Illinois

CNA Requirements in Illinois

Step-by-step guide to becoming a Certified Nursing Assistant in Illinois: the training, exam, background check, and timeline you need to plan for.

Find Illinois CNA Training Programs

Illinois CNA Requirements at a Glance

Minimum Age

16

Training Hours

120 hours

(Federal minimum: 75)

Time to Certification

8–14 weeks (training is typically 6–10 weeks, exam and registry listing 2–4 weeks)

Exam Vendor

Southern Illinois University Carbondale (SIUC) — Illinois Nurse Aide Testing

Becoming a CNA in Illinois

Becoming a CNA in Illinois is a 120-hour commitment — substantially more than the federal 75-hour minimum but less than California's 160. Most candidates complete full-time Basic Nurse Assistant Training Programs (BNATPs) in 6 to 10 weeks, with the 120 hours split into 80 hours of classroom and skills-lab time and 40 hours of supervised clinical experience in a long-term care setting. The Illinois Community College Board co-approves BNATPs alongside IDPH, which means community colleges across the state run the largest network of low-cost training options — typically in the $400 to $1,200 range, with many districts offering financial aid for healthcare pathway students.

The exam is administered by Southern Illinois University Carbondale (SIUC) at $85 per attempt, with the same fee for retakes. The written portion is 85 multiple-choice questions in 90 minutes; the skills portion tests you on a random subset of the 21 mandated nurse aide skills. SIUC publishes detailed candidate guides and a skills checklist at nurseaidetesting.com, and most BNATPs schedule their graduates' first exam attempt during the final week of the program. You have 12 months from program completion to pass both portions before your training credit expires.

One feature that makes Illinois unusually attractive for cost-conscious candidates: there is no renewal fee or re-application process once you are on the Health Care Worker Registry. Your certification stays active automatically as long as you have at least one paid nursing-services entry on the registry every 24 months — your employer handles the reporting. Many Illinois nursing facilities also sponsor BNATP tuition in exchange for a 3 to 12 month work commitment, particularly in the Chicago metro area and downstate communities facing the most acute staffing shortages, which can make the path effectively free.

Detailed Illinois CNA Requirements

Regulatory Body

Illinois Department of Public Health (IDPH), Health Care Worker Registry

Minimum Age

You must be at least 16 years old to begin CNA training in Illinois.

Education Requirement

Most Basic Nurse Assistant Training Programs (BNATPs) require students to be 16+ and able to read at a basic level; no formal high school diploma required by IDPH

Training Hours

120 hours required.
80 hours of classroom theory plus 40 hours of supervised clinical experience in a long-term care setting

Background Check

Illinois Healthcare Worker Background Check Act fingerprinting; certain convictions trigger an automatic disqualification under 225 ILCS 46

Competency Exam

Administered by Southern Illinois University Carbondale (SIUC) — Illinois Nurse Aide Testing. Two-part Illinois Nurse Assistant Competency Exam: an 85-question written knowledge test (90 minutes) plus a manual skills component covering the 21 mandated nurse aide skills
Cost: $85 for the initial exam (retake also $85; no-show reschedule $55)

Application Fee

$25 application processing fee for out-of-state reciprocity (no application fee for in-state applicants)

Total Cost Estimate

$0 (employer-sponsored) to $1,500 (community college or private program)

Where You Can Work

Skilled nursing facilities, intermediate care facilities, home health agencies, and other healthcare settings licensed in Illinois

What's Different About Illinois

Illinois has no periodic renewal fee or re-application — your certification stays active automatically as long as you have at least one paid nursing-services entry on the registry within any rolling 24-month period

How to Become a CNA in Illinois: Step by Step

1

Confirm you meet the prerequisites

You must be at least 16, free of disqualifying convictions under the Illinois Healthcare Worker Background Check Act (225 ILCS 46), and able to read and follow basic English instructions. IDPH does not require a high school diploma or GED, though some programs do.

2

Complete an Illinois Healthcare Worker Background Check

Submit fingerprints through a Live Scan vendor approved by the Illinois State Police. The results are sent to IDPH and to your training program. Disqualifying offenses are listed under 225 ILCS 46/25; a waiver process exists for certain non-violent offenses.

3

Enroll in an IDPH-approved Basic Nurse Assistant Training Program (BNATP)

Find a 120-hour program (80 classroom + 40 clinical) approved jointly by the Illinois Community College Board and IDPH. Programs are offered at community colleges, career schools, and nursing facilities across the state. IDPH publishes the list at dph.illinois.gov.

4

Complete the 120-hour BNATP

Finish all 80 hours of classroom instruction and 40 hours of supervised clinical experience. The clinical hours must be completed in a long-term care setting. Your program issues a completion certificate and registers you with SIUC for the competency exam.

5

Pass the SIUC Illinois Nurse Assistant Competency Exam

Schedule and pay the $85 exam fee at nurseaidetesting.com. The written portion is 85 multiple-choice questions in 90 minutes. The skills portion covers the 21 mandated nurse aide skills. You must complete both within 12 months of finishing your BNATP.

6

Get added to the Illinois Health Care Worker Registry

After you pass, SIUC transmits your results to IDPH and your name is added to the Health Care Worker Registry at hcwrpub.dph.illinois.gov. You can verify your status by name. Employers across Illinois are required to check the registry before hiring you.

Frequently Asked Questions

What are the minimum requirements to become a CNA in Illinois?

You must be at least 16, complete an IDPH-approved 120-hour Basic Nurse Assistant Training Program (80 classroom + 40 clinical), pass the Illinois Healthcare Worker Background Check, and pass both portions of the SIUC competency exam (the 85-question written test and the manual skills demonstration). A high school diploma is not required by IDPH.

How long does it take to become a CNA in Illinois?

Most full-time BNATPs take 6 to 10 weeks. Part-time evening or weekend programs may run 12 to 16 weeks. After training, schedule the SIUC exam (usually within 2–4 weeks). Total time from program start to registry listing is typically 8 to 14 weeks.

How much does it cost to become a CNA in Illinois?

Community college BNATPs typically cost $400–$1,200. Private programs may run higher. Many nursing facilities sponsor training in exchange for a work commitment. The SIUC competency exam is $85. Out-of-state reciprocity adds a $25 application fee. Total out-of-pocket costs range from $0 (employer-sponsored) to about $1,500.

What disqualifies you from becoming a CNA in Illinois?

The Illinois Healthcare Worker Background Check Act (225 ILCS 46) disqualifies applicants with certain convictions including violent crimes, theft, fraud, sexual offenses, drug trafficking, and offenses against children or the elderly. A waiver process exists for non-violent offenses after a defined waiting period. Substantiated findings of resident abuse, neglect, or theft on any state's registry are also disqualifying.

Do I have to renew my Illinois CNA certification?

No — Illinois has no periodic renewal fee or re-application for CNAs. Your certification stays active automatically as long as you have at least one paid nursing-services entry on the Health Care Worker Registry within any rolling 24-month period. Your employer reports your employment to IDPH. If you go 24+ months without paid nursing work, you must re-test or re-train to be reinstated.

Can I transfer my out-of-state CNA certification to Illinois?

Yes. Illinois accepts out-of-state CNAs who are in good standing on another state's federally compliant nurse aide registry (per 42 CFR 483.151-483.152) with no disqualifying findings. Submit the Out-of-State Nurse Aide Application packet to SIUC's Illinois Nurse Aide Testing along with the $25 fee. IDPH verifies your home-state registry and adds you to the Illinois registry.

Ready to Start Your Illinois CNA Career?

Find approved training programs, free study materials, and license verification tools for Illinois.