Texas CNA Certification Requirements
Complete guide to becoming a Certified Nursing Assistant in Texas
1 Training Program Requirements
Program Requirements
Complete a state-approved nurse aide training program
Additional Requirements
- Must complete a state-approved nurse aide training and competency evaluation program (NATCEP)
- Texas requires 100 hours of training (60 classroom, 40 clinical)
- Includes supervised clinical experience in a healthcare facility
- Program must be approved by the Texas Department of Aging and Disability Services
2 Competency Examination
Exam Name
Nurse Aide Competency Exam
Test Provider
Prometric
Exam Components
Written/Oral Test
Multiple choice questions on nursing assistant knowledge and skills
Skills Demonstration
Perform 3-5 randomly selected nursing skills in front of an evaluator
Exam Fee
$113
Tip: You must pass both the written (or oral) and skills portions of the exam to be certified. Most states allow multiple retake attempts if needed.
3 Background Check
CNAs work with vulnerable populations, so background checks are required in all states. Cost is typically $42.
4 Fees
Initial Certification
| Training Program | $500-$2,000* |
| Competency Exam | $113 |
| Background Check | $42 |
| Application/Registry Fee | $0 |
*Many employers offer free CNA training programs with work commitment
Renewal
| Renewal Fee (every 2 years) | $Varies |
| Work Requirement | 8 hours in 24 months |
Certification Renewal
To maintain your CNA certification, you must renew every 2 years and typically demonstrate that you've worked as a CNA during that period.
Career Advancement
CNAs can advance to LVN (Licensed Vocational Nurse) or RN with additional education. Texas uses LVN instead of LPN. Many community colleges offer bridge programs.
Nurse Aide Registry
Free Tools
Other License Types in Texas
Clinically reviewed by Clinical Review Team
Based on 1 official sources • Last verified: January 2026