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Division of
Professional Regulation

Nursing Home Administrator Licensure



Choosing Method of Licensure

The application for Nursing Home Adminstrator (NHA) licensure asks whether you are applying by Administrator-in-Training (AIT) or Reciprocity. This table explains which to select.

IF you… THEN
have completed a Board-approved:
  • AIT Program, and
  • course of study in nursing home administration at an accredited educational institution
select Administrator-In-Training (AIT)
hold a current NHA license in one of these jurisdictions:
Pennsylvania (PA), Maryland (MD), New Jersey (NJ), Ohio (OH), Washington (WA), Connecticut (CT), South Carolina (SC), New York (NY), New Hampshire (NH)

 

Note: The Board has already determined that these jurisdictions have substantially similar requirements to those of Delaware.

select Reciprocity
hold a current NHA license in a jurisdiction where you have three years of active NHA practice experience
hold a current NHA license in one or more jurisdictions not listed above but do not have three years of active NHA practice experience in any one of those jurisdictions

 

Note: The Board will determine if any jurisdiction where you hold a current license has licensure requirements substantially similar to those of Delaware. If any of them has substantially similar requirements, you may be licensed by reciprocity. If none has substantially similar requirements, you cannot be licensed by reciprocity.

  • have not completed a Board-approved AIT program, and
  • do not hold a current license in any other jurisdiction
you must apply for approval of an AIT Program.

Requirements for All Applicants

  • Enclose the non-refundable processing fee by check or money order made payable to “State of Delaware.”
  • Arrange for the Board office to receive an official transcript showing your degree, sent directly from the college/university to the Board office.
  • Arrange for the Board office to receive verification of your NAB Examination scores sent directly to the Board office from the National Association of Long Term Care Administrator Boards (NAB).
    • If you are applying by AIT but have not yet taken the exam, be sure to request NAB to send your scores to Delaware when you register for the exam.
    • If you are applying by AIT and have already passed the exam, request a score transfer only if you did not request NAB to send your scores to Delaware when you registered.
    • If you are applying by reciprocity, you must request a score transfer.
  • Complete the Criminal History Record Check Authorization form to request State of Delaware and Federal Bureau of Investigation criminal background checks. Follow the instructions on the authorization form to arrange to be fingerprinted. You must meet this requirement even if you previously had a criminal background check done for another application.
  • Arrange for the Board office to receive license verifications from each jurisdiction (state, U.S. territory or District of Columbia) where you now hold, or have ever held, NHA licensure, sent directly from the jurisdiction to the Board office.
  • Enclose a resume or separate page with your application thoroughly describing your occupational background. The document must list all post-degree positions you have held, starting with your current position. All time must be accounted for. If you have been involved in an academic residency or internship or in a Board-approved AIT program, include the following information:
    • dates of employment
    • title of position
    • name and address of employer or organization
    • employer/organization telephone number and email
  • Enclose a resume or separate page with your application thoroughly describing all past administrative experience that you acquired in a residential facility providing protective, preventive and personal care services performed by qualified personnel. (Personal care refers to the general supervision of and direct assistance to individuals in their activities of daily living.)
    • Your experience must include:
      • administration of services to more than one person,
      • administrative services which have (or had) as a major component the supervision of more than one profession or discipline,
      • administrative positions in which you have (or had) direct responsibility for and are (were) held accountable for your own acts.
    • Describe your duties and responsibilities for the time periods when you supervised more than one profession or discipline. Include the dates and number of hours as well as the kinds of employees. Also, list the dates and hours for which you have served as acting administrator in the absence of the duly appointed administrator.

 

Additional Requirements for Licensure by AIT

If you are applying by AIT, submit proof that you have completed a Board-approved course of study in nursing home administration at an accredited educational institution. Examples of proof are a course certificate or transcript.

 

Additional Requirements for Licensure by Reciprocity

To apply by reciprocity, you must hold current NHA licensure in another jurisdiction. If you do not have three years NHA experience in any jurisdiction where you hold a current license, at least one of the jurisdictions where you hold a current license must have licensure requirements that are substantially similar to those of Delaware.

The following requirements apply only if you do not hold a current license in any jurisdiction listed below.

  • Pennsylvania (PA)
  • Maryland (MD)
  • New Jersey (NJ)
  • Ohio (OH)
  • Connecticut (CT)
  • South Carolina (SC)
  • New York (NY)
  • New Hampshire (NH)
  • Washington (WA)

If you hold a current license in any of the jurisdictions listed above, it is not necessary to submit either of the items listed below. Otherwise, submit the following:

  • If you have three years of NHA experience in any jurisdiction where you hold a current license, submit tax form W-2s or other proof of your active practice.
  • Submit a copy of the licensure law and rules and regulations of all jurisdictions where you hold a current NHA license.
    • The Board will determine if any of the jurisdictions’ licensure requirements are substantially similar to those of Delaware.
    • If the Board determines that none of the jurisdictions where you hold a current license has licensure requirements that are substantially similar to those of Delaware and you do not have three years of NHA experience in any of those jurisdictions, you cannot qualify for NHA licensure by reciprocity. To qualify for licensure by AIT, you must file an Application for Approval of an Administrator-in-Training Program.

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