Compliance
Caregiver Training Requirements by State: What Agencies Need to Know
There is no federal training rule for non-medical caregivers. States set hours from 5 to 75. Six states compared, with sources, plus what to document for a survey.
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Maryland does not set a number of training hours for non-medical caregivers. Each worker must complete a skills assessment and demonstration before client referral. Caregivers who help with activities of daily living or medication must be certified, with limited exceptions (for example, a supervising nurse finds no predictable adverse health consequences, or the client signs a waiver).
| Requirement | Maryland |
|---|---|
| Initial training | No set hours |
| Annual training | No set hours |
| Rule | COMAR 10.07.05.10 |
The regulation lists a $1,000 license fee, but the Office of Health Care Quality's 2026 application says there is no fee to apply; confirm the current fee with OHCQ. A private agency background check can be used instead of the state check. Medical Assistance personal care providers are excluded from this license category.
Yes. Required training for caregivers you employ is hours worked, so it is paid and counts toward overtime. Add training hours to each caregiver's weekly total with the overtime calculator and track them on the schedule template.
Compliance
There is no federal training rule for non-medical caregivers. States set hours from 5 to 75. Six states compared, with sources, plus what to document for a survey.
Recruiting
Three stages: paperwork, screening and training before the first shift, a supported first shift, and check-ins through day 90. Federal deadlines included.
Compliance
Track every caregiver credential with an expiry date, alert at 60 and 30 days, and block assignments when something lapses. Surveyors check the visit date.
Recruiting
Yes. Hire for reliability and judgment, meet your state's training minimum before the first visit, pay for training time, and use shadow shifts before solo work.
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