Career Pathways

Home Health Aide (HHA)

HHA PDF Download

Description of a HHA

Home Health Aides (HHA) provide medical and personal care to persons in their homes. A HHA provides assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) including assistance with bathing, skin and hair care; getting in and out of bed; preparing meals; and using the bathroom. 

HHA Work Settings and Populations Served

A Home Health Aide:

  • Works with people living at home who need assistance with ADLs and/or IADLs
    Can work with persons of all ages and abilities
  • Depending on person(s) they are helping, may be supervised by a nurse or therapist

Hiring Requirements

A person may not be hired as a HHA if that person has ever been:

  • Convicted of a crime involving abuse, neglect or misappropriation of property in a health care setting
  • The subject of a complaint involving abuse or neglect  or misappropriation of property if the complaint was substantiated by the Maine Department of Health and Human Services and entered on the CNA Registry
  • Convicted within the last 10 years for sexual misconduct, or abuse, neglect or exploitation in a setting other than a health care setting
  • Convicted within the last 10 years for a crime that was punishable by 3 or more years in prison


Be at least 16 years old

Receive home health aide orientation provided by the home health agency you work for

Have completed 9th grade (although a high school diploma or GED is preferred)

And, depending on where you work/ who you work with:

Successfully complete the 180-hour CNA Training Program

Be listed on the Maine Registry of Certified Nursing Assistants

Receive at least 12 hours of in-service training annually





A person who is working as a HHA can move into the following positions with additional education:

Health Services:

  • CNA
  • CNA-M
  • LPN
  • Medical Assistant
  • Nursing Degree

Human Services:

  • MHRT-I
  • MHRT-C
  • Mental Health Worker
  • DSP