Certified Nurse Aide (Long Term Care Aide) · rules checked October 22, 2026
You must have performed at least 8 hours of nursing or health-related services for compensation during the preceding 24 months. Private duty work does not count. Proof can be an administrator/HR signature, a pay stub, or a W-2.
If you have never worked for pay since certifying, use your certification date.
| Credential | Certified Nurse Aide (Long Term Care Aide) |
|---|---|
| Registry | Oklahoma Nurse Aide and Nontechnical Services Worker Registry · 405-426-8150 |
| Training required | 75 hours |
| Exam | Headmaster — Not published — confirm with the registry |
| How renewal works | Stays active through paid work inside the window — no calendar expiry while you keep working. Renewal fee: $0. |
| Keep-active work rule | You must have performed at least 8 hours of nursing or health-related services for compensation during the preceding 24 months. Private duty work does not count. Proof can be an administrator/HR signature, a pay stub, or a W-2. |
| Continuing education | No continuing-education hours are required to renew a Long Term Care Aide certification itself; facilities must still provide the federally required 12 hours of in-service training per year to aides they employ. |
| Who reports your work | You do — nobody files it for you |
OAC 310:677-5-4(a): after 24 consecutive months with no compensated nursing or health-related services, you must complete a new training program and competency evaluation, OR a new competency evaluation only — the choice is yours. The Department's Retest Application (OAC 310:677-1-3(g)) covers aides who missed the 8-hour rule in the 24 months before expiration, up to 24 months after expiration, or whose certification has been expired more than 2 years but less than 3 years. Fail the approved retest and you must complete new training before any further retest.
After 48 consecutive months without applying for renewal, your certification is moved to the archive automatically (OAC 310:677-5-4(d)): reinstatement then requires a new nurse aide training program and the competency examination. One exception: documented continuous employment past the 48 months in a hospital, the DHS Advantage Program, or another non-certification setting may be excepted under 5-4(e).
Oklahoma certifies several aide types (long-term care, home health, ICF/IID, residential care, adult day care) with different renewal paperwork. The free online renewal described here is for Long Term Care Aides; other types file a paper renewal with a $10 fee per certification type. Testing is multi-vendor: OSDH accepts Headmaster (most widely used, via TMU), Prometric, and the Health Certification Project, which is why no single exam fee is listed.
Application fee: $0 · typical processing: About 30 days processing per secondary summaries of OSDH practice.. Must hold active certification in good standing in another state with no substantiated findings; applicant must list every state where certification was ever held, disclose convictions with court documents, and file an Affidavit of Lawful Presence (ODH Form 301). Use Reciprocity Application ODH Form 735. Long Term Care Aide reciprocity is free; Home Health Aide reciprocity costs $15. LTC applications can be emailed to nar@health.ok.gov.
The table below is computed for an active aide in good standing, trained to the origin state's standard hours. Your own hours or status can change your row — run the transfer checker with your real facts.
| Certified in | Verdict for Oklahoma | Fee | Why |
|---|---|---|---|
| Alabama | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Alaska | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Arizona | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Arkansas | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| California | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Colorado | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Connecticut | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Delaware | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| District of Columbia | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Florida | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Georgia | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Hawaii | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Idaho | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Illinois | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Indiana | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Iowa | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Kansas | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Kentucky | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Louisiana | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Maine | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Maryland | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Massachusetts | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Michigan | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Minnesota | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Mississippi | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Missouri | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Montana | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Nebraska | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Nevada | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| New Hampshire | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| New Jersey | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| New Mexico | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| New York | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| North Carolina | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| North Dakota | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Ohio | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Oklahoma | Same state — no transfer needed | ||
| Oregon | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Pennsylvania | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Rhode Island | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| South Carolina | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| South Dakota | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Tennessee | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Texas | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Utah | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Vermont | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Virginia | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Washington | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| West Virginia | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Wisconsin | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
| Wyoming | Accepted as-is | $0 | Oklahoma endorses an active, good-standing certification with no application fee and no retest. Application and background check still apply. |
The kit carries Oklahoma's full recovery path — the forms, the order to file them, the phone scripts — plus transfer checklists for every destination. See the kit →
