How to Transfer Your CNA to Another State

Moving to a new state doesn’t mean starting over. Every state lets CNAs who are in good standing on another state’s registry transfer in, a process called reciprocity or endorsement. Most states don’t make you retest. Here is how it works and what each state requires.

Before you apply

• Make sure you are active and in good standing in your current state. Most states won’t accept a lapsed or expired listing, or one with a finding of abuse, neglect, or theft.
• Check the 24-month rule. If you haven’t done paid nursing-related work in the last 24 months, you’ll probably have to retest or retrain no matter where you go.
• Gather your documents: your certificate or registry number, photo ID, Social Security card, and proof of recent work such as pay stubs.
• Don’t let your old certification expire until the new state has approved you.

Which states make you retest?

Almost none. In our October 2026 check of all 51 registries, only two require every out-of-state CNA to pass their own test:

• Indiana: you must pass Indiana’s written test, given through Ivy Tech.
• Kansas: you must pass the Kansas test, and you get one attempt.

A few states add other conditions. Georgia requires its exam only if you haven’t worked as a nurse aide in the past 2 years. Tennessee doesn’t accept Florida certifications. Delaware wants 420 paid hours in the last 24 months or comparable training, and Hawaii decides case by case whether you must test.

Reciprocity rules by state

From each state’s nurse aide registry, board of nursing, or testing vendor, checked October 2026. “Not published” means the state doesn’t list a fee online. Confirm with the state before you apply.

How long it takes

Processing times vary by state. Maine says to allow 2 to 4 weeks, and Iowa at least 2 weeks, once your application is complete. Background checks and fingerprints can add time, so start before you move if you can. Some states let you work while your application is pending; ask the registry before you start a new job.

Step by step

1. Look up your new state’s reciprocity process in the table above.
2. Check your current status on your old state’s registry.
3. Complete the application and pay any fee.
4. Get fingerprinted if the state requires it.
5. Take the state’s exam if required (Indiana and Kansas, or Georgia if you haven’t worked recently).
6. Confirm your name appears on the new state’s registry before you work.

Frequently asked questions

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