← All states · Home care aide training rules
Caregiver training requirements in Hawaii
Short answer
Home care agencies in Hawaii must give personal care aides at least 100 hours of training.
The rules, role by role
Personal Care Aide
Applies to: All home care agencies
- Training hours
- 100 hours (30 classroom hours; 70 supervised practical training hours)
- Competency test
- Yes
- Yearly training
- Annual performance review and regular in-service training
- Certificate
- Certified Nursing Assistant (CNA)
- State registry
- Yes
- Who can teach it
- Registered nurse (RN) with 2 years of nursing experience (at least one of which must be in long-term care)
Federal rules that apply in every state
- Home health aides at Medicare-certified agencies need at least 75 hours of training, including at least 16 hours of supervised practical training (with 16 hours of classroom training first), and must pass a competency evaluation. They also need 12 hours of in-service training every year. 42 CFR 484.80
- Certified nursing assistants (CNAs) complete a state-approved program of at least 75 hours, including at least 16 hours of supervised practical training. Many states require more. 42 CFR 483.152
- There is no federal training standard for personal care aides(non-medical caregivers). That's set state by state, and sometimes only for Medicaid-funded work.
Before a new caregiver's first shift
- Keep proof of training — the certificate or sign-off for any training Hawaii or your payer requires.
- Check the state registry — Hawaii keeps a central registry of trained aides.
- Run the background checks your state licensing rules and your contracts require.
- Record expiry dates for CPR, TB tests and licenses, and renew them before they lapse.
Source: PHI, a review of each state's Medicaid rules, waivers and home care licensing regulations (2024–2025 policy). Checked October 2026. Rules change — confirm with your state's licensing agency before you rely on them. This is general information, not legal advice.
Regulations cited for Hawaii
- Centers for Medicare and Medicaid. 2020. QUEST Integration Medicaid Section 1115 Demonstration . Washington, D.C.: CMS.
- Centers for Medicare and Medicaid. 2020. QUEST Integration Medicaid Section 1115 Demonstration . Washington, D.C.: CMS.
- Electronic Code of Federal Regulations (ECFR). 2024. Requirements for Approval of a Nurse Aide Training and Competency Evaluation Program. 42 FR § 483.152.
- Hawaii Administrative Rules. 2018. Home Care Agencies. 11 HAR §700
- Hawaii Administrative Rules. 2009. Requirements for Nurse Aide Certification . 16 HAR §89A-3.
- State of Hawaii Department of Human Services. 2004. State Certified Nurse Aide Training Program. Honolulu, HI: DHS.
States with similar rules
Check another state
Free · by email
Get the caregiver hiring kit
All the free tools in one place, plus three short follow-ups on filling shifts faster: where caregivers look for work, what to ask in interviews, and which credentials to check before the first shift.
Caregiver training in Hawaii: common questions
How many hours of training does a caregiver need in Hawaii?
Home care agencies in Hawaii must give personal care aides at least 100 hours of training. Home health aides at Medicare-certified agencies need at least 75 hours under federal rules.
Do caregivers need a certificate in Hawaii?
Yes for some roles: Hawaii recognizes the Certified Nursing Assistant (CNA) credential for personal care aides. Hawaii also keeps a central registry of trained aides.
Are home care agencies licensed in Hawaii?
Yes. Hawaii licenses home care agencies, so check the licensing rules for staff requirements beyond training, such as background checks.
Do private-pay agencies in Hawaii have to train caregivers?
Yes. Hawaii's training rules also cover aides at agencies serving private-pay clients.
Hiring in Hawaii? See caregiver pay in Hawaii, or try the free job description generator.