The short answer North Dakota licenses home health agencies under NDAC 33-03-10.1 and defers to the federal 75-hour aide standard, applying whichever of the state/federal standards is higher. There is no state license (and thus no state training mandate) for non-medical in-home/personal care agencies; Medicaid-funded personal care runs through Qualified Service Provider (QSP) competency standards.
What North Dakota requires
North Dakota
Home health rule. NDAC Chapter 33-03-10.1 governs licensed home health agencies; aides must meet federal training/competency standards (75 hours including 16 clinical), and where state and federal standards differ, the higher standard controls.
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No non-medical license. North Dakota HHS does not license non-medical personal care/home care agencies, so no state-mandated caregiver training hours apply to private-pay non-medical home care.
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Medicaid QSP standards. Individuals and agencies providing Medicaid-funded personal care in the home must enroll as Qualified Service Providers and meet ND HHS competency standards for the tasks they perform.
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Nurse aide registry. North Dakota's nurse aide training, competency evaluation, and registry requirements (NDAC Article 33-43) implement the 75-hour federal curriculum with RN-conducted competency evaluation.
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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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