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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Missouri requires 12 hours of initial training for non-medical caregivers, plus 5 hours each year. For Medicaid in-home services providers: 12 hours of orientation within 30 days of employment, at least 6 of them before the first day of client contact. Orientation must cover the agency's emergency protocols and an overview of Alzheimer's disease and related dementias.
| Requirement | Missouri |
|---|---|
| Initial training | 12 hours |
| Annual training | 5 hours |
| Rule | 19 CSR 15-7.021(22) |
5 hours of in-service training each year after the first 12 months; after three years and 15 in-service hours, the provider may require only 2 hours of refresher training a year.
The training and background check rules shown apply to state-contracted (Medicaid) in-home services providers and licensed home health agencies; a private-pay non-medical agency may not be covered. Fingerprints are one way to meet the background check requirement, not the only way. Confirm that no license is needed for your services with the Missouri Department of Health and Senior Services.
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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