Facts About Nursing Assistant Certification

Who Must Be Certified

arrow bullet All individuals who routinely perform nursing tasks delegated by a registered nurse or a licensed practical nurse must be certified by the Board of Nursing.

arrow bullet Certified nursing assistant is defined as an individual regardless of title, who routinely performs nursing tasks delegated by a registered nurse or a licensed practical nurse for compensation; and does not include a medication assistant or an individual who merely provides assistance with activities of daily living, unless the client's needs are such that adverse health consequences are predictable.

arrow bullet Only persons certified as a nursing assistant by the Board may use the title Certified Nursing Assistant or the initials C.N.A. after their name.

Training Requirements

arrow bullet The Board has developed regulations outlining the nursing assistant training programs.

arrow bullet The Board shall approve in conjunction with the Maryland Higher Education Commission each nursing assistant training program prior to its implementation.

arrow bullet Only persons completing the approved program may be certified as a nursing assistant.

Applicant Completing an Out-of-State Program

arrow bullet The applicant who completed a CNA/GNA program out of state must demonstrate that the CNA training is essentially similar to the Maryland CNA training requirements and that the certification is in good standing and free from any findings of patient abuse or neglect.

arrow bullet Out-of-state candidates with CNA certification which is current, active, and in good standing may endorse/transfer the certification directly to Maryland and obtain CNA/GNA status from the following states:

Delaware Kansas Virginia
Florida Maine West Virginia
Idaho New York
Illinois Oregon

The verification must come directly from the out-of-state registry or certification program directly to the Maryland CNA Certification.

arrow bullet Out-of-State candidates from states OTHER than the above ten states, who hold a CNA certificate which is current, active and in good standing on the out-of-state registry or certification program may be endorsed after demonstration of competency in written and clinical knowledge. This requires that the applicant contact a Maryland Board Approved CNA Training Program and make arrangements for testing. The Board proposes that the candidate demonstrate their knowledge and clinical skill by completing the Maryland CNA Training Program’s in-house final examination (both written and clinical). It is the decision of each training program to determine whether to charge the candidate a fee or whether to offer the in-house examination to a new employee for no fee, etc. If successful on the first attempt and with documentation by the Maryland Training program of demonstrated competency, the candidate may endorse/transfer the CNA certificate from the out-of-state registry and obtain CNA/GNA status in Maryland. If the candidate is unsuccessful, on one or both parts of the examination, the candidate must complete the entire Maryland Board approved 100 hours training program.

arrow bullet Please see the Board’s web for more information.

Other Requirements

arrow bullet Individuals wanting to be certified geriatric assistants, home health nursing assistants, certified medicine aides, school health nursing assistants, developmental disabilities nursing assistants, and certified nursing assistant - dialysis technicians must meet additional requirements.

arrow bulletThe Board will also certify those individuals who meet the requirements as a nursing assistant - skilled. Click here for more information on the certified nursing assistant - skilled. [PDF]

arrow bullet The Board will also certify those individuals who meet the requirements of certification as a medication technician (MT). The medication  technician is defined as an individual who has completed a Board approved medication technician training program and is certified by the board as a medication technician. This individual works in community based practice settings such as assisted living, group homes, etc. Click here for more information on the Medication Technician

arrow bullet The Board will also certify those individuals who meet the requirements for certification as a medicine aide. Medicine aides must have had 1 year of previous experience as a geriatric nursing assistant, and have completed the 60-hour state approved course in medication administration. These individuals work in the licensed nursing home.

arrow bullet An advisory committee makes recommendations to the Board regarding:

  • Education and training requirements;

  • Clinical and administrative procedures; and,

  • A plan for mobility of nursing assistants between various practice settings.

Certification Costs

arrow bullet Initial Certification: $20.00

arrow bullet Renewal: $40.00 every 2 years

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