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IDPH HEALTH CARE WORKER REGISTRY Β· FEDERAL 75-HOUR FLOOR Β· COMPETENCY EVALUATION Β· REGISTRY LISTING

Illinois CNA Certification: Training,
Exam and Registry

Becoming a certified nursing assistant in Illinois means completing a Illinois-approved training programme, passing a two-part competency evaluation, and holding an active entry on the register kept by the Illinois Department of Public Health, Health Care Worker Registry. Illinois lists nurse aides on a broader health care worker registry that also carries other direct-care credentials, and employers check that single registry before hiring into a licensed facility. This guide covers the tiers, the training, the examination, renewal and how to verify an aide's standing.

Updated July 2026

Written by the GlobalCybers Labor Market Research team Β· Reviewed by Karen Osei, RN, BSN. Compiled from IDPH Health Care Worker Registry rules and real Illinois placements.

Direct Answer

How do you get a Illinois certified nursing assistant certification (IDPH Health Care Worker Registry)?

To work as a certified nursing assistant in Illinois you complete a nurse aide training programme approved for Illinois, pass a competency evaluation with a written or oral knowledge test and a hands-on skills demonstration, and hold an active entry on the register administered by the Illinois Department of Public Health, Health Care Worker Registry. Illinois lists nurse aides on a broader health care worker registry that also carries other direct-care credentials, and employers check that single registry before hiring into a licensed facility. Federal rules underneath set the floor for aides in Medicare or Medicaid certified facilities: at least 75 hours of approved training and a competency evaluation, with states free to require more. Training hour counts, examination passing standards and any fees are set by the Illinois Department of Public Health, Health Care Worker Registry and its contracted testing vendor and are revised periodically, so confirm the current requirements with the Illinois Department of Public Health, Health Care Worker Registry before you enrol rather than relying on a figure quoted anywhere online.

  1. Choose a nurse aide training programme approved by the Illinois Department of Public Health, Health Care Worker Registry.
  2. Complete the classroom instruction and the supervised clinical hours the programme requires.
  3. Clear the background check, which in certified facilities is a federal as well as a state requirement.
  4. Pass both parts of the competency evaluation: the knowledge test and the hands-on skills demonstration.
  5. Confirm your entry on the Illinois registry and keep it active on the cycle the Illinois Department of Public Health, Health Care Worker Registry sets.

Governing law: Federal nurse aide training and competency evaluation requirements (Omnibus Budget Reconciliation Act of 1987) (42 CFR Part 483, Subpart D) Administered in Illinois through the state nurse aide registry.

See the full certified nursing assistant career guide β†’

Illinois: certified nursing assistant certification β€” Licensing body IDPH Health Care Worker Registry, First-year cost, Certified Nursing Assistant Training, evaluation and background check, per the current published schedules, Typical time to licence Commonly 4 to 12 weeks from starting training. Simplified outline of Illinois, stylised and not to scale.
Simplified outline of Illinois β€” a stylised shape, not to scale. Illinois certified nursing assistant credentialing at a glance: the IDPH Health Care Worker Registry, approved training, the competency evaluation and registry verification.

Illinois certified nursing assistant certification types: the full IDPH Health Care Worker Registry ladder

Nurse aide credentialing is not a trade licence ladder. The tiers below describe the stages of the Illinois credential and the specialisations that sit around it, all of them anchored to a single registry entry rather than to escalating licence classes.

Entry

Nurse aide trainee

Enrolled in a Illinois-approved nurse aide training programme and working only under direct supervision within the programme's clinical component, before the competency evaluation has been passed.

Individual

Certified nursing assistant (Illinois)

The working credential: approved training completed, both parts of the competency evaluation passed, and the entry active on the Illinois Department of Public Health, Health Care Worker Registry registry, which is what employers verify.

Individual

Registry listing

The authoritative record. In Illinois the entry shows current status and any finding of abuse, neglect or misappropriation of property, and a federal bar on employment follows such a finding.

Individual

Reciprocity or endorsement entry

Illinois reviews aides certified elsewhere and adds them to its own registry where the other state's training and evaluation are accepted. It is an application to the Illinois Department of Public Health, Health Care Worker Registry, not an automatic transfer.

Specialty

Acute care and specialty settings

Hospitals, dialysis units, hospice and behavioural health add employer-specific competencies, telemetry or phlebotomy training and tighter orientation on top of the Illinois credential.

Business

Restorative and lead aide roles

Restorative aide, staff development assistance and lead or charge aide positions in Illinois rest on experience and employer training rather than on a further state credential, and they are where aide pay moves.

Business

Facility and employer accountability

The nursing facility itself is licensed and surveyed, and the supervising nurse is accountable for delegated tasks, so aide scope in Illinois is bounded by both the state's rules and the facility's policies.

Exact experience hours and fees vary by license type and can change, confirm current requirements on the IDPH Health Care Worker Registry Certified Nursing Assistant program page.

Illinois credential vs Federal floor Certified Nursing Assistant in Illinois, what is the difference?

RequirementIllinois credentialFederal floor
Set byIllinois Department of Public Health, Health Care Worker RegistryFederal nurse aide training and competency rules
TrainingIllinois-approved programmeAt least 75 hours including supervised clinical practice
ExaminationKnowledge test plus skills demonstrationCompetency evaluation required
RecordIllinois registry entryState registry required in every state
Applies toAll Illinois settings covered by state rulesMedicare or Medicaid certified facilities
RenewalCycle set by the IDPH Health Care Worker RegistryContinued paid work and no disqualifying finding
Moving statesApplication to the IDPH Health Care Worker RegistryNo national compact for nurse aides

How do you get a Illinois Certified Nursing Assistant Certified Nursing Assistant certification?

  1. 1

    Pick a training programme Illinois actually approves

    The Illinois Department of Public Health, Health Care Worker Registry publishes the list of approved nurse aide training programmes, and only an approved programme counts towards eligibility for the competency evaluation. Community colleges, nursing facilities, health systems and the American Red Cross deliver them. Facility-sponsored programmes are common and often free to the trainee, and federal rules require reimbursement of training and testing costs for aides employed by a certified facility within a set period, so ask about that before you pay tuition.

  2. 2

    Complete the classroom and clinical hours

    The curriculum covers personal care, safe transfers and body mechanics, infection control, vital signs, nutrition and hydration, residents' rights, communication and recognising changes in condition, with supervised clinical practice on real residents. Illinois sets its own hour requirement on top of the federal floor of 75 hours, and the Illinois Department of Public Health, Health Care Worker Registry publishes the current figure. Attendance is unforgiving here: missed clinical hours have to be made up before you are signed off.

  3. 3

    Clear the background check

    Fingerprinting and a criminal background check are standard before or during clinical placement, and federal rules bar registry listing where there is a finding of resident abuse, neglect or misappropriation of property. Illinois may also check abuse and neglect registries beyond the criminal record. Disclose anything in your history to the programme early; discovering it at the registry stage after paying for training is the expensive way to find out.

  4. 4

    Pass both parts of the competency evaluation

    The evaluation has a knowledge component, written or delivered orally, and a skills component in which you perform randomly selected nursing assistant tasks in front of an evaluator. Handwashing is universally scored and universally underestimated. The passing standard and the number of retakes allowed are set by the Illinois Department of Public Health, Health Care Worker Registry and its testing vendor, so read the candidate handbook the vendor publishes for Illinois rather than a generic study guide.

  5. 5

    Get listed, stay listed, then specialise

    Your entry on the Illinois registry is the credential. Keeping it active generally requires performing paid nursing-related duties within the period the Illinois Department of Public Health, Health Care Worker Registry sets and completing the in-service education employers are required to provide. From there, Illinois aides move into restorative care, acute hospital work, hospice, dialysis or medication aide roles where those exist, and many use the credential as the paid entry route into practical or registered nursing.

Does a Illinois certified nursing assistant certification transfer to other states?

Nurse aide credentials do not reciprocate automatically. There is no nurse aide equivalent of the Nurse Licensure Compact, which covers registered nurses and licensed practical or vocational nurses only. To work in Illinois on a credential earned elsewhere you apply to the Illinois Department of Public Health, Health Care Worker Registry for entry on the Illinois registry, and it will look at whether your training and competency evaluation met requirements comparable to its own, whether your other-state entry is active and in good standing, and whether there is any adverse finding. Confirm what the Illinois Department of Public Health, Health Care Worker Registry will accept from your current state before you move.

Reciprocity agreements change, always confirm the current list and requirements on the IDPH Health Care Worker Registry Certified Nursing Assistant program page before applying.

How much does a Illinois certified nursing assistant certification cost, and how long does it take?

There is no single reliable figure to quote for Illinois. Training tuition, the competency evaluation fee, fingerprinting and any registry or renewal charge are set separately by the Illinois Department of Public Health, Health Care Worker Registry, by training providers and by the state's testing vendor, and they are revised periodically. What is predictable is the shape of the spend: training first, the two-part evaluation next, background checks alongside, then a recurring renewal. Many Illinois nursing facilities and health systems fund the whole thing for aides they hire, and federal rules require certified facilities to reimburse training and testing costs for aides they employ within a set period.

Cost breakdown
Illinois credential application + examCompetency evaluation fee, set by the Illinois testing vendor
Federal floor application + examRegistry application and renewal charges, per the IDPH Health Care Worker Registry schedule
CE courses (per year)In-service education, normally employer-provided
First-year total (Certified Nursing Assistant)Training, evaluation and background check, per the current published schedules
Timeline after your hours
Application reviewRegistry application processing by the IDPH Health Care Worker Registry
Exam schedulingAt Illinois testing sites on the vendor's published schedule
License processingRegistry entry follows a passed evaluation
Typical totalCommonly 4 to 12 weeks from starting training

Illinois CNA competency evaluation and registry lookup

What is on the Illinois competency evaluation, and who administers it?

The competency evaluation has two parts. The knowledge test covers basic nursing skills, personal care, safety and emergency procedures, infection control, communication, residents' rights, and the care of residents with cognitive or mental health needs; Illinois candidates who read English as a second language should ask about the oral version, which most states' vendors offer. The skills demonstration asks you to perform randomly selected hands-on tasks for an evaluator, scored against published step lists, and handwashing appears in almost every candidate's set. The examination is administered for Illinois by the testing organisation contracted by the Illinois Department of Public Health, Health Care Worker Registry, and the passing standard, retake limits and any time limit between training and testing are set by that body rather than nationally. Read the Illinois candidate handbook the vendor publishes, and confirm the current standard with the Illinois Department of Public Health, Health Care Worker Registry.

How to verify a Illinois certified nursing assistant certification

Verification in Illinois runs through the register administered by the Illinois Department of Public Health, Health Care Worker Registry, which shows current status, the certification date and any finding of abuse, neglect or misappropriation of property. That last field is the reason this check is not optional: a federal bar follows such a finding and it applies across states. Verify in Illinois itself rather than in the state where a staffing agency or employer is headquartered, and re-check at renewal rather than relying on a copy taken at hire. GlobalCybers verifies every candidate's credential before they reach your portal.

Do you need a license to work as a CNA in Illinois?

You need the credential the Illinois Department of Public Health, Health Care Worker Registry issues, which in Illinois is a health care worker registry listing. Illinois lists nurse aides on a broader health care worker registry that also carries other direct-care credentials, and employers check that single registry before hiring

into a licensed facility. Whatever it is called, it is the registry entry that employers verify and that federal rules require before an aide works in a Medicare or Medicaid certified facility. Confirm the current requirement with the Illinois Department of Public Health, Health Care Worker Registry.

Who regulates nursing assistants in Illinois?

The Illinois Department of Public Health, Health Care Worker Registry. It approves nurse aide training programmes, oversees the competency evaluation delivered by its contracted testing vendor, maintains the registry, records findings of abuse, neglect or misappropriation of property, and handles renewal.

Federal nurse aide rules sit above it as a floor for facilities that take Medicare or Medicaid.

Illinois Certified Nursing Assistant certifications, Frequently Asked Questions

How many training hours does a CNA need in Illinois?

The federal minimum is 75 hours of approved training including supervised clinical practice, and many states require substantially more, so the national floor is rarely the local requirement. Illinois sets its own figure and the Illinois Department of Public Health, Health Care Worker Registry publishes it alongside the list of approved programmes. Do not rely on an hour count quoted in a course advertisement; check the regulator's published requirement.

How much does CNA training cost in Illinois?

Less than almost any other clinical credential, but the exact figures move. Tuition, the competency evaluation fee and fingerprinting are set separately by providers, the testing vendor and the Illinois Department of Public Health, Health Care Worker Registry, so their current published schedules are the only sources worth relying on. Many Illinois nursing facilities pay for training outright in exchange for a work commitment, and federal rules require certified facilities to reimburse training and testing costs for aides they employ within a set period.

How long does it take to become a CNA in Illinois?

Commonly a few weeks to a few months. Approved programmes are short by design, the competency evaluation is scheduled by the state's testing vendor, and registry processing follows a pass. The pace is usually set by how often your training provider runs a cohort and how far you are from a Illinois testing site, not by the paperwork.

Can I transfer my CNA certification to Illinois from another state?

Not automatically. There is no nurse aide compact, so you apply to the Illinois Department of Public Health, Health Care Worker Registry for entry on the Illinois registry and it decides whether your training and competency evaluation are comparable to its own, whether your existing entry is active, and whether any adverse finding is recorded. Start that application before you move; a lapsed out-of-state entry is much harder to convert than an active one.

What can a CNA do in Illinois, and what is off limits?

Aide scope in Illinois covers personal care, mobility and transfers, vital signs, feeding assistance, elimination care, observation and reporting changes in condition, and documentation, all under nurse supervision. What stays with the licensed nurse is assessment, care planning and, in most settings, medication administration unless Illinois runs a separate medication aide credential and you hold it. The facility's own policies can be narrower than state rules, never wider.

Does the Nurse Licensure Compact cover CNAs in Illinois?

No. The Nurse Licensure Compact covers registered nurses and licensed practical or vocational nurses only. There is no multistate privilege for nursing assistants anywhere, Illinois included, so an out-of-state aide credential does not authorise work here until the Illinois Department of Public Health, Health Care Worker Registry has added you to the Illinois registry.

How do I verify a Illinois CNA's standing?

Search the register administered by the Illinois Department of Public Health, Health Care Worker Registry, which shows current status, certification dates and any finding of abuse, neglect or misappropriation of property. Verify in Illinois rather than in the state where a staffing agency is headquartered, and re-check rather than relying on a copy taken at hire. GlobalCybers verifies every candidate's credential before they reach your portal.

Sources & references

Illinois Department of Public Health, Health Care Worker Registry Β· Centers for Medicare & Medicaid Services (nurse aide training and competency evaluation requirements) Β· National Council of State Boards of Nursing Β· BLS Occupational Outlook Handbook (Nursing Assistants and Orderlies). Fees and rules can change, confirm current details at dph.illinois.gov/topics-services/health-care-regulation/nursing-homes/health-care-worker-registry.html before applying.

Intent Network

IDPH Health Care Worker Registry credentialed? Find a job.

We verify your IDPH Health Care Worker Registry credential and match you with permanent employers in Illinois. Renewal fees paid after placement.

Find Illinois Certified Nursing Assistant Jobs β†’
IDPH Health Care Worker Registry Key Facts
RegulatorIDPH Health Care Worker Registry
Credential typeHealth care worker registry listing
Federal floor75 hours plus evaluation
ExaminationKnowledge plus skills
Background checkRequired
CompactNone for aides
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