Massachusetts · home health aide (HHA)

Home Health Aide Training in Massachusetts

How to become a home health aide in Massachusetts: the routes that qualify you, who regulates home health agencies in Massachusetts, pay, free training options, and all 108 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 Massachusetts
$19.67median hourly pay for Massachusetts home health and personal care aides
75 hrsminimum home health aide training under federal rules
108state-approved CNA programs listed below
117,940home health and personal care aides working in Massachusetts

Your route

Two ways to qualify as a home health aide in Massachusetts

Home health agencies in Massachusetts are licensed by the Massachusetts Department of Public Health. 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 Massachusetts CNAs earn a median $22.44 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 Massachusetts nurse aide registry qualifies you as a home health aide. It’s the route that opens the most doors. See our Massachusetts CNA guide.

The steps

How to become a home health aide in Massachusetts

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 Massachusetts?

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 Massachusetts nurse aide registry
Median pay (MA)$19.67 an hour*$22.44 an hour

*Federal pay data groups home health aides with personal care aides. About 117,940 of them work in Massachusetts.

Help paying

Free and funded training in Massachusetts

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 Corps: Grafton Job Corps Career Academy in North Grafton is a DPH-approved nurse aide training program. grafton.jobcorps.gov
  • MassHire (WIOA): Your local MassHire Career Center can pay for approved training if you're unemployed, laid off, or low-income. Holyoke Community College also lists its CNA program as a free job training program. mass.gov/masshire

Directory

State-approved CNA programs in Massachusetts

All 108 programs from our Massachusetts 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.

108 programs
ProgramCityCountyPhone
Advinia Care NorthbridgeNorthbridgeWorcester(508) 234-9771
Agawam West Rehab And NursingAgawamHampden(618) 562-4727
Alliance Health At BaldwinvilleBaldwinvilleWorcester(978) 939-2196
Alternative Training CenterAttleboroBristol(508) 639-5901
Assabet After DarkMarlboroughMiddlesex(508) 263-9651
B. Sullivan Nurse Assistant TrainingHyannisBarnstable(508) 827-7298
Baypath Of Duxbury Nursing & Rehab CenterDuxburyPlymouth(781) 585-5561
Berkshire Health Systems At Berkshire Community CollegePittsfieldBerkshire(413) 447-2165
Boston Healthcare InstituteDorchesterSuffolk(617) 756-6840
Boston Missionary Baptist Community Center, IncBrocktonPlymouth(617) 756-4413
Bristol Community CollegeFall RiverBristol(774) 357-2663
Broad Reach At Liberty CommonsNorth ChathamBarnstable(508) 945-1611
Bunker Hill Community College At ChelseaChelseaSuffolk(617) 228-2473
C&S Healthcare Training & StaffingHyde ParkSuffolk(617) 272-3676
Cape Cod Community College/north BldgWest BarnstableBarnstable(508) 362-2131
Care One At RedstoneEast LongmeadowHampden(978) 844-7288
Care Path Training AcademyAmesburyEssex(978) 660-6916
Catholic Charities At BostonBostonSuffolk(617) 464-8554
Catholic Charities At BrocktonBrocktonPlymouth(617) 464-8544
Catholic Charities At Laboure CenterBostonSuffolk(617) 464-8500
Chelsea Jewish LifecareChelseaSuffolk(203) 641-8680
Coastal Career Academy At Fall RiverFall RiverBristol(774) 627-0116
Divine Watch Training School LLCRandolphNorfolk(781) 885-2021
Essex North Shore Agricultural & Technical School – EveningningeDanversEssex(978) 304-4700
Excel Training Institute Hybrid ProgramWilbrahamHampden(413) 583-2005
First Choice AcademyHolyokeHampden(413) 998-3176
Fitchburg HealthcareFitchburgWorcester(978) 345-0146
Genesis Healthcare At Hawthorne Hill CenterDanversEssex(603) 498-1495
Grafton Job Corps Career AcademyNorth GraftonWorcester(508) 887-7300
Greenfield Community CollegeGreenfieldFranklin(413) 575-3558
Habile Healthcare TrainingRandolphNorfolk(857) 340-1557
Hands-On Community CareBillericaMiddlesex(617) 386-9803
Hannah B.G. Shaw HomeMiddleboroPlymouth(508) 947-0332
Harbor House Nursing & Rehab CenterHinghamPlymouth(617) 750-3116
Health & Home Care Training Center Of MaWakefieldMiddlesex(781) 222-5500
Health & Home Care Training Of New EnglandBrocktonPlymouth(508) 846-2387
Health & Home Care Training Of New EnglandFall RiverBristol(508) 846-2387
Healthcare Training Centers Of America Inc.ChelmsfordMiddlesex(978) 455-9400
Healthcare-Edu LLCBrocktonPlymouth(508) 593-0968
Helping Hands To Cna At Blair HouseWorcesterWorcester(508) 791-5543
Helping Hands To Cna At West Side HouseWorcesterWorcester(978) 992-7395
Holyoke Community College – Jump Start ProgramHolyokeHampden(413) 552-2005
Integritus Healthcare Blended NATPPittsfieldBerkshire(413) 395-7920
International Health Care Training & ServicesAttleboroBristol(978) 655-3637
International Health Training CenterLawrenceEssex(781) 913-8005
Joseph P. Keefe Tech High School EveningFraminghamMiddlesex(508) 416-2265
K & K Healthcare Training CenterBrocktonPlymouth(508) 584-2805
Laboure College Nurse Aide Training ProgramMiltonNorfolk(617) 207-3630
Lare InstituteChelseaSuffolk(978) 685-2151
Life Care Center Of PlymouthPlymouthPlymouth(508) 747-9800
Lifestream Employment & Training ServicesNew BedfordBristol(508) 991-4503
Madison Park Tech Voc High School Dept Of Adult EdBostonSuffolk(617) 635-8970
Martha's Vineyard Regional High School- Adult EducationOak BluffsDukes(503) 693-1033
Massachusetts Bay Community College-BridgeFraminghamMiddlesex(508) 270-4103
Medical Career Center-LynnLynnEssex(781) 325-3427
Metrowest Healthcare Academy At FraminghamFraminghamMiddlesex(508) 872-5973
Metrowest Healthcare Academy At MilfordMilfordWorcester(508) 872-5973
Middlesex Community College – EveningningLowellMiddlesex(781) 861-6500
Minuteman Regional Vocational Tech School – EveningningLexingtonMiddlesex(978) 630-9363
Mount Wachusett Community CollegeGardnerWorcester(978) 630-9363
Mount Wachusett Community College – DevensDevensWorcester(978) 630-9226
Mount Wachusett Community College – Leominster CampusLeominsterWorcester(978) 630-9226
Multicultural Counseling Center IncDedhamNorfolkCall the program
NATP At Genesis At Sutton HillNorth AndoverEssexCall the program
Nextstep At Oakhill HealthcareMiddleboroPlymouth(978) 809-0603
North Shore Community College – Lynn Campus – EveningningLynnEssex(978) 236-1235
North Shore Community College At Beverly Hospital And Anchor Point HousingBeverlyEssex(978) 236-1235
North Shore Community College NAT Danvers -EveningDanversEssex(978) 236-1235
Northeast Metropolitan Regional Vocational SchoolWakefieldMiddlesex(781) 246-0180
Northern Essex Community CollegeLawrenceEssex(603) 489-8907
Notre Dame Education Center / ENAP (ESOL Nurse Aide Program)LawrenceEssexCall the program
Open Door Healthcare Services IncChelmsfordMiddlesex(978) 226-8208
Overlook Academy IncNorwoodNorfolk(781) 473-3662
Peak Medical AcademyWorcesterWorcester(508) 753-8302
Quincy College ARLABBostonSuffolk(617) 405-5961
Quincy College At Plymouth CampusPlymouthPlymouth(617) 405-5961
Quincy College NATPQuincyNorfolk(617) 984-1754
Quinsigamond Community College Training & Education CenterWorcesterWorcester(508) 854-2735
Regis College- BlendedWestonMiddlesex(781) 768-7291
Restoration Health InstituteWorcesterWorcester(508) 304-0052
Roxbury Community CollegeBostonSuffolk(857) 701-1607
Royal Health BraintreeBraintreeNorfolk(508) 322-8679
Royal Health Cape Cod NATPBuzzards BayBarnstable(508) 322-8679
Royal Health Care Institute At FraminghamFraminghamMiddlesex(978) 224-2981
Royal Health Care Institute At SalemSalemEssex(978) 224-2981
Royal Healthcare Institute At LowellLowellMiddlesex(978) 224-2982
Royal Megansett Nursing & Retirement HomeFalmouthBarnstable(508) 685-6329
Salmon Health And Retirement WestboroughWestboroughWorcester(508) 244-2348
Seacoast Nursing And Rehabilitation CenterGloucesterEssexCall the program
Smith Vocational And Agricultural High School – Adult EducationNorthamptonHampshire(413) 587-1414
South Cove Manor Nursing & Rehabilitation HomeQuincyNorfolk(617) 423-0590
Southcoast Health At St. Luke's HospitalNew BedfordBristol(508) 973-5559
Spectrum Healthcare Training Center IncLynnEssex(781) 593-3900
Springfield Technical Community CollegeSpringfieldHampden(413) 755-4522
Springfield Technical Community College – Afternoon ProgramSpringfieldHampden(413) 755-4522
Springfield Technical Community College – Eveningning ProgramSpringfieldHampden(413) 755-4522
Springfield Technical Community College – Friday & Saturday ProgramSpringfieldHampden(413) 755-4522
Springside Rehabilitation And Skilled Care CenterPittsfieldBerkshire(413) 499-2334
Strive Healthcare Training CenterMiddleboroPlymouthCall the program
The Fieldstone School At OrleansFitchburgWorcester(774) 253-0912
The Fieldstone School At WorcesterWorcesterWorcester(774) 253-0912
The Terraces In OrleansOrleansBarnstableCall the program
Timberlyn Heights – PM ProgramGreat BarringtonBerkshire(413) 428-2650
Tri-County Regional Vocational Tech High School – EveningningFranklinNorfolk(508) 528-5400
Universal Health Care CenterMaldenMiddlesex(617) 571-4807
Upper Cape Cod Tech School – Adult EdBourneBarnstable(508) 432-4500
Whittier Regional Vocational Technical High School – EveningningHaverhillEssex(978) 374-5700
Woburn Rehab & Nursing Center/ Salter HcWoburnMiddlesexCall the program

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

FAQ

Massachusetts home health aide questions

Short answers to what people ask most.

Does Massachusetts certify home health aides?

Home health aides in Massachusetts work for home health agencies licensed by the Massachusetts Department of Public Health. 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 Massachusetts?

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 Massachusetts nurse aide registry as a qualified home health aide.

How much do home health aides make in Massachusetts?

The median pay for home health and personal care aides in Massachusetts is $19.67 an hour, about $40,910 a year, based on the May 2025 federal wage survey. Massachusetts CNAs earn a median $22.44 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: Massachusetts Department of Public Health; our Massachusetts 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.