Nursing Assistant and Medication Assistant Licensing Information

Apply for a License

Medication Assistant Endorsement

Apply online

Getting started

Online Application Instructions

Online application instructions are on our website.

Once you have completed the process, and submitted your application, you will receive an email with your pending credential number, or you may look on Provider Credential Search. Refer to this credential number any time you contact Department of Health or submit paperwork.

Apply on paper
Fee schedule
Non-Refundable Fee Type Fee amount
Application for endorsement $25
Endorsement renewal $10
Frequently asked questions

Medication assistant endorsement FAQs

Nursing Assistant Certified

Apply online

Getting started

Online Application Instructions

Online application instructions are on our website.

Once you have completed the process, and submitted your application, you will receive an email with your pending credential number, or you may look on Provider Credential Search. Refer to this credential number any time you contact Department of Health or submit paperwork.

Apply on paper

When submitting applications, signatures must be original.

Fee schedule
Non-Refundable Fee Type Fee amount
Application for certification $85
Certification renewal $95
Certification late renewal penalty $50
Expired certificate reissue $52
Duplicate certification $10
Certification requirements

Applicants must complete a minimum of 108 hours of training through a state-approved program. Training must include 35 hours of classroom/theory, 33 hours of skills labs, and 40 hours of facility/clinical. Students who are in a licensed practical nursing or registered nursing program, and who have met the minimum requirement, also qualify. In addition, military medic or corpsman training may meet our requirements.

Applicants must pass the competency exam.

Work history (professional training and experience) is required if applicant is applying for endorsement from another state.

Verification of placement on a state OBRA (The 1997 Omnibus Budget Reconciliation Action) registry is required if applicant is applying for endorsement from another state.

Verification documents required

Proof of completion of training requirements. Examination results will be sent directly to the Department of Health.

Applicants must list all states where they do or did hold credentials. This list must also include when the applicant has applied for a credential, even if a credential was not granted. The jurisdiction where the applicant is or was credentialed must complete and submit the verification form. Applicant sends form to jurisdiction for completion. The jurisdiction must send the completed form directly to the department.

Personal data questions

Each applicant must answer the personal data questions. An appropriate explanation and required documentation must be sent with positive answers. If there is a positive answer to the professional liability claims history question, the applicant must send an explanation of the nature of the case, data and summary of care given, copies of the original complaint, and the settlement or final disposition. If the case is pending, applicant must indicate status.

Process for approving/denying applications

We finish final review for approval after a credentialing specialist verifies that the application is fully complete, and complies with requirements in chapter 18.88A RCW and chapter 246-841 WAC. We complete background checks and make sure applicants have submitted required fees. Credentialing supervisors and lead workers have the authority to approve routine applications. The disciplining authority may conduct further review if the credentialing supervisor can't verify the applicant meets all requirements. We'll formally notify applicants of a denial. Those applicants may request a hearing to appeal the decision.

Renewal requirements

Certified nursing assistants must renew their certification on or before their birthday each year. There are no continuing education requirements.

Nursing Assistant Registered

Apply online

Getting started

Online Application Instructions

Online application instructions are on our website.

Once you have completed the process, and submitted your application, you will receive an email with your pending credential number, or you may look on Provider Credential Search. Refer to this credential number any time you contact Department of Health or submit paperwork.

Apply on paper
Fee schedule
Non-Refundable Fee Type Fee amount
Application $85
Renewal of registration $95
Registration late renewal penalty $50
Expired registration reissue $52
Duplicate registration $10
Registration requirements

No formal training is required. Registered nursing assistants employed in a nursing home have four months to complete an approved training program and testing for certification.

Personal data questions

Each applicant must answer the personal data questions. An appropriate explanation and required documentation must be sent with positive answers. If there is a positive answer to the professional liability claims history question, the applicant must send an explanation of the nature of the case, data and summary of care given, copies of the original complaint, and the settlement or final disposition. If the case is pending, applicant must indicate status.

Process for approving/denying applications

We finish final review for approval after a credentialing specialist verifies that the application is fully complete, and complies with requirements in chapter 18.88A RCW and chapter 246-841 WAC. We complete background checks and make sure applicants have submitted required fees. Credentialing supervisors and lead workers have the authority to approve routine applications. The disciplining authority may conduct further review if the credentialing supervisor can't verify the applicant meets all requirements. We'll formally notify applicants of a denial. Those applicants may request a hearing to appeal the decision.

Renewal requirements

Certified nursing assistants must renew their certification on or before their birthday each year. There are no continuing education requirements.