Home Health Aide

HHA

Federally structured almost exactly like CNA.

The CMS floor for aides at Medicare-certified home-health agencies is 75 hours with at least 16 supervised practical hours and an RN-conducted competency evaluation by direct observation. The roadmap proposes adapting the CNA evidence model to that structure.

Texas-regulated credential

At a glance

Credential: RN competency evaluation (42 CFR §484.80)
Exam: RN-observed hands-on skills competency evaluation
Regulator: Federal CMS floor · state-administered (TX via HHSC)
Hours: ≥16 classroom before practical · ≥16 supervised practical · 75 hrs federal minimum

Competency model

RN observation + clinical-hour ledger

$34,900

median · $16.78/hr

+17%

2024–2034 · much faster than average

Adds the most new jobs of any U.S. occupation

openings / year

Texas

state-regulated

Why the demand: The shift of care into the home and the aging-in-place wave — the fastest-growing slice of the care economy. — BLS OOH, Home Health & Personal Care Aides, May 2024.

The program

What students master.

Explore the planned competencies for this credential.

In-home personal care

ADLs & mobility in the home
Safe transfers without facility equipment
Vital signs & observation
Infection control in the home

Client & family support

Communication & boundaries
Nutrition & meal prep
Documentation & reporting
Emergency response

Competency evaluation

RN direct-observation on a patient/pseudo-patient
16 supervised practical hours
Annual 12-hour in-service evidence
State-specific hour rules to validate

On the platform

How HHA fits the roadmap.

Planned capabilities will be tailored to this program’s training and reporting requirements.

1
Distinct home-care evidence
An HHA edition would need its own approved hour, observation, and evaluator rules; CNA records cannot establish HHA completion.
2
Multi-state hour profiles
The planned regulatory-profile layer would represent state requirements above the federal floor.
3
In-service compliance clock
The planned workflow would surface the annual in-service requirement before it lapses.

The competitive edge

A planned adaptation of the CNA evidence model for a fast-growing care occupation.

Planned next

Planned next alongside Medication Aide.

Enrollment

Program prerequisites.

These credential prerequisites inform the planned enrollment experience for this program.

Often builds on CNA / registry listing

BLS/CPR + immunizations

TB clearance

Background check (state/agency level)

Certified Nurse Aide

The credential the platform was built around.

Planned next

Certified Medication Aide

The natural next step after CNA — same regulator, same rhythm.

Planned next

Patient Care Technician

CNA + phlebotomy + EKG, stacked into one role.

Plan the Home Health Aide roadmap with us.

Book a 30-minute call. We'll show you exactly how HHA maps onto the platform — and where it sits on the build sequence.

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