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NACES Plus Foundation
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NACES Plus Foundation, Inc. (NACES) , founded in 1989, subcontracts with Pearson VUE ®, an international testing company specializing in the development and administration of professional licensing and certification exams, to manage the administration of the examination. It's central office is located in Austin, Texas.


The Nursing Home Reform Act, adopted by Congress as part of the Omnibus Budget Reconciliation Act (OBRA) of 1987 and 1989, was designed to improve the quality of care in long-term health care facilities and to define training and education standards for nurse aides working in such facilities. OBRA required the certification of nurse aides employed in long term care facilities that are certified to participate in Medicaid/ Medicare programs. Each state is responsible for implementing the terms of this federal law.


Pearson VUE and the National Council of State Boards of Nursing, Inc., (NCSBN) developed the National Nurse Aide Assessment Program (NNAAP™) to comply with the standards set forth by OBRA. The NNAAP Examination is designed to objectively measure the knowledge and skills of nurse aide candidates to assess at least entry level competency in the nurse aide field.


About Nurse Aide Candidacy Testing at NACES Plus

To become a certified nurse aide and be placed on your State Registry, all candidates must meet the guidelines established by their state to determine who is eligible to take the National Nurse Aide Assessment (NNAAP) Examination. The NNAAP Examination is an evaluation of nurse aide-related knowledge, skills, and abilities. The NNAAP Examination is made up of both a Written or Oral Examination and a Skills Evaluation. The purpose of the NNAAP Examination is to test that you understand and can safely perform the job of an entry-level nurse aide. 

Candidates can learn more about the testing process by going to the Pearson VUE web site to download a Candidate Handbook, an application, look for a test site/date and take a practice exam.  The Candidate Handbook is the most comprehensive resource for the nurse aide candidate. Information includes: National Nurse Aide Assessment Program, Exam Overview, Eligibility, Application and Scheduling, Exam Fees, Special Exam, Requests and Services, Cancellation and Re-scheduling, Exam Day, The Written (or Oral) Exam, The Skills Evaluation, Score Reporting, Grievance Process and more.

Candidates may also call NACES to receive a Candidate Handbook and Application. See Contact Information for phone number.


Go to the Pearson VUE website

To get you on your way, just click on the section at the top that reads "Test Takers-schedule an exam and more!"



Regional Test Sites

NACES administers the NNAAP examination at Regional Test Sites. The Regional Test Site must provide a room in which the written/oral examination is administered and a skills laboratory setting that is set up to resemble a patient care room in a nursing home. The Regional Test Site is required to have all of the supplies and equipment necessary for the examination, including a fax machine in close proximity to the skills laboratory.


To find out more information, call NACES Plus, 800-444-5178.

To find your state's handbook and requirements go to the Pearson VUE website.

Candidates - Call NACES for questions about:

  • Exam application process
  • Application deficiencies
  • Exam scheduling date and/or status
  • Test sites and availability
  • Name & address changes
  • Obtain an exam application
  • Obtain a candidate handbook
Phone Numbers:   
       Alabama 877-889-0939
       Colorado 866-393-1181
       Georgia 866-432-2865
       Mississippi 800-579-3321
       North Carolina 888-282-6904
       South Carolina 800-273-3517
       Texas 800-444-5178
       Virginia 800-758-6028
       Washington 800-842-4562
Fax Number:  
       General  866-956-2237

Or send us an email to NACES Plus!






NACES Plus Projects

Collecting Data to Improve Quality

In addition to managing the administration of nurse aide candidate competency examination (NNAAP), NACES Plus Foundation performs long-term care-related data collection and community based services data collection for state agencies on a contract basis.


In the recent past, NACES has conducted projects for the Texas State Department of Aging and Disability Services (DADS) to aid in the development of quality improvement strategies for the elderly and intellectually or physically disabled. These projects involve conducting face-to-face interviews with people receiving services and/or data collection and completing a survey instrument. Some of these projects have been:

  • Nursing Facility Quality Review Project (NFQR) - a semiannual state wide survey of a random sample of individuals across the state living in nursing facilities that are assessed by a case review and interview. Click here NFQR for more information.
  • Long Term Services and Supports Quality Review (LTSS QR) - a semiannual state wide survey of people receiving services and support offered through DADS home and community-based and institutional programs. Click here LTSS QR for more information.
  • Money Follows the Person - Quality of Life (MFP QOL) – is an ongoing nationwide effort to remove barriers to community living for people of all ages with disabilities and long-term illnesses.  These are Medicaid beneficiaries who want to live in the community and could do so if they had adequate support. Click here MFP QOL for more information.

A Professional Association of Nurses

Texas Affiliate of ANA | 8501 N. MoPac Expy. Suite 400, Austin TX | 800.862.2022 | 512.452.0645

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