The reciprocity process or the process of certification transfer is extremely important for CNAs. In simple terms, the process of transfer of the CNA license and/or certification from one state to another is known as reciprocity. For example, you have completed your CNA training and certification from Texas but are going to relocate to California. Then, in this case you would need to transfer your CNA license from Texas to California.
You need to apply for reciprocity anytime when you change the state you are presently in, for the purpose of working in another state. You then need to transfer your CNA license and certification to the new state.
During the reciprocity process, the new state verifies all the credentials of the Certified Nursing Assistant (including the training and exam details). It then registers the name of the CNA on the nurse aide registry. Once your name gets registered, you can start your practice as a CNA in the new state. As per the federal as well as the state laws, only CNAs who hold the certification of that state can continue working in hospitals, clinics, nursing homes and other healthcare facilities.
Steps to request reciprocity
- You can put in a request to the State Nurse Aide Registry and apply for reciprocity. You can get the form for "Application for Enrollment by Reciprocity". You then need to fill up the form and submit it either to your state or the state that you are going to relocate to. You may need to provide your mailing address as well as email address to the registry so that they can mail you the application.
- You can then call the registry of the other state and ask them if you need to mail them the "Application for Enrollment by Reciprocity" form. Certain states wish to obtain this form from the Nurse Aide Registry of the state while others can accept if you directly mail it to them. Make sure you confirm the details and do not make any assumptions in this regard. Also, remember to note the names and contact details of whoever you communicate with in case you require them at a later stage.
- The Nurse Aide Registry may at times allow you to mail or fax them the application for reciprocity. If it is so, then mail or fax the application and other relevant details immediately without wasting any time. Confirm that the fax numbers and the mailing address are right before sending the application. You also need to mail them the new CNA card. Also remember to thank the person with whom you have been communicating and who has helped with the details of the reciprocity procedure.
- The social security number details
- Your drivers license
- Current CNA state approval
- Salary details for your proof of work as a CNA
These reciprocity arrangements are not present in all states. So, if the states do not have any such reciprocity arrangements, you will have to appear for the CNA exam again to obtain the license for working in the new state. This may become a tedious process for you; but it is mandatory to obtain the license.
Some states also allow you to continue working while your license is being checked for. There is also a facility to work in both the states in shifts of one hour but you cannot extend it beyond three hours. You need to check the state requirements and comply with the same.
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