CMS Waiver Still in Place - Training Gained During Pandemic May Count Towards Nurse Aid Certification

December 28, 2021

The Centers for Medicare and Medicaid Services Certification of Temporary Nurse Aides waiver (PDF) is still in effect.  The waiver allows a nurse’s aide to work more than four months without certification. 

HHSC is putting the plan for certifying temporary nurse aides into permanent rules. These rules were effective Dec. 26, 2021. There may be a delay in processing applications for submission requests to transition from temporary status to certified nurse aides between Nov. 15 and Dec. 26, 2021.

Follow the process to complete a Nurse Aide Training and Competency Evaluation Program to become a certified nurse aide if:

  • You are a person who has completed nurse aide tasks
  • If this was completed under the waiver during the COVID-19 public health emergency

See PL 2021-19 (PDF) for details.

Many organizations offer temporary nurse aide training and certificates. Not all temporary nurse aide training and certificates will count towards the required training to become a certified nurse aide. A temporary nurse aide must check with their r nursing facility nurse instructor to see if the online temporary nurse aide certificate will count towards the required 16-hours of introductory classroom training, or the 8-hours of infection control training that includes the proper use of PPE, prior to resident contact (26 TAC §556.3(j) and (l)).

A NATCEP that provides online training must ensure that the online training meets the requirements found in 26 TAC §556.3(i).

Providers and temporary nurse aides should begin the process to transition from temporary status as soon possible. Do not wait until CMS ends the waiver.

Email LTCR Policy or call 512-438-3161 for questions about the transition plan or permanent rules.