The short answer Oklahoma licenses home care agencies under OAC 310:662, and aides providing personal/home care must be certified through the OSDH nurse aide registry as home health aides — a 75-hour program with at least 16 hours of supervised practical training, renewed every two years.
What Oklahoma requires
Oklahoma
Home care agency rules. OAC Chapter 310:662 (Home Care Agencies) governs licensure of home care agencies by the Oklahoma State Department of Health, including personnel qualification, supervision, and in-service requirements for aides such as home health aides and supportive home assistants.
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HHA certification. Oklahoma home health aides are certified through the OSDH nurse aide registry under OAC 310:677; training must total at least 75 hours including at least 16 hours of supervised practical training, with certification renewal every 2 years.
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In-service. Home care agencies must provide ongoing in-service education for aides; Medicare-certified agencies must meet the federal 12-hours-per-year in-service requirement of 42 CFR 484.80.
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Administrator registry. Oklahoma also requires home care agency administrators to be certified and listed on the OSDH Home Care Administrator Registry.
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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://oklahoma.gov/content/dam/ok/en/health/health2/aem-documents/protective-health/hrds/home-care-administrator/662.pdf
- http://okrules.elaws.us/oac/310:677-9-2
- https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-B/section-484.80
- https://oklahoma.gov/health/services/licensing-inspections/health-resources-development-service/home-care-administrator-registry.html
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