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Caregiver training requirements in North Dakota

Short answer

North Dakota's caregiver training rules apply only to agencies paid by Medicaid, and set no minimum number of hours.

If you only serve private-pay clients, North Dakota doesn't require specific training for personal care aides.

The rules, role by role

Qualified Service Provider and Family Personal Care Qualified Service Provider

Applies to: Agencies that receive Medicaid reimbursement; at least one consumer-directed programs

Training hours: No minimum
Competency test: Yes
Yearly training: Not required
Certificate: None
State registry: Yes
Who can teach it: Either a physician, chiropractor, registered nurse (RN), licensed practical nurse (LPN), occupational therapist, physical therapist, or an individual with a professional degree in specialized areas of health 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 North Dakota or your payer requires.
Check the state registry — North Dakota 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.

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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 North Dakota

States with similar rules

Alabama · Medicaid only Alaska · Medicaid only · 40 hrs Arizona · Medicaid only Connecticut · Medicaid only Idaho · Medicaid only Kentucky · Medicaid only Maine · Medicaid only · 50 hrs Maryland · Medicaid only

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Caregiver training in North Dakota: common questions

How many hours of training does a caregiver need in North Dakota?

North Dakota's caregiver training rules apply only to agencies paid by Medicaid, and set no minimum number of hours. If you only serve private-pay clients, North Dakota doesn't require specific training for personal care aides. Home health aides at Medicare-certified agencies need at least 75 hours under federal rules.

Do caregivers need a certificate in North Dakota?

North Dakota doesn't issue a specific certificate for personal care aides. CNAs and home health aides follow their own certification rules.

Are home care agencies licensed in North Dakota?

North Dakota doesn't license non-medical home care agencies, according to PHI's review. Medicare-certified home health agencies are still regulated.

Do private-pay agencies in North Dakota have to train caregivers?

No state training rule covers aides who only serve private-pay clients in North Dakota, though many agencies train them anyway for quality and insurance reasons.

Hiring in North Dakota? See caregiver pay in North Dakota, or try the free job description generator.