Florida HHA Requirements

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become a hha in florida

How to Become a HHA in Florida

Home Health Agency

To work as a home health aide for a home health agency in Florida, you must complete at least 75 hours of training and pass an evaluation administered by the agency. To work with licensed-only agencies, employees need only 40 hours of training or successfully complete a competency test given by the home health agency.

Nurse Registry

To work as a home health aide at a nurse registry, you must provide documentation of successful completion of at least 40 hours of home healthcare training. The following are acceptable ways to complete this requirement: vocational school, private school or a home health agency.

Florida HHA Fast Facts

Working for a Medicare or Medicaid home health agency in Florida requires that you obtain 75 hours of training and/or pass an evaluation.

9 out of 10 need hha certification

To work in a licensed-only agency in Florida you must have at least 40 hours of state training and pass an examination. Some agencies require more than this minimum amount.

Yes, a Florida certified nursing assistant (CNA) can be employed by a home health agency as both an in-home care provider and a companion.

Yes, licensed practical nurses (LPN) and registered nurses (RN) can work as a home health aide if they are licensed in another state or Florida.

A nurse registry is agency that offers health care related contracts for nurses, home health aides, certified nursing assistants, homemakers, and companions in a patient’s home. Registries refer, but do not hire, home care workers. Once the worker is hired, the relationship usually ends.

To work as a home health aide in a nurse registry, you must first complete 40 hours of training.

All individuals who enter the home of patients to provide direct care must be independent contractors.

Many local public vocational technical schools and private career education institutions have courses dedicated to home health aides. To learn more about these programs visit their websites or reach out by phone if you need assistance finding what’s right for you.

Yes, and they are becoming more popular; be careful and pick one that’s best for you – don’t cut any corners! Learn more about online classes in Florida.

All The Florida HHA Details!

In order to receive your home health aide certificate in Florida you need to follow the minimum [federal] home health aide education requirements. HHA training programs must consist of:

  • at least seventy-five (75) hours of training
    • which needs to include at least sixteen (16) hours of clinical training
  • plus, there is a requirement to complete twelve (12) hours of continuing education for every twelve (12) months
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Many home health agencies in Florida often require more than the minimum number of hours (i.e. 75) for training and certification.

Some hire certified nursing assistants (CNA’s), who possess a high school diploma or GED as well as some on-the-job training; others may accept students that have finished their training at an accredited institution but are waiting before taking the HHA exam so they can become certified.

P.S. And don’t rule out Florida HHA online training; some are very good.


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How to become a home health aide in Florida

florida home health aide infographic

Florida HHA Training Requirements

There are different training requirements depending on who you work for – a Home Health Agency or a Nurse Registry.

It sounds confusing but it really is not; here’s a simple explanation on the differences.

florida hha training paths

You’ll need at least one of the following:

  • 40 hour HHA certificate
  • 75 hour HHA certificate
  • diploma (online?) in home health aide
  • To work at a licensed-only agency (i.e. agency is not reimbursed by Medicare/Medicaid) you will need just 40 hours minimum of training or successfully complete a HHA competency test.
  • Working for  a Medicare or Medicaid home health agency you will need to have successfully completed the 75 hours of healthcare training in a qualified home health aide program and/or pass a competency evaluation given by the home health agency.
    • The AHCA test does not meet this regulation. You must follow the federal requirements (42 CFR 484.36(b))
    • If you want to differentiate yourself from others in Florida then you can acquire additional skills such as a CPR certificate, human anatomy lessons or hospice experience.
  • To work for a nurse registry you will to have successfully completed at least 40 hours minimum of training.

What’s the difference between a Nurse Registry and Home Health Agency in Florida?

 Nurse RegistryHome Health Agency
EmploymentNo “employees” other than administrator and office staffHHA’s are “employees” as required by FL law
HiringHired by, and work for, the clientHire by the Agency
Quality AssuranceNo required programsQuality Assurance Program required by Florida
TrainingNo training or education provided.Agency provides training and continuing education
Background ChecksNone required; very wide latitudeThorough background checks
PaymentPaid as an independent contractor by the clientPaid by the Agency; including payroll taxes and unemployment
InsuranceNone; responsibility of HHA and clientFull insurance coverage including Workers Compensation
SupervisionNone, other than clientSupervised by a RN; member of a home care team
Services to PatientsSameSame
florida hha agency or registry

HHA Training in Florida

Home health aide programs need to clearly state its goals and objectives and must include measurable performance criteria.

The curriculum must include the content outlined below:

  1. orientation to home care and the role of home health aides;
  2. understanding basic human needs of individuals and families;
  3. communication skills;
  4. basic elements of body function;
  5. patient rights and HIV confidentiality;
  6. safety, accident prevention and responses to emergencies;
  7. infection control and universal blood and body fluid precautions;
  8. personal hygiene and grooming including bed, sponge, tub or shower baths; skin, tub or bed shampoos;
  9. nail and skin care; oral hygiene; toileting and elimination;
  10. use of prescribed medical equipment and supplies;
  11. rehabilitation including safe transfer techniques and ambulation; normal range of motion and positioning;
  12. assistance with use of crutches, walkers, and hoyer lifts; and prescribed exercise programs;
  13. nutrition and fluid intake, to include preparation of meals for simple and complex modified diets;
  14. temperature, pulse, respiration, and blood pressure;
  15. simple test and measurements;
  16. maintaining a clean, safe environment;
  17. assistance with medication administration;
  18. special skin care;
  19. simple dressing changes;
  20. handling patient’s money; and
  21. observing, reporting, and recording.

Florida HHA Training

The Home Health Aide Competency Test Florida

Your goal is home health aide certification for Florida, right?

Please see more here: Home Health Aide Competency Test.

The program is responsible for ensuring that each HHA trainee is competent in the skills and procedures taught in the training program.

hha exam quote

This ensures that what’s learned in the classroom and clinical setting can be applied in the course of a day as you’re out seeing patients – you want to make sure they get the best care possible from you.

Florida HHA Resources

Here’s the federal code Florida adheres to Section 484.80; and their own administrative code (Chapter 59).


Complete HHA Guide

Download, for FREE of course, this all new guide on how to become a home health aide in Florida. Tips and resources you can view or print for later use – all yours.

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Florida HHA FAQ