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Nurse Aide Competency Evaluation Program (NATCEP) & Train The Trainer (TTT)
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Nurse Aide Competency Evaluation Program (NATCEP) & Train The Trainer (TTT)

The Nurse Aide Training and Competency Evaluation (NATCEP/Train The Trainer (TTT) program is responsible for approving and monitoring NACTEP/TTT programs throughout Ohio. NACTEP training is required to become a State Tested Nurse Aide (STNA).

Federal and state regulations establish training and testing requirements for all nurse aides who work in Medicare/Medicaid certified long term care facilities. The Ohio Department of Health's (ODH) Nurse Aide Training and Competency Program (NATCEP) Unit is responsible for ensuring that Nurse Aide, Train-the-Trainer (TTT) and Dining Assistant (DA) programs offered in Ohio meet minimum federal and state requirements.


Completion of an ODH-licensed NATCEP will provide the training needed to become a State Tested Nursing Assistant (STNA). A NATCEP must be no less than 75 hours in length. Training will consist of at least 59 hours of classroom experience and skills training and at least 16 hours of supervised resident care in a long-term care facility (nursing home only). Upon successful completion of a NATCEP, students will receive a Certificate of Completion and will be eligible to register for the state nurse aide test. Individuals who pass the state nurse aide test will have their names added to the Ohio Nurse Aide Registry. If you are interested in becoming an STNA, you can obtain more information and applications from our Prospective STNA Students' page.

Train the Trainer

A Train the Trainer (TTT) program must be no less than 28 hours in length and completers will receive an official ODH Certificate of Completion. Topics for training include Framework for Training, Training Environment, Course Material Design and Development Process, and familiarization with the Ohio Administrative Code (OAC) rules that pertain to NATCEP and TTT. If you are interested in becoming a NATCEP/TTT trainer, you can obtain more information and applications from the links below:

Prospective Applicants to Teach NATCEP

Prospective Applicants to Teach TTT

Dining Assistant Training

Ohio’s Dining Assistant Program (DA) has been designed to meet the requirements of rule 3701-17-07.2 of the Ohio Administrative Code as well as provide a meaningful, practical skill development opportunity for persons wishing to be a Dining Assistant in Ohio’s long-term care facilities. If you are interested in becoming a Dining Assistant Trainer, you can obtain more information and applications from our Applicants to Teach Dining Assistants page.

Each NATCEP and TTT in Ohio receives at least one inspection/survey during a 24-month inspection/survey cycle. During these surveys, all aspects of compliance are evaluated based on Chapter 3701-18 of the Ohio Administrative Code.

Attention Service members, Veterans and their spouses:

If you are Active Military, Retired Military, Veteran or spouse of a Veteran, you are eligible to receive priority of service on testing day.  For details regarding what documents are considered acceptable proof for service members or veterans, please click here.

D&S Diversified Technologies  has been approved through the Department of Veterans Affairs (VA) as an approved testing vendor for the Ohio STNA exam.  Reimbursement of fees paid may be available through your GI Bill, if funds are available.   If you are a Veteran or Active Military, you will be provided with a receipt that you must submit with completed form 22-0803-ARE.pdf and mail to the VA for reimbursement.   You can find additional information about the GI Bill at http://www.benefits.va.gov/gibill/.

Find NATCEP, TTT and DA Programs In Your Area

To find a NATCEP, TTT or DA in your county follow the instructions provided in these NATCEP and TTT resource links.

Links and Resources

Various documents relating to the operation of NATCEPs in Ohio, including guidance, rule interpretations, memorandums and the curriculum are provided.


Recommendations for use of Purified Protein Derivative (PPD) During Nationwide Shortage August 2013

Reminder about Four Month Grace Period for Nurse Aides

Issues with Invalid Social Security Numbers

Nurse Aide Deemed or Waiver of Requirements

User Guides

Enhanced Information Dissemination and Collection (EIDC) User Guide

Enhanced Information Dissemination and Collection (EIDC) Reapproval/Report/Trainee list module

NATCEP Curriculum Standards & Guidelines

Train the Trainer Program Standards and Guidelines DA

Other Helpful Links

EIDC User Request Instructions


D&S Diversified Technologies - Nurse Aide Training Test Administrator

Nurse Aide Registry

Mailing Address:

Ohio Department of Health

Bureau of Regulatory Operations, NATCEP
246 North High Street
Columbus, OH 43215

Telephone: (614) 752-8285
Fax: (614) 564-2596

E-mail: NATCEP@odh.ohio.gov