Texas has no registry, certification, or state exam, but does have training requirements. That training includes the following: 16 hours of classroom experience before working directly with clients. 16 hours of clinical experience in a home, hospital, nursing home, or laboratory.

While specific certifications are not mandatory for caregivers in Texas, there are legal requirements to consider. Caregivers who provide services through Medicare or Medicaid-funded agencies must undergo a criminal background check and receive appropriate training in areas such as infection control and safety.

Understand training requirements for Texas Home Health Aides (HHAs) need 120 hours of certification training and 12 hours annually thereafter. CareAcademy offers annual training for HHAs. Certified Nursing Assistant (CNAs) need 120 hours of certification training and are not required to take annual training.