North Dakota · home health aide (HHA)

Home Health Aide Training in North Dakota

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.

A home health aide caring for a client at home in North Dakota
$18.96median hourly pay for North Dakota home health and personal care aides
75 hrsminimum home health aide training under federal rules
38state-approved CNA programs listed below
7,730home health and personal care aides working in North Dakota

Your route

Two ways to qualify as a home health aide in North Dakota

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

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 North Dakota CNAs earn a median $22.03 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 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

How to become a home health aide in North Dakota

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 North Dakota?

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 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

Free and funded training in North Dakota

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

  • Job Service North Dakota (WIOA): Your local Job Service North Dakota office can pay for approved training if you're unemployed, laid off, or low-income. jobsnd.com
  • Quentin N. Burdick Job Corps: The Job Corps center in Minot runs a state-approved CNA program. jobcorps.gov

Directory

State-approved CNA programs in North Dakota

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.

38 programs
ProgramCityCountyPhone
Adult Learning CenterMinotWard(701) 857-4488
Aneta Parkview Health CenterAnetaNelson(701) 326-4234
Anne Carlsen CenterJamestownStutsman(701) 952-5170
Bearsteeth Training and ServicesNew TownMountrail(701) 421-6381
Bethany CNA ClassFargoCass(701) 239-3523
Bismarck State CollegeBismarckBurleigh(701) 224-5600
Data School of Nursing AssistantFargoCass(612) 406-4476
Dickinson State UniversityDickinsonStark(701) 502-4258
Emerald CaresFargoCass(701) 347-1516
Faith Homecare ProfessionalsFargoCass(916) 230-2482
Giving Hearts Home CareStanleyMountrail(701) 313-0229
Heart of America Medical CenterRugbyPierce(701) 776-5455
Jacobson Memorial Hospital Care CenterElginGrant(701) 584-2792
Kalix (Minot Vocational Workshop)MinotWard(701) 852-1014
Lake Region State CollegeDevils LakeRamsey(701) 662-1578
Marian Manor Healthcare CenterGlen UllinMorton(701) 348-3107
Missouri Slope at HomeBismarckBurleigh(701) 221-9449
North Dakota Online/Hybrid CNA ClassBismarckBurleigh(701) 226-2531
North Dakota State College of Science (NDSCS)FargoCass(701) 231-6900
North Dakota State HospitalJamestownStutsman(701) 253-3210
North Dakota Veterans HomeLisbonRansom(701) 682-6571
Nueta Hidatsa Sahnish CollegeNew TownMountrail(701) 627-8089
Prairie Hills Assisted LivingWishekMcIntosh(701) 452-4014
Quentin N. Burdick Job Corps CenterMinotWard(701) 833-0614
Richardton Health CenterRichardtonStark(701) 974-3304
Sanford Health Nursing Assistant ProgramMandanMorton(701) 323-5768
SMP Health, St. AloisiusHarveyWells(701) 324-4651
SMP Health, St. Raphael (Sheyenne Care Center)Valley CityBarnes(701) 845-8222
Southwest Healthcare ServicesBowmanBowman(701) 523-5555
St. Benedict's Health CenterDickinsonStark(701) 456-7242
St. Luke's HomeDickinsonStark(701) 483-5000
St. Rose Care CenterLa MoureLaMoure(701) 883-5363
Strasburg Care CenterStrasburgEmmons(701) 336-2651
Traill-Steele Affordable Rural Coalition for HealthMayvilleTraill(701) 543-3102
Trinity HealthMinotWard(701) 418-7703
Valley Senior Living CNA ClassGrand ForksGrand Forks(701) 787-7978
Wentz Living CenterNapoleonLogan(701) 754-2381
Williston State College (Online)WillistonWilliams(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

North Dakota home health aide questions

Short answers to what people ask most.

Does North Dakota certify home health aides?

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.

How do I become a home health aide in North Dakota?

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.

How much do home health aides make in North Dakota?

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.

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: North Dakota Health and Human Services; our North Dakota 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.