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Texas Caregiver Training

Texas Caregiver Training & Compliance for Home Care Agencies

Manage Texas caregiver training requirements with role-based learning, compliance tracking, onboarding management, and mobile-first access.

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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

Home Care Attendant

Home Care Attendants support clients with personal care and daily living needs using a training plan built around each client's specific needs and conditions. Annual training hours are determined and managed by each agency individually.

Initial Training

Client-specific Orientation

Annual Training

Not Specific

Texas Training Requirements

Direct Care Worker

Direct Care Workers help clients with personal care and daily support needs with training content and hours set by each agency. Annual training is based on each caregiver's competency evaluation completed every year.

Initial Training

Not Specific

Annual Training

Annual Evaluation

Texas Training Requirements

Home Health Aide (CMS Certified)

Home Health Aides assist with personal care, mobility, and routine health-related support under supervision.

Initial Training

75 Hours

Annual Training

12 Hours

Texas Training Requirements

Home Health Aide (State Licensed)

Home Health Aides assist with personal care, mobility, and routine health-related support under supervision.

Initial Training

75 Hours

Annual Training

12 Hours

Texas Training Requirements

HB 300 Medical and PHI Privacy Training

Medical and PHI Privacy Training teaches caregivers how to protect sensitive client information by handling data carefully and respectfully, with a focus on privacy.

Initial Training

Within 60 Days of Hire

Annual Training

Every 2 Years

Texas Training Requirements

Personal Assistance Services

Personal Assistance Services Training shows caregivers how to help clients with daily living needs using thoughtful and respectful care that puts the client first.

Initial Training

Not Specific

Annual Training

Not Specific

Texas Training Requirements

Home and Community Support Services Agencies Workplace Violence Prevention

Workplace Violence Prevention Training helps caregivers learn how to spot, prevent, and respond to unsafe situations by using awareness and respectful, safety-focused care.

Initial Training

Not Specific

Annual Training

At Least Annually

Texas Training Requirements

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

Infectious Disease Prevention Training teaches caregivers how to protect both clients and themselves from illness through careful, respectful infection control practices.

Initial Training

Not Specific

Annual Training

Not Specific

Regulatory Oversight

Licensing Authorities

Texas Health and Human Services Commission

Oversees HCSSA programs, Medicaid services, and statewide caregiver compliance requirements.

Texas Health and Human Services Regulatory Services Division

Regulates home care agencies, caregiver licensing, and healthcare training standards statewide.

Texas Department of Aging and Disability Services

Supports aging services and long-term caregiver assistance programs statewide.

Texas HB 300

Establishes healthcare privacy training and PHI protection requirements statewide.

Texas Human Resources Code Chapter 48

Establishes abuse reporting duties and vulnerable adult protection requirements statewide.

Texas Training Requirements & Recommended Courses

Home Care Attendant Initial Training

A few Learn2Care class courses:

  • 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
  • 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:

  • 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:

  • 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:

  • 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:

  • 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:

  • 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
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Texas Caregiver Training,
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The essential field guide for home care
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Got a Question?

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.

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