complete 75 hours of training, including 16 hours of supervised practical training and specialized education in tribal healthcare delivery and high-altitude medical considerations. The registry system can be accessed online or by calling (505) 827-3100. New Mexico has implemented unique requirements for workers serving in diverse geographical and cultural settings, including specialized training in tribal community health protocols, desert environmental health hazards, and high-altitude care adaptations. The state maintains a comprehensive verification system that tracks certifications, background checks, and cultural competency endorsements for tribal healthcare and rural mountain community service. Employers must verify worker credentials upon hiring and every two years thereafter. New Mexico requires reporting of any incidents within 24 hours and mandates annual completion of continuing education, including cultural competency training. The registry features integration with tribal health services and maintains specific protocols for workers serving in pueblo communities and remote desert regions.
The New York State Department of Health operates the state's Home Care Registry through its Division of Home and Community Based Services in coordination with the New York State Education Department. Home care workers must complete 75 hours of training, including supervised clinical experience and specialized training in urban healthcare delivery and high-density population emergency response. The registry system can be accessed online or by calling (877) 877-1827. New York has implemented unique employment eligibility determinations, including comprehensive background investigations with fingerprint-based criminal history checks that result in "approved," "disapproved," or "unknown" employment status designations. The state maintains a sophisticated verification system that tracks certifications, background checks, and employment eligibility determinations for urban and suburban healthcare delivery. Employers must verify worker credentials and employment eligibility prior to hiring and are prohibited from employing any individual with "disapproved" status. New York requires 12 hours of annual in-service training and mandates that home health aide certification remains valid only while employed by a state-certified or licensed home health agency. The registry features integration with statewide criminal background systems and maintains comprehensive employment eligibility protocols for workers serving in metropolitan areas and high-density residential communities.
The North Carolina Division of Health Service Regulation operates the state's Home Care Registry through its Health Care Personnel Registry Section. Home care workers must complete state-approved Nurse Aide I training plus specialized Home Care Specialty Training for Nurse Aides, including supervised clinical experience and specialized training in hurricane emergency preparedness and coastal flooding response. The registry system can be accessed online or by calling (919) 855-3969. North Carolina has implemented unique dual-registry requirements where home health aides must be listed on both the N.C. Nurse Aide I Registry and complete additional Home Care Specialty Training to be eligible for home care employment. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized training in coastal emergency response and hurricane preparedness protocols. Employers must verify worker credentials upon hiring and every two years thereafter through the online verification system. North Carolina requires 8 hours of qualified work experience within each 24-month period for registry renewal and mandates annual completion of continuing education requirements. The registry features integration with multiple state databases and maintains specific protocols for workers serving in hurricane-prone coastal regions and emergency evacuation zones.
The North Dakota Department of Health and Human Services operates the state's Home Care Registry through its Health Facilities Unit. Home care workers must complete 75 hours of training, including 16 hours of clinical experience and specialized training in winter weather emergency preparedness and oil industry healthcare delivery. The registry system can be accessed online or by calling (701) 328-2353. North Dakota has implemented unique requirements for workers serving in extreme cold weather environments and oil industry boomtowns, including specialized training in cold weather health hazards, oil field emergency response, and rural isolation healthcare protocols. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized training for both rural agricultural communities and industrial oil regions. Employers must verify worker credentials upon hiring and every two years thereafter through the online registry system. North Dakota requires 8 hours of qualified work experience within each 24-month period for registry renewal and mandates annual completion of continuing education requirements. The registry features integration with emergency preparedness systems and maintains specific protocols for workers serving in remote oil field communities and extreme winter weather conditions.
The Ohio Department of Health operates the state's Home Care Registry through its Bureau of Community Health Centers. Home care workers must complete 75 hours of training, including 16 hours of supervised practical experience and specialized training in industrial healthcare delivery and urban emergency response. The registry system can be accessed online or by calling (800) 582-5908 for Ohio residents or (614) 752-9500 for out-of-state verification. Ohio has implemented unique requirements for workers serving in manufacturing communities, including specialized training in occupational health risks and workplace injury response. The state maintains a comprehensive verification system that integrates with the PASSPORT program and tracks certifications, background checks, and specialized training for both urban and rural healthcare delivery. Employers must verify worker credentials using the HEA 7713 form submitted by licensed providers. Ohio requires workers to complete at least 7.5 consecutive hours of paid nursing work every 24 months to maintain active registry status. The registry features integration with industrial safety networks and maintains specific protocols for workers serving in manufacturing and agricultural communities.
The Oklahoma State Department of Health operates the state's Home Care Registry through its Nurse Aide Registry Division. Home care workers must complete 75 hours of training, including 16 hours of supervised clinical experience and specialized training in tornado emergency response and oil industry safety protocols. The registry system can be accessed online or by calling (405) 426-8150. Oklahoma has implemented unique requirements for workers serving in tornado-prone regions, including specialized training in severe weather preparedness and emergency response protocols. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized endorsements for rural oil field communities and urban healthcare delivery. Employers must verify worker credentials upon hiring, and renewal requires proof of 8 hours of paid nursing work every 24 months. Oklahoma requires reporting of any incidents within specified timeframes and mandates annual renewal of emergency preparedness certifications. The registry features integration with tornado alert systems and maintains specific protocols for workers serving in remote oil fields and agricultural communities.
The Oregon Health Authority operates the state's Home Care Registry through its Oregon State Board of Nursing and Home Care Commission partnership. Home care workers must complete 155 hours of training, including 75 hours of supervised clinical experience and specialized training in wildfire evacuation and earthquake emergency response protocols. The registry system can be accessed online through the OSBN Nurse Portal or by calling (971) 673-0685. Oregon has implemented unique requirements for workers serving in fire-prone regions, including specialized training in smoke exposure management and emergency evacuation procedures. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized endorsements for both coastal tsunami zones and inland forest communities. Employers must verify worker credentials upon hiring, and renewal requires completion of at least 400 hours of paid supervised work every 24 months. Oregon requires additional competency validation by registered nurses before CNAs can deliver home health services. The registry features integration with wildfire alert systems and maintains specific protocols for workers serving in remote timber and agricultural communities.
The Pennsylvania Department of Health operates the state's Home Care Registry through its Division of Home Health Services. Home care workers must complete 75 hours of training, including 16 hours of supervised clinical experience and specialized training in mining safety protocols and winter weather emergency response. The registry system can be accessed online or by calling (717) 787-8015. Pennsylvania has implemented unique requirements for workers serving in mining communities, including specialized training in industrial health risks and underground mining emergency procedures. The state maintains a comprehensive verification system that tracks certifications, background checks, and specialized endorsements for coal mining regions and urban industrial healthcare delivery. Employers must verify worker credentials upon hiring, and competency documentation is transferable between agencies provided employment breaks do not exceed 12 months. Pennsylvania requires annual completion of 12 hours of continuing education and mandates comprehensive background checks, including ChildLine verification. The registry features integration with mining safety networks and maintains specific protocols for workers serving in remote Appalachian and industrial communities.
The Rhode Island Department of Health operates the state's comprehensive Home Care Registry through its Center for Professional Licensing. Home care workers must complete 100 hours of training, including 80 hours of classroom instruction and 20 hours of clinical experience with a specialized focus on coastal healthcare delivery and hurricane preparedness protocols. The registry system can be accessed online or by calling (401) 222-5888. Rhode Island has implemented unique requirements for workers serving in coastal communities, including specialized training in flood response protocols and emergency evacuation procedures during severe weather events. The state maintains a sophisticated verification system that tracks Nursing Assistant certifications, background checks, and specialized endorsements for both urban Providence metro services and coastal community healthcare. Employers must verify worker credentials upon hiring and every two years thereafter during the biennial renewal cycle. Rhode Island requires mandatory reporting of incidents within 24 hours and mandates completion of 8 hours of paid nursing assistant work over the preceding 24 months for renewal eligibility. The registry features integration with the state's emergency management systems and maintains specific protocols for healthcare workers serving in hurricane-prone coastal regions.
The South Carolina Department of Public Health operates the state's comprehensive Home Care Registry through its Bureau of Healthcare Quality. Home care workers must complete 75 hours of training, including 16 hours of supervised practical training with a specialized focus on hurricane preparedness and coastal emergency response protocols. The registry system can be accessed online through the Find a Facility interactive map or by calling (803) 898-3300. South Carolina has implemented unique requirements for workers serving in hurricane-prone coastal regions, including specialized training in storm surge response, evacuation procedures, and post-hurricane health hazard management. The state maintains a sophisticated dual-track verification system that separately tracks Home Health Agency workers and In-Home Care Provider workers, along with their certifications, background checks, and specialized emergency response endorsements. Employers must verify worker credentials upon hiring and conduct annual performance reviews with mandatory 12 hours of continuing education. South Carolina requires immediate incident reporting and mandates completion of competency evaluations for all direct care staff. The registry features integration with the state's emergency management systems and maintains specific protocols for healthcare workers serving in both urban centers like Charleston and Columbia, and rural coastal communities vulnerable to severe weather events.
The South Dakota Board of Nursing operates the state's comprehensive Home Care Registry through its South Dakota Unlicensed Assistive Personnel (SDUAP) system in partnership with the Department of Health. Home care workers must complete 75 hours of training, including 16 hours of supervised clinical experience with a focus on rural healthcare delivery and severe weather preparedness protocols. The registry system can be accessed online through the SDUAP verification portal or by calling (605) 362-2760. South Dakota has implemented unique requirements for workers serving in remote rural areas, including specialized training in agricultural emergency response, blizzard preparedness, and extended-isolation healthcare protocols for workers serving vast rural territories during severe winter weather. The state maintains a sophisticated real-time verification system that tracks Certified Nurse Aide and Medication Aide certifications, background checks, and disciplinary actions through primary source verification. Employers must verify worker credentials upon hiring and conduct biennial renewals with mandatory 24 hours of continuing education plus 12 hours of paid employment over the preceding 24 months. South Dakota requires immediate incident reporting and maintains strict reinstatement protocols for expired certifications. The registry features integration with the TestMaster Universe (TMU) testing system and maintains specific protocols for healthcare workers serving in both urban centers and remote agricultural communities during extreme weather conditions.
The Tennessee Health Facilities Commission operates the state's comprehensive Home Care Registry through its Division of Licensure and Regulation in partnership with D&SDT-Headmaster's TestMaster Universe (TMU) system. Home care workers must complete 75 hours of training, including 16 hours of supervised clinical experience with a specialized focus on rural healthcare delivery and severe weather preparedness protocols for tornado-prone regions. The registry system can be accessed online through the TMU portal or by calling (615) 741-7221. Tennessee has implemented unique requirements for workers serving in tornado-prone areas and mountainous regions, including specialized training in severe weather emergency response, post-tornado health hazard management, and emergency evacuation procedures during natural disasters. The state maintains a sophisticated dual-verification system that tracks both the Tennessee Nurse Aide Registry and Elderly or Vulnerable Abuse Registry, along with certifications, background checks, and disciplinary actions through real-time primary source verification. Employers must verify worker credentials upon hiring and conduct biennial renewals with mandatory proof of 8 consecutive hours of employment within the past 24 months. Tennessee requires immediate incident reporting and mandates completion of competency evaluations within 24 months of training completion. The registry features integration with the TestMaster Universe testing platform and maintains specific protocols for healthcare workers serving in both urban centers like Nashville and Memphis, and remote rural areas vulnerable to severe weather events, including tornadoes and flooding.
The Texas Health and Human Services Commission operates the state's comprehensive Home Care Registry through its Long-term Care Credentialing division via the Texas Unified Licensure Information Portal (TULIP) system. Home care workers must complete state-approved Nurse Aide Training and Competency Evaluation Programs (NATCEP) focused on extreme weather preparedness and border region healthcare protocols. The registry system can be accessed online through the TULIP portal or by calling (512) 438-2050. Texas has implemented unique requirements for workers serving in hurricane-prone coastal areas and extreme heat regions, including specialized training in severe weather emergency response, heat stroke prevention, and cross-cultural healthcare delivery for diverse populations. The state maintains a sophisticated multi-registry verification system that tracks the Nurse Aide Registry, Employee Misconduct Registry, and Medication Aide Registry through the consolidated Employability Status Check Search, providing real-time primary source verification with Prometric testing integration. Employers must verify worker credentials upon hiring and conduct annual employability status checks with biennial certification renewals requiring 24 hours of in-service education, including dementia care training. Texas requires immediate incident reporting and maintains strict enforcement protocols through the Credentialing and Registry Enforcement unit at (512) 438-5495. The registry features advanced integration with FBI-based fingerprinting systems and maintains specific protocols for healthcare workers serving in both major metropolitan areas and rural border communities during extreme weather events and public health emergencies.
The Utah Department of Health and Human Services does not maintain a separate Home Health Aide Registry. Utah home health agencies primarily employ Certified Nursing Assistants (CNAs) and Personal Care Aides, with most home health aide positions filled by CNAs. The Utah Nursing Assistant Registry (UNAR) oversees CNA certification and can be accessed online at utahcnaregistry.com or by calling (801) 547-9947. Home health workers must complete 75 hours of training, including 16 hours of supervised clinical experience, following federal minimum standards. Utah has implemented unique requirements reflecting its diverse geography, including specialized training for workers serving in both urban centers like Salt Lake City and rural mountain communities. The state allows reciprocity for out-of-state CNAs and maintains a comprehensive verification system through its TestMaster Universe (TMU) portal managed by D&SDT-Headmaster. CNAs must complete 12 hours of continuing education annually and undergo state background checks and tuberculosis testing. The registry integrates with Utah's broader healthcare certification framework, requiring workers to demonstrate competency in activities of daily living, medication assistance, and care plan implementation. Utah's system emphasizes the CNA pathway over traditional home health aide certification, with most employers preferring CNA-certified workers for an enhanced scope of practice and regulatory compliance.
The Vermont Department of Health does not maintain a separate Home Health Aide Registry. Vermont home health agencies primarily employ Licensed Nursing Assistants (LNAs), with home health aides functioning as LNAs under state regulation. The Vermont Secretary of State's Office of Professional Regulation oversees LNA licensing through the Board of Nursing, accessible online or by contacting (802) 828-1505. LNA candidates must complete state-approved training programs of at least 80 hours, including 30 hours of supervised clinical experience, exceeding federal minimum standards. Vermont has implemented unique requirements reflecting its rural healthcare landscape and aging population demographics, with specialized training in geriatric care and community-based services. The state contracts with Pearson VUE for competency evaluation administration, requiring candidates to pass both written/oral examinations and hands-on skills demonstrations. LNAs must renew their licenses every two years and maintain employment for at least 50 days during each renewal period to remain active. Vermont's system integrates with the National Nurse Aide Assessment Program (NNAAP) and maintains reciprocity agreements with other states. The registry verification system is managed through the Vermont Secretary of State's "Find a Professional" database, providing comprehensive licensing information, disciplinary history, and employment eligibility status for background check verification purposes.
The Virginia Department of Health does not maintain a separate Home Health Aide Registry. Virginia operates a dual-track system where most home health agencies prefer Certified Nursing Assistants (CNAs) certified through the Virginia Board of Nursing, while also permitting Home Health Aides trained under federal standards. The Virginia Department of Health Professions oversees CNA certification through its Nurse Aide Registry, accessible online or by calling (804) 367-4515. CNAs must complete 120 hours of training, exceeding federal minimums, while Home Health Aides follow the 75-hour federal standard with 16 hours of clinical experience and 12 hours of annual continuing education. Virginia has implemented unique requirements reflecting its diverse healthcare landscape, from urban centers like Richmond and Virginia Beach to rural Appalachian communities, requiring specialized training in both metropolitan and rural healthcare delivery. The state contracts with Credentia for competency evaluation administration and requires criminal background checks for all direct care workers. Home Care Organizations must be licensed through the Virginia Department of Health's Office of Licensure and Certification, with triennial fees of $1,500. Virginia's verification system integrates CNA licensing through the Department of Health Professions with Personal Care Aide registration requirements, creating multiple compliance pathways that require sophisticated background check coordination. The registry maintains disciplinary records and employment eligibility status, with CNA renewals occurring every two years contingent on paid employment verification.
The Washington State Department of Health operates a comprehensive Home Care Aide certification system in partnership with the Department of Social and Health Services (DSHS). Home care aides must complete 75 hours of DSHS-approved training and pass the Prometric-administered certification examination. The system can be accessed online or by calling (360) 236-4700. Washington has implemented unique requirements reflecting its diverse geography and progressive healthcare policies, including extended timelines allowing workers up to 365 days from their hire date to complete certification (extended from the original 200 days through emergency rules under Senate Bill 5672). The state maintains dual pathways for Home Care Aides (75 hours) and Home Health Aides operating as CNAs (85 hours), with specialized training modules for dementia care, mental health, and diabetes management. Workers must complete orientation and safety training within their first days and can begin working after completing 5 hours of initial safety training. The registry integrates with both DOH professional licensing and DSHS background check systems, requiring fingerprint-based federal and state background checks through DSHS Background Check Central Unit. Renewals occur annually on the worker's birthday with 12 hours of continuing education requirements. The certification system includes provisions for limited English proficiency candidates and offers online examination options through ProProctor technology.
The West Virginia Department of Health and Human Resources does not maintain a separate Home Health Aide Registry. West Virginia operates through a unified system where home health aides typically function as Certified Nursing Assistants (CNAs) regulated by the Office of Health Facility Licensure & Certification (OHFLAC). The West Virginia Nurse Aide Registry can be accessed online or by calling (304) 558-0050. Home care workers must complete 75 hours of training with 16 hours of clinical experience for basic home health aide certification, while CNAs require 120 hours of training, including 65 hours of supervised clinical training. West Virginia has implemented unique requirements reflecting its rural mountainous geography and Appalachian healthcare challenges, including specialized training for workers serving in remote coal mining communities and areas with limited healthcare infrastructure. The state contracts with Professional Healthcare Development (PHD) for competency evaluation administration, requiring passage of both written and practical skills examinations. Workers must complete criminal background checks and screening against state abuse registries before certification. The registry operates with two-year renewal cycles requiring proof of at least 8 hours of paid employment as verification. OHFLAC maintains comprehensive verification systems accessible to employers for immediate credential confirmation, disciplinary history, and employment eligibility status. The system includes provisions for reciprocity from other states and refresher courses for lapsed certifications within five years, demonstrating West Virginia's commitment to maintaining workforce stability in underserved rural communities.
The Wisconsin Department of Health Services operates the state's comprehensive Home Care Registry through its Division of Quality Assurance via the TestMaster Universe (TMU) system administered by D&SDT-Headmaster. Home care workers must complete state-approved Nurse Aide Training and Competency Evaluation Programs (NATCEP) with a minimum of 75 hours, including 16 hours of supervised clinical experience and specialized training in severe weather preparedness for blizzard-prone regions and Great Lakes emergency protocols. The registry system can be accessed online through the TMU portal or by calling Headmaster at (888) 401-0465 for registry questions or (888) 401-0462 for testing inquiries. Wisconsin has implemented unique requirements for workers serving in Great Lakes regions and severe winter weather zones, including specialized training in hypothermia prevention, blizzard emergency response, and ice storm safety protocols for rural and urban healthcare delivery. The state maintains a sophisticated dual-eligibility verification system that tracks both federal and state nurse aide status through real-time primary source verification with automated employer confirmation systems. Employers must verify worker credentials upon hiring and conduct biennial renewals requiring proof of at least 8 hours of paid employment within the past 24 months under RN or LPN supervision. Wisconsin requires immediate incident reporting and mandates maintenance of current status on both the Wisconsin Nurse Aide Registry and Wisconsin Caregiver Registry for comprehensive background verification. The registry features advanced integration with the TMU testing platform and maintains specific protocols for healthcare workers serving in both urban centers like Milwaukee and Madison, and remote rural areas vulnerable to severe winter weather events, including blizzards and ice storms.
The Wyoming Department of Health operates the state's comprehensive Home Care Registry through its Healthcare Licensing and Surveys division in partnership with the Wyoming State Board of Nursing (WSBN). Home care workers must complete WSBN-approved Nurse Aide Training and Competency Evaluation Programs (NATCEP) with a minimum of 75 hours, including 16 hours of supervised clinical experience and specialized training in high-altitude healthcare delivery and extreme weather preparedness for mountainous terrain. The registry system can be accessed online through the WSBN Nurse Portal or by calling the Wyoming State Board of Nursing at (307) 777-7601 or Healthcare Licensing and Surveys at (307) 777-7123. Wyoming has implemented unique requirements for workers serving in high-altitude mountain regions and extreme weather zones, including specialized training in altitude sickness recognition, severe winter storm emergency response, and wildlife encounter safety protocols for rural healthcare delivery. The state maintains a dual-agency verification system that tracks both the Wyoming CNA Registry through WSBN and facility compliance through Healthcare Licensing and Surveys, providing comprehensive background verification and certification tracking. Employers must verify worker credentials upon hiring through form HLS/CNA-109 and conduct biennial renewals requiring proof of at least 24 hours of in-service training and current registry status. Wyoming requires immediate incident reporting through form HLS/CNA-105 and mandates completion of competency evaluations within one year of training completion. The registry features integration with Headmaster testing systems and maintains specific protocols for healthcare workers serving in both population centers like Cheyenne and Casper, and remote rural areas vulnerable to extreme weather events, including blizzards, high winds, and wildlife encounters typical of the Rocky Mountain region.

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