The short answer New Mexico's home health agency rule (formerly 7.28.2 NMAC, replaced 7/1/2024 by 8.370.22 NMAC under the Health Care Authority) requires 75 hours of home health aide training with 16 hours supervised practical, plus annual in-service. Non-medical personal care agencies have no separate state training license; Medicaid personal care attendants need 12 hours of training annually.
What New Mexico requires
New Mexico
HHA 75-hour training. New Mexico's home health agency rule requires home health aides to complete at least 75 hours of classroom and supervised practical training, including at least 16 hours of supervised practical training under an RN or LPN (8.370.22 NMAC, which replaced 7.28.2 NMAC effective 7/1/2024).
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In-service and evaluation. Home health aides must complete in-service training during each 12-month period (12 hours, consistent with the federal standard) and receive an annual performance review including written evaluation and skills demonstration.
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Personal care / Medicaid. New Mexico does not separately license non-medical personal care agencies with state training hours; attendants in the Medicaid personal care services program must complete attendant training including 12 hours annually under the Medicaid PCS rules (8.315.4 NMAC).
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Background screening mandate. All caregivers employed by New Mexico home care and home health providers are subject to the Caregivers Criminal History Screening Act, administered through the state's caregiver screening program.
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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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