Section 556.9 - Certificate of Registration, Nurse Aide Registry, and Renewal(a) HHSC is the agency responsible for issuing individuals a certificate of registration and listing them on the Nurse Aide Registry (NAR).(b) To be issued a certificate of registration and be listed on the NAR as having active status, a nurse aide must successfully complete a NATCEP, as described in § 556.6(i) of this chapter (relating to Competency Evaluation Requirements) and apply for certificate of registration through the online portal.(c) HHSC does not charge a fee to issue the certificate of registration or list a nurse aide on the NAR or to renew the certificate of registration and the nurse aide's listing of active status on the NAR.(d) A nurse aide listed on the NAR must inform HHSC of the nurse aide's current address and telephone number through the online portal.(e) The certificate of registration and the listing of active status on the NAR expires 24 months after the certificate of registration was issued and the nurse aide was listed on the NAR or 24 months after the last date of verified employment as a nurse aide, whichever is earlier. To renew the certificate of registration and active status on the NAR, the following requirements must be met:(1) A nursing facility must submit a HHSC Form 5506-NAR, Employment Verification, renewal to HHSC through the online portal that documents that the nurse aide has performed paid nursing or nursing-related services at the nursing facility during the preceding year.(2) A nurse aide must submit a HHSC Form 5506-NAR, Employment Verification, renewal to HHSC through the online portal to document that the nurse aide has performed paid nursing or nursing-related services, if documentation is not submitted in accordance with paragraph (1) of this subsection by the nursing facility or facilities where the nurse aide was employed.(3) A nurse aide must complete an HHSC course in infection control and proper use of PPE every year.(4) A nurse aide must complete at least 24 hours of in-service education every two years. The in-service education must include training in geriatrics and the care of residents with a dementia disorder, including Alzheimer's disease. The in-service education must be provided by:(D) a healthcare entity, other than a nursing facility, licensed or certified by HHSC, the Texas Department of State Health Services, or the Texas Board of Nursing.(5) No more than 12 hours of the in-service education required by paragraph (4) of this subsection may be provided by an entity described in paragraph (4)(D) of this subsection.26 Tex. Admin. Code § 556.9
Adopted by Texas Register, Volume 43, Number 38, September 21, 2018, TexReg 6326, eff. 9/24/2018; Amended by Texas Register, Volume 46, Number 31, July 30, 2021, TexReg 4693, eff. 8/8/2021; Amended by Texas Register, Volume 47, Number 38, September 23, 2022, TexReg 6201, eff. 9/27/2022; Amended by Texas Register, Volume 49, Number 37, September 13, 2024, TexReg 7343, eff. 9/18/2024