Caregiver Training Requirements in New Hampshire

Home health licensure. He-P 809 sets licensing requirements for all home health care providers, including personnel policies, orientation, and in-service education (defined as programs to increase the knowledge, skills, and effectiveness of personnel). Source ↗

LNA requirement. New Hampshire licenses nursing assistants under RSA 326-B; individuals performing nursing assistant/home health aide duties must be LNAs, whose approved programs run a minimum of 100 hours combining theory and supervised clinical training. Source ↗

Non-medical agencies. Home care service provider agencies (homemaker/personal care) are licensed under He-P 822, which requires orientation, infection-control training per CDC guidelines, and agency-verified competency, but sets no fixed statewide training-hour minimum for personal care workers. Source ↗

Federal baseline. Medicare-certified home health agencies in NH must also meet the federal 75-hour home health aide training/competency standard and 12 hours of annual in-service under 42 CFR 484.80. Source ↗

Rule directory. NH DHHS Health Facilities Administration publishes the full He-P 800 series (He-P 809 home health, He-P 820 individual home care providers, He-P 822 home care service provider agencies) on its administrative rules page. Source ↗

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. Source ↗

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. Source ↗

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. Source ↗

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. Source ↗