New Hampshire · home health aide (HHA)

Home Health Aide Training in New Hampshire

How to become a home health aide in New Hampshire: the routes that qualify you, who regulates home health agencies in New Hampshire, pay, free training options, and all 23 state-approved CNA programs, since a CNA certification also qualifies you as a home health aide.

A home health aide caring for a client at home in New Hampshire
$18.64median hourly pay for New Hampshire home health and personal care aides
75 hrsminimum home health aide training under federal rules
23state-approved CNA programs listed below
9,440home health and personal care aides working in New Hampshire

Your route

Two ways to qualify as a home health aide in New Hampshire

Home health agencies in New Hampshire are licensed by the New Hampshire Department of Health and Human Services. Medicare and Medicaid agencies must use aides who completed one of the federally approved routes. These are the two most common.

Fastest route

Become a CNA first

CNA

  • Finish a state-approved CNA program (listed below) and pass the state exam.
  • Under federal rules, a CNA in good standing on the state registry qualifies as a home health aide for Medicare and Medicaid agencies.
  • It also lets you work in nursing homes, where New Hampshire CNAs earn a median $23.02 an hour.

Agency route

Home health aide training

75 hrs

  • At least 75 hours, including 16 hours of supervised hands-on practice.
  • Often run by home health agencies, which may train you if they hire you.
  • Then pass a competency evaluation given by a registered nurse.

Why we list CNA programs: under federal rules, a state-approved CNA program plus good standing on the New Hampshire nurse aide registry qualifies you as a home health aide. It’s the route that opens the most doors. See our New Hampshire CNA guide.

The steps

How to become a home health aide in New Hampshire

The general path for most new aides.

  1. Pick your routeCNA training if you want the most options, or a home health aide course through an agency.
  2. Complete the trainingAt least 75 hours with 16 hands-on, or your state’s CNA hours.
  3. Pass the evaluationA competency evaluation for aides, or the state CNA exam.
  4. Apply to agenciesAgencies check your training and, for CNAs, the state registry before you start.

Keep your hours up. Federal rules require at least 12 hours of in-service training a year, and if you go 24 months in a row without paid aide work, you must retrain.

Home health aide vs. CNA

Home health aide or CNA in New Hampshire?

The two jobs overlap, but the settings and pay differ.

Home health aideCNA
Where you workClients’ homes, through home health and hospice agenciesNursing homes and hospitals
Training75 hours federal minimum, or a CNA certificationState-approved CNA program
Official recordYour agency’s training and competency recordsThe New Hampshire nurse aide registry
Median pay (NH)$18.64 an hour*$23.02 an hour

*Federal pay data groups home health aides with personal care aides. About 9,440 of them work in New Hampshire.

Help paying

Free and funded training in New Hampshire

Ways to cover the cost of training.

Get hired first

Many home health agencies train aides they hire, and nursing homes that hire you can’t charge you for CNA training under federal rules.

Grants and Job Corps

  • NH Works (WIOA): Your local NH Works center can pay for approved training if you're unemployed, laid off, or low-income. nhes.nh.gov

Directory

State-approved CNA programs in New Hampshire

All 23 programs from our New Hampshire CNA guide. Finishing one, passing the exam, and staying in good standing on the state registry also qualifies you as a home health aide for Medicare and Medicaid agencies.

23 programs
ProgramCityCountyPhone
BILH Exeter Hospital LNA ProgramExeterRockingham(603) 580-7338
Cheshire Medical Center LNA ProgramKeeneCheshire(603) 354-5454
Coos County Nursing HospitalWest StewartstownCoos(603) 246-3321
Cottage Hospital LNA ProgramWoodsvilleGrafton(603) 747-9000
Genesis Health Care Mountain Ridge CenterFranklinMerrimack(603) 915-1533
Glencliff HomeGlencliffGrafton(603) 989-3111
Golden View Health Care LNA ProgramMeredithBelknap(603) 279-8111
Kendal at HanoverHanoverGrafton(603) 643-8900
Lakes Region Community CollegeLaconiaBelknap(603) 366-5310
LNA Health CareersManchesterHillsborough(603) 647-2174
Manchester Community College Workforce Development CenterManchesterHillsborough(603) 206-8164
Merrimack County Nursing Home LNA ProgramBoscawenMerrimack(603) 796-3275
New Hampshire Veterans HomeTiltonBelknap(603) 527-4895
Portsmouth Regional Hospital LNA ProgramPortsmouthRockingham(603) 433-4950
River Valley Community CollegeClaremontSullivan(603) 252-1812
RiverMead LNA ProgramPeterboroughHillsborough(603) 924-0062
St. Francis RehabLaconiaBelknap(603) 524-0466
St. Joseph's Hospital LNA ProgramNashuaHillsborough(603) 884-4622
Sullivan County Health CareUnitySullivan(603) 542-9511
Team Select Home Care LNA ProgramSalemRockingham(603) 453-3189
The Dover Center LNA ProgramDoverStrafford(603) 749-9000
Thrive Health Career InstitutePortsmouthRockingham(603) 600-4144
White Mountains Community College, Littleton Academic CenterLittletonGrafton(603) 444-1326

Tip: ask each program whether it also offers a home health aide add-on. For details, costs, and exam steps, see our New Hampshire CNA guide.

FAQ

New Hampshire home health aide questions

Short answers to what people ask most.

Does New Hampshire certify home health aides?

Home health aides in New Hampshire work for home health agencies licensed by the New Hampshire Department of Health and Human Services. Medicare and Medicaid agencies must hire aides who meet the federal training and competency rules. Ask the agency you're applying to which credential it requires.

How do I become a home health aide in New Hampshire?

The two most common routes are completing a 75-hour home health aide training and competency evaluation, or becoming a CNA. Federal rules count a CNA in good standing on the New Hampshire nurse aide registry as a qualified home health aide.

How much do home health aides make in New Hampshire?

The median pay for home health and personal care aides in New Hampshire is $18.64 an hour, about $38,760 a year, based on the May 2025 federal wage survey. New Hampshire CNAs earn a median $23.02 an hour.

Can a CNA work as a home health aide?

Yes, for Medicare and Medicaid home health agencies, if the CNA completed a state-approved program and is listed in good standing on the state nurse aide registry.

Do home health aides need yearly training?

Yes. Federal rules require at least 12 hours of in-service training every 12 months for aides at Medicare and Medicaid agencies.

Sources: New Hampshire Department of Health and Human Services; our New Hampshire CNA guide (state-approved program list); 42 CFR 484.80, Home health aide services; U.S. Bureau of Labor Statistics, OEWS May 2025. Last checked October 2026. See something out of date? Report a correction.