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Currently, the 8-hour training program is permitted under special waivers, exceptions, or flexibilities for temporary nurse aide roles in these states: Delaware, Indiana, Iowa, Maryland, Nebraska, New Jersey, New York, South Dakota, Texas and West Virginia

Additional training or other actions may be required in these states (please contact your state health care association or appropriate state agency for additional information about your state’s requirements): Alabama,Connecticut, District of Columbia, Georgia, Illinois, Kansas, Mississippi, North Carolina, New Hampshire, Oregon, Pennsylvania, South Carolina, Tennessee and Virginia

If your state is not listed above, check back often as more states are being added to the list weekly. You may also contact your state health care association for additional information about your state’s requirements. Find your state health care association here.

Take me to the Course

8 HR Course (FREE)

If you plan to work in the state of Oklahoma you will need to take the free 16 hr course.

16 HR Course (FREE)

What does a Temporary Nurse Aide Do?

The Temporary Nurse Aide will help to provide aspects of resident care that include:

  • Activities of Daily Living
    • Bathing
    • Oral Care
    • Grooming - Shaving and Nail Care
    • Dressing and Undressing
  • Infection Control and Prevention
  • Positioning, Moving, and Restorative Care
  • Nutrition and Elimination
  • Comfort Care and End of Life Care

How to Get Started

  1. If you are new to this site, you will need to CREATE AN ACCOUNT. You do not need to fill out a company name if you don’t have one.
  2. After you create your account, go back to and click REGISTER. This course is free.
  3. To begin the course, click the Course contents tab. Then click on the first item and complete it. You can move through the course at your own pace, stopping and returning to where you left off anytime.
  4. To avoid technical problems, use CHROME. Do not use Internet Explorer. Internet Explorer does not work well with this site.
  5. If you need assistance, please e-mail your questions to We will get back to you as soon as possible.

When will the Temporary Nurse Aide Certificates Expire?

AHCA/NCAL is pleased that CMS has recognized that time worked by the nurse aides during the PHE may count towards meeting the federal 75-hour training requirement and is encouraging states to evaluate their NATCEP to consider time worked during the PHE to help temporary nurse aides become certified nurse aides (CNA). CMS has also clarified that the four-month regulatory timeframe for completing the nurse aide training and competency evaluation requirements after hire will be reinstated when the blanket waiver ends and will start at that time. Nurse aides will have the full four-month period starting from the end of the blanket waiver to successfully complete the required training and certification, regardless of the amount of time worked during the time the waiver was in effect. Federal requirements do not specify whether training must be delivered in a classroom versus a nursing home setting, and CMS acknowledges that training on many of the required topics can be obtained in a nursing home setting while working as a nurse aide under the waiver and through onsite experience and observation. 

AHCA/NCAL strongly encourages states, providers, and temporary nurse aides to explore ways to complete the nurse aide training and certification requirements as soon as possible to retain the thousands of individuals who have provided vital care and support to residents throughout the pandemic. The process of transitioning from a temporary nurse aide to a CNA takes time and these pathways vary depending on the state. We encourage you to contact your state licensing agency, state affiliate.


AHCA/NCAL has created these courses to assist providers to recruit and train temporary staff during the national emergency caused by the coronavirus pandemic. While the federal government has issued a blanket waiver for such temporary nurse aides, state requirements may need to be waived to permit individuals under this training program in your location. Employers should check with their state survey agencies and their state occupational licensing agencies, where applicable, to ensure individuals trained under this program are permitted to assist with care in your location.