An applicant is eligible for certification as a nurse aide by endorsement if the applicant meets the following requirements:

1. (1) successful completion of a certified nurse aide training program that meets minimum federal requirements of 42 C.F.R. 483.152;
2. (2) possession of an unencumbered nurse aide certification or registration that is issued by a state or territory of the United States, or by a province or territory of Canada, and that is current on the date of the completed application;
3. (3) successful completion of a competency evaluation; and

4. (4) if the applicant is a graduate of a foreign pre-licensure education program not taught in English, submission of

   1. (A) verification that the applicant has passed an English proficiency examination that includes components on reading, speaking, writing, and listening;
   2. (B) an evaluation of the applicant's nursing education by the Commission on Graduates of Foreign Nursing Schools Credentials Evaluation Service. including a full education, course-by-course report that indicates the applicant's nursing education was taught in English; or
   3. (C) an official International Commission on Healthcare Professions (ICHP) certificate that verifies that the applicant has successfully completed the VisaScreen: Visa Credential Assessment Service.

(Eff. 2/14/99, Register 149; am 3/28/2008, Register 185; am 12/27/2012, Register 204; am 3/19/2014, Register 209; am 5/16/2018, Register 226; am 4/14/2021, Register 238; am 1/19/2022, Register 241; am 6/12/2022, Register 242; am 8/25/2023, Register 247; am 5/8/2025, Register 254)