North Dakota · home health aide (HHA)
How to become a home health aide in North Dakota: the routes that qualify you, who regulates home health agencies in North Dakota, pay, free training options, and all 38 state-approved CNA programs, since a CNA certification also qualifies you as a home health aide.

Your route
Home health agencies in North Dakota are licensed by the North Dakota 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
CNA
Agency route
75 hrs
Why we list CNA programs: under federal rules, a state-approved CNA program plus good standing on the North Dakota nurse aide registry qualifies you as a home health aide. It’s the route that opens the most doors. See our North Dakota CNA guide.
The steps
The general path for most new aides.
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
The two jobs overlap, but the settings and pay differ.
| Home health aide | CNA | |
|---|---|---|
| Where you work | Clients’ homes, through home health and hospice agencies | Nursing homes and hospitals |
| Training | 75 hours federal minimum, or a CNA certification | State-approved CNA program |
| Official record | Your agency’s training and competency records | The North Dakota nurse aide registry |
| Median pay (ND) | $18.96 an hour* | $22.03 an hour |
*Federal pay data groups home health aides with personal care aides. About 7,730 of them work in North Dakota.
Help paying
Ways to cover the cost of training.
Many home health agencies train aides they hire, and nursing homes that hire you can’t charge you for CNA training under federal rules.
Directory
All 38 programs from our North Dakota 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.
| Program | City | County | Phone |
|---|---|---|---|
| Adult Learning Center | Minot | Ward | (701) 857-4488 |
| Aneta Parkview Health Center | Aneta | Nelson | (701) 326-4234 |
| Anne Carlsen Center | Jamestown | Stutsman | (701) 952-5170 |
| Bearsteeth Training and Services | New Town | Mountrail | (701) 421-6381 |
| Bethany CNA Class | Fargo | Cass | (701) 239-3523 |
| Bismarck State College | Bismarck | Burleigh | (701) 224-5600 |
| Data School of Nursing Assistant | Fargo | Cass | (612) 406-4476 |
| Dickinson State University | Dickinson | Stark | (701) 502-4258 |
| Emerald Cares | Fargo | Cass | (701) 347-1516 |
| Faith Homecare Professionals | Fargo | Cass | (916) 230-2482 |
| Giving Hearts Home Care | Stanley | Mountrail | (701) 313-0229 |
| Heart of America Medical Center | Rugby | Pierce | (701) 776-5455 |
| Jacobson Memorial Hospital Care Center | Elgin | Grant | (701) 584-2792 |
| Kalix (Minot Vocational Workshop) | Minot | Ward | (701) 852-1014 |
| Lake Region State College | Devils Lake | Ramsey | (701) 662-1578 |
| Marian Manor Healthcare Center | Glen Ullin | Morton | (701) 348-3107 |
| Missouri Slope at Home | Bismarck | Burleigh | (701) 221-9449 |
| North Dakota Online/Hybrid CNA Class | Bismarck | Burleigh | (701) 226-2531 |
| North Dakota State College of Science (NDSCS) | Fargo | Cass | (701) 231-6900 |
| North Dakota State Hospital | Jamestown | Stutsman | (701) 253-3210 |
| North Dakota Veterans Home | Lisbon | Ransom | (701) 682-6571 |
| Nueta Hidatsa Sahnish College | New Town | Mountrail | (701) 627-8089 |
| Prairie Hills Assisted Living | Wishek | McIntosh | (701) 452-4014 |
| Quentin N. Burdick Job Corps Center | Minot | Ward | (701) 833-0614 |
| Richardton Health Center | Richardton | Stark | (701) 974-3304 |
| Sanford Health Nursing Assistant Program | Mandan | Morton | (701) 323-5768 |
| SMP Health, St. Aloisius | Harvey | Wells | (701) 324-4651 |
| SMP Health, St. Raphael (Sheyenne Care Center) | Valley City | Barnes | (701) 845-8222 |
| Southwest Healthcare Services | Bowman | Bowman | (701) 523-5555 |
| St. Benedict's Health Center | Dickinson | Stark | (701) 456-7242 |
| St. Luke's Home | Dickinson | Stark | (701) 483-5000 |
| St. Rose Care Center | La Moure | LaMoure | (701) 883-5363 |
| Strasburg Care Center | Strasburg | Emmons | (701) 336-2651 |
| Traill-Steele Affordable Rural Coalition for Health | Mayville | Traill | (701) 543-3102 |
| Trinity Health | Minot | Ward | (701) 418-7703 |
| Valley Senior Living CNA Class | Grand Forks | Grand Forks | (701) 787-7978 |
| Wentz Living Center | Napoleon | Logan | (701) 754-2381 |
| Williston State College (Online) | Williston | Williams | (701) 774-4290 |
Tip: ask each program whether it also offers a home health aide add-on. For details, costs, and exam steps, see our North Dakota CNA guide.
FAQ
Short answers to what people ask most.
Home health aides in North Dakota work for home health agencies licensed by the North Dakota 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.
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 North Dakota nurse aide registry as a qualified home health aide.
The median pay for home health and personal care aides in North Dakota is $18.96 an hour, about $39,440 a year, based on the May 2025 federal wage survey. North Dakota CNAs earn a median $22.03 an hour.
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.
Yes. Federal rules require at least 12 hours of in-service training every 12 months for aides at Medicare and Medicaid agencies.