Texas Caregiver Training Requirements & Online Courses

State Regulations

Texas's Caregiver Training Requirements at a Glance

Texas mandates specific training hours and competency evaluations for all in-home care workers.
Here's everything your agency needs to know.

Texas Training Requirements	Initial Training	Annual Training
Home Care Attendant	Client-specific Orientation	Not Specific
Direct Care Worker	Not Specific	Annual Evaluation
Home Health Aide (CMS Certified)	75 Hours	12 Hours
Home Health Aide (State Licensed)	75 Hours	12 Hours
HB 300 Medical and PHI Privacy Training	Within 60 Days of Hire	Every 2 Years
Personal Assistance Services	Not Specific	Not Specific
Home and Community Support Services Agencies Workplace Violence Prevention	Not Specific	At Least Annually
Home and Community Support Services Agencies Prevention of the Spread of Infectious and Communicable Disease	Not Specific	Not Specific

Regulatory Oversight

Licensing Authorities

CDSS

Texas Department of Social Services

Oversees caregiver training, registry, and compliance for social service workers in Texas.

CDA

Texas Department of Aging

Supports caregiver training and services for older adults in home and community care.

CalHHS

Texas Health and Human Services Agency

Provides statewide oversight of health and human services programs, including aging and caregiving systems.

AB 1217

Home Care Services Consumer Protection Act

Establishes licensing, training, and supervision rules to protect home care consumers.

Texas Training Requirements & Recommended Courses

Home Care Attendant Initial Training

A few Learn2Care class courses:

L2C0100 – Activities of Daily Living (ADLs) and Promoting Independence
L2C0100 – Activities of Daily Living (ADLs) and Promoting Independence
L2C0126 – Assisting clients with Sponge, Tub, and Shower Baths
L2C0124 – Assisting With Dressing and Undressing

Home Care Attendant Annual Training

A few Learn2Care class courses:

L2C0409 – Preventing Elder Abuse, Neglect, and Exploitation
L2C0303 – Honoring Client’s Rights with Person-Centered Care
L2C0409 – Preventing Elder Abuse, Neglect, and Exploitation
L2C0405 – Health Insurance Portability and Accountability Act (HIPAA)
L2C0303 – Honoring Client’s Rights with Person-Centered Care

Home Health Aide (CMS Certified) Initial Training

A few Learn2Care class courses:

L2C0706 – Communication: Communicating with the Client’s Family
L2C0700 – Caregiver Communication Skills and Working with Older Adults
L2C1003 – Standard Precautions and Key PPE
L2C0700 – Caregiver Communication Skills and Working with Older Adults
L2C1003 – Standard Precautions and Key PPE
L2C0706 – Communication: Communicating with the Client’s Family

Home Health Aide (CMS Certified) Annual Training

A few Learn2Care class courses:

L2C1710 – Handling Family Interactions and Concerns in Dementia Care
L2C1502 – Your Safety in Workplace:Guidance for Caregivers
L2C0605 – Caring for Clients with Kidney and Bladder Disease

Home Health Aide (State Licensed) Initial Training

A few Learn2Care class courses:

L2C1003 – Standard Precautions and Key PPE
L2C1007 – Preventing Infections In the Home
L2C1004 – Transmission Based Precautions
L2C1003 – Standard Precautions and Key PPE

Home Health Aide (State Licensed) Annual Training

A few Learn2Care class courses:

L2C1400 – Self Care for Caregivers
L2C0409 – Preventing Elder Abuse, Neglect, and Exploitation
L2C0409 – Preventing Elder Abuse, Neglect, and Exploitation
L2C1400 – Self Care for Caregivers
L2C0407 – Preparing for Disasters In the Community

HB 300 Medical and PHI Privacy Training Initial Training

L2C2800 – Texas HB 300 Compliant HIPAA Training

Personal Assistance Services Initial Training

A few Learn2Care class courses:

L2C0125 – Assisting Clients with Bed Baths
L2C0124 – Assisting With Dressing and Undressing
L2C0113 – Assisting an Older Adult with Shaving

Personal Assistance Services Annual Training

A few Learn2Care class courses:

L2C1400 – Self Care for Caregivers
L2C0413 – Preventing Falls for Older Adults
L2C0901 – Instrumental Activities of Daily Living (IADLs) and Promoting Independence
L2C0901 – Instrumental Activities of Daily Living (IADLs) and Promoting Independence
L2C1400 – Self Care for Caregivers
L2C0413 – Preventing Falls for Older Adults

Home and Community Support Services Agencies Workplace Violence Prevention Initial Training

L2C1503 – Workplace Violence Prevention for Home Care Workers

Home and Community Support Services Agencies Prevention of the Spread of Infectious and Communicable Disease Initial Training

A few Learn2Care class courses:

L2C1006 – Infection Control for Caregivers
L2C1007 – Preventing Infections In the Home
L2C1006 – Infection Control for Caregivers
L2C1004 – Transmission Based Precautions

Learn More About Texas Training Paths

Disclaimer: We are committed to helping you stay informed and confident in your compliance efforts with the most accurate, up-to-date guidance we can provide. Our guides and resources are designed to support your training and compliance work, though state regulations may vary and change frequently. Please consult your state's licensing or regulatory body for official guidance, publications, or requirements.

Meet Texas's Caregiver
Standards — Without the Guesswork

Our free eBook breaks down every training and compliance requirement Texas caregivers face — in plain language, so you stay audit-ready and focused on what matters: delivering quality care.

Step-by-step breakdown of Texas training hours & topics
Compliance checklist to pass audits with confidence
Proven strategies to build a quality-first care team

Get Your Free eBook — Instant Download

100% FREE

Learn2Care

Texas Caregiver Training,
Compliance & Quality Care

The essential field guide for home care
providers operating in Texas

Frequently Asked Questions About Caregiver Training in Texas

Training in Texas is role-based and competency-driven:

Personal Assistance Services (PAS) / Home Care Attendants: No fixed statewide hours. Caregivers must be trained and competent in assigned tasks (ADLs, mobility, meals, medication assistance, home management) before working.
Home Health Aides (HHAs): Follow structured programs (typically 75 hours initial + 12 annual) or demonstrate equivalent competency/experience.
Direct Care Workers: Must complete agency orientation, job-specific training, and ongoing competency validation, including annual evaluation.
Additional requirements: HIPAA (Texas HB 300), infection control, and workplace safety policies.

Bottom line: Texas focuses on task-based training + documented competency, not a single required hour minimum.

Caregiver training in Texas is service based, aligned with PAS/Home Care Attendants, Direct Care Workers, and HHA annual training.

Key topics include:

Personal care and ADLs (bathing, dressing, toileting, mobility, feeding)
Medication assistance (self-administered support only)
Home management tasks (cleaning, laundry, meal prep, shopping, errands)
Infection control and communicable disease prevention
Client rights, HIPAA (Texas HB 300), and confidentiality
Abuse, neglect, and exploitation prevention
Safety, fall prevention, and emergency response
Communication, documentation, and reporting
Caregiver scope of practice and competency expectations

CNAs require certification. Other caregiver roles are not required to be certified. Most agencies also require documented onboarding, safety training, and competency checks before independent work begins.

Yes, online caregiver training is commonly used in Texas for onboarding, annual education, and maintaining compliance with agency, state, and Medicaid waiver requirements.

Learn2Care helps Texas agencies deliver practical caregiver training through real-life scenarios, mobile access, compliance tracking, and simplified onboarding for growing teams.

Ready to Stay Compliant in Texas?

Start your free 7-day trial and access all approved courses instantly.

Try For Free View Course Library