The short answer Wyoming licenses skilled home health agencies through the Department of Health's Healthcare Licensing & Surveys unit, with aide training tied to the Board of Nursing CNA credential plus a home health module. Non-medical home care is not state-licensed, and private-pay caregivers face no training requirements.
What Wyoming requires
Wyoming
Home health licensure only. Wyoming requires a Home Health Agency license (WDH Healthcare Licensing & Surveys) only for skilled services such as nursing and therapy; non-medical personal care and homemaker agencies are not licensed by the state.
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CNA-based HHA training. Wyoming ties home health aide qualification to the State Board of Nursing's CNA credential — a 75-hour minimum program with at least 16 clinical hours — plus an additional 16-hour Board-approved home health-focused course for aides working in home settings.
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No private-pay caregiver rules. There is no licensing authority, registry, or training requirement for private-pay non-medical caregivers in Wyoming; Medicaid HCBS (Community Choices Waiver) providers must meet program-specific standards instead.
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Annual in-service. Aides at Medicare-certified home health agencies must complete the federal 12 hours of in-service education per 12-month period under 42 CFR 484.80; Wyoming adds no state annual hour requirement.
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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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