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CNA REGISTRY & TRAINING


Information for CNAs

RELIAS CNA Recertification Process PowerPoint


Date: January 06, 2020

  1. How do I log into RELIAS to complete my CNA CEUs?
    • Please go to the URL for RELIAS
    • Every CNA learner is required to have an e-mail address to access RELIAS learning. If you do not already have an e-mail address, you can obtain a free e-mail address through: gmail.com, yahoo.com, aol.com, hotmail.com or ymail.com
    • Do not create or register an account for yourself in RELIAS. An account has been automatically created for you. Use your e-mail address or CNA certification number as your login. If you do not have an e-mail address you will need to use your CNA certification number to initially log onto RELIAS, but should obtain an e-mail address.
    • CNAs will login by entering their e-mail addresses and a temporary password which will be sent to your email address. We recommend you change your password using 8 characters that include letters and numbers with one letter being uppercase.
  2. How do I pay my renewal fee?
    • CNAs will pay their $25.00 renewal fee online through the RELIAS website using a credit card (which can be prepaid) or with a debit card.
  3. How do I submit my renewal form?
    • CNAs will fill out the 64-hour employer renewal form online. The 64-hour renewal form is listed as a class. All information entered will be verified by the Division of Health Care Quality (DHCQ).
  4. What if I am experiencing technical difficulties with the RELIAS process?
    • If you have difficulty logging into RELIAS, please call their customer service number at 1-844-735-2223, which will have a representative available from Monday through Friday 8AM-8PM.
  5. My employer requires that we complete our in-services through RELIAS. Can I use those classes for my CNA renewal?
    • Yes. The DHCQ will allow credit for any RELIAS courses taken within your certification period. Please contact RELIAS customer service support once your account is activated to have your transcript from your employer transferred to your State of Delaware DHCQ account for viewing by DHCQ.
    • The RELIAS customer service number is 1-844-735-2223.
    • Please tell Customer Support you are requesting a "transcript transfer".
  6. I've already completed my required 24- hour CEUs in Elsevier. How will I get credit for those lessons?
    • If you have completed all of your lessons in Elsevier, that historical data has been uploaded into the RELIAS learning system. Credit for all Elsevier learning will be given.
    • CNAs are still required to log into RELIAS and pay the $25.00 fee to purchase the recertification package; you will then need to complete the 64-hour employment verification form located within the package with all of the other classes.
    • DHCQ will process your renewal once verification of your CEUs and your employment is completed.
  7. What if I didn't finish my required 24-hour CEUs in Elsevier?
    • If you did not complete all 24 hours of learning in Elsevier, you will be required to complete additional lessons in RELIAS.
    • CNAs will log into RELIAS, pay the $25.00 renewal fee, and complete additional courses within the package of courses listed. A record of the lessons completed in Elsevier is already noted in RELIAS.
    • You must have a total of 24 hours of learning (CEUs) within your certification period in order to renew, including the required abuse/neglect and dementia training.
  8. What is my certification period?
    • Your certification period is the two years' time between the date of your last renewal and the date of your upcoming renewal;
      • Example: CNAs who are due for renewal January 31, 2020
      • Certification Period: February 1, 2018 ‐ January 31, 2020
  9. Will I still be able to do my lessons in RELIAS on my mobile device (cell phone, tablet, etc.) as I did with Elsevier?
    • Yes, the RELIAS platform can be accessed on a mobile device.
  10. Will my employers/supervisor have viewing rights?
    • As they had in Elsevier, employers will have viewing rights in RELIAS.
    • The e-mail CNAs launch as the Relias account is viewable by those who employ CNAs.
    • Employers will have access to CNA information in Relias but provided with the expressed intent of transcript verification only. Any information used for any purpose other than transcript verification will result in access revocation.
  11. Can I take CEU classes in RELIAS after my lapse date:
    • Pursuant to Delaware Health Care Quality Regulation:
      • A CNA who fails to renew prior to the expiration date and has not completed education and work requirements is considered lapsed.
      • A CNA with a lapsed certification is not permitted to work as a CNA in the State of Delaware.
      • The CNA must take and pass the CNA competency test in order to work as a CNA in the State of Delaware.
      • A CNA who has lapsed and takes the CEU classes in RELIAS after their lapse date cannot be renewed. A CNA cannot be reimbursed for the $25.00 payment made through RELIAS if they take CEUs after their lapse date. All CEUs must be completed along with the 64‑hour renewal form before a CNA's lapse date in order to be renewed for their re‑certification period.
      • A CNA will have to contact Prometric to retake their CNA certification exam if they have lapsed.

If you have any questions, please call the Division of Health Care Quality at 302-421-7410 (New Castle County) or 302-424-8607 (Kent/Sussex County).

Additional updates will be forthcoming.


The Division of Health Care Quality is responsible for the training and testing program for CNAs and for the CNA Registry.

To work as a certified nursing assistant (CNA) in a Medicare/Medicaid certified nursing home in the State of Delaware, either as facility staff or as contract/agency staff, individuals must meet the CNA requirements given in the State of Delaware law and regulations. The requirements include taking required training in an approved program and passing a test.

Individuals who are shown to be competent are placed on the CNA Registry. The certification as a CNA must be renewed every 24 months. Skilled nursing facilities and nursing facilities (intermediate care facilities) can only hire CNAs who are on Delaware's CNA Registry, in good standing.

Registry Status

To verify if someone is a CNA in good standing in the State of Delaware, you can check the Delaware CNA Registry. You can also call the CNA Registry at (302) 421-7403.

A facility must not employ individuals who have a negative finding entered into the State Nurse Aide Registry concerning abuse, neglect, or mistreatment of residents, or concerning misappropriation of their property.

CNA Training Requirements and Training Program Approval

Anyone who wants to be trained to become a CNA in Delaware must enroll in a CNA training program that is approved by the Division of Health Care Quality.

CNA training programs that will be privately owned and operated must first apply for and obtain an initial certificate of approval as a private business and trade school from the State of Delaware Department of Education (DOE). Please call the DOE at (302) 857-3313 for information. ALL CNA training programs in Delaware must be approved by the Division of Health Care Quality before they begin providing training. Applicants should allow 90 days for DHCQ to act on the request for approval.

The following gives information on CNA training programs and applying for training program approval:

Please call the CNA Registry at (302) 421-7403 if you have any questions.

CNA Competency Test

For questions regarding test applications, test scheduling, eligibility to test, and/or arranging for special testing accommodations, call 866-664-9504 from 8:00 a.m. to 6:00 p.m., Monday through Friday or download the following documents:

CNA Continuing Education

Continuing education is required by both state and federal law to ensure that CNA skills are kept current in order to provide quality care to the residents of facilities and to patients in the community. In addition to the 64-hour work requirement within each 24 month recertification period, CNAs are also required to complete 24 hours of continuing education found at the free Elsevier website which includes:

  • A minimum of 6 hours of dementia training;
  • A minimum of 2 hours of patient abuse prevention/maltreatment training; and,
  • The balance of required hours will be in other general health care topics.
Information for CNAs

All Delaware Certified Nursing Assistants (CNAs) are required by regulation to take Continuing Education Units (CEUs) to renew their CNA certification. Beginning January 1, 2020, all CNAs in Delaware will be required to take their CEUs through Relias. As with Elsevier, the CEUs will be completed online.

  • CNAs must obtain an individual e-mail address to start and access an account in Relias;
  • CNAs will continue to pay the $25.00 renewal fee, but will pay directly through the Relias online website;
  • CNAs will pay Relias online using a credit/debit card. If they do not have a credit/debit card, they can obtain a pre-paid credit card;
  • The renewal form will be completed online as a class. CNAs will complete an attestation statement affirming that they have completed their required work hours within their certification period. They will enter their employer's contact information. The information entered on the attestation statement will be verified by the Division. After January 1, 2020, CNAs will log into Relias to complete their CEUs;
  • After January 1, 2020, Relias will be offering a customer service helpline from Monday-Friday from 8:00am to 8:00pm for CNAs who will need assistance. The number to call, after January 1, 2020, is (844) 735—2223;
  • As is our current procedure, if CNAs do not complete the required CEUs before their certification period ends, they will have to retake the CNA exam with Prometric, and that cost is $115.
  • If you have questions that haven't been answered above please see our list of Frequently Asked Questions.

Additional updates will be forthcoming.


Nursing students may request general credits for college level nursing courses satisfactorily completed with a C or better during their current certification period by submitting a college transcript to the Division by U.S. mail or fax to 302-421-7401.

CNA Renewal

CNA Recertification Form
A Certified Nursing Assistant must complete 24 hours of approved continuing education and perform at least 64 hours of nursing-related services for pay in a health care setting under the supervision of a licensed nurse or physician during each 24-month certification period in order to qualify for recertification. A CNA who does not perform at least 64 hours of nursing-related services in a certification time period or fails to complete the required continuing education must complete and pass a competency test.

Certified Nursing Assistants who fail to obtain a passing score after testing three times must repeat the CNA training program before additional testing is permitted.

The Division of Health Care Quality's contractor, Prometric, sends a renewal reminder notice with instructions to all CNAs 45 days prior to the expiration date of the CNAs' certifications. Effective January 1, 2016, there is a $25.00 fee for renewal. In addition, a lapsed certification can be renewed for an additional $25.00 fee, on a separate check or money order, if the request is made within 30 days of lapsing and the CNA has completed all requirements within his/her certification period.

The Division must have a CNA's current legal name and address to make sure that he/she receives the renewal information. It is the responsibility of the CNA to notify the Division of Health Care Quality of any name or address change. If there has been an address change, call the Division's CNA Registry at (302) 421-7403 to report the change. If there has been a name change, submit a copy of the legal document (marriage or civil union license or divorce decree) showing the name change. Mail the legal documentation to the Division of Health Care Quality at 3 Mill Road, Suite 308, Wilmington, DE 19806

CNA Reciprocity

A Certified Nursing Assistant trained and certified outside the State of Delaware cannot work in a nursing home in Delaware without a Delaware certificate. Delaware certification is required before the person begins working as a CNA, whether working directly for a nursing home or through a temporary/contract agency.

The Division will grant certification through the process of reciprocity if the following conditions are met:

  • The CNA has a current certificate from the State in which he or she currently practices. CNAs from the State of Maryland must also hold a current Geriatric Nursing Assistant certificate to be eligible for reciprocity;
  • Within the last 24 months, the CNA must have three months of full-time experience, equal to 420 clock hours, as a CNA performing nursing-related service for pay under the supervision of a licensed nurse or physician or have completed a training program equal to at least 150 hours; and
  • The CNA must be in good standing in the state or states where he/she is currently certified.

Application and Instructions for Reciprocity. You can also get a copy by calling the CNA Registry at (302) 421-7403.

Instructions indicate that the CNA must complete pages three (3) through six (6) of the reciprocity application and mail those pages back to the Division of Health Care Quality, 24 NW Front Street, Suite 100, Milford, DE 19963. In addition to the completed application (page 3-4), the CNA must submit a legible copy of their (government issued) photo identification, THE SEALED COPY of the National Practitioner Data Bank self query, the Employer Verification form (page 5) and/or the Training Program Verification form (page 6). Please visit the National Practitioner Data Bank to request a search of your information; the cost is $4.00 for the self query. All documents should be submitted, along with the $30.00 processing fee. Checks/money orders should be made payable to: STATE OF DELAWARE.



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