According to the Medical Assistance Program Bulletin 5370-90-03 and The Nursing Home Reform Act of 1987, and in regard to Section 4801 (a)(5)(D) of the Omnibus Budget Reconciliation Act of 1990: A Certified Nurse Aide who pays for their own education in a state-approved CNA program, who goes to work in a Long Term Care Facility or Nursing Home that accepts Medicaid patients, must be reimbursed on a pro-rata basis, for their education up to $500.00, within one year of graduation from a state-approved program. This does not include Assisted Living, Hospitals, Agencies and Home Health Care companies. Facilities that are on "Lock-out" must still reimburse students for their education. Copies of the law and its subclasses are available by calling the State of Michigan.

THE REIMBURSEMENT OF COSTS FOR THE NURSE AIDE TRAINING AND COMPETENCY EVALUATION PROGRAM (NATCEP) Faq