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Temporary Nurse Aide

NEW – May 2022 Status Update on PA Act 138 Pathway for Temporary Nurse Aides

In November 2020, the state enacted Act 138 of 2020 to provide Temporary Nurse Aides (TNA) working under the federal emergency blanket waiver with a pathway to become a Nurse Aide on the PA Nurse Aide Registry. The pathway is available only until the end of the federal emergency blanket waiver.

On April 7, 2022, the Centers for Medicare and Medicaid Services (CMS) published QSO-22-15-NH & NLTC & LSC and provided notice that the temporary emergency declaration blanket waiver for Training and Certification of Nurse Aides will end on June 6, 2022. In accordance with the CMS notice, skilled nursing facilities (SNFs) in Pennsylvania will no longer be allowed to hire TNAs after June 6, 2022, due to the expiration of the CMS waiver. (Please see letter in right column sent to skilled nursing facilities.)

In addition, all TNAs in Pennsylvania must successfully pass the skills and written portions of the state nurse aide examination by October 6, 2022, in accordance with CMS regulations. TNAs who do not pass their state nurse aide exam by October 6, 2022, cannot continue to perform the duties of a nurse aide and must stop working as a TNA until they pass their state nurse aide exam. Per state policy, TNAs will have 24 months from October 6 and three attempts to pass both parts of the exam but they cannot work as a nurse aide until they pass the exam and are added to the registry.

To take advantage of this pathway, TNAs must at a minimum:

  1. Have completed the 8-hour online training and online examination program, such as the program offered by the American Health Care Association and the National Center for Assisted Living, or a comparable program, as referenced in the April 19, 2020, Pennsylvania Department of Health (DOH) guidance (note:  this online training is no longer available as the federal CMS waiver expired June 6, 2022) ; and

  2. Complete a minimum of 80 hours of temporary nurse aide or supervised practical nurse aide training, on-the-job training or regular in-service nurse aide education during the declared COVID-19 emergency under the supervision of a licensed or registered nurse, in all areas of required nurse aide training as provided for in 42 CFR 483.152(a)(1-4) (relating to general requirements of a nurse aide training program), 42 CFR 483.152(a)(5) (relating to requirements for instructors who train nurse aides), and 42 CFR 483.152(b) (relating to requirements for the curriculum of a nurse aide training program); and

  3. Successfully pass both the written and skills portions of the state nurse aide exam by October 6, 2024.

TNAs meeting the eligibility requirements must submit their complete and correct attestation form by October 6, 2022, for PDE review for eligibility to sit for the state nurse aide examination.

The attestation form with instructions and a list of frequently asked questions (FAQs) are available in the additional information column to the right.

Additional questions should be emailed to: