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Free Michigan HHA Practice Test 2026

Michigan does not issue a state-level home health aide license or certification — there is no Michigan HHA exam and no Michigan HHA registry. Instead, home health aides who work for Medicare- or Medicaid-certified agencies must meet federal standards under 42 CFR 484.80, which requires at least 75 total training hours, including a minimum of 16 classroom hours that must precede a minimum of 16 supervised practical hours; the regulation does not prescribe how the remaining hours beyond those two minimums are divided. Training is followed by a competency evaluation. The Michigan Department of Licensing and Regulatory Affairs (LARA) — through its Bureau of Survey and Certification (BSC) — acts as the Centers for Medicare and Medicaid Services' survey agent, conducting on-site inspections to verify agency compliance with those federal Conditions of Participation. The practice questions below are built around the federal competency domains every Michigan HHA must master — infection control, safety, personal care, client rights, and basic clinical skills — because passing the competency evaluation at your training program is the real-world threshold you need to clear.

Michigan HHA Requirements
Training Hours
75 hrs
Clinical Hours
16 hrs
Registry
No state HHA registry (CNAs only, MI-NATES)
Exam format: No state exam — training-program competency evaluationMichigan issues no state HHA certification; requirements follow the federal 75-hour standard (42 CFR 484.80).

Good to know: Michigan does not issue a state HHA certification or license. The 75-hour training and competency evaluation are federal Medicare/Medicaid requirements (42 CFR 484.80), not a Michigan state credential. LARA acts as CMS survey agent but does not maintain a separate state HHA registry.

Michigan HHA Practice Questions

Question 1 of 100% complete
HHA Exam Topic

Under federal rules that govern Michigan home health agencies, how many total training hours must a home health aide complete before working independently?

Michigan HHA Exam — Frequently Asked Questions

How many training hours do you need to become a home health aide in Michigan?

Michigan home health aides who work at Medicare- or Medicaid-certified agencies must complete at least 75 hours of training under federal rules (42 CFR 484.80). The regulation requires a minimum of 16 classroom hours that must precede a minimum of 16 supervised practical hours; beyond those two minimums, the regulation does not specify how the remaining hours must be split. Michigan has not enacted a state minimum above the federal 75-hour floor.

Does Michigan issue a state home health aide certification or license?

No. Michigan does not issue a state HHA certificate or license. There is no Michigan HHA state exam and no Michigan HHA registry. The credential that matters is the competency evaluation you complete at the end of your training program, which is required by federal Medicare/Medicaid rules. LARA's Bureau of Survey and Certification acts as CMS's survey agent to ensure agencies comply, but there is no individual state credential.

How many continuing education hours does a Michigan HHA need each year?

Federal regulations require at least 12 hours of in-service training during each 12-month period for HHAs working at Medicare- or Medicaid-certified home health agencies. There is no separate state-mandated annual hour requirement above that federal floor for Michigan HHAs.

Can I transfer my out-of-state HHA certification to Michigan?

Because Michigan does not issue its own state HHA certification, there is no formal Michigan HHA reciprocity process. If you have completed a federally compliant 75-hour HHA training program and competency evaluation in another state, you generally meet the requirements to work at a Michigan Medicare- or Medicaid-certified agency. If you are a Certified Nurse Aide (CNA), you can apply for Michigan CNA reciprocity through the MI-NATES system and a $40 fee — a Michigan CNA registration automatically qualifies you to work as an HHA.

Is HHA training free in Michigan?

Some Michigan home health agencies offer paid training or reimburse tuition as a recruitment incentive — meaning the training may cost you nothing if you commit to working for that agency. Community colleges and vocational schools also offer HHA programs, typically at low cost. Search for agency-sponsored programs in your area, as these are the most common route to free training in Michigan.

Michigan requirements verified 2026-06-13 against 42 CFR 484.80 — Condition of participation: Home health aide services (ecfr.io) · Michigan LARA — Home Health Agencies (LARA Bureau of Survey and Certification) · Michigan LARA — Nurse Aide Registry (MI-NATES) · Michigan LARA — Nurse and Medication Aide Certification · Michigan LARA — Federal Certification to Participate in Medicare/Medicaid · MCL 400.11a — Michigan mandatory reporting of adult abuse, neglect, and exploitation (Michigan Legislature) · Activated Insights — Michigan Training Requirements (references 42 CFR 484.80 and LARA oversight).

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