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Caregiver training requirements in South Carolina
Short answer
South Carolina sets training rules for aides at home care agencies, but no minimum number of hours.
The rules, role by role
Personal Care Aide II
Applies to: Agencies that receive Medicaid reimbursement
- Training hours
- No minimum
- Competency test
- Yes
- Yearly training
- 10 hours annually
- Certificate
- None
- State registry
- No
- Who can teach it
- Registered nurse (RN) or licensed practical nurse (LPN)
Caregiver
Applies to: Agencies that receive private pay funding
- Training hours
- No minimum
- Competency test
- No
- Yearly training
- Not required
- Certificate
- None
- State registry
- No
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 South Carolina or your payer requires.
- 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 South Carolina
- South Carolina Department of Health and Human Services (DHHS). 2022. CLTC Standards for Waiver Services . Columbia, SC: DHHS.
- South Carolina Department of Health and Human Services (DHHS). 2017. SCDHHS Self-Directed Attendant and Companion Care Stakeholder Training. Columbia, SC: DHHS.
- South Carolina Department of Health and Environmental Control (DHEC). 2014. Regulation 61-122 Standards for Licensing In-Home Care Providers . Columbia, SC: DHEC
States with similar rules
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Caregiver training in South Carolina: common questions
How many hours of training does a caregiver need in South Carolina?
South Carolina sets training rules for aides at home care agencies, but no minimum number of hours. Home health aides at Medicare-certified agencies need at least 75 hours under federal rules.
Do caregivers need a certificate in South Carolina?
South Carolina 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 South Carolina?
Yes. South Carolina licenses home care agencies, so check the licensing rules for staff requirements beyond training, such as background checks.
Do private-pay agencies in South Carolina have to train caregivers?
Yes. South Carolina's training rules also cover aides at agencies serving private-pay clients.
Hiring in South Carolina? See caregiver pay in South Carolina, or try the free job description generator.
