Home Care Aide Frequently Asked Questions

General Questions

Who must be certified as a home care aide?

All long-term care workers (unless otherwise exempt) must be certified as home care aides within 200 days of their date of hire. Long-term care workers include:

  • Home care agency caregivers.
  • Assisted living facility caregivers
  • Adult family home caregivers.
  • Respite care providers.
  • Individual providers: Caregivers who contract with the Department of Social and Health Services (DSHS) to provide personal care.
  • Community residential service providers: Caregivers in group home services, group training home services, supported living services or voluntary placement services in a residential facility for children.
  • Any other direct care workers providing home or community-based services to the elderly or people with functional or developmental disabilities.
May I work before I receive a home care aide certification?

Yes, once you have completed two hours of orientation and three hours of safety training approved by the Department of Social and Health Services, you may begin working.

You must complete 75 hours of approved training within 120 days of your date of hire or you must stop working.

You must have your home care aide certification within 200 days of your date of hire or you must stop working.

How do I update my date of hire?
Are some caregivers not defined as long-term care workers?

Yes, the following are not long-term care workers:

  • Caregivers in nursing homes, hospitals or other acute care settings.
  • Residential rehabilitation center caregivers.
  • Hospice agency, adult day center or adult day health center caregivers.
  • People not paid by the state or by private agencies or facilities licensed by the state to provide personal care services.

Workers not defined as long-term care workers will not qualify for an exemption based on prior work experience.

Which long-term care workers do not have to be certified as home care aides?
  • Exemption based on prior work experience
    People employed as long-term care workers between January 1, 2011, and January 6, 2012, who completed all training requirements in effect as of the date of hire.
  • Exemptions based on Department of Health license or certification
    • Registered nurses
    • Advanced registered nurse practitioners
    • Licensed practical nurses
    • Certified nursing assistants
  • Family member exemptions
    If you provide care only for the following family members, you are not required to obtain a home care aide credential:
    • biological, step, or adoptive child or parent (including by marriage or domestic partnership);
    • sibling, aunt, uncle, cousin, niece, nephew, grandparent, and grandchild (including by marriage or domestic partnership); or
    • a spouse or registered domestic partner funded through the U.S. Department of Veterans Affairs home and community-based programs.
  • Other exemptions from certification
    Community residential service providers: Caregivers in group home services, group training home services, supported living services or voluntary placement services in a residential facility for children.

    Individual providers, reimbursed by DSHS, who provide 20 hours or less of care for one person in any calendar month, or who provide only respite services and who work less than 300 hours in any calendar year.

    A home health aide who is employed by a Medicare-certified home health agency and has met the requirements of 42 CFR Part 484.36.

    A person with an active special education endorsement granted by the Office of the Superintendent of Public Instruction.

May I apply for a home care aide certification if I am exempt?

Yes, exempt long-term care workers may choose to apply for a home care aide certification and will need to complete all certification requirements. This will include verification of training, passing a certification exam, completion of the Department of Social and Health Services background check. The Department of Health may require a second background check for workers who choose to become certified.

How do long-term care workers who were employed between January 1, 2011, and January 6, 2012, (or their employers) prove they are exempt from the home care aide certification?

Long-term care workers and their employers should have a letter from the employers who hired them between January 1, 2011, and January 6, 2012. The letter should include:

  • Date of hire
  • Last day of work, if applicable
  • Job title and job description
  • A description of the training required on the date of hire and verification that the training was completed. If the worker received a certificate of completion for the training, a copy of the certificate will be required.

Individual providers paid by DSHS may use proof of employment from DSHS or the client.

The Long Term Care Employment Verification Form (PDF) may be used in place of a letter.

The Department of Health does not maintain this information. If a long-term care worker wishes to obtain a new position under this exemption, they must provide a copy of this letter or print and complete the Long Term Care Employment Verification Form (PDF) directly to the new employer as proof of exemption.

Do long-term care workers who do not provide hands-on care have to meet training and certification requirements?

A long-term care worker who performs activities of daily living must meet the new training and certification requirements. Activities of daily living (ADLs) are defined as self-care abilities such as bathing, eating, using the toilet, dressing and transfer.

Long-term care workers who perform only instrumental activities of daily living (IADLs), such as housekeepers, dining room staff members, or maintenance workers not performing any ADLs, are not required to meet training and certification requirements. Instrumental activities of daily living include activities such as cooking, shopping, housekeeping, doing laundry, transportation to medical appointments and shopping, working and managing personal finances.

If a worker performs both ADLs and IADLs, such as a bus driver for a boarding home who also assists the client with getting in and out of the bus, the worker must be certified.

Certification Requirements

What are the requirements for the home care aide certification?
  • Submit a home care aide certification application with the application fee to the Department of Health within 14 days of hire.
  • Submit to a state and fingerprint-based federal background check through DSHS. If you are not currently working, you are not able to obtain the DSHS background check. The Department of Health may require its own background check.
  • Seventy-five hours of training through a training program approved by DSHS. Applicants that are part of SEIU will take training through SEIU.
  • Successful completion of the knowledge and skills exam administered by Prometric. Upon receipt of the completed application and application fee, you will receive an email from Prometric titled SMTNotice/Registration@isoqualitytesting.com with instructions on how to log into your online Candidate Exam Scheduling profile. Please check your email inbox or spam/junk folder for an email from Prometric.
I have questions about the home care aide application and would like to speak to someone before I submit it. Whom may I contact?

You may contact the Department of Health home care aide credentialing unit at 360-236-2700.

Who is required to get an OCA number (originating case agency number) and how do I get an OCA number?

All long-term care workers must submit to a state and federal background check through the Department of Social and Health Services (DSHS). If you are an individual provider, an OCA number will be generated on the Fingerprint appointment form you get at contracting. If you work for an agency or facility, you will complete a name and date of birth background check through your employer. An OCA number is generated from this background check. The Department of Health will require the OCA number associated with the fingerprint background check on the home care aide certification application.

Employers can find the DSHS background forms on the Background Check website.

If you are not currently working, you will not be able to obtain the DSHS background check, and Department of Health may require its own background check.

Candidates With Limited English Proficiency Who Are Requesting Provisional Certification

Is the home care aide examination offered in foreign languages?

Yes, the home care aide examination is offered in Amharic, Arabic, Simplified Chinese (written) or Cantonese (spoken), Khmer, Korean, Laotian, Russian, Samoan, Spanish, Somali, Tagalog, Ukrainian and Vietnamese. There is an oral and written translation for English and all translated languages.

What if an applicant speaks a foreign language other than English and those listed above?

The Department of Health offers an interpreter to read the home care aide examination for people who speak languages other than those in which the examination is currently translated and offered.

How does an applicant request an interpreter to read the examination?

An applicant who wishes to request an interpreter to read the examinations must schedule their exams through the Candidate Exam Scheduling portal first, then request accommodations. There will be instructions on how to send testing accommodation requests and any other documentation that may be needed.

If my ability to read, write or speak English is limited, how may I request more time to get certified?

The department may issue a provisional certification to long-term care workers with limited English proficiency to allow them more time to complete the requirements to become certified a home care aide.

To request a provisional certification, check the “yes” box near the top of the home care aide certification application for the question, “I am applying for a provisional certificate which is available for home care aides whose ability to read, write and speak English is limited.”

How may I request a provisional certification if I have already submitted an application to the department?

Please fill out the home care aide provisional certification supplemental form and submit it to the department.

How long may I work with the provisional certification?

The provisional license will be issued to you on day 200 from the date you were hired. This date will be based on the information you submit on your application. The provisional certificate will expire 60 days after it's issued.

May I renew the provisional certification?

No, the provisional certification can be issued only once, valid for no more than 60 days.

What if my provisional certification expires and I still haven't become certified as home care aide?

You must stop providing care and will not be paid for services until you complete the requirements and become home care aide-certified by the department.

Nurse Delegation

What is required for a worker to perform nurse delegation in an in-home or community-based setting as allowed by RCW 18.79.260 (3)(e)?

Long-term care workers may perform nurse delegation if they meet one of the following requirements:

  • A long-term care worker with a current home care aide certification:
    Must also have the appropriate nurse delegation certificate of completion to perform nurse delegation.
  • A long-term care worker with a current nursing-assistant certified credential:
    Must also have the appropriate nurse delegation certificate of completion to perform nurse delegation.
  • Long-term care workers who are exempt from the requirement for a home care aide certification:
    Must have a nursing assistant-registered credential, a certificate of completion for either the revised fundamentals of caregiving or the core basic training and the appropriate nurse delegation certificate of completion.
  • Long-term care workers who are still within 200 days of their date of hire May perform nurse delegation only if they have a nursing assistant-registered credential, a certificate of completion for either the revised fundamentals of caregiving or the core basic training and the appropriate nurse delegation certificate of completion.

See RCW 18.79.260 (3)(e) for more information.

Renewal and Continuing Education

When does my home care aide certification expire?

The home care aide certification expires every year on your birthday. If your next birthday is within three months of the initial certification, your first renewal date will be on the second birthday after initial certification. A renewal fee is required for renewal.

Beginning September 1, 2023 through July 1, 2025, if your certification has been expired for more than six (6) months but less than two (2) years, your certification will automatically review with no fee, forms to complete, or continuing education.

Will I be required to prove that I took the 12 hours of continuing education?

The Department of Health will perform random audits of people who hold home care aide credentials. If you're audited, you must submit proof you have completed 12 hours of continuing education. You may do this by providing a copy the certificate(s) of completion for all continuing education courses you completed. Continuing education courses must be approved by the Department of Social and Health Services. A list of approved continuing education training providers is online.

Am I required to complete continuing education if I am exempt from certification and training?

Yes, everyone working as a long-term care worker must complete 12 hours of continuing education per year. Your employer needs proof of your continuing education. If you are a member of SEIU, check with it for available classes. Otherwise, you can find continuing education classes at the Department of Social and Health Services training website.

Using Home Care Aide Training Toward a Certified Nursing Assistant Credential

May I use my home care aide training to get a nursing assistant-certified credential?

Yes, your home care aide credential allows you to enter a 24-hour “bridge” program. Completion of the bridge program allows you to take the nursing assistant-certified examination. You will also need to apply for the nursing assistant-certified credential.

Review information about the nursing board's education programs, as you will need to contact individual programs for information about schedules and cost.