The short answer Nebraska licenses home health agencies under 175 NAC 14 (federal 75-hour aide standard applies to certified agencies) and separately regulates non-medical in-home personal services agencies under Neb. Rev. Stat. § 71-6501 et seq., which imposes background-check and operational requirements but no minimum caregiver training hours — competency is agency-determined.
What Nebraska requires
Nebraska
HHA licensure. Home health agencies must hold a Nebraska DHHS license before Medicare/Medicaid certification, with standards of operation, care, and treatment at 175 NAC 14-006; certified agencies follow the federal 75-hour aide training/competency standard.
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175 NAC 14 text. The full licensure regulation for home health agencies, including personnel and inspection requirements, is codified at Title 175 NAC Chapter 14.
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In-home personal services agencies. Non-medical agencies providing attendant, companion, or homemaker services are regulated as 'in-home personal services agencies' under Neb. Rev. Stat. § 71-6501 et seq.; the act requires DHHS credentialing and background checks but sets no minimum training hours — caregiver competency is agency-determined.
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In-service. Aides at Medicare-certified home health agencies must receive 12 hours of in-service training per 12-month period per 42 CFR 484.80; the in-home personal services statute imposes no annual CE requirement.
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The federal baseline (applies in every state)
Federal
75-hour HHA training standard. Under 42 CFR 484.80(b), home health aides at Medicare-certified home health agencies must complete a training program of at least 75 hours, including at least 16 hours of classroom training completed before beginning at least 16 hours of supervised practical (hands-on) training.
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Competency evaluation / CNA pathway. 42 CFR 484.80(a) allows aides to qualify by completing the 75-hour training and competency evaluation program, by passing a competency evaluation alone, or by completing a state nurse aide training and competency evaluation program (CNA) and being in good standing on the state nurse aide registry.
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12-hour annual in-service. 42 CFR 484.80(d) requires home health aides to receive at least 12 hours of in-service training during each 12-month period, which may occur while the aide is furnishing care and must be supervised by a registered nurse.
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RN trainer requirements. Under 42 CFR 484.80(b)(3) and (c)(2), classroom and supervised practical training must be performed by or under the general supervision of a registered nurse with at least 2 years of nursing experience, at least 1 year of which must be in home health care; competency evaluations must likewise be performed by an RN in consultation with other professionals.
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Primary sources for this page
- https://dhhs.ne.gov/licensure/Pages/Home-Health-Agencies.aspx
- https://www.nebraska.gov/rules-and-regs/regsearch/Rules/Health_and_Human_Services_System/Title-175/Chapter-14.pdf
- https://nebraskalegislature.gov/laws/statutes.php?statute=71-6501
- https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-B/section-484.80
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