
With the aging population increasing, there is a growing need for caring professionals who provide personalized care at home. This article will walk you through becoming a caregiver in Michigan, clarifying the different types of caregiver roles, their training requirements, and salary expectations.
Nationally, the U.S. Bureau of Labor Statistics (BLS) projects that roles for home health and personal care aides will grow by 21% over the next decade. With a national median salary of $34,900 per year (May 2024), this field offers a stable and rewarding entry into healthcare.
Uncertified Companion: You can start immediately, as long as you pass a background check.
Certified Caregiver (HHA/CNA): The 75-hour state-approved training program can be completed very quickly. Full-time programs often take just 2 to 4 weeks. Part-time or evening programs may take 6-8 weeks.
This is the most common point of confusion. Here is the clear answer:
Michigan does not have a state "license" for the general term "caregiver" or "companion."
To work in a nursing home, you must be a Certified Nurse Assistant (CNA) and be listed on the Michigan Nurse Aide Registry.
To work for a home health agency that is certified by Medicare or Medicaid, you must meet the federal requirement, which is to complete a 75-hour training program and pass a competency test (this is the HHA requirement).
Recommendation: The best path is to get your CNA certification. The 75-hour training is the same length, but the CNA credential is the most powerful. It qualifies you for jobs as a CNA in nursing homes, as an HHA in home health, and as a PCT in hospitals.
If you're ready to get your CNA certification, finding the right program is key. Dreambound's platform allows prospective students to find the right educational program for them through searching, filtering, and connecting with our extensive selection of career & technical education partners. You can use Dreambound to find state-approved CNA and HHA training programs across Michigan. Dreambound has over 70 programs across healthcare, technology, business, and industrial trades. Some of our schools offer financial aid for those who qualify, and many others offer payment plans. Dreambound is completely free for you to use!
Your journey doesn’t have to end once you become a caregiver. In fact, working as a caregiver can serve as a stepping stone to a variety of healthcare roles:
Home Health Aide: Similar to caregiving, home health aides provide personal care in clients’ homes, helping with tasks like bathing, dressing, and meal preparation.
Certified Nursing Assistant (CNA): With additional training, you can become a CNA and work under the supervision of registered nurses in hospitals, nursing homes, and other healthcare facilities.
Medical Assistant: Interested in the administrative side of healthcare? Medical assistants handle tasks like measuring vital signs, recording patient histories, and supporting doctors and nurses in clinics or offices.
Care Coordinator: With experience, you might move into a care coordinator role, managing the care plans of individuals with complex needs. This can involve close collaboration with various healthcare professionals.
Specialized Caregiving: Some caregivers focus on working with specific populations, such as individuals with Alzheimer’s disease, developmental disabilities, or mental health conditions. Specializing can lead to more targeted training, potentially higher pay, and a more defined career path.
A "caregiver" (or companion) is a non-medical role for tasks like housekeeping, errands, and companionship. This job does not require state certification. A Certified Nurse Assistant (CNA) is a state-tested healthcare professional who has completed a 75-hour program and passed the state exam. CNAs can perform all the tasks of a caregiver plus clinical duties like taking vital signs, assisting with transfers, and working in licensed nursing homes.
According to May 2024 BLS data, the median hourly wage is $16.92/hour for Home Health Aides and $16.73/hour for Personal Care Aides in Michigan. Pay can be higher in metro areas like Ann Arbor or Detroit and for those with a CNA certification.
You will be disqualified if you cannot pass the mandatory criminal background check. Convictions for felonies, especially those related to theft, fraud, violence, or drug offenses, will prevent you from being hired. Any history of patient abuse, neglect, or exploitation is an automatic disqualifier.
The 75-hour CNA/HHA training program can cost anywhere from $500 to $1,500. However, many nursing homes and home health agencies in Michigan offer free training programs or will reimburse your tuition if you agree to work for them for a set period (usually 6-12 months).
Choosing a career as a caregiver can be incredibly rewarding. You’ll have the chance to make a significant difference every day, whether by offering a helping hand with daily tasks or providing comfort and companionship. With proper training, certification, and experience, you can also explore a variety of pathways—from home health aide and CNA roles to more specialized healthcare positions.
If you feel called to support others, gain valuable healthcare skills, and steadily advance in your career, caregiving might be the perfect starting point. Begin by meeting the requirements, connecting with employers, and staying open to the new opportunities that come your way. Good luck as you begin this fulfilling journey!
Looking for more specific training options in Michigan?
Check out these articles if you’re interested in other areas of healthcare training:

Athena is Co-founder and CEO of Dreambound.
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A caregiver assists individuals who cannot fully care for themselves due to age, illness, injury, or disability. Their duties often include helping with bathing, dressing, meal prep, medication reminders, and transportation. Beyond these tasks, caregivers provide essential emotional support and companionship, which are vital for a client's quality of life.
The role can be broken down into two main types:
Companion/Personal Care Aide: This is a non-medical role focused on companionship, light housekeeping, meal preparation, and helping with errands.
Home Health Aide (HHA) / Certified Nurse Assistant (CNA): This is a more hands-on role that includes all the tasks of a companion plus clinical duties like taking vital signs, assisting with transfers and mobility, and providing more intensive personal hygiene.
Caregivers work in a range of environments. Some provide care in private homes, ensuring individuals can remain in their own residences comfortably and safely. Others work in assisted living facilities, nursing homes, and hospitals. Many caregivers are also employed through home health agencies that connect them with clients in need of their specialized skills.
The requirements depend on the type of caregiver you want to be.
For Uncertified Companion/Personal Caregivers:
For Certified Home Health Aides (HHA) or CNAs: All of the above requirements, PLUS:
Follow these steps to start your career in caregiving.
Before you can apply for any job or training program, you must be at least 18, have a high school diploma or GED, and be able to pass a criminal background check and TB test.
This is the most important decision.
Path A (Uncertified): You can immediately apply for jobs as a companion caregiver or personal care aide with private-duty agencies or platforms like Care.com. This path is faster but offers lower pay and no medical responsibilities.
Path B (Certified): You enroll in a 75-hour training program to become a Home Health Aide (HHA) or, preferably, a Certified Nurse Assistant (CNA). The CNA certification is the most versatile and in-demand, qualifying you for jobs in home health, nursing homes, and hospitals.
If you choose Path B, you must find a 75-hour training program approved by the state of Michigan. These programs cover essential skills like infection control, personal care, patient safety, vital signs, and communication.
After your training, you must pass a competency evaluation.
For HHAs, the exam is often administered by the training agency. For CNAs in Michigan, you must pass the Prometric CNA Exam, which has two parts: a written (or oral) test and a hands-on skills test. Passing this exam places you on the Michigan Nurse Aide Registry, which is the official proof of your certification.
Once you are trained and certified (if you chose that path), you can begin your job search.
Create a strong resume that highlights your certification (CNA/HHA), CPR/First Aid training, and any hands-on experience from your clinicals. Use resources like MyNextMove.org (search for "Personal Care Aides") and online job boards. Contact home health agencies and nursing homes in your area directly.
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