WHAT'S NEW
Having trouble applying for HCA? Please follow the steps below:
HCA.AFH.ALF Certification Revision Checklist Mar01.2017.BJE.PDF
Aging and Long-Term Support Administration | IP Certification Checklist January 2017 Page 1 of 2
Certified Home Care Aide Checklist
Home Care Agencies, Adult Family Homes and Assisted Living Facilities
Requirements Under the Law:
You must complete 75 hours of training (Includes 5 hours of Orientation and Safety) within 120 days of your hire date
and become a Certified Home Care Aide within 200 days of hire. If you do not meet these deadlines, you cannot
continue to be paid.
HCA.AFH.ALF Certification Revision Checklist Mar01.2017.BJE.PDF
Aging and Long-Term Support Administration | IP Certification Checklist January 2017 Page 1 of 2
Certified Home Care Aide Checklist
Home Care Agencies, Adult Family Homes and Assisted Living Facilities
Requirements Under the Law:
You must complete 75 hours of training (Includes 5 hours of Orientation and Safety) within 120 days of your hire date
and become a Certified Home Care Aide within 200 days of hire. If you do not meet these deadlines, you cannot
continue to be paid.
Use the following RECOMMENDED timelines and checklist to meet deadlines.
STEP 1
Complete Name & Date of Birth background check through your employer.
Use the same name on all forms.
Example: Jonathan, John OR Johnny
STEP 2
An originating case agency number (OCA#) is generated from this background check.
Write the OCA# here: _________
STEP 3
Complete a Fingerprint Appointment form and schedule a fingerprint appointment.
The OCA# will go on this form.
Write appointment time here: ________
STEP 4
Before you provide care: Complete the Orientation (2 hours) & Safety (3 hours) training courses. You will need training certificates for these courses. Find an approved instructor. These certificates become part of your 75 hour basic training requirement.
The 120 days to complete basic training starts from your date of hire.
STEP 1
Recommended within 14 days of hire: Register for basic training. Find an approved instructor.
STEP 2
Recommended by 60 days from hire: Complete your 70 training hours immediately to ensure you get classes in the area where you live. Be sure to meet testing and certification deadlines.
STEP 3
Once you complete the required training you will be eligible to take your Home Care Aide Examination.
Mark your calendar!
STEP 4
You will get your 75 hour Certificate of Completion (DSHS Training Certificate) from the DSHS approved instructor who teaches the last hour of your 75 hour basic training.
Show all certificates to this instructor.
STEP 1
Complete by 14 days of hire: Apply to the DOH for Home Care Aide certification and to take the written and skills test through testing company, Prometric. Submit a DOH HCA Certification Application. Included in your DOH application is information given to Prometric allowing you to take your written and skills exam. Prometric will not schedule exams without an email address. The OCA# from the fingerprint appointment form must be on the DOH application. Page 2 of 2 Aging and Long-Term Support Administration | Washington State Department of Social and Health Services Aging and Long-Term Support Administration | IP Certification Checklist January 2017 Page 2 of 2
STEP 2
Mail the fees to DOH for both the DOH application fee and the Prometric exam fees. Send check or money order with your application.
STEP 3
You must complete 75 hours of training before you are scheduled for the written and skills test through Prometric. *Pass the written and skills. If you are limited English proficient (LEP), meaning your ability to read, write or speak English is limited, you may qualify for an additional 60-day provisional certification. To take the HCA exam in Spanish, Russian, Vietnamese, Korean, Chinese, Cambodian, Laotian, Samoan, Somali, Ukrainian, Tagalog, Amharic, or Arabic check the language desired on HCA Exam Application. Write the test date and location here: ________________________________
If you need to take the examination in a language not listed, you may request an individual interpreter in your language by completing the testing accommodations request packet on the Prometric website and submit to the address on the back of this form.
STEP 4
If you must miss the exam time written above, reschedule your exam immediately. If you fail the exam, reapply immediately to Prometric to retest. You can take the failed portion of the test twice. You must pay a fee for each retest.
You are assigned a 10-digit DOH credential # (begins with HM). Find your DOH credential number on the DOH website by clicking on Provider Credential Search. The deadline to complete basic training is 120 days from your hire date. Testing and certification must be completed as a HCA 200 days from hire.
Agency Telephone & Fax Mailing Address E-mail
DOH HCA Credentialing Coordinator
(360) 236-2700
DOH Customer Service
(360) 236-4700
Mail application to: (Do Not include Fee)
DOH - Home Care Aide Credentialing
P.O. Box 1099
Olympia, WA 98507-1099
Mail other documents NOT sent with initial
application to:
DOH - Home Care Aide Credentialing
P.O. Box 47877
Olympia, WA 98504-7877
DOH Website:
Home Care Aide
Prometric Telephone
1-800-324-4689
STEP 1
Complete Name & Date of Birth background check through your employer.
Use the same name on all forms.
Example: Jonathan, John OR Johnny
STEP 2
An originating case agency number (OCA#) is generated from this background check.
Write the OCA# here: _________
STEP 3
Complete a Fingerprint Appointment form and schedule a fingerprint appointment.
The OCA# will go on this form.
Write appointment time here: ________
STEP 4
Before you provide care: Complete the Orientation (2 hours) & Safety (3 hours) training courses. You will need training certificates for these courses. Find an approved instructor. These certificates become part of your 75 hour basic training requirement.
The 120 days to complete basic training starts from your date of hire.
STEP 1
Recommended within 14 days of hire: Register for basic training. Find an approved instructor.
STEP 2
Recommended by 60 days from hire: Complete your 70 training hours immediately to ensure you get classes in the area where you live. Be sure to meet testing and certification deadlines.
STEP 3
Once you complete the required training you will be eligible to take your Home Care Aide Examination.
Mark your calendar!
STEP 4
You will get your 75 hour Certificate of Completion (DSHS Training Certificate) from the DSHS approved instructor who teaches the last hour of your 75 hour basic training.
Show all certificates to this instructor.
STEP 1
Complete by 14 days of hire: Apply to the DOH for Home Care Aide certification and to take the written and skills test through testing company, Prometric. Submit a DOH HCA Certification Application. Included in your DOH application is information given to Prometric allowing you to take your written and skills exam. Prometric will not schedule exams without an email address. The OCA# from the fingerprint appointment form must be on the DOH application. Page 2 of 2 Aging and Long-Term Support Administration | Washington State Department of Social and Health Services Aging and Long-Term Support Administration | IP Certification Checklist January 2017 Page 2 of 2
STEP 2
Mail the fees to DOH for both the DOH application fee and the Prometric exam fees. Send check or money order with your application.
STEP 3
You must complete 75 hours of training before you are scheduled for the written and skills test through Prometric. *Pass the written and skills. If you are limited English proficient (LEP), meaning your ability to read, write or speak English is limited, you may qualify for an additional 60-day provisional certification. To take the HCA exam in Spanish, Russian, Vietnamese, Korean, Chinese, Cambodian, Laotian, Samoan, Somali, Ukrainian, Tagalog, Amharic, or Arabic check the language desired on HCA Exam Application. Write the test date and location here: ________________________________
If you need to take the examination in a language not listed, you may request an individual interpreter in your language by completing the testing accommodations request packet on the Prometric website and submit to the address on the back of this form.
STEP 4
If you must miss the exam time written above, reschedule your exam immediately. If you fail the exam, reapply immediately to Prometric to retest. You can take the failed portion of the test twice. You must pay a fee for each retest.
You are assigned a 10-digit DOH credential # (begins with HM). Find your DOH credential number on the DOH website by clicking on Provider Credential Search. The deadline to complete basic training is 120 days from your hire date. Testing and certification must be completed as a HCA 200 days from hire.
Agency Telephone & Fax Mailing Address E-mail
DOH HCA Credentialing Coordinator
(360) 236-2700
DOH Customer Service
(360) 236-4700
Mail application to: (Do Not include Fee)
DOH - Home Care Aide Credentialing
P.O. Box 1099
Olympia, WA 98507-1099
Mail other documents NOT sent with initial
application to:
DOH - Home Care Aide Credentialing
P.O. Box 47877
Olympia, WA 98504-7877
DOH Website:
Home Care Aide
Prometric Telephone
1-800-324-4689
To learn more, please visit: www.adsa.dshs.wa.gov
