Home health aides assist the elderly, mentally or physically disabled, and chronically ill, that may need assistance with personal hygiene, meal preparation, light housekeeping, driving to doctors? appointments and more. Home health aides generally work for a certified hospice or home health agency that receives government reimbursements from Medicare and Medicaid; these home health aides must complete a formal training program and pass a competency exam or state certification program. The National Association for Home Care and Hospice (NAHC) oversees home health aide certification. The U.S. Bureau of Labor Statistics predicts stellar job growth for home health aides, as the elderly population grows and people turn to more affordable alternatives to inpatient care.