It has been reported that some skilled nursing facilities are temporarily self-limiting or restricting access, including access by nurse aide training programs. We understand this access is needed by training programs to complete clinical hours in the skilled nursing facility.
At this time, we are temporarily allowing nurse aide students to practice and demonstrate clinical tasks in health care settings outside of a skilled nursing facility when necessary.
If your training program is experiencing this temporary restriction, it is our recommendation that you first attempt to secure a contract with another skilled nursing facility.
If you are unable to secure a contract with another skilled nursing facility, you may attempt to secure a temporary contract in another adult health care setting. If the program has an agreement with an alternative health care setting, a temporary contract is required. A temporary contract may be secured through December 31, 2020. Once you have submitted the temporary contract to the state agency, you may proceed with clinical training in the alternative health care setting. We hope this clarification is helpful.
Please refer to the Code of Federal Regulations 483.151 and 483.152 regarding information on training programs and trainers.
The State of Michigan is not able to approve a facility applying for a nurse aide training program if it has not been two years since the assessment of penalties (locked out) under 42 CFR 483.151 (b) (3). Facilities that do not meet the conditions outlined in the Federal Code should not apply to become a nurse aide training program. Programs seeking a waiver from lock out please reference the waiver process below.
All New Nurse Aide Training Programs required to pay a fee upon submission of their application per Part 219 of the Michigan Public Health Code, Section 333.21919.
Initial and Renewal fees for programs offered by a secondary education institution (high school or ISD) or a skilled nursing facility are $100.
Refunds of fees associated with a nurse aide training program will not be granted unless a request for withdrawal of the application is received by our office prior to being issued a permit.
Approved permits are valid for two years.
Renewals are processed on even years.
Permits expire on July 31st of even years.
Nurse Aide Training Program Instructor Requirements
Any individual training nurse aide candidates must be a Nurse Aide Trainer or a Supplemental Instructor.
The Nurse Aide Trainer must be on site, present, and overseeing the training 100% of the time in the classroom, lab or clinical site. The overall training of nurse aide candidates may not be delegated to someone else, nor can the overall training (classroom or clinical) be delegated solely to a supplemental instructor.
A Licensed Practical Nurse or Registered Nurse (Supplemental Instructor), that is not a Nurse Aide Trainer approved by the State, may supplement the primary Nurse Aide Trainer (certified) in the lab for skills check off as well as clinical skills checks taught by the Nurse Aide Trainer. These Supplemental Instructors can be made up of licensed health professionals or other specialists and they must have at least 1 year of experience in their field. These supplemental instructors are not to be doing the overall training of nurse aides, but can supplement the instructor regarding their field of experience.
Unannounced on-site inspections will be conducted between renewals for confirmation of compliance with Federal and State law as well as administrative rule.
Please email BCHS-CNA-Training-Program@michigan.gov for closure of a training program no longer offering services. Please include in the email the name of the training program, permit #, address and specific date the program will close.
For all changes to a nurse aide training program permit complete the Nurse Aide Training Program Application and submit it to BCHS-CNA-Training-Program@michigan.gov. These changes include change of program name, curriculum changes, clinical skills contract changes, staffing changes or program coordinator changes. Any change of location or ownership requires a new program application.
Under federal law, a waiver may be granted by the state to those facilities that have a nurse aide training program and become locked-out due to being found out of substantial compliance. Please refer to 42 USC 1395i-3 (f) (2) (C) when considering requesting a waiver of the 2-year "lock-out" prohibition.
The waiver is for a nurse aide training program offered in, not by the facility.
The facility may choose a non-facility affiliated contractor to train the facilities nurse aide candidates.
If the facility is affiliated with a contracted training program at the time of the lock out, a waiver must be requested for the contracted program to continue training.
Indicate if the facility is currently in substantial compliance with federal certification requirements or if there is an approved Plan of Correction for outstanding deficiencies.
Please state in the e-mail "Substantial compliance has occurred in the most recent federal survey, xx/xx/xxxx" if applicable.
Provide a letter from the Bureau of Community and Health Systems showing substantial compliance or an approved plan of correction.
Within 90 days of receiving the above information the department may approve the permit if the following conditions exist:
No other nurse aide training program is located within a reasonable distance (less than 5 miles) of the existing facility. Identify nearby active programs here: MAP
The department establishes that an adequate environment exists for operating the program in the facility, by being in substantial compliance or having an approved Plan of Correction for any outstanding deficiencies.
The department will notify the facility of approval, denial or request for additional information.
Once a waiver is approved the facility must notify the State long-term care ombudsman.
Note:Any training program that is not offered by or in a facility, and only uses a facility to do their clinicals, does not need a waiver if the facility is locked-out.
Due to the currents state of emergency the bureau is approving an alternative option to in person, face to face classroom requirements for all state approved nurse aide training programs. Effective immediately online, virtual classroom sessions may be offered as an alternative to in person classroom education.
Online classes must provide the opportunity for students to interact and engage with the instructor teaching the lesson. The nurse aide trainer must be present and available during this time. What does this mean?
Online classes must be documented and classroom hours audited to ensure the minimum requirements of 34 classroom hours are met.
Audits must be available for review by the department.
All laboratory and clinical requirements must continue to be completed in person.
Please refer to 42 CFR 483. 152 (a) (5) (i) for Nurse Aide Trainer Requirements.
a minimum of 2 years of nursing experience, at least 1 of which must be in the provision of long term care facility services, i.e., a participating CMS facility.
a course in teaching adults or have experience in teaching adults or supervising nurse aides.
Note: Effective May 7, 2018, the Bureau has expanded the experience to include: “A nurse aide trainer candidate must have at least 1 year of experience in providing skilled nursing care and related services to individuals that require non-hospital residential medical, nursing or rehabilitative services. Long term care facilities may include nursing homes, hospital long term care units, county medical care facilities, homes for the aged, assisted living facilities, hospice and other like provider types."
In collaboration with the Department of Technology, Management, and Budget’s (DTMB) Center for Shared Solutions, this MAP of state licensed providers includes adult foster care homes, child care organizations, health care providers, and substance use disorder programs. We hope you find this resource valuable.
If you wish to become an in-facility testing site, please go to Prometric's website https://www.prometric.com/nurseaide/mi and click on the IFT Online Request Form and Clinical Skills Testing Room, Equipment and Supplies Requirements for instructions.