CNA Reciprocity by State
How to transfer a CNA certification to another state by reciprocity. Compare each state's eligibility, application process, and good-standing requirements.
Certified Nursing Assistants (CNAs) who move to another state may transfer their certification through reciprocity. Most states require an application, a processing fee, and employment verification. This guide explains the process and provides state-specific instructions to help you transfer your CNA certification.
Transferring a CNA License: The Reciprocity Process
Many states allow CNAs to transfer their certification through reciprocity, which is also known as endorsement. The steps below reflect common requirements published by state nurse aide registries and licensing authorities.
- Confirm Eligibility – Your certification must be active and in good standing. Some states also require proof of at least eight hours of paid CNA employment within the past 24 months.
- Submit a Reciprocity Application – Apply through the receiving state’s nurse aide registry or board of nursing. Most applications are submitted online or through official state forms.
- Pay the Required Fee – States charge a nonrefundable processing fee. See the reciprocity fee list (PDF).
- Provide Documentation – Most states require submission of:
- Current CNA certificate
- Proof of completing a state-approved training program
- Government-issued photo identification
- Employment verification, if required
- Wait for Approval – The receiving state verifies your certification with the issuing state. Processing typically takes two to eight weeks.
- Meet Additional Requirements (if required) – Some states require extra steps before approval:
- Alaska: Pass a state-approved competency exam
- Nevada: Complete a fingerprint-based background check
- North Carolina: Finish a North Carolina-approved training program
CNA License Transfer by State
Select your state below to view reciprocity instructions.
Frequently Asked Questions
Do all states accept CNA reciprocity?
Most states accept transfers if your certification is active and in good standing. Some may require additional documentation or verification. Example: California requires a background check; Indiana requires proof of recent employment.
How much does CNA reciprocity cost?
Fees range from $0 to $275, depending on the state. Examples: Kansas ($20), Nevada ($50), Wyoming ($120), Alaska ($275).
How long does it take to transfer a CNA license?
Processing generally takes two to eight weeks, depending on the state’s review process and documentation requirements.
Can I work while my reciprocity application is pending?
In most states, you must wait until your name appears on the receiving state’s Nurse Aide Registry. Some states may grant temporary authorization. Contact the registry for details.
What if my CNA license has expired?
Expired certifications are not eligible for reciprocity. You may need to complete a new CNA training program and pass the competency exam in the new state.
Is there a difference between CNA reciprocity and endorsement?
No. Most states use the terms interchangeably to describe transferring an active CNA certification from one state to another.
Conclusion
CNA reciprocity allows you to transfer your certification to another state if it is active and in good standing. Some states may also require fingerprinting, employment verification, or a state-specific exam. Application fees range from no cost to $275, and processing typically takes two to eight weeks.
Before applying, review the official reciprocity instructions from the receiving state’s nurse aide registry or board of nursing to ensure all requirements are met.
