Understand training requirements for North Carolina

Caregiving roles in North Carolina

In-Home Aide (private-pay)
In-Home Aide Level I (public-pay)
In-Home Aide Level II (public-pay)
Medication Aide
PCS Paraprofessional Aide
Home Health Aide

Number of hours to meet the requirement for initial onboarding training

In-Home Aide (private-pay): 2 topic-specific classes required prior to providing services. CareAcademy recommends additional classes based on role and competency expectations.
In-Home Aide Level I (public-pay): 21 hours required prior to providing care. CareAcademy offers a 19-hour program and encourages agencies to cover time gaps with in-person training.
In-Home Aide Level II (public-pay): 38 hours required (59 hours when combined with Level I) prior to providing care. CareAcademy offers a 35-hour program and recommends additional coverage for content gaps.
Medication Aide: 2 hours of initial training required, but CareAcademy does not currently offer this training.
PCS Paraprofessional Aide: Topic-specific initial training required.
Home Health Aide: 75 hours required, with Nurse Aide I or II registration, and must comply with federal and state regulations.

Number of hours to meet the requirement for annual training

In-Home Aide (private-pay): Continuing education is required annually, but the exact number of hours is not specified. CareAcademy recommends refresher training on universal precautions and bloodborne pathogens.
In-Home Aide Level I (public-pay): Continuing education is required annually, but the exact number of hours is not specified. CareAcademy recommends additional classes based on the role and competency expectations.
In-Home Aide Level II (public-pay): No continuing education requirements are mandated for Level II.
Medication Aide: No stated annual training. CareAcademy recommends refresher training based on annual competency evaluations.
PCS Paraprofessional Aide: Continuing education is required based on licensure rules, with training programs implemented by the provider organization.
Home Health Aide: Continuing education is not required for renewal, but Nurse Aides must meet the annual training requirements mandated by their work setting.

Caregivers can get the following training through CareAcademy

In-Home Aide (private-pay): CareAcademy offers training for initial onboarding and continuing education.
In-Home Aide Level I & II (public-pay): CareAcademy provides training for initial onboarding and continuing education.
Medication Aide: CareAcademy offers continuing education courses.
PCS Paraprofessional Aide: CareAcademy provides topic-specific training and continuing education.
Home Health Aide: CareAcademy provides continuing education for Nurse Aides.

What do you need to know about caregiver training requirements?

Caregiver training requirements are determined by the care setting in which they work. Care settings in North Carolina may be licensed, but not always. The different agency license types in North Carolina include: Adult Care Homes, Combination Homes, Supervised Living Facilities.

Licensing authorities

In-Home Aide (private-pay)

North Carolina Department of Health and Human Services (NCDHHS), Regulations: 10A NCAC 13J .1003

In-Home Aide Level I (public-pay)

North Carolina Division on Aging, North Carolina Department of Health and Human Services (NCDHHS), Regulations: 10A NCAC 06A .0305

In-Home Aide Level II (public-pay)

North Carolina Division on Aging, North Carolina Department of Health and Human Services (NCDHHS), Regulations: 10A NCAC 06A .0305

Medication Aide

North Carolina Board of Nursing, Regulations: 21 NCAC 36 .0403

PCS Paraprofessional Aide

NC Medicaid Division of Health Benefits, Regulations: Clinical Coverage Policy 3L

Home Health Aide

North Carolina Division of Health Service Regulation, Regulations: Clinical Coverage Policy No.: 3A (6.2)

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