Home Health Aide
Free Home Health Aide (HHA) written-exam practice based on the federal training requirements (42 CFR 484.80) — working in the client's home, communication & reporting, home infection control, a safe & healthy home, personal care, safe transfers, vital signs, nutrition & meal preparation, and home emergencies. HHA has no single national exam (competency is evaluated by your program or state); Chinese and Spanish here are study aids.
Real test language: the official Home Health Aide is given in English.
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🗂️ Exam administration by state
A home health aide is certified differently from beauty or nursing-exam professions. Federal rules (42 CFR 484.80) require at least 75 hours of training and a competency evaluation — a skills demonstration plus a written or oral test given by your training program or agency — NOT a national written exam with a language menu. So for most states there is no state-run multilingual written test; what varies is the training hours and whether the state issues its own certificate or uses its nurse-aide registry. The one exception is Washington, whose Home Care Aide exam (Prometric) is genuinely offered in about 13 languages. This table shows the 10 largest states honestly.
| State | How you're certified | Written-exam languages | Requirement |
|---|---|---|---|
| CaliforniaCA Dept. of Public Health (HHA certificate) | Training program — competency evaluation | CDPH Home Health Aide certificate; competency evaluation (written test + skills demonstration), given by the program — no state multilingual written examofficial source ↗ | |
| TexasTX HHSC (no separate state HHA license) | Employing agency — RN-observed competency evaluation | No state HHA license; RN direct-observation competency evaluation at the employing agency; no written-language examofficial source ↗ | |
| FloridaFL AHCA (agency rules only — no state HHA credential) | Employing agency — competency test (no state credential) | No state HHA license, exam or registry; the employing agency gives the competency test; no written-language examofficial source ↗ | |
| New YorkNYS DOH — Home Care Registry (approved HHATP) | Approved training program — competency evaluation | Certificate from an approved HHA Training Program; listed on the NY Home Care Registry; competency evaluation — no statewide multilingual written examofficial source ↗ | |
| IllinoisIL Dept. of Public Health — Health Care Worker Registry | State-approved program (bundled with CNA) — competency evaluation | HHA is bundled with CNA on the Health Care Worker Registry; CNA competency evaluation (written test + skills demonstration) — no HHA-specific multilingual written examofficial source ↗ | |
| New JerseyNJ Board of Nursing (Certified Homemaker-Home Health Aide, CHHA) | Approved program — competency evaluation | Certified Homemaker-Home Health Aide (CHHA) via the NJ Board of Nursing; competency evaluation by an approved program — no published written-language menuofficial source ↗ | |
| GeorgiaGA Dept. of Community Health — Nurse Aide Registry | Training program — competency evaluation | No separate HHA license; competency evaluation via a training program, listed on the GA Nurse Aide Registry — no written-language examofficial source ↗ | |
| WashingtonWA State Dept. of Health — Home Care Aide (HCA) | Prometric (Home Care Aide certification exam) | English, Spanish, Chinese, Korean, Vietnamese, Amharic, Arabic, Khmer, Laotian, Russian, Samoan, Somali, Tagalog, Ukrainian | Home Care Aide certification exam (Prometric); written exam offered in English + ~13 translations; passing score per current Prometric bulletin (to confirm)official source ↗ |
| ArizonaArizona (no state HHA certification) | Employing agency — RN competency evaluation (no state credential) | No state HHA certification or licensing; agency-employed with an RN competency evaluation; no written-language examofficial source ↗ | |
| NevadaNV State Board of Nursing — Nurse Aide Registry | State-approved program (via CNA) — competency evaluation | No distinct HHA credential; certified as a CNA on the NV Nurse Aide Registry via the CNA competency evaluation — no HHA-specific written-language examofficial source ↗ |
Home health aide certification is largely governed by federal training + competency-evaluation rules (42 CFR 484.80), not a national written exam. This table shows only facts confirmed from an official source on the date noted; anything unconfirmed is marked “to confirm.” Except for Washington's Home Care Aide exam, there is no statewide multilingual written test — the competency evaluation is given by your training program or agency. Always verify current requirements with your state agency before you register.