The short answer Vermont regulates home health agencies through a unique designation system under DAIL, and aides at these agencies are typically Licensed Nursing Assistants (LNAs) — Vermont licenses nursing assistants through its Board of Nursing. Non-medical home care agencies are not licensed, so private-pay caregivers face no state training mandate.
What Vermont requires
Vermont
Designated home health agencies. Vermont home health agencies operate under the Regulations for the Designation and Operation of Home Health Agencies administered by the Department of Disabilities, Aging and Independent Living (DAIL), and must maintain federal certification.
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LNA licensure for aides. Vermont licenses nursing assistants (LNAs) through the Board of Nursing at the Secretary of State's Office of Professional Regulation; aides providing home health services at Medicare-certified agencies are trained and licensed as LNAs, satisfying the federal 75-hour baseline.
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No non-medical licensure. Vermont does not require a state license to operate a non-medical home care (personal care/companion) agency, and there is no state-mandated training curriculum or hour requirement for private-pay caregivers.
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Annual in-service. Home health aides at certified agencies must complete the federal 12 hours of in-service training per 12-month period under 42 CFR 484.80; LNAs also maintain their license through Board of Nursing renewal requirements.
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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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