Your Guide to CNA Training and Programs in the Bronx

Compare top-rated programs, learn about costs, find free training, and take the first step toward your nursing career in the Bronx.

By Koko MouchmouchianReviewed by Editorial staffUpdated July 17, 202625+ min read
CNA Classes in Bronx, NY – Find Training & Certification

Key Points

  • Bronx CNAs earn a metro median of $49,270 annually.
  • Nursing assistant jobs will grow 3.73% over the next decade.
  • All programs require in-person clinicals; hybrid formats exist.

The Bronx faces a persistent shortfall of direct-care workers, and Certified Nursing Assistants sit at the center of that gap. Montefiore Medical Center, NYC Health + Hospitals/Jacobi, and dozens of long-term care facilities across the borough are actively recruiting CNAs, with metro-area median wages reaching $49,270 in 2025. That combination of steady demand and above-national pay makes the credential worth pursuing, but choosing the wrong program can cost you time and disqualify you from the state exam entirely.

New York requires a minimum of 100 training hours, including hands-on clinical work, so the real decision is which approved CNA training programs in New York fit your schedule, budget, and learning style. Options range from community college certificate tracks to vocational schools and employer-sponsored programs, each with different costs, formats, and outcomes.

The sections ahead cover the local job market, hybrid and in-person training formats, what state approval actually means, salary expectations, the certification timeline, and a ranked list of top programs.

The CNA Job Market in the Bronx: Where Healthcare Employers Need You

Where are CNAs actually getting hired in the Bronx, and what does a typical workday look like?

The Bronx has one of the most active healthcare labor markets in New York State, and that translates directly into steady, reliable demand for certified nursing assistants. Whether you are just starting your career or making a change, understanding who is hiring and why will help you make smarter decisions about your CNA training.

A Dense Network of Major Employers

The Bronx is home to several large healthcare systems that employ CNAs across multiple facilities and departments. Montefiore Health System is the largest, operating a network of hospitals and outpatient clinics throughout the borough. BronxCare Health System serves a large portion of the South Bronx community, while St. Barnabas Hospital and Lincoln Medical Center round out the roster of major acute-care employers. Beyond hospitals, the borough has a substantial number of skilled nursing facilities, long-term care centers, and assisted living communities that rely heavily on CNAs to deliver day-to-day resident care.

Types of Settings Where CNAs Work

Hospitals represent only one slice of the opportunity. CNAs in the Bronx find positions across a range of settings:

  • Hospitals: Fast-paced environments where CNAs assist nurses with patient monitoring, vital signs, and direct care on medical and surgical floors.
  • Nursing homes and long-term care: These facilities are among the largest employers of CNAs in the borough, offering consistent schedules and close relationships with residents over time.
  • Assisted living communities: CNAs here support residents with activities of daily living, helping people maintain independence in a more home-like setting.
  • Home health agencies: Demand for home-based care is growing quickly, with agencies sending CNAs directly into clients' homes across the Bronx and surrounding neighborhoods.

What Is Driving Demand

Two forces are pushing CNA hiring upward. The aging of the population means more residents need ongoing medical and personal care, filling nursing home and home health rosters faster than they can recruit. At the same time, hospitals and health systems are expanding outpatient and community-based services, creating new CNA roles outside of traditional inpatient settings. The result is a job market where qualified CNAs rarely struggle to find placement after certification; use our guide to landing your first CNA job to get started.

Cultural Competence as a Real Job Skill

The Bronx is one of the most culturally and linguistically diverse counties in the United States. Residents speak dozens of languages, and many healthcare facilities actively prioritize CNAs who can communicate across cultural lines, whether through language fluency, cultural awareness, or simple patience and adaptability. Typical CNA duties here remain consistent with statewide standards, including monitoring vital signs, assisting with bathing and mobility, documenting observations, and reporting changes in patient condition. But in the Bronx, the ability to connect with patients from varied backgrounds is not just a soft skill. It is something many employers look for specifically when they hire.

Can You Take CNA Classes Online? Hybrid Options Serving the Bronx

New York requires all CNA candidates to complete a minimum of 100 hours of training, including mandatory in-person clinical experience, which makes fully online CNA programs impossible in the state. However, several schools serving the Bronx offer CNA classes in New York in hybrid formats that combine online theory instruction with on-site labs and clinical rotations, giving students flexibility without sacrificing hands-on skill development.

How Hybrid CNA Programs Work

Hybrid CNA Classes split the curriculum into two parts: classroom theory delivered through online platforms like Zoom, and hands-on clinical training conducted at nursing homes, hospitals, or campus labs. The CUNY City College CNA program, for example, offers a hybrid program with 122.5 hours of online instruction via Zoom paired with 30 hours of in-person clinical experience at a nursing home in New York City. The program costs $1,235 plus a $25 registration fee and takes approximately nine weeks to complete. Students complete didactic coursework covering patient care fundamentals, infection control, and vital signs monitoring from home, then apply those concepts in supervised clinical settings.

CUNY Lehman College in the Bronx delivers a similar structure through its Workforce & Career Solutions division. The program includes 97 hours of didactic instruction offered in evening online classes, followed by 30 hours of clinical rotation at healthcare facilities scheduled on weekdays or weekends. Tuition covers the clinical experience and the New York State certification exam voucher, though books and uniforms are purchased separately. The hybrid format accommodates working adults who need to maintain employment while training.

CUNY Hostos Community College, also located in the Bronx, provides hybrid CNA training combining online coursework with in-person components. The program costs $1,299 and runs eight to ten weeks, allowing students to complete theoretical material on their own schedule while fulfilling clinical requirements in structured time blocks.

Practical Tips for Succeeding in a Hybrid CNA Program

Succeeding in a hybrid program requires advance planning. First, verify that you have reliable internet access and a device capable of running video conferencing software for online lectures. Many programs use platforms like Zoom or Canvas, and connectivity issues can cause you to miss critical instruction. Some colleges, including Lehman College, offer laptop loans for students who lack equipment.

Second, confirm the location of clinical sites before enrolling. If a program requires in-person rotations in Manhattan or another borough, factor travel time and transportation costs into your schedule. Programs like City College specify that clinical experiences occur at nursing homes in New York City, which may require commuting from the Bronx. Ask the admissions office for a list of clinical partner sites and verify accessibility via public transit.

Third, understand the full cost structure. Hybrid programs typically list tuition separately from exam fees, textbooks, scrubs, CPR certification, and medical clearance costs. Lehman College notes that tuition covers the exam and clinicals, but books and uniforms are additional. City College lists books at approximately $69 and the state exam fee at $115. Budget for these expenses up front.

Finally, check prerequisite requirements carefully. Most hybrid programs require proof of high school completion or equivalency, COVID-19 vaccination, recent drug screening, and basic computer literacy. Lehman College requires American Heart Association CPR certification, which is included in the program, while other schools may ask you to obtain it independently. Missing any of these documents can delay your start date or clinical placement.

Why In-Person Clinicals Cannot Be Replaced

The New York State Education Department mandates that CNA training include direct, supervised patient care in a clinical setting.1 This requirement ensures that graduates can safely perform essential tasks such as transferring patients, measuring vital signs, assisting with activities of daily living, and responding to emergencies. These competencies cannot be replicated through simulation or video alone. Clinical rotations provide real-world exposure to patient needs, workplace protocols, and interpersonal dynamics that prepare you for the certification exam and employment.

Hybrid programs offer the best of both worlds for Bronx residents: the flexibility of online theory coursework and the hands-on training required by state law. By choosing a program with accessible clinical sites, verifying technology requirements, and budgeting for all associated costs, you can complete your CNA training on a schedule that fits your life while meeting every state requirement.

Questions to Ask Yourself

Are you disciplined enough to complete online coursework without a fixed class schedule?
Online CNA programs require strong time management and self-motivation. Without the structure of in-person lectures, students who struggle with procrastination may fall behind on theory modules before clinicals begin.
Do you have consistent access to high-speed internet and a reliable computer or tablet?
Online coursework typically includes video lectures, timed quizzes, and interactive skill demonstrations. Spotty internet or an outdated device can disrupt your learning and delay certification progress.
Can you arrange reliable transportation to clinical sites on short notice or during varied shift hours?
Hybrid programs schedule hands-on clinicals at nursing homes, hospitals, or training centers across the Bronx and surrounding areas. You will need to reach multiple locations, often early mornings or evenings, for the required hours.
Do you learn clinical skills better through hands-on repetition or video demonstrations?
Online formats reduce in-person practice time before clinicals begin. If you need face-to-face coaching to master tasks like catheter care or vital signs, a traditional program may build your confidence faster.

Choosing the Right CNA Program in the Bronx: Accreditation, Cost, and Quality

Not every CNA program is created equal, and choosing one that lacks proper state approval can disqualify you from sitting for the certification exam entirely.

Start With State Approval

In New York, any program you enroll in must be approved by the New York State Education Department (NYSED) in coordination with the New York State Department of Health.1 This approval is not optional. If a program is not on the official NYSED approved list, completing it will not make you eligible to take the Prometric CNA exam, which is the required certification test for entry onto the New York Nurse Aide Registry.1

Verifying approval is straightforward. NYSED publishes an active list of approved nurse aide training programs on its website. Before you pay a deposit or sign anything, search the NYSED approved list for the program you are considering. If it is not there, keep looking.

Approved programs in New York must meet minimum training requirements: at least 100 total hours of instruction, with no fewer than 70 hours in the classroom and 30 hours of supervised clinical experience at an approved healthcare facility. Programs are also required to hold a formal affiliation agreement with their clinical site and must carry an official training program number issued by the state.2

What Else Separates Good Programs From Great Ones

Beyond state approval, several other factors signal a quality program:

  • Instructor credentials: Look for programs where instructors are licensed nurses with real clinical backgrounds, not just administrative staff.
  • Clinical site partnerships: Strong programs place students in functioning healthcare facilities, such as nursing homes or hospitals, rather than simulated-only environments.
  • First-time pass rates: Some programs publish or will share their students' pass rates on the state certification exam. A consistently high pass rate is a reliable quality indicator.
  • Job placement support: Programs that maintain relationships with local employers and actively help graduates find work are worth prioritizing.

Bronx and NYC-Area Programs Worth Knowing

Several programs stand out for Bronx-area students. CUNY Hostos Community College, located directly in the Bronx, offers a CNA certificate through its Continuing Education and Workforce Development department. The program emphasizes hands-on patient care training and has tuition assistance options available, making it one of the more accessible choices for residents.

Also in the Bronx, CUNY Lehman College delivers a hybrid CNA program that blends evening online instruction with weekday and weekend clinical rotations at area healthcare facilities. The program includes a state certification exam voucher in the cost of tuition and accepts Workforce1 vouchers as payment, which is a significant advantage for students who qualify. Lehman's program covers 97 hours of didactic content plus 30 clinical hours.

For students open to nearby Manhattan CNA training programs in New York City, CUNY City College offers a hybrid program with tuition of approximately $1,260 total, combining Zoom-based instruction with in-person clinicals at a New York City nursing home. It is one of the lower-cost approved options in the metro area.

Private training providers such as ABC Training Center also operate in the New York City market. If you consider a private school, verify its NYSED program number directly before enrolling, since program approval status can change.

Cost and Financial Aid

Program costs across the region range from roughly $1,260 at public CUNY schools to $2,000 or more at some private providers. When comparing costs, look beyond the headline tuition figure. Some programs include the state exam fee, textbooks, and clinical supplies in their price, while others charge for each separately.

Financial aid options worth exploring include Pell Grants for eligible students at accredited colleges, Workforce1 career center vouchers (available through the New York City workforce system), and employer-sponsored training through local hospitals and home care agencies. Some Bronx-area employers will pay for your CNA training outright in exchange for a short post-graduation work commitment.

The bottom line: confirm state approval first, then compare total cost, clinical placement quality, and graduate support before making your final decision. Tools like the CNA classes search on cnaclasses.org can help you compare approved options side by side.

CNA Salary and Job Outlook in the Bronx (NYC Metro)

Certified Nursing Assistants in the New York-Newark-Jersey City metropolitan area earned a median annual wage of $49,270 in 20251, significantly above the national median. For Bronx CNAs, this metro-level figure provides the most relevant benchmark, though individual earnings vary widely based on experience, facility type, and shift differentials.

How Bronx CNA Wages Compare Nationally

Nationally, the median annual wage was about $35,760 in 20222; by 2025, the middle 50% of earners ranged from $32,117 (25th percentile) to $53,247 (75th percentile)3. In the New York metro area, even entry-level CNAs typically start higher: the 25th percentile was $47,430 in 20251, while experienced CNAs at the 75th percentile earned $55,1701. This means that even newer CNAs in the Bronx often earn more than the national median, reflecting both the region's higher wage floor and the persistent demand for healthcare workers across New York City's hospitals, nursing homes, and home health agencies.

However, it is important to weigh these wages against the cost of living in New York City. Housing, transportation, and daily expenses in the Bronx are notably higher than in many other U.S. regions, so purchasing power may not match the nominal wage advantage. CNAs considering roles in the metro area should budget carefully and explore benefits packages that include health insurance, retirement contributions, and tuition reimbursement for further education.

Where Experience and Setting Boost Pay

CNAs who work in hospital settings, intensive care units, or specialty clinics often earn at the higher end of the wage range. Hospitals in the Bronx and neighboring boroughs frequently offer shift differentials for evening, overnight, and weekend hours, which can add several dollars per hour to base pay. Similarly, CNAs with specialized certifications (such as IV therapy or phlebotomy) or those who take on charge responsibilities may command premium wages.

Experience also plays a meaningful role. While entry-level CNAs in the New York metro area may start near the 25th percentile, those with three to five years of experience and strong performance reviews commonly advance toward the 75th percentile or beyond. Many CNAs use this wage progression to support further education, pursuing Licensed Practical Nurse (LPN) or Registered Nurse (RN) credentials while working.

Job Outlook and Long-Term Stability

The demand for nursing assistants remains robust across the New York metro area. An aging population, high hospital utilization rates, and the expansion of home health services all contribute to steady job openings. For Bronx residents, the combination of competitive wages, plentiful employers, and clear pathways to advancement makes CNA certification a practical entry point into a stable healthcare career.

The New York State Department of Labor projects that employment of nursing assistants will grow by 3.73% over the next decade (2024-2034), adding hundreds of new positions across the state. This growth reflects the aging population's increasing demand for skilled healthcare workers, making CNA certification a smart investment for Bronx residents seeking stable, rewarding careers.

How to Become a CNA in New York: Certification Steps and Timeline

Becoming a CNA in New York follows a clear path set by the state Department of Health. You'll complete an approved training program, pass a two-part exam, and earn your spot on the Nurse Aide Registry. Here’s a step-by-step timeline of what to expect.

Five steps to become a certified nursing assistant in New York: meet eligibility, complete 100+ hours of training, pass the Prometric exam, and gain registry listing, typically in 4 to 12 weeks.

Top CNA Programs Serving the Bronx: Ranked by Graduate Outcomes

Our ranking highlights CNA programs with strong student support, New York State approval, and a proven track record of preparing graduates for certification. While several schools maintain physical campuses right in the Bronx, others offer hybrid or nearby training options that still serve Bronx residents well.

Factors considered
  • Graduation and retention rates
  • Program accreditation status
  • Location proximity to Bronx
  • Career support services
  • Net price and affordability
Data sources

CUNY Hostos Community College

#1

Bronx, NY · $5,000/yr

Best for: Bronx residents needing wraparound support

CUNY Hostos Community College sits in the heart of the Bronx and operates an Allied Health Career Pipeline Program that specifically serves South Bronx residents. Students who lack a high school diploma can access TASC prep, and the school provides case management, childcare, transportation, tutoring, internship, and job placement support. This CNA training is embedded in city-funded workforce initiatives, making it a deeply community-connected choice.

  • Campus-based program in the South Bronx
  • TASC prep available for students without a diploma
  • Case management, childcare, and transportation support
  • Tutoring, exam prep, and internship opportunities included
  • Job placement and retention assistance after graduation
  • Part of USDOL and NYC-funded workforce partnerships

CUNY Lehman College

#2

Bronx, NY · $3,000/yr (net price)

Best for: Students seeking hybrid CNA training in the Bronx

CUNY Lehman College offers a New York State-approved CNA program in a hybrid format that blends evening online classes with hands-on clinical rotations in the Bronx. The tuition includes a voucher for the state certification exam, and the school accepts Workforce1 vouchers and ASSET scholarships to lower out-of-pocket costs. Graduates can also pursue a pathway to patient care technician roles.

  • Hybrid online and in-person clinical format
  • Evening online classes for working students
  • 30-hour clinical rotation at Bronx facilities
  • NYS certification exam voucher included in tuition
  • Workforce1 vouchers and ASSET scholarships accepted
  • Pathway to Patient Care Technician credential
  • CPR certification through American Heart Association included

CUNY City College

#3

New York, NY · ~$4,000/yr (est.)

Best for: Aspiring healthcare workers wanting NYC clinicals

CUNY City College runs a hybrid CNA program that pairs extensive online instruction with a 30-hour clinical internship in New York City nursing homes. The program is NYSED-approved and prepares students for the state certification exam with a structured curriculum. Located just across the river in Manhattan, it remains a commute-friendly option for many Bronx residents.

  • Hybrid program with 122.5 online hours and 30 clinical hours
  • Clinical experience at a NYC nursing home
  • Total cost of $1,260 plus textbooks and materials
  • NYSED-approved curriculum with exam preparation
  • Requires high school diploma or GED and medical clearance
  • Pathway to LPN or RN advancement in healthcare

CUNY Borough of Manhattan Community College

#4

New York, NY · ~$5,000/yr (est.)

CUNY Borough of Manhattan Community College provides a fully in-person Nursing Assistant Preparation program through its Manhattan Educational Opportunity Center. The training emphasizes direct patient care skills and includes CPR certification along with prep for the New York State Certified Nurse Aide exam. It is a solid choice for those who learn best in a traditional classroom setting.

  • Fully in-person training at the Manhattan EOC
  • Prepares students for the NYS Certified Nurse Aide exam
  • CPR certification included in the curriculum
  • Focus on direct patient care and compassionate support
  • High school diploma or equivalent and TABE test required
  • Supervised clinical preparation for real-world settings

CUNY Queensborough Community College

#5

Bayside, NY · $4,000/yr (net price)

CUNY Queensborough Community College offers a hybrid CNA program that combines online coursework with in-person labs and a clinical externship. At $1,650 total cost and flexible scheduling, it accommodates diverse lifestyles while preparing students for the NYSED certification exam. The program also highlights a median CNA salary of $45,500, signaling strong earning potential.

  • Hybrid format with online classes and in-person labs
  • 120 total training hours, including clinical externship
  • Total program cost of $1,650
  • Multiple schedule options to fit student needs
  • Prepares students for NYSED certification exam
  • Median salary of $45,500 per year for graduates

Mildred Elley School-Albany Campus

#6

Albany, NY · ~$24,000/yr (est.)

Mildred Elley's Albany campus runs a fast-paced, six-week Nurse Aide Training program that covers medical terminology, patient care, and safety. This campus-only experience includes offsite clinicals and flexible schedules. While located upstate, it can be an option for Bronx residents willing to relocate temporarily for a quick entry into the field.

  • Six-week accelerated program in Albany, NY
  • Campus-based with offsite clinical experience
  • Flexible class schedules available
  • Covers medical terminology, basic life support, and nutrition
  • Prepares students for New York State CNA certification
  • Practical skills training for immediate job readiness

Fulton-Montgomery Community College

#7

Johnstown, NY · $6,000 – $7,000/yr

Fulton-Montgomery Community College in Johnstown, NY, offers both a standard CNA program and a dual-certification CNA/Home Health Aide track. The 8-week programs combine remote learning with in-person instruction and clinical off-site training. The total $2,200 fee includes tuition, textbooks, and state testing costs, and regional healthcare partners often provide sponsorships.

  • 120-hour NYS-approved training completed in 8 weeks
  • Combines remote classes, in-person instruction, and clinicals
  • $2,200 total fee covers tuition, textbooks, and state exams
  • Financial sponsorships available through regional employers
  • Prepares students for the NYS CNA certification exam
  • Dual certification in CNA and HHA in one program
  • Covers hospitals, nursing homes, and home care settings
  • Same 120-hour, 8-week blended format as the CNA track
  • Includes all testing and licensing fees for both credentials
  • Regional employer partnerships facilitate job placement

Mohawk Valley Community College

#8

Utica, NY · $9,000/yr

Mohawk Valley Community College in Utica provides an accelerated 120-hour CNA course split between 90 hours of classroom/lab and 30 hours of supervised clinical training. The program emphasizes high attendance and exam performance, with the state certification exam administered on-site. Fast Track funding may cover the $1,500 course value for eligible students.

  • Accelerated 120-hour program: 90 classroom/lab, 30 clinical
  • On-site administration of the NYS certification exam
  • Course valued at $1,500; Fast Track funding available
  • Day and evening schedules at Rome and Utica locations
  • Requires 90% score on reading comprehension exams
  • Medical clearance, TB test, and MMR vaccination required

Rockland Community College

#9

Suffern, NY · ~$11,000/yr (est.)

Rockland Community College offers a Certified Nurse Aide Training Program in both in-person and hybrid formats, giving students flexibility. The $1,600 total cost includes preparation for the New York state exam, and no prerequisites are needed. Graduates can enter hospitals, nursing homes, and other healthcare settings quickly.

  • In-person and hybrid learning options available
  • No prerequisites required for admission
  • Total program cost of $1,600
  • Clinical rotations included for hands-on experience
  • Prepares students for New York state certification exam
  • Fast-track pathway to entry-level healthcare roles

SUNY Westchester Community College

#10

Valhalla, NY · $6,000 – $12,000/yr

SUNY Westchester Community College provides in-person CNA and CNA/HHA dual-certification programs at its Ossining campus. Both tracks fall under the Health Sciences umbrella and lead to industry-recognized credentials. With no entrance exam required and strong student support services, these programs are accessible to career starters and changers.

  • In-person training at the Ossining campus
  • Prepares for industry-recognized CNA certification
  • No entrance exam required for admission
  • Health Sciences curriculum with practical patient care skills
  • Flexible registration options for diverse learners
  • Dual certification for nursing facilities and home care
  • In-person program at the Ossining campus
  • Addresses growing demand for healthcare workers
  • Hands-on patient care training
  • Comprehensive student services and career support

Nassau Community College

#11

Garden City, NY · $7,000/yr

Schenectady County Community College

#12

Schenectady, NY · ~$9,000/yr (est.)

Orange County Community College

#13

Middletown, NY · ~$7,000/yr (est.)

SUNY Corning Community College

#14

Corning, NY · $7,000 – $10,000/yr

Finger Lakes Community College

#15

Canandaigua, NY · $14,000/yr (net price)

For many nurses working in New York today, the CNA credential was the first step, giving them hands-on patient care experience, a paycheck, and a clear path forward into licensed nursing and beyond.

New York State Department of Health, Nurse Aide Registry

Frequently Asked Questions About CNA Training in the Bronx, NY

Get quick answers to common questions about becoming a Certified Nursing Assistant in the Bronx. We cover program costs, length, free training options, certification requirements, online possibilities, job settings, and how CNAs differ from home health aides.

Most programs take 4 to 12 weeks, depending on the schedule and intensity. For example, Monroe College offers an 8-week program, while others may be shorter or longer. All must include at least 100 hours of training: classroom instruction and hands-on clinical practice. Accelerated full-time tracks can get you certified faster.

In the Bronx, total costs range from about $995 to $1,850. Hostos Community College charges $1,299 (or $210 per credit), Lehman College is $1,148, and ABC Training Center is $1,850. These figures typically include tuition, books, uniforms, and exam fees. Financial aid and payment plans are available at many schools.

Yes. The SUNY Bronx Educational Opportunity Center (EOC) offers a tuition-free program for eligible economically and educationally disadvantaged New York State residents. Other funding sources like WIOA, ACCES-VR, Workforce1, and the VA GI Bill can also cover costs at participating training providers. Eligibility requirements apply.

You must: be at least 16 years old; complete a state-approved nurse aide training program of at least 100 hours; pass the New York Nurse Aide Competency Exam (written and skills); undergo a criminal background check; and provide proof of a physical exam, immunizations, and negative TB test.1 Some employers may require age 18.

Yes, hybrid options are available. Lehman College offers a hybrid evening CNA program. Typically, theoretical coursework can be completed online, but all clinical hours and skills demonstrations must be done in person at approved facilities. This blend offers flexibility while ensuring you gain hands-on patient care experience.

CNAs in the Bronx work in nursing homes, hospitals, assisted living facilities, rehabilitation centers, and home health agencies. The borough is home to major healthcare providers such as Montefiore Health System and NYC Health + Hospitals/Jacobi, which regularly hire CNAs. Demand is strong across these settings.

CNAs primarily work in facility settings under nursing supervision, performing clinical tasks like taking vital signs and assisting with medical equipment. Home health aides (HHAs) assist clients in their homes with daily living activities and light housekeeping. HHAs require separate certification in New York, though CNAs may qualify for HHA roles with additional training.1