New York's aide training rules, in plain language

What a licensed home care services agency (LHCSA) must give its home health aides and personal care aides every year, with the official sources.

RequirementHome health aide (HHA)Personal care aide (PCA)Source
Annual in-service hoursAt least 12 hours every yearAt least 6 hours every year10 NYCRR 766.11
How the hours are spreadAny time during the year3 hours in each half of the year18 NYCRR 505.14(e)
Which year countsThe agency chooses: calendar year or each aide's hire anniversaryDAL DHCBS 17-01
Orientation hoursDo not count toward the annual in-service hoursDAL DHCBS 17-01
SupervisionIn-service supervised by a registered nurseUnder professional supervision42 CFR 484.80(d)
Bloodborne pathogensTraining every year for staff with possible exposure to blood29 CFR 1910.1030
Sexual harassment preventionInteractive training every year for every employeeNY Labor Law 201-g
HIV confidentialityStaff must understand who may see HIV-related information and how it is protectedNY Public Health Law Art. 27-F

Home health aides: 12 hours a year

New York requires home health aides to take part in at least 12 hours of in-service education each year. Federal rules for Medicare-certified agencies set the same 12-hour minimum and call for the training to be supervised by a registered nurse. Topics should be specific and relevant to the aide's work.

Personal care aides: 6 hours a year, in two parts

Personal care aides need at least 6 hours of in-service education each year. Under the Medicaid personal care rules, this is given as 3 hours on a semiannual basis, so each half of the training year has its own session.

Calendar year or anniversary year

The Department of Health lets each agency decide whether the yearly requirement follows the calendar year or the aide's employment anniversary. Whichever you choose, apply it the same way for every aide. The requirement starts from the aide's date of hire.

Orientation is separate

Training given to orient a newly hired aide does not count toward the 6 or 12 annual in-service hours.

Yearly required topics

Beyond in-service hours, agencies cover certain topics every year for all staff: bloodborne pathogens and standard precautions, HIV confidentiality, the agency's emergency plan, and New York State sexual harassment prevention, which must be interactive and given to every employee annually.

Official sources

  • 10 NYCRR 766.11: Personnel requirements for licensed home care services agencies
  • 18 NYCRR 505.14: Personal care services (Medicaid)
  • 42 CFR 484.80: Home health aide services (federal)
  • NYS DOH Dear Administrator Letters DHCBS 17-01, 21-02 and 21-09: In-service requirements for personal care aides and home health aides
  • 29 CFR 1910.1030: OSHA Bloodborne Pathogens Standard
  • New York Labor Law § 201-g: Prevention of sexual harassment
  • New York Public Health Law Article 27-F: HIV and AIDS related information
This page is a summary to help agencies plan. It is not legal advice. Rules and Department of Health guidance can change, so check the current text and your own counsel before relying on it.

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