The short answer New York sets statewide training standards through DOH-approved programs: 40 hours for personal care aides (PCAs) and 75 hours for home health aides (HHAs), with both worker types listed on the NYS Home Care Worker Registry and subject to annual in-service requirements.
What New York requires
New York
75-hr HHA training. HHAs must complete a DOH-approved Home Health Aide Training Program of at least 75 hours (minimum 59 classroom + 16 supervised practical), per 10 NYCRR 700.2 and consistent with federal 42 CFR 484.80.
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40-hr PCA training. PCAs must complete a DOH-approved Personal Care Aide Training Program using the 40-hour Home Care Curriculum (exclusive of testing), per 10 NYCRR 700.2.
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Statutory basis. NY Public Health Law Article 36 (PHL 3602 definitions) underpins licensure of home care services agencies and the HHA/PCA training framework administered by DOH.
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Home Care Worker Registry. All HHAs and PCAs who complete approved training must be entered on the NYS Home Care Worker Registry (10 NYCRR Part 403); agencies verify certification status through the registry before hire.
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Annual in-service. HHAs must complete 12 hours of in-service education per year (10 NYCRR 766.11 and federal rule); PCAs must complete 6 hours per year under the Medicaid personal care rules (18 NYCRR 505.14).
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Sexual harassment training. NY Labor Law 201-g requires every employer, including home care agencies, to provide annual interactive sexual harassment prevention training to all employees.
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Approved program list. DOH publishes the list of approved PCA and HHA training programs; only certificates from approved programs (or successful competency evaluation at an approved HHATP) qualify aides to work.
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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://www.health.ny.gov/professionals/home_care/docs/hhatp_guide.pdf
- https://www.health.ny.gov/professionals/home_care/guide_to_operate_pcatp/docs/guide.pdf
- https://www.nysenate.gov/legislation/laws/PBH/3602
- https://regs.health.ny.gov/volume-c-title-10/1471870813/part-403-home-care-worker-registry
- https://regs.health.ny.gov/content/section-76611-personnel
- https://www.nysenate.gov/legislation/laws/LAB/201-G
- https://www.health.ny.gov/facilities/home_care/docs/training_program_list.pdf
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