Your 2025 Guide to CNA Certification in Maryland: Top Programs, State Requirements, Exam & Salary Insights for the Old Line State

Quick Summary: Eager to launch a rewarding healthcare career in the historic Old Line State? Becoming a Certified Nursing Assistant (CNA) in Maryland is a well-defined path to directly impacting patient lives. This in-depth guide navigates you through every essential step: understanding Maryland's specific certification requirements (including criminal history background checks and training hours set by the Maryland Board of Nursing - MBON), finding MBON-approved training programs, mastering the CNA competency exam (often administered by Credentia or a Board-approved vendor), and exploring salary expectations across Maryland. We've included realistic scenarios, information on financial aid (like WIOA and community college grants), and crucial tips for career advancement (including Geriatric Nursing Assistant - GNA, and Certified Medicine Aide - CMA) and maintaining your certification. Whether you're new to healthcare or seeking a new direction, this resource is your launchpad for a successful CNA career in Maryland.

Introduction: Your Path to Becoming a CNA in Maryland

Welcome to your comprehensive guide to becoming a Certified Nursing Assistant (CNA) in the State of Maryland! If you're looking for a direct route into the healthcare field, driven by a compassionate spirit and a desire to provide quality care to others in the diverse communities of the Old Line State, this is an excellent starting point. This guide is tailored for aspiring CNAs in Maryland, covering everything from understanding the CNA role (including the common Geriatric Nursing Assistant - GNA designation) and the specific requirements set by the Maryland Board of Nursing (MBON), to finding approved training programs, preparing for the state competency exam, and exploring career opportunities throughout Maryland. Let's get started on your path to this vital profession.

1. What is a Certified Nursing Assistant (CNA)? (Including GNA)

A Certified Nursing Assistant (CNA) in Maryland is a valued member of the healthcare team who provides essential direct care to patients and residents in various settings, under the supervision of licensed nursing staff like Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). CNAs focus on individuals' basic needs, comfort, and safety. Key responsibilities in Maryland often include:

Assisting patients with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, toileting, and eating.
Taking and accurately recording vital signs (temperature, pulse, respiration, blood pressure, and often pain levels).
Helping patients with mobility, including transferring, walking, and repositioning to prevent complications like pressure sores.
Observing patients' conditions and reporting any significant changes to the supervising nurse promptly.
Providing companionship, emotional support, and promoting patient rights and dignity.
Maintaining a clean, safe, and orderly environment for patients.

In Maryland, individuals working as CNAs in licensed comprehensive care facilities (nursing homes) must also hold a Geriatric Nursing Assistant (GNA) certification. The GNA is an advanced CNA certification specific to Maryland, requiring successful completion of the CNA training and passing the GNA state competency examination. The GNA designation indicates specialized competency in caring for the geriatric population. Throughout this guide, "CNA" will generally encompass GNA requirements unless otherwise specified.

The CNA/GNA role demands physical stamina, empathy, excellent communication skills, and meticulous attention to detail. It offers a deeply rewarding experience and serves as a strong foundation for those wishing to advance their careers in nursing or other healthcare fields in Maryland.

2. Job Outlook & Demand for CNAs in Maryland

The demand for CNAs/GNAs in Maryland is significant and projected to remain strong. This is driven by Maryland's aging population, the healthcare needs of its diverse communities, and the ongoing need for direct care providers in long-term care facilities, hospitals, and home health services across the state. According to the U.S. Bureau of Labor Statistics (BLS), employment for nursing assistants is projected to grow steadily nationwide, and Maryland, with its robust healthcare sector, reflects this need.

The Maryland Department of Labor also projects a positive outlook for nursing assistants. Openings arise from both new job creation and the need to replace workers who retire or transition to other occupations, ensuring a consistent demand for qualified CNAs/GNAs.

3. Understanding Local CNA Demand Across Maryland

CNA/GNA job opportunities exist throughout Maryland, with concentrations and specific needs varying by region:

Central Maryland (Baltimore City, Baltimore County, Anne Arundel County, Howard County): This region, including Baltimore, has the highest concentration of hospitals (e.g., Johns Hopkins Hospital, University of Maryland Medical Center, MedStar Health facilities), numerous skilled nursing facilities (SNFs), and assisted living centers, leading to the greatest number of CNA/GNA openings.
National Capital Region (Montgomery County, Prince George's County): These densely populated D.C. suburbs have a high demand for healthcare services, with major hospital systems and numerous long-term care facilities.
Western Maryland (Frederick, Washington, Allegany, Garrett Counties): Regional medical centers and nursing homes in cities like Frederick and Hagerstown, as well as more rural areas, require CNAs/GNAs.
Southern Maryland (Charles, Calvert, St. Mary's Counties): This growing region has an increasing need for healthcare workers, including CNAs/GNAs.
Eastern Shore (Cecil, Kent, Queen Anne's, Talbot, Caroline, Dorchester, Wicomico, Somerset, Worcester Counties): Hospitals and long-term care facilities across the Eastern Shore rely on CNAs/GNAs to serve their communities.

Exploring Maryland-specific job boards (like the Maryland Workforce Exchange) and connecting with local healthcare providers and training programs can offer insights into regional demand.

4. CNA Salary & Benefits in Maryland

Average Compensation

CNA salaries in Maryland are generally higher than the national average, reflecting the state's higher cost of living, particularly in the Baltimore-Washington metropolitan area. According to the U.S. Bureau of Labor Statistics (BLS) for May 2023, Nursing Assistants in Maryland earned a mean hourly wage of $20.16, translating to an average annual salary of approximately $41,930.

Salaries vary by region within Maryland (D.C. suburbs and Baltimore metro often have the highest wages), experience, facility type (hospitals and specialized units often pay more), and holding GNA certification (which is required for nursing home employment). Entry-level positions might start in the $17-$19/hour range, while experienced CNAs/GNAs in high-demand areas or specialized roles can earn $23/hour or more.

Pay by Setting (Typical Maryland Estimates)

Setting	Average Hourly Wage Range (MD)
Hospitals	$19.00 – $25.00+
Skilled Nursing Facilities (SNFs) / Long-Term Care (as GNA)	$18.00 – $23.00
Home Health Agencies	$17.00 – $22.00 (plus potential mileage if applicable)

Note: These are general estimates. Always research specific employers and regions within Maryland.

Shift Differentials & Overtime

Many Maryland healthcare facilities offer shift differentials (e.g., an extra $1.50-$4.00/hour) for evening, night, weekend, or holiday shifts. Overtime pay (typically 1.5 times the regular rate for hours over 40 in a week, as per Maryland and federal labor law) can also increase earnings.

Common Benefits Packages

Full-time CNAs/GNAs in Maryland, particularly in larger institutions, often receive comprehensive benefits such as:

Health, dental, and vision insurance
Retirement plans (e.g., 401(k) or 403(b), Maryland State Retirement and Pension System for state employees)
Paid time off (vacation, sick leave, holidays)
Tuition reimbursement or assistance programs
Life insurance and disability coverage

5. Maryland CNA Certification Requirements

To become a Certified Nursing Assistant (CNA) in Maryland and be listed on the Maryland Nurse Aide Registry, you must meet specific requirements set by the Maryland Board of Nursing (MBON). To work in a nursing home, you must also obtain Geriatric Nursing Assistant (GNA) certification. Key requirements include:

Age: You must generally be at least 18 years old to take the GNA exam, though some CNA training programs may admit students at 16 or 17 with certain conditions. Employment policies may also require 18 years.
Complete an MBON-Approved Training Program: You must successfully complete a Nursing Assistant Training Program (NATP) approved by the MBON. This involves a minimum of 100 total clock hours, which includes:
- Classroom instruction covering theory and laboratory practice.
- Supervised clinical training in an MBON-approved healthcare facility. Federal regulations require at least 16 hours of foundational classroom instruction before direct resident contact.
Pass the Competency Evaluation Examination: After completing training, you must pass the Maryland Nurse Aide Competency Exam. This exam is often administered by Credentia (or another MBON-approved vendor) and includes both a Written (or Oral) examination and a Skills demonstration. To become a GNA, you must pass this exam.
Criminal History Record Information (CHRI) Check: You must undergo and pass a criminal history background check, which includes fingerprinting for both a Maryland Criminal Justice Information System (CJIS) check and a Federal Bureau of Investigation (FBI) check. This is required for initial CNA certification and GNA status. Certain convictions may disqualify you from certification.
Application for Examination & Registry: You will apply to take the competency exam through the MBON-approved testing vendor (e.g., Credentia), often facilitated by your training program. Successful completion of training, the exam, and clearance of background checks lead to MBON issuing your CNA certification and placing you on the registry. If you pass the GNA exam, that status will also be reflected.
Social Security Number or Individual Taxpayer Identification Number (ITIN): A valid U.S. Social Security Number or ITIN is required for certification and registry purposes.

Always verify the most current and detailed requirements with your chosen MBON-approved training program and the Maryland Board of Nursing (MBON) CNA Certification page and the website of the current testing vendor (e.g., Credentia).

6. Finding MBON-Approved CNA Training Programs in MD

It is absolutely essential to select a Nursing Assistant Training Program (NATP) that is approved by the Maryland Board of Nursing (MBON). Only graduates of MBON-approved programs are eligible to take the competency exam and become certified. The MBON maintains a list of approved programs on its website. Common providers in Maryland include:

Maryland Community Colleges: Campuses across the state (e.g., Community College of Baltimore County - CCBC, Anne Arundel Community College, Montgomery College, Prince George's Community College, Frederick Community College) are major providers of MBON-approved CNA/GNA training programs.
Private Postsecondary Vocational Schools & Career Institutes: Numerous private schools and career centers throughout Maryland offer MBON-approved CNA/GNA training programs. Verify their approval status carefully.
Healthcare Facilities (Skilled Nursing Facilities - SNFs & Hospitals): Some SNFs and hospitals offer their own MBON-approved NATPs, sometimes at reduced cost or free if you commit to employment.
American Red Cross: Chapters in Maryland may offer MBON-approved CNA/GNA training programs.
Public High Schools with Health Occupations Programs: Some Maryland high schools offer MBON-approved CNA training as part of their curriculum.

When choosing a program in Maryland, consider:

MBON Approval: Non-negotiable. Verify via the MBON website.
GNA Exam Preparation: Ensure the program prepares you for the GNA exam if you intend to work in a nursing home.
Cost & Financial Aid: Inquire about tuition, fees for CHRI background check, TB test, books, uniform, physical exam, state exam (testing vendor fee), and available aid (Pell Grants, WIOA, community college grants, employer sponsorship).
Schedule & Duration: Programs range from intensive full-time (4-8 weeks) to part-time options.
Location & Clinical Sites: Factor in commute times in your area of Maryland.
State Exam Pass Rates: Ask the program about their graduates' success on the competency exam.
Job Placement Assistance: Some programs offer help with resume writing and connecting with Maryland employers.

You can find the official list of MBON-approved programs on the MBON website by searching for "Approved Nursing Assistant Training Programs."

7. What to Expect from Your Maryland CNA Program Structure & Duration

All MBON-approved Nursing Assistant Training Programs (NATPs) in Maryland must provide a minimum of 100 total clock hours of instruction and training. This is structured as follows:

Classroom Instruction and Laboratory Practice: This portion covers theoretical knowledge and hands-on skills practice in a laboratory setting. Federal regulations (42 CFR §483.152) mandate that at least 16 of these hours must be completed on specific foundational topics (covering communication, infection control, safety, resident rights, and basic care) before students have any direct contact with residents/patients. Topics generally include:
- Introduction to patient care, CNA/GNA role in Maryland, ethics, legal aspects, patient rights, and prevention of abuse and neglect.
- Communication and interpersonal skills.
- Infection control and safety/emergency procedures.
- Basic anatomy, physiology, and body mechanics.
- Personal care skills (bathing, hygiene, grooming).
- Nutrition, hydration, and elimination.
- Vital signs measurement.
- Care for residents with special needs (e.g., cognitive impairment like dementia/Alzheimer's, mental health considerations).
- Restorative nursing and promoting independence.
- Specific geriatric care principles for GNA preparation.
Supervised Clinical Training: This hands-on portion must be conducted in an MBON-approved clinical setting, typically a skilled nursing facility (SNF) or hospital. Students apply their learned skills under the direct supervision of an MBON-approved instructor (typically an RN or LPN with specific qualifications). The exact split between classroom/lab and clinical hours within the 100-hour minimum can vary slightly by program but must meet MBON standards.

Program Duration:

Full-Time Programs: Can often be completed in 4 to 8 weeks, depending on the daily schedule.
Part-Time Programs (Evenings/Weekends): May take 2 to 4 months or longer to complete.

Regardless of the format, all approved programs are designed to prepare students thoroughly for the Maryland Nurse Aide Competency Exam (for CNA and GNA status) and for safe, effective, and compassionate practice in the Old Line State.

8. The Maryland CNA Competency Exam (Credentia/Vendor): What You Need to Know

After successfully completing your MBON-approved NATP, you must pass the Maryland Nurse Aide Competency Evaluation Examination to become certified. This exam is often administered by Credentia (or another MBON-approved testing vendor) on behalf of the MBON. It consists of two parts, both of which must be passed:

1. Written (or Oral) Examination

Consists of a set number of multiple-choice questions (e.g., Credentia uses 60 questions for the NNAAP® Written Exam).
Tests your knowledge on topics covered in your training program, such as physical care skills, psychosocial care skills, and role of the nurse aide.
You will have a specific time limit (e.g., 90 minutes to 2 hours) to complete this examination.
An oral (audio) version is available in English if requested in advance during the application process.

2. Skills Evaluation

You will be asked to perform five randomly selected nursing assistant skills.
One of the skills will always be Hand Hygiene. Another will typically involve recording a measurement. The other three are randomly selected from the official Maryland/NNAAP® skills list.
A Nurse Evaluator will observe and score your performance based on critical steps for each skill. You must pass all five skills.
You will have a specific time limit (e.g., Credentia allows 31–40 minutes depending on skills) to complete all five skills.

Attempts & Retakes: In Maryland, you generally have up to three attempts to pass both parts of the exam within 24 months (two years) from the date you completed your training program (or as specified by MBON/testing vendor). If you fail one part, you only need to retake that part. If you do not pass both parts within the allowed attempts or timeframe, you may need to complete a new MBON-approved training program.

On Exam Day: Arrive on time. You MUST bring two forms of current, signature-bearing identification (one must be a U.S. government-issued photo ID, e.g., driver's license, state ID, passport). Names must match exactly. A signed Social Security card or ITIN card is often required. Wear appropriate attire (usually scrubs, flat non-skid enclosed shoes) and a watch with a second hand.

Always refer to the latest Maryland Nurse Aide Candidate Handbook from the MBON-approved testing vendor (e.g., Credentia) for the most current exam policies, procedures, skill lists, fees, and testing site information specific to Maryland.

9. Getting Certified & Listed on the MD Nurse Aide Registry

Initial Certification & Registry Listing

Once you successfully pass both the Written (or Oral) Examination and the Skills Evaluation administered by the MBON-approved testing vendor, and your CHRI background check is cleared, the testing vendor will report your successful exam completion to the Maryland Board of Nursing (MBON). The MBON will then issue your CNA certification and place your name on the official Maryland Nurse Aide Registry. If you passed the exam components qualifying you for GNA status, this will also be reflected. Employers are required by law to verify your active certification status through this registry before hiring you as a CNA/GNA. You can check your status online via the MBON license verification portal.

Maintaining Your Certification: Renewal

Your Maryland CNA/GNA certification is valid for two years (24 months) and must be renewed to remain active.

Work Requirement: You must have worked for pay, performing nursing or nursing-related services under the supervision of a licensed nurse, for at least eight (8) hours within your most recent 24-month certification period.
Criminal History Record Information (CHRI) Check: A new CHRI check (fingerprinting) is required for each renewal.
No Continuing Education Units (CEUs) Required (for basic CNA/GNA): Maryland does not currently require state-mandated CEUs for basic CNA/GNA renewal if the work and CHRI requirements are met. However, employers often require ongoing in-service training.
Renewal Application: The MBON will typically mail a renewal notice to your address of record before your certificate expires. It is your responsibility to keep your address updated with the MBON. Complete and submit the renewal application (often online), fees, and attest to meeting the work requirement, and ensure the CHRI is completed.

If you do not meet all renewal requirements (work hours AND new CHRI check), your certificate will lapse. To reinstate a lapsed certificate, you may need to retake the competency exam and/or complete a new CHRI check, depending on how long it has been lapsed and current MBON policies.

Out-of-State CNAs: Endorsement (Reciprocity)

If you are a CNA certified in another state and your certification is active and in good standing (no findings of abuse, neglect, or misappropriation), you can apply for Maryland certification by "Endorsement." You'll need to complete the "Application for Certification by Endorsement" from the MBON website, provide verification from your original state(s) of certification, and undergo Maryland's CHRI background check. If your training met or exceeded Maryland's 100-hour minimum and you meet all other criteria, you may be granted MD certification without retaking the competency exam. You may then need to take the GNA exam if you plan to work in a nursing home.

10. Real Stories: CNA Journeys in Maryland

Jamal's Start in Baltimore

Jamal, living in Baltimore City, wanted a career where he could help his community. He enrolled in an MBON-approved CNA/GNA program at the Community College of Baltimore County (CCBC). The CHRI background check was a key step. After passing his competency exams, Jamal was hired by a large nursing home in Baltimore County as a GNA. "The program really prepared me for the GNA exam and working with older adults. The CHRI renewal every two years is important to remember," he says.

Maria's Career Shift in Montgomery County

Maria, a resident of Silver Spring, decided on a career change from retail to healthcare. She chose a private vocational school known for its MBON-approved program and flexible evening classes. "The instructors were excellent in helping us master the skills for the exam, focusing on accuracy and compassion," Maria recalls. She now works at a hospital in Rockville and is considering becoming a Certified Medicine Aide (CMA).

David's Path on the Eastern Shore

David, looking to serve his community in Salisbury, found a CNA/GNA training program offered through a local healthcare system. "The clinical experience in our local nursing home was invaluable. Learning to provide quality care while respecting resident rights was central to the training," he notes. He now works at that same nursing home as a GNA.

11. A Day in the Life of a Maryland CNA/GNA

The daily routine of a CNA/GNA in Maryland, whether in a bustling Baltimore hospital, a suburban nursing home, or providing home care, revolves around providing direct patient care and support with professionalism and empathy:

Beginning of Shift (e.g., 0700 / 1500 / 2300):
- Clock in, receive report from the off-going shift about patient/resident assignments, conditions, and any special instructions or changes in care plans.
- Make initial rounds, greet patients/residents, and assess immediate needs.
Morning/Daytime Care:
- Assist with ADLs: bathing, dressing, oral care, grooming, toileting.
- Serve meal trays, assist with feeding, monitor food/fluid intake, provide fresh water.
- Take and record vital signs accurately.
- Change bed linens, maintain room tidiness, ensure call lights are within reach and safety measures are in place.
- Assist with mobility: ambulation, transfers, range-of-motion exercises, repositioning.
Throughout the Shift:
- Respond promptly to call lights and patient requests with patience and understanding.
- Observe patients for any changes in condition (physical, mental, emotional) and report to the licensed nurse immediately.
- Provide emotional support, listen to concerns, and engage in appropriate social interaction.
- Accurately document all care provided, observations, and intake/output according to facility policy and MBON regulations.
- Follow infection control protocols meticulously (hand hygiene is paramount).
End of Shift:
- Ensure patients are comfortable, safe, and their needs are met.
- Complete all charting thoroughly and accurately.
- Provide a comprehensive report to the oncoming CNA/shift.
- Clean and restock supplies as needed.

Maryland CNAs/GNAs play a critical role, requiring compassion, keen observation skills, adaptability, adherence to regulations, and a commitment to patient-centered care.

12. Frequently Asked Questions (FAQs) for Aspiring Maryland CNAs

Is a criminal history background check (CHRI) mandatory for CNA/GNA certification in Maryland?

Yes, absolutely. You must undergo and pass a fingerprint-based CHRI check (both state CJIS and federal FBI) for initial CNA certification and each renewal in Maryland. This is a strict requirement of the Maryland Board of Nursing (MBON).

How many work hours are needed to renew my Maryland CNA/GNA certificate? Are CEUs required?

For renewal in Maryland, you need proof of at least 8 hours of paid employment as a nurse aide under licensed nurse supervision within your 24-month certification period, and you must complete a new fingerprint-based CHRI background check. Maryland does not currently require state-mandated Continuing Education Units (CEUs) for basic CNA/GNA renewal if these requirements are met.

What is the difference between a CNA and a GNA in Maryland?

A CNA is the basic certification, allowing you to provide direct care. A GNA (Geriatric Nursing Assistant) is an advanced certification required to work in licensed comprehensive care facilities (nursing homes). To become a GNA, you must complete an MBON-approved CNA training program and pass the state competency exam designated for GNA status.

What happens if I let my Maryland CNA/GNA certificate lapse?

If your certificate lapses because you didn’t meet the renewal requirements (8 work hours and a new CHRI check), you cannot work as a CNA/GNA. To reinstate, you must reapply, complete a new fingerprint-based CHRI check, and you may need to pass the competency exam again depending on how long your certification has been inactive and MBON policies.

How do I transfer my out-of-state CNA certification to Maryland (Endorsement)?

Apply for endorsement with the MBON by submitting the endorsement application, verification of your active, good-standing out-of-state certification, proof your training met Maryland’s 100-hour minimum, and completion of a fingerprint-based CHRI background check. If your credentials meet state standards, you may be granted CNA certification without re-testing. You may then take the GNA exam if you intend to work in a nursing home.

13. Tips for Success in Your CNA Training and Career in MD

Master the Skills List: Practice every skill until you can perform it flawlessly according to the official Maryland/NNAAP® Candidate Handbook. Pay attention to critical steps and verbalizations.
Understand the CHRI Process: This is a critical and recurring step in Maryland. Cooperate fully and plan for it at initial certification and for every renewal.
Attendance is Crucial: MBON-approved programs have strict attendance policies for the 100 required hours. Be present and engaged.
Study Consistently: Don't cram. Review notes daily, form study groups, and use practice questions for the written exam.
Embrace Professionalism: Punctuality, appropriate attire, respectful communication, and a positive attitude are vital in Maryland's clinical settings.
Proactively Manage Renewal: Keep track of your expiration date, work hours, and the CHRI requirement. Start the CHRI process well before your certification expires.
Stay Updated with MBON: Keep your contact information current with the MBON and regularly check their website for any updates.
Prioritize Patient Safety & Rights: These are core tenets of CNA/GNA practice in Maryland and are heavily emphasized in MBON regulations.

14. Advancing Your Career: Paths Beyond CNA in Maryland (GNA, CMA)

Your Maryland CNA certification is an excellent foundation. Many CNAs in Maryland advance to other roles:

Geriatric Nursing Assistant (GNA): As mentioned, this is a required certification for CNAs working in Maryland nursing homes, achieved by passing the GNA competency exam after CNA training.
Certified Medicine Aide (CMA): Experienced GNAs in Maryland can complete additional MBON-approved training (typically 60-100 hours, including clinicals) and pass a state exam to become a CMA. CMAs can administer certain medications in specific long-term care settings under nurse supervision. This requires separate renewal and CEUs.
Licensed Practical Nurse (LPN): A common pathway. LPN programs in Maryland (e.g., at many community colleges) typically take 12-18 months. The Maryland Board of Nursing regulates LPNs.
Registered Nurse (RN): Pursue an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an MBON-approved program (e.g., University of Maryland School of Nursing, Johns Hopkins School of Nursing, Towson University, many community colleges).
Medical Assistant (MA): With additional training, CNAs can become MAs, working in clinics and physician offices.
Patient Care Technician (PCT) / Hospital Technician: Maryland hospitals often hire CNAs/GNAs and provide additional training for them to become PCTs, performing more advanced skills.
Healthcare Administration or Education: With experience and further education, CNAs can move into supervisory roles, staff development, or teaching in NATPs.

Many Maryland employers, especially larger hospital systems, offer tuition assistance or reimbursement for further education.

15. CNA Training Costs & Financial Aid in Maryland

CNA training costs in Maryland can vary, but financial aid options exist:

Program Type	Typical Tuition Range (MD)	Additional Fees (CHRI Check, Books, Uniform, Exam, Physical, etc.)	Common Financial Aid Options
Maryland Community Colleges	$1,200 – $2,500 (Continuing Education/Workforce Development costs vary)	$200 – $500 (CHRI fee can be significant)	WIOA (via MD Dept. of Labor), Pell Grants (if part of a larger eligible program), college-specific grants/scholarships, employer sponsorship.
Private Vocational School	$1,500 – $3,000+	$250 – $600 (CHRI fee can be significant)	School scholarships, WIOA, payment plans, private loans.
Facility-Based (SNF/Hospital) Training	Often Free or Low Cost (if offered by an approved facility to prospective employees)	Minimal or covered (CHRI fee may still apply initially)	Employer-sponsored.

Key Maryland Financial Aid & Cost-Saving Tips:

WIOA (Workforce Innovation and Opportunity Act): Contact the Maryland Department of Labor or your local American Job Center for information on training grants.
Employer Reimbursement/Sponsorship: Federal law requires Medicare/Medicaid certified nursing homes to pay for or reimburse CNA/GNA training and testing costs for individuals they employ or offer employment to within 12 months of certification. Always ask potential employers about this.
Community College Financial Aid: Inquire directly with community colleges about specific grants or scholarships for healthcare programs.
FAFSA: Complete for federal Pell Grants if attending an eligible college program.

Always get a detailed breakdown of ALL costs before enrolling: tuition, fees for the CHRI background check (this can be around $60-$80 or more), TB screening, textbook, uniform, equipment, physical exam, CPR certification, and the competency exam fee.

Conclusion: Start Your CNA Journey in Maryland Today!

Becoming a Certified Nursing Assistant (CNA), and potentially a Geriatric Nursing Assistant (GNA), in Maryland offers a direct path to a rewarding healthcare career filled with opportunities for growth and the chance to make a significant impact within the diverse communities of the Old Line State. Maryland has a consistent demand for skilled, compassionate CNAs/GNAs. By understanding Maryland's specific requirements (especially the CHRI process), selecting a quality MBON-approved training program, preparing diligently for the competency exam, and committing to the renewal process, you'll be well-prepared for success.

Your journey starts with taking the first step. We encourage you to use the resources in this guide to research programs in your area of Maryland and begin the process of becoming an essential part of Maryland's healthcare team.

Visit the Maryland Board of Nursing (MBON) CNA Certification page for official program information, forms, registry access, and links to current testing vendor information. A vital role in Maryland's healthcare system awaits you!

References & Further Reading (Maryland)

U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, "Nursing Assistants and Orderlies" — www.bls.gov/ooh/healthcare/nursing-assistants.htm
U.S. Bureau of Labor Statistics, Occupational Employment Statistics, "May 2023 State Occupational Employment and Wage Estimates Maryland - 31-1131 Nursing Assistants" — www.bls.gov/oes/current/oes_md.htm#31-1131
Maryland Board of Nursing (MBON) - CNA/GNA/CMA Information — MBON CNA Page
MBON - Approved Nursing Assistant Training Programs — MBON Approved Training Programs
Credentia - Maryland Nurse Aide Credentia - Maryland Nurse Aide Exam site
Maryland Department of Labor - Workforce Development & Adult Learning — MD Dept. of Labor - Employment
Maryland Department of Public Safety and Correctional Services - Criminal Justice Information System (CJIS) - Fingerprinting — MD CJIS Fingerprinting