Licensing and Regulatory Affairs
The Bureau of Community and Health Systems has regulatory oversight of the Michigan Nurse Aide Registry. The Bureau contracts with Prometric to administer the test and maintains the Michigan CNA Registry. For questions about becoming a nurse aide, renewals, testing, and scheduling of tests, contact Prometric or call 800-752-4724.
A nurse aide is defined as any individual who holds a registration. A nurse aide is not a health professional licensed under article 15, a registered dietitian, or someone who volunteers to provide nursing or nursing related services without pay. A certified nurse aide (C.N.A.) must complete a training program and pass a knowledge and a clinical skills test in order to be registered and work as a nurse aide in Michigan. If they fail to pass the examination after three attempts, they will need to retrain and retest.
INITIAL CERTIFICATION: To become a CNA, new candidates must first complete a Michigan approved training course. For information on approved training programs in your county, see Regional Training Programs below. Following successful completion of a training course, a candidate must apply to Prometric for testing and eligibility.
Upon successful completion of both tests, an applicant is issued a certificate by Prometric that allows them to work as a CNA for 2 years. A nurse aide can work in a facility for no more than four months if they are not on the registry, provided they are competent and have completed training or testing (and are awaiting testing results) or they have been determined competent.
If eligible, a new candidate will be issued a certificate for two years. A renewal certificate will be good for 24 months as well. You must have worked as a nurse aide for monetary compensation during your active certificate time frame in order to renew. If it has been 24 months since your last date of verified employment, an individual’s name will be removed from the Michigan registry. In order to get back on the registry as a nurse aide, an individual will be required to re-test.
RENEWAL NOTICE: For certificate renewals, an individual must submit the renewal form, proof of employment as a CNA (for at least 8 hours in the last 24 months), and renewal fee to Prometric. A certificate needs to be renewed prior to your expiration date listed on your current certificate. Prometric will send a renewal notice 45 days prior to your expiration date. (Please make sure your contact information is current or up to date.) If the renewal form is not submitted timely, or is incomplete, the certificate will lapse and the individual may not work as a CNA until the required paperwork has been received by Prometric and made active again. We encourage you to submit your renewal as soon as possible after receipt of renewal notice (but no earlier than 45 day prior to the certification expiration date). Renewal applications must be received at the Prometric office prior to expiration date, early submission is important. Please do not submit renewal documents directly to the State of Michigan. A renewal certificate is good for 24 months.
EMPLOYERS: To verify whether an individual is a certified nurse aide in Michigan or for other information, call 800-748-0252 or visit the Prometric website. Verification of current Michigan certification via the Prometric web site is sufficient documentation during onsite inspections by the State of Michigan. Also, a nursing home must not use any individual as a nurse aide for more than 4 months unless that individual is competent to provide nursing related services and has completed a Michigan specific approved training and competency evaluation program. Please see the Nurse Aide Federal Rules & Regulation noted above at 42 CFR 483.35 and 42 CFR 483.5.
Health Care facilities must complete a performance review of every nurse aide at least once every 12 months, and must provide regular in-service education based on the outcome of these performance reviews. The in-service training must be sufficient to ensure the continuing competence of nurse aides, but must be no less than 12 hours per year. The in-service training requirements are listed in 42 CFR 483.95.
For general information or questions, email BCHS-CNA-Registry@michigan.gov or call 800-752-4724.
For applicants that currently hold a nurse aide certification in another state, effective February 19, 2018, the State of Michigan will grant reciprocity under the conditions listed in Section 333.21913 of the Michigan Public Health Code.
For candidates from States that do meet the Michigan requirements for reciprocity, your current certification status in the reciprocity State must be in good standing to be eligible for certification in Michigan.
The following States have confirmed to the State of Michigan that their program meets or exceeds the Michigan requirements. A candidate that has passed training and testing in one of those states is eligible to apply for a Michigan certificate through Prometric. Please contact Prometric for assistance. A candidate that has an active certificate in any state, that has completed training and testing in an approved state, may also apply for reciprocity.
Approved states are Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, and Wisconsin.
If a State is not listed above, it has been determined that either the State did not meet the Michigan requirement or did not respond to the Michigan’s request for training verification requirements. A candidate that did not undergo training and testing from a State listed above is not eligible for reciprocity.
Michigan requirements for reciprocity includes, but not limited to, that the State training program is consistent with the Federal Code of Regulations, requires a minimum of 75 course hours prior to taking the competency evaluation examination, and does not allow candidates to exempt out of the training course hours.
In the case of a finding of neglect; whereby, a nurse aide has been flagged on the registry, after 1 year from the date of the finding on the registry the nurse aide may petition the Bureau to have the negative finding removed from the registry. The nurse aide must send a written request to the Manager of the Health facility Professional & Nurse Aide Section. The request will be reviewed within 30 days.
The request must include a personal attestation detailing why the nurse aide feels the neglect finding should be removed, whether the original finding was a singular occurrence or a pattern and how the employment and personal history of the nurse aide does not reflect a pattern of abusive behavior or neglect.
The Michigan Department of Health and Human Services (DHHS) website outlines the process for nurse aides wanting to obtain reimbursement for training and testing. This is not a function of the Department of Licensing and Regulatory Affairs. Please refer to the DHHS web page regarding reimbursement.
Michigan Department of Licensing and Regulatory Affairs
Bureau of Community & Health Systems
Health Facility Professional and Nurse Aide Section
P.O. Box 30664
Lansing, MI 48909
Nurse Aide Phone: 517-284-8961
Bureau Phone: 517-335-1980
Prometric Contact Information: