Texas · home health aide (HHA)
How to become a home health aide in Texas: the routes that qualify you, who regulates home health agencies in Texas, pay, free training options, and all 138 state-approved CNA programs, since a CNA certification also qualifies you as a home health aide.
Your route
Home health agencies in Texas are licensed by the Texas 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 Texas nurse aide registry qualifies you as a home health aide. It’s the route that opens the most doors. See our Texas 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 Texas nurse aide registry |
| Median pay (TX) | $11.65 an hour* | $18.03 an hour |
*Federal pay data groups home health aides with personal care aides. About 329,590 of them work in Texas.
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 138 programs from our Texas 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 |
|---|---|---|---|
| Abundant Light of Colita | Livingston | Polk | (832) 527-3322 |
| Academy of Exceptional Healthcare Training | Houston | Harris | (713) 777-4262 |
| ACE Nursing Education Services | El Paso | El Paso | (915) 244-3955 |
| Ace Training Institute | Houston | Harris | (713) 771-7737 |
| ACSC CNA Program | Amarillo | Potter | (806) 352-8800 |
| Active Nursing Assistant Training of Clear Lake | Seabrook | Harris | (832) 265-2824 |
| Aides for Home Health Care Services | Pasadena | Harris | (713) 910-7575 |
| Alliance Career Institute | Dallas | Dallas | (214) 575-4774 |
| Alpha Medical Institute | Fort Worth | Tarrant | (817) 395-1211 |
| Alvarado Meadows | Alvarado | Johnson | (817) 790-3304 |
| Amarillo College (Continuing Health Care) | Amarillo | Potter | (806) 467-3028 |
| Amarillo College Moore County Campus | Dumas | Moore | (806) 934-7220 |
| American Medical Institute | Houston | Harris | (713) 772-5300 |
| Angelina College | Lufkin | Angelina | (936) 633-5377 |
| Arboretum of Winnie | Winnie | Chambers | (409) 296-8200 |
| Avalon Medical Career Academy | Houston | Harris | (713) 272-6820 |
| B & M Career Institute | Dallas | Dallas | (972) 876-8226 |
| Bah Career Training | Garland | Dallas | (972) 272-5820 |
| Bertram Nursing & Rehab C.N.A. Course | Bertram | Burnet | (512) 355-2116 |
| Bethesda Career Institute | Lewisville | Denton | (972) 459-9999 |
| Brodie Ranch Nursing & Rehab Center | Austin | Travis | (512) 444-5627 |
| C & M Home Health & Nurse Aide Academy | Cedar Hill | Dallas | (972) 293-3515 |
| C. E. Global Health Education Network Inc. | Garland | Dallas | (972) 698-7792 |
| Care Choice of Boerne | Boerne | Kendall | (830) 249-2594 |
| Careers Unlimited, LLC | Mission | Hidalgo | (956) 215-1293 |
| Carriage House Manor C.N.A Training Program | Sulphur Springs | Hopkins | (903) 885-3589 |
| Carrizo Springs Nursing and Rehabilitation | Carrizo Springs | Dimmit | (830) 876-5011 |
| Cedar Hills Geriatric Center | Camp Wood | Real | (830) 597-5445 |
| Central Texas Nurse Network, Inc | Austin | Travis | (512) 836-3442 |
| Cherokee Rose | Glen Rose | Somervell | (254) 897-7361 |
| Claudy Vocational Institute NAT-Brownsville | Brownsville | Cameron | (956) 207-9425 |
| College of The Mainland | League City | Galveston | (409) 933-8512 |
| Companion Training Center | Dallas | Dallas | (972) 310-6070 |
| Consolidated Nurse Aide Training Institute, Inc | Sugar Land | Fort Bend | (832) 766-0929 |
| CTK Healthcare and Career Institute | Irving | Dallas | (214) 441-3556 |
| Cultural Technical Institute, LLC – Nursing Assistant | El Paso | El Paso | (915) 591-4141 |
| Dallas Career Institute | Dallas | Dallas | (214) 691-0555 |
| De Leon Nursing & Rehabilitation | De Leon | Comanche | (254) 893-2075 |
| Deer Creek of Wimberley Nurse Aide Training | Wimberley | Hays | (512) 847-5540 |
| E-PIC Training Center, Inc | Houston | Harris | (832) 707-7666 |
| EDivine Health Care Services | Houston | Harris | (713) 773-1232 |
| El Paso Community College | El Paso | El Paso | (915) 831-4029 |
| Excel Nursing Assistant Training | Missouri City | Fort Bend | (713) 269-1583 |
| Excel's Health Inst & Home Care Inc | Houston | Harris | Call the program |
| EZE Learning Center for Healthcare Professionals | Austin | Travis | (512) 719-3007 |
| Faith Health Training Institute | Houston | Harris | (281) 498-3200 |
| FasTrac Job Training Center | Galveston | Galveston | (409) 741-3992 |
| Floresville Residence and Rehabilitation Center | Floresville | Wilson | (830) 393-2561 |
| Frank Phillips College | Borger | Hutchinson | (806) 457-4200 |
| Galveston College | Galveston | Galveston | (409) 944-1342 |
| Garden Terrace Health Care Center Nurse Aide Training | Graham | Young | (940) 549-4646 |
| Genesis Education and Training | Wharton | Wharton | (979) 282-2225 |
| Goodall Witcher Hospital Authority dba Sunset Home | Clifton | Bosque | (254) 675-8637 |
| Grayson County College | Denison | Grayson | (903) 463-8750 |
| Gulf Coast Nursing Career Institute Inc | Houston | Harris | (713) 946-3377 |
| Hallettsville Rehabilitation and Nursing Center | Hallettsville | Lavaca | (361) 798-3268 |
| Health Training Services, LLC | San Marcos | Hays | (512) 665-3151 |
| Howard College | Big Spring | Howard | (432) 264-5067 |
| Journey Medical Training Center Nurse Aide Program | Frisco | Collin | (469) 803-5575 |
| Kenedy Health and Rehabilitation | Kenedy | Karnes | (830) 583-9101 |
| Kingsville Nursing and Rehabilitation Center | Kingsville | Kleberg | (361) 592-8700 |
| Kirkwood Manor Nursing Center | New Braunfels | Comal | (830) 620-0509 |
| Luling Nursing Operations, LLC dba Magnolia Living | Luling | Caldwell | (830) 875-5606 |
| Magnolia Place Health Care, LLP | Liberty | Liberty | (936) 336-8844 |
| McLean Care Center | McLean | Gray | (806) 779-2469 |
| Memphis Convalescent Center | Memphis | Hall | (806) 259-3566 |
| Metromed Nursing Institute | Dallas | Dallas | (469) 867-1149 |
| MIKAVA INC. Training Center for Career Development | Houston | Harris | (281) 850-5646 |
| Navarro College (Corsicana) | Corsicana | Navarro | (972) 923-6440 |
| Navarro College (Waxahachie) | Waxahachie | Ellis | (972) 923-6440 |
| New Hope Manor Inc | Cedar Park | Williamson | (512) 259-3999 |
| New Start School | McAllen | Hidalgo | (956) 682-5670 |
| North Central Texas College (Gainesville Campus) | Gainesville | Cooke | (940) 668-4205 |
| North Texas Nursing and Career Institute | Denton | Denton | (940) 387-3301 |
| Northeast Texas Community College | Mt. Pleasant | Titus | (903) 434-8100 |
| Nursing Bridges Institute | Houston | Harris | (281) 856-0405 |
| Oak Ridge Manor Nurse Aide Training Program | Brownwood | Brown | (325) 643-2746 |
| Odessa College (Continuing Education) | Odessa | Ector | (432) 335-6539 |
| Optimum Nurse Aide Training | Spring | Harris | (832) 877-8917 |
| Palo Alto College (Central Texas Technology Center) | New Braunfels | Comal | (210) 486-3411 |
| Palo Alto College (Westside Education & Training Center) | San Antonio | Bexar | (210) 486-3406 |
| Park Place Manor | Belton | Bell | (254) 939-1876 |
| Park View Nursing Care Center Nurse Aide Training | Muleshoe | Bailey | (806) 272-7578 |
| PHP The Oaks at Beaumont | Beaumont | Jefferson | (409) 842-4550 |
| Pine Ridge Health Care L.L.P. | Livingston | Polk | (936) 327-5415 |
| Port Lavaca Nursing and Rehabilitation Center | Port Lavaca | Calhoun | (361) 552-3741 |
| Program of Health Excellence | Port Arthur | Jefferson | (409) 433-5524 |
| Reagan County Care Center Nurse Aide Training Program | Big Lake | Reagan | (325) 884-5624 |
| Regency House Nurse Aide Training Program | San Angelo | Tom Green | (325) 942-7700 |
| Retama Manor Alice | Alice | Jim Wells | (361) 664-5479 |
| Rio Grande Nursing School | Rio Grande City | Starr | (956) 463-9606 |
| Roham Medical Careers, LLP | Fort Worth | Tarrant | (817) 653-7255 |
| San Jacinto College (Central Campus) | Pasadena | Harris | (281) 542-2059 |
| School for Allied Health Professionals Nursing Assistants | Arlington | Tarrant | (817) 846-7590 |
| Schulenburg Regency Nursing Center | Schulenburg | Fayette | (979) 743-6537 |
| Shiner Nursing & Rehabilitation Center | Shiner | Lavaca | (361) 594-3353 |
| Six RNs Institute | Edinburg | Hidalgo | (956) 513-1748 |
| Smithwood Medical Institute LLC | Houston | Harris | (713) 975-0971 |
| Snyder Health Care Center Nurse Aide Training Program | Snyder | Scurry | (325) 573-6332 |
| South Texas College | McAllen | Hidalgo | (956) 872-3109 |
| South Texas College (Mid-Valley Campus) | Weslaco | Hidalgo | (956) 872-3109 |
| South Texas Training Center | Pharr | Hidalgo | (956) 782-7100 |
| South Texas Training Center (Laredo) | Laredo | Webb | (956) 727-4909 |
| South Texas Training Center (San Benito) | San Benito | Cameron | (956) 399-9698 |
| South Texas Veterans Health Care System (Audie L. Murphy) | San Antonio | Bexar | (210) 617-5109 |
| South Texas Veterans Health Care System (Kerrville) | Kerrville | Kerr | (830) 792-2910 |
| Southbrooke Manor Nurse Aide Training Program | Edna | Jackson | (361) 894-1964 |
| Southwest Texas Junior College | Uvalde | Uvalde | (830) 278-4401 |
| Springpack Healthcare Career, LLC #2 | Arlington | Tarrant | (817) 460-2000 |
| Springville Academy Inc | Houston | Harris | (281) 919-1624 |
| Starlex Medical Institute and Health Services Inc | Houston | Harris | (832) 831-4155 |
| Stevens Health Care & Rehab Center | Yoakum | DeWitt | (361) 293-3544 |
| Stone Academy | Fort Worth | Tarrant | (817) 953-2431 |
| Stone Oak Care Center | San Antonio | Bexar | (210) 481-9000 |
| T. B. Nurse Aide Training | Goldthwaite | Mills | (325) 451-0372 |
| Tarrant County College Certified Nurse Aide Training | Fort Worth | Tarrant | (817) 515-1104 |
| Taylor Medical Institute | Houston | Harris | (281) 416-4063 |
| Teamwork Career Institute, LLC | Grand Prairie | Dallas | (972) 642-5466 |
| Texas Career Institute | Dallas | Dallas | (214) 275-9600 |
| Texas Institute of Health Careers | Houston | Harris | (832) 545-7352 |
| Texas School of Nurse Assistants | Richardson | Collin | (972) 497-9038 |
| The Abundant Light of Livingston | Livingston | Polk | (936) 329-0478 |
| The Arbors Nurse Aide Training Program | Amarillo | Potter | (806) 457-4700 |
| The Arbour at Westminster Manor Nurse Aide Training | Austin | Travis | (512) 454-2140 |
| The Healthcare Institute | San Antonio | Bexar | (210) 692-3262 |
| The Vocational Nursing Institute, Inc | Houston | Harris | (832) 237-2525 |
| The Whale Academy of Health Careers | Houston | Harris | (832) 880-9398 |
| Town Hall Estates | Hillsboro | Hill | (254) 582-8482 |
| Travis Technical Training | Austin | Travis | (512) 574-4926 |
| Twin Pines North Nursing and Rehab | Victoria | Victoria | (361) 576-9263 |
| Tyler Junior College | Tyler | Smith | (903) 510-2941 |
| Vernon College (Wichita Falls) | Wichita Falls | Wichita | (940) 696-8752 |
| Victoria College | Victoria | Victoria | (361) 572-6446 |
| Vinepress Training Center | Dallas | Dallas | (214) 874-8647 |
| Wellington Care Center | Wellington | Collingsworth | (806) 447-2513 |
| Winnie L Nursing | Cameron | Milam | (254) 697-4985 |
| Woodridge Nursing and Rehab | Beeville | Bee | (361) 358-8880 |
| Yorktown Nursing and Rehabilitation Center | Yorktown | DeWitt | (361) 564-2275 |
Tip: ask each program whether it also offers a home health aide add-on. For details, costs, and exam steps, see our Texas CNA guide.
FAQ
Short answers to what people ask most.
Home health aides in Texas work for home health agencies licensed by the Texas 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 Texas nurse aide registry as a qualified home health aide.
The median pay for home health and personal care aides in Texas is $11.65 an hour, about $24,230 a year, based on the May 2025 federal wage survey. Texas CNAs earn a median $18.03 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.