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Medical Administrative Assistant Certification Requirements by State

Written by
Steven Nieves
Reviewed by
Published
February 17, 2026

If you’re looking into becoming a medical administrative assistant, also called a medical receptionist or medical office assistant, you might already know that the National Healthcareer Association (NHA) offers a certification you can earn by passing their Certified Medical Administrative Assistant exam.

Acquiring this certification can boost your job prospects and put you on the higher end of the average medical administrative assistant salary no matter where you live, but only certain states actually require you to pass the NHA’s exam or a similar test before you can legally start working in medical administration.

This guide makes it easy to find out if you’ll need to be certified in your state in order to become a medical administrative assistant.

National Requirements for Becoming a Medical Administrative Assistant

According to the NHA, 84% of employers nationwide encourage certification for prospective medical administrative assistants. This means that whether certification is legally required in your state or not, you’ll have a better chance of getting hired if you take the time to get certified.

To do so, you’ll want to find a reputable medical administrative assistant training program to teach you everything you need to know to pass the exam and earn your certification. For example, Stepful’s entirely online program takes only three months to complete and not only prepares you to pass the NHA exam, but also sets you up for success in your new career with effective coursework, job coaching, interview prep, and more.

Requirements for Becoming a Medical Administrative Assistant in Every State

Now that you know about the national guidelines for potential administrative assistants, let’s dive deeper into the state-level requirements, as well as what kind of salary and job outlook you can expect once you start working.

Alabama (AL)

Alaska (AK)

Arizona (AZ)

Arkansas (AR)

California (CA)

Colorado (CO)

Connecticut (CT)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $51,090
  • Number of jobs: 5,010

Delaware (DE)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $42,210
  • Number of jobs: 16,590
  • Major job markets: Newark, Wilmington, Dover

District of Columbia (DC)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $43,380
  • Number of jobs: 1,890

Florida (FL)

Georgia (GA)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $42,360
  • Number of jobs: 18,180

Hawaii (HI)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $48,310
  • Number of jobs: 2,490
  • Major job markets: Wailuku, Honolulu, Kailua, Aiea

Idaho (ID)

Illinois (IL)

Indiana (IN)

Iowa (IA)

Kansas (KS)

Kentucky (KY)

Louisiana (LA)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $37,340
  • Number of jobs: 2,730

Maine (ME)

Maryland (MD)

Massachusetts (MA)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $51,910
  • Number of jobs: 22,110

Michigan (MI)

Minnesota (MN)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $51,380
  • Number of jobs: 16,240

Mississippi (MS)

Missouri (MO)

Montana (MT)

Nebraska (NE)

Nevada (NV)

New Hampshire (NH)

New Jersey (NJ)

New Mexico (NM)

New York (NY)

North Carolina (NC)

North Dakota (ND)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $44,360
  • Number of jobs: 960

Ohio (OH)

Oklahoma (OK)

Oregon (OR)

Pennsylvania (PA)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $43,440
  • Number of jobs: 26,270

Rhode Island (RI)

South Carolina (SC)

South Dakota (SD)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $44,240
  • Number of jobs: 110
  • Major job markets: Sturgis, Sioux Falls

Tennessee (TN)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $41,060
  • Number of jobs: 31,780

Texas (TX)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $41,520
  • Number of jobs: 72,810

Utah (UT)

Vermont (VT)

  • Certification: Optional
  • Education: High school diploma or GED
  • Average salary: $46,750
  • Number of jobs: 2,120
  • Major job markets: South Burlington, Bennington

Virginia (VA)

Washington (WA)

West Virginia (WV)

Wisconsin (WI)

Wyoming (WY)

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Medical Administrative Assistant Certification Requirements by State

Written by
Steven Nieves
Reviewed by
Published
July 24, 2025
Share this post