The short answer South Dakota imposes no caregiver training requirements beyond the federal baseline: non-medical home care agencies are not licensed by the Department of Health, and home health aides at certified agencies follow the federal 75-hour/12-hour standard.
What South Dakota requires
South Dakota
No non-medical licensure. South Dakota does not license non-medical personal care, homemaker, or companion agencies, so there are no state training or certification requirements for private-pay caregivers.
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HHA training defers to federal. Home health aides at Medicare/Medicaid-certified agencies must meet 42 CFR 484.80: 75 hours of training including 16 hours of supervised practical training, or a competency evaluation. South Dakota adds no state-specific hours.
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CNA pathway via ARSD 44:74. South Dakota's nurse aide training and registry rules (ARSD Article 44:74) follow the 75-hour federal nurse aide standard; the CNA credential is the common qualification pathway but is not mandated for home care work.
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Annual in-service. The only annual requirement is the federal 12 hours of in-service education per 12-month period for aides at certified home health agencies; no state rule extends this to other home care workers.
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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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