FEBRUARY 2016

Community Health Worker Certification Requirements by State

Prepared by: Katharine London, Margaret Carey and Kate Russell, UMass Medical School Center for Health Law and Economics

Community Health Workers (CHW) are increasingly recognized for their powerful potential role in improving today’s health care system. Recent studies have demonstrated that CHWs can help to reduce costs and improve care – key goals of most state’s health care priorities.1 For this reason, many states are currently working to promote and formalize Community Health Workers’ role within the state health care system. Though there are some common themes in approaches states are choosing to develop CHW models, there is great variability in models and levers they are using to develop CHW models. The wide breadth of CHW models provides many options for states considering developing a CHW certification process.

The chart on the following pages includes 15 states that Community Health Worker Certification are moving toward or have established training and/or a certification process for CHWs as of December 2015. States’ In many states private nonprofit organizations that focus processes may have evolved after that date. Information in on the promotion of the CHWs have a key role in training the chart below were gathered from both national resources and certifying CHWs. Certification typically includes such as The National Academy for State Health Policy classroom training on core competencies, a practicum or (NASHP) and its State Refor(u)m, as well as state agency and internship experience and an evaluation of skills and/or regional CHW organization websites. knowledge. It is important to note that in most states that have established CHW certification processes, certification is voluntary. Certification is required in four states (TX, Community Health Worker Legislation and Payment OR, MN, SC) to be eligible for payments from public payers such as Medicaid. Almost every state that has or Ten of these states’ efforts (AK, IL, MD, MA, MN, NM, OH, is in the process or establishing a certification process is OR, RI, TX) are guided by legislative authority that either offering a “grandfathering” process to recognize current establishes a board or workgroup to make recommendations CHWs’ experience and expertise and count it toward CHW around CHW certification and training, or requires certain certification. credentials of CHWs in order to receive payment for publicly 1 Katharine London, Margaret Carey, and Kate Russell. Tomorrow’s Health Care System funded health care services. Needs Community Health Workers: A Policy Agenda for Connecticut. Connecticut Health Foundation, July 2015.

1 State Current Status Certification/ Core Continuing Certifying Credentialing Competencies Education Entity and Supervision Requirements

Alaska operates the The CHAP Certification Board 1. An understanding of problem specific complaints All Community Community Community Health Aide has a certified 3-4 week (acute care) of body systems (eye, ear, respiratory, digestive Health Aides Health Aide Program (CHAP) which intensive training course; and skin) and Practitioners Program Board provides community completion of designated must document health aide grants for number of practice hours 2. Competency in following subjects: a minimum of 48 third-parties to train and patient encounters; post- • Role of the community health aides hours of ongoing community health aides session learning needs and • Community health aide’s and practitioner’s general education or CME as Community Health practice checklists; 200 hours scope of work every two years. Practitioners (CHPs). village clinical experience; • Medical ethics, including patient confidentiality and rights CHPs much take Trainees must complete preceptorship; 80% or higher • Community health aide’s and practitioner’s at least 144 hours an examination at on CHAP exam, and 100% on medical-legal coverage of CME every 6 the conclusion of the statewide math exam. Four • State of Alaska reporting requirements years to become training. regional training centers. • Consent for treatment issues recertified. • Introductory interviewing skills Physician supervision is • General health/wellness and disease processes required for reimbursement • Infection and communicable diseases for CHA services. • Introductory anatomy and function of the human body • Introductory medical vocabulary/abbreviations ALASKA • Importance of thorough documentation of patient encounter • Introductory mental health issues, including suicide and other emergencies • Introductory pharmacology, including identification and treatment of severe allergic reactions • Emergency care including facial trauma, altered level of consciousness, potentially serious chest pain, acute orthopedic injuries, burns, hypothermia, poisoning, and uncomplicated emergency delivery

3. Satisfactory performance of various health care related skills (See Certification Board Standards and Procedures for full list).

No legislation currently Arizona Community Health AZ CHW Workforce Coalition Core Competencies: - Currently three exists around CHWs. Outreach Worker Association voluntary CHW The Arizona Department is developing a voluntary 1. Communication certifications are of Health Services certification process for 2. Interpersonal Skills available through is currently creating CHWs which will include a 3. Knowledge Base Community standards for CHW grandfathering option. 4. Service Coordination Colleges in the training and preparation 5. Capacity Building state. as a step in the 6. Advocacy certification process.

ARIZONA 7. Teaching 8. Organizational Skills Legislation on CHW is being explored by the Arizona CHW Workforce Coalition for 2016.

California’s CalSIM Pending The Workforce Work Group Report outlines several - TBD Workforce Group components of CHW Core Competencies: is developing Personal Qualities: recommendations • Cultural connection/relationship to the community regarding CHW training • Empathy, compassion and credentialing. • Interpersonal relationship building

CALIFORNIA • Motivational • Leadership (continued) • Flexible and problem solving ability (continued)

2 State Current Status Certification/ Core Continuing Certifying Credentialing Competencies Education Entity and Supervision Requirements

(continued from page 2) (continued from page 2) - TBD

The CA State Innovation Skills: Model (CalSIM) Design • Listening skills Grant, approved by • Communication skills CMS in April 2013, • Service coordination skills required production of • Training/ability to teach a Statewide Health Care • Facilitation • Health promotion/education

(continued) Innovation Plan (SHCIP). Six private sector work • Advocacy skills groups reported on • Research skills payment and public • Knowledge base policy recommendations • Health coaching for the state’s final SCHIP submitted to CMMI; the Innovation Plan Initiative-specific skills: CALIFORNIA CALIFORNIA CalSIM Workforce Work • Ex. knowledge of particular disease or condition Group is one of these 6 work groups. Work-setting related skills: • Organizational skills • Computer skills • Data entry skills for electronic health records

The Florida CHW The Florida CHW Coalition 30 hours of training for Grandfathering certification Certified CHWs The certifying Coalition (FCHWC) (FCHWC) has developed includes 28 CHW tasks in five performance domains must renew their entity will be is moving towards 30 hours of training for (4 hours each) and 10 hours of electives: certification every a third-party voluntary certification, certification: 20 hours from 5 two years. entity approved administered by the domains, 10 hours of electives. by the Florida 1. Communication and Education Florida Certification Department of Board. A written exam To be grandfathered, CHWs 2. Resources Health. will be developed must: 3. Advocacy in 2015, with full • Document at least 500 4. Foundations of Health credentialing in 2016. hours of paid or volunteer 5. Professional Responsibility experience providing CHW Certified CHW services in the past 5 years (CCHW) designation FLORIDA was extended from • Document at least 30 Jan 1 2015 to June 30 hours of training in the core 2016; the purpose of competencies in the past this grandfathering 5 years is to provide current practitioners an • Submit two letters of opportunity to earn reference validating the certification without CHW’s experience and taking additional training trainings or exams.

Illinois established a Pending Pending Pending Pending Community Health Worker Advisory Board by The 2014 legislation includes a list of core competencies legislation in November for consideration by the board, including, but not limited to: 2014. The Board is 1. Outreach methods and strategies; charged with advising the 2. Client and community assessment; governor and legislature 3. Effective community-based and participatory methods, ILLINOIS on core competencies, a including research; training and certification 4. Culturally competent communication and care; process, reimbursement options, and other issues. (continued)

3 State Current Status Certification/ Core Continuing Certifying Credentialing Competencies Education Entity and Supervision Requirements

Pending (continued from page 3) Pending Pending

5. Health education for behavior change; 6. Support, advocacy, and health system navigation

(continued) for clients; 7. Application of public health concepts and approaches; 8. Individual and community capacity building and mobilization; and ILLINOIS 9. Writing, oral, technical, and communication skills.

An Integrated Care CHWs are required to Training modules include: 14 hours of Training is Community Health complete a 3 day training and continuing provided by • Communication skills Worker and Certified final exam. Certified CHWs education credits the Affiliated • Engagement skills Recovery Specialist may serve in outpatient are requested each Service Providers • Motivational interviewing Training and Certification medical/behavioral setting, year to maintain of Indiana as a • Cultural understanding Program has been including hospitals, medical certification. state selected • Prevention approved by the clinics, schools, churches and vendor. The • Chronic illness Indiana Division of community centers. training is jointly • Behavioral health Mental Health and approved by the

INDIANA • Home visiting Addiction and the State Indiana Division • Outreach Department of Health. of Mental Health • Advocacy and Addiction and the State Department of Health.

The Kentucky CHW Kentucky Homeplace was No current state training. Kentucky Homeplace - - Workgroup is developing established in 1994 for rural competencies include: recommendations and a coal-mining populations. Its process for certification. training program requires 40 1. Introduction to Community Health Workers Lead state agency is the hours of classroom and online 2. Communication and Health Literacy Department for Public instruction and an 80-hour 3. Use of Public Health Concepts and Approaches Health. practicum. 4. Health Coaching Chronic Conditions 5. Outreach and Advocacy

KENTUCKY 6. Care Coordination and System Navigation 7. Documentation Reporting and Outcomes Management 8. Legal, Ethical and Professional Conduct 9. Research

Massachusetts 80 hours class room training 1. Outreach Methods and Strategies 15 hours continuing Massachusetts established a CHW in a combination of core 2. Individual and Community Assessment education every Board of certification board in the competencies and special 3. Effective Communication 2 years. Certification Department of Public health topics from a state- of Community 4. Culturally-based communication and care Health, as authorized by approved training program. Health Worker, Chapter 322 (enacted Credentialing pathway for 5. Health Education for Behavior Change located within 2010). individuals with 4,000 hours 6. Support, Advocacy and Coordination of Care for Clients the Department relevant work experience. 7. Application of Public Health Concepts and Approaches of Public Regulations are 8. Advocacy and Community Capacity Building Health Division awaiting approval by “Work only” pathway will be 9. Documentation of Health an independent CHW phased out 3 years after the Professions MASSACHUSETTS 10. Professional Skills and Conduct certification board and state certification program Licensure. then by the state. begins.

4 State MISSOURI MINNESOTA MARYLAND standard. becomewill thestate decide ifthiscurriculum and SeniorServices to ofHealth Department curriculum. TheMO Minnesota’s CHW program adapted from certificate training College offers aCHW Metro Community standardize curriculum. certify CHWs and area City Kansas to a pilot project in Services isestablishing Health andSenior of Department The Missouri employment. is not required for CHW certification Medicaid. However, Programs (MHCP)and Minnesota Health Care services covered under for for billing CHW CHW Certification Minnesota requires submitted June2015. General Assembly was The final report to the SB592 (enacted 2014). mandated by HB856/ Development, as Workforce regarding CHW make recommendations workgroup to studyand created astakeholder Administration (MIA) Maryland Insurance (DHMH) andthe and Mental Hygiene ofHealth Department The Maryland Current Status (practicum hours) 160 hours, 60service by anenrolled clinician. years of experience supervised to CHWs whohave at least 5 Grandfathering isavailable MN Medicaid Program. who isalso enrolled in the and mental health professional unit ofgovernment, dentists public health nurse work ina advanced practice nurse, be supervised by aphysician, approved provider CWHmust To work asaMedicaid- for timestudents. part for and2semesters full-time 14 credit hours. Onesemester • Tier2–Certified CHW • Tier1–pre-certified CHW 2 tiercertification process: Workgroup recommendations: and practicum combination ofclassroom curriculum that beaflexible requiring 160hourtraining training requiring 80hours of and Supervision Requirements Certification/ Credentialing 6. Employability skills. 5. Legal andethical considerations 4. Cultural beliefs andhealthcare 3. Life style choices Organization2. andresources 1. Communication Core competencies include: 7. Mental Health 6. Oral Health 5. Cancer 4. Diabetes 3. Maternal, Child andTeen Health Heart Disease2. &Stroke 1. Healthy Lifestyles Health Promotion Competencies 5. Communication andCultural Competence 4. Legal andEthical Responsibilities 3. Teaching andCapacity Building Organization2. andResources 1. Role, Advocacy andOutreach Core Competencies technology to11. Ability use andunderstand health information 10. Understanding ofethicsandconfidentiality issues literacy 9. Understanding ofpublichealth concepts andhealth to8. Ability bridge needsandidentifyresources 7. Outreach methodsandstrategies 6. Teaching to skills promote healthy behavior change 5. Care coordination skills 4. Advocacy andcommunity capacity building skills 3. Knowledge oflocal resources andsystem navigation Cultural2. competency 1. Effective oral andwritten communication skills Core Competencies Workgroup recommendations: 5 Competencies Core

program. a CHWCertificate those enrolling in beavailablewill for reimbursement Tuition community. and inthe through worksites often available mandatory but education isnot Continuing N/A Continuing Education certifying entity. No central certification.) proof of number with provider a Medicaid Program grants The Medicaid the certificate. providesentity (The training CHW curricula schools offering post-secondary Minnesota Accredited programs. CHW training curriculum and approve CHW would board that certification creating a recommended Workgroup TBD Certifying Entity State NEW MEXICO MISSISSIPPI program for CHWs. statewide certification administers avoluntary, ofHealth Department The New Mexico code. not aspecificbilling “general education” and under theauspice of covers CHWservices As of2015,Mississippi the state ofMississippi. workers (CHW)within community health program for certifying develop astandardized other organizations to Preventive Health and of Health’s Office of State Department with theMississippi is currently working Center (CMAHEC) Area Health Education Central Mississippi Tougaloo College/ Current Status • Grandfathering application • 2000clock hours offormal • Applicants mustprovide • Two letters ofreference on • Verification by acurrent certification: experience grandfathering For CHWwithprevious • Background check • Application to OCHW • 100hourcore competency For New CHWs: ormal, verifiable state ofHealth Department Education Center andthe Mississippi Area Health Tougaloo College/Central

and background check. competency field. the scope ofwork andcore CHW experience within CHW work and/or volunteer each requirement. documentation to support agency/program letterhead. competencies. proficiency inthe core or former supervisor of endorsed curriculum. ofHealth Department of CHWs orcomplete a training through theOffice f and Supervision Requirements Certification/ Credentialing

10. Clinical (optional) Skills Support 9. Community Knowledge &Assessment 8. Community Health Outreach 7. Technical Teaching 6. Advocacy 5. Service Coordination 4. Health coaching 3. Interpersonal skills Effective2. Communication 1. CHWProfession - 6 Competencies Core ears. • Criminal history • Proof ofat least • Application fee 2 year: required every Re-certification Health every 2years of the Department as approved by 30 hours ofCEUs - 4 y screening every 30 CEUs ($45) Continuing Education of Health Department Mexico Board, New Certification CHW New Mexico College Tougaloo Certifying Entity State OREGON OHIO NEW YORK

(continued) Workers. Traditional Health certifiesAuthority The Oregon Health renewed biennially. certifications are to be (enacted 2003). The authorized by HB95 certificates, as and renews CHW of Nursing issues The OhioBoard (SPA). state plan amendment teams inNY’s 2012-2013 Health Homecare team members of Also, CHWs are optional workforce. financing for theCHW to establish sustainable School ofPublicHealth University’s Mailman statewide andColumbia partnerships withCHWs initiative through statewide CHW is investing ina NYSHealth Foundation regulations for CHWs. There are presently no Current Status None identified (continued) Health Plan (Medicaid). reimbursement by theOregon training to qualify for 80 hours ofmandatory 2005. employed asCHWs before Grandfathering for those nursing care. activities related to when performing delegated an RNmay supervise aCHW delegated by anurse. Only in order to perform tasks exam. Certification needed standardinstruction, training and 130hours ofclinical of classroom instruction Nursing; at least 100hours approved by theBoard of Training program mustbe and Supervision Requirements Certification/ Credentialing (continued) 4. Empowerment Techniques; family dynamics; communication, active andgroup listening, and 3. Communication includingcross-cultural Skills, • Participatory research • System navigation • Health promotion andhealth coaching • Home-based support • Case management andcare coordination • Outreach andcommunity mobilization Scope ofPractice: Roles andRelated Tasks, including: Initiative reported that thework group created aCHW None identifiedbutthe2011 fromreport theNYS CHW 5. Special health care andsocial needsoftarget populations 4. Adolescents 3. Thenewborn, infant, andyoung child Thefamily2. duringpregnancy 1. Thefamily duringchildbearing years the spanofalifetime includingthefollowing: workers shall also educate studentsonneedsthroughout The standard minimumcurriculumfor community health 6. Service andresponsibilities skills 5. Health education 4. Individual andcommunity advocacy 3. Communication skills Community2. resources 1. Health care health worker, inthefollowing majorareas: outcomes, relative to thedefined role ofthe community workers shall includecourses, content, andexpected The standard minimumcurriculumfor community health Relationship Building; Community2. Engagement, Outreach and 1. Outreach Methods; for aging parents, andchildren andadults withdisabilities such asgrandparents raising grandchildren, adults caring 7 Competencies Core

- statewide. education offered (THW). Continuing Health Workers years for Traditional required every 3 education are continuing 20 hours of 2 years. education every 15 hours continuing Continuing Education None identified (continued) by Medicaid. services funded who provide Health Workers Traditional certifies Authority Oregon Health Nursing Ohio Board of Certifying Entity State Current Status Certification/ Core Continuing Certifying Credentialing Competencies Education Entity and Supervision Requirements

(continued from page 7) (continued from page 7) (continued from page 7) (continued from page 7) HB 3407 (2013) Certification requires a 5. Knowledge of Community Resources; established the written exam, performance 6. Cultural Competency and Cross Cultural Relationships, Private training Traditional Health based demonstration, and including bridging clinical and community cultures; entities may Worker Commission, a professional portfolio of 7. Conflict Identification and Problem Solving; apply to the which oversees CHWs, the CHWs previous work, 8. Social Determinants of Health; certification Peer Support and Peer experience, skills, and 9. Conducting Individual Needs Assessments; board for Wellness Specialists, accomplishments. approval 10. Advocacy Skills; Personal Health of training 11. Building Partnerships with Local Agencies and Groups; Navigators, and Doulas. Grandfathering is available programs. to those who have worked 12. The Role and Scope of Practice of Non-Traditional HB 3650 (enacted 2011) over 3,000 hours in the past Health Workers; mandated the Oregon five years, and completed 13. Roles and Expectations for Working in Multidisciplinary Health Authority to additional training. Teams; develop education and 14. Ethical Responsibilities in a Multicultural Context; training requirements 15. Legal Responsibilities; that meet federal 16. Data Collection and Types of Data; requirements to (continued) 17. Crisis Identification, Intervention and Problem-Solving; qualify for financial 18. Professional Conduct, including culturally-appropriate participation. The relationship boundaries and maintaining confidentiality; Oregon Health Policy 19. Navigating Public and Private Health and Human Service Board established the

OREGON Systems, including state, regional, local; Non-Traditional Health 20. Working with Caregivers, Families, and Support Systems, Worker Subcommittee to create core including paid care workers; competencies, 21. Introduction to Disease Process including chronic education and training diseases, mental health, and addictions (warning signs, requirements. basic symptoms, when to seek medical help); 22. Trauma-Informed Care (screening and assessment, recovery from trauma, minimizing re-traumatization); 23. Health Across the Life Span; 24. Adult Learning Principles 25. Teaching and Coaching; 26. Stages of Change; 27. Health Promotion Best Practices; 28. Self-Care; and 29. Health Literacy Issues.

Rhode Island does 30 hours of classroom Skills outlined in CHWARI Training: RIC Outreach and The Community not require licensure learning and 80 hours of field Community Health Health Worker or certification, experience. 1. Advocacy Worker Association Association of but endorses the 2. Current Workforce Issues of Rhode Island Rhode Island Community Health No grandfathering process. 3. Working with Children and Families (CHWARI). Training (CHWARI) offers Worker Association of 4. Communication Skills is supported and certification Rhode Island training 5. Cultural Competency endorsed by the training for program. Rhode Island CHW. Training Department of is endorsed by Committee of CHW employers and supporters developed Health. the Rhode Island the certification curriculum, using standards approved by Department of national CHW interest groups, as well as needs defined by Health. RHODE ISLAND RI stakeholders.

8 State TEXAS SOUTH CAROLINA training program. to establish aCHW Health Services (DSHS) ofStateDepartment A 2001law required the CHWs whenpossible. to hire state-certified human services agencies programs inhealth and and requires CHW certification program Promotor(a) orCHW in 1999. Texas offers a govern CHWactivities to develop legislation to Texas was thefirst state services. payment for CHW to authorizeMedicaid State Plan Amendment developing aMedicaid ofHealth Department is clinical providers. The CHWs andother non- formal bodyto certify is currently seeking a The HeART Committee demonstration program. a CHWcertification Health also created of The Department CHWs withsupervision. practices that employ with primarycare Phase Iandconnects that iscurrently in the CHWPilot Project Committee established In 2013,theHeART a scope ofpractice. definition ofCHWand create astandard which isworking to (HeART) Committee, Access at theRightTime created theHealth ofHealth Department The SouthCarolina Current Status most recent 6years. hours ofCHWservices within CHWs with1000cumulative for completion oftraining for Experience can substituted knowledge. assessment and oftheirskills no direct evaluation or certification, butthere is training program to receive completion ofanapproved requires CHWs to show 160 classroom hours State supervisor. CHWs musthave adesignated the CHWcertification exam. CHW candidate mustpass employer isrequired, and Documentation from with community outreach. least 3years ofexperience Grandfathering requires at required. internship/mentorship 120 classroom hours; and Supervision Requirements Certification/ Credentialing 8. Knowledge Base onSpecificHealth Issues 7. Organizational Skills 6. Teaching Skills 5. Advocacy Skills 4. Capacity-Building Skills 3. Service Coordination Skills Interpersonal2. Skills 1. Communication skills The established core competencies include: 11. Ethics 10. Writing andTechnical Communication Skills 9. Community Capacity Building 8. Apply PublicHealth Concepts andApproaches 7. Advocate Support, andCoordinate Care for Clients 6. Information aboutCommon Chronic Diseases 5. Health Education andBehavior Change 4. Culturally Appropriate Communication andCare 3. Effective Communication ClientandCommunity2. Assessment 1. Outreach methodsandstrategies 9 Competencies Core

years. education every two of continuing 20 contact hours employer. practice orMCO the primarycare responsibility of training bethe will period, ongoing After oneyear grant Continuing Education Services State Health of Department certifies CHWs. Human Services of Health and Department Carolina The South Certifying Entity Data Sources Community%20Health%20Workers%20Under%20 Missouri California’s%20State%20Innovation%20Model%20(SIM)%20 • Health Care Foundation of Greater Kansas City. http:// Initiative.pdf hcfgkc.org/news/new-pilot-course-trains-community-health- All states: workers-3/ • California Association of Community Health Workers. http:// • American Public Health Association. (November 2009). www.cachw.org/ • Center for Local Public Health Services. (December 2014). SBAR Support for Community Health Workers to Increase Health for Community Health Worker. http://clphs.health.mo.gov/lphs/ • Community Health Workforce Alliance. (December 2013). Taking Access and to Reduce Health Inequalities. http://www.apha. pdf/sbar20141218chwsbarlpha.pdf Innovation to Scale: Community Health Workers, Promotores, org/policies-and-advocacy/public-health-policy-statements/ and the Triple Aim – A Statewide Assessment of the Roles New Mexico policy-database/2014/07/09/14/19/support-for-community- and Contributions of California’s Community Health Workers. • New Mexico Department of Health. (August 2015). http:// health-workers-to-increase-health-access-and-to-reduce- http://www.chhs.ca.gov/PRI/_Taking%20Innovation%20to%20 nmhealth.org/news/information/2015/8/?view=290 health-inequities Scale%20-%20CHWs,%20Promotores%20and%20the%20 • New Mexico Regulation, Title 7, Chapter 29, Part 5. • Association of State and Territorial Health Officials. (March Triple%20Aim%20-%20CHWA%20Report%2012-22-13%20 http://164.64.110.239/nmac/parts/title07/07.029.0005.htm 2015). Community Health Worker (CHWs) Training/Certification (1).pdf Standards. http://www.astho.org/public-policy/public-health- New York: • The California State Healthcare Innovation Plan Workforce law/scope-of-practice/chw-certification-standards/ • NYS Health Foundation. http://nyshealthfoundation.org/ Work Group. (May 2015). Advancing Community Health resources-and-reports/resource/the-new-york-state-community- • Centers for Disease Control and Prevention. (July 2013). A Workers to Improve Health Outcomes and Reduce Costs.- health-worker-initiative Summary of State Community Health Worker Laws. http:// Recommendations for the California State Health Care www.cdc.gov/dhdsp/pubs/docs/CHW_State_Laws.pdf Innovation Plan. http://www.chhs.ca.gov/PRI/CHW%20 • CHW Network NYC. http://www.chwnetwork.org/Default. aspx?ssid=80&NavPTypeId=1297 • Peyton Miller, Taylor Bates, and Amy Katzen. (June 2014). Work%20Group%20report%20FINAL.pdf Community Health Worker Credentialing: State Approaches. • Melissa Gutierrez Kapheim and J. Campbell. (January2014). • Paving a Path to Advance the Community Health Worker http://www.chlpi.org/wp-content/uploads/2014/06/CHW- Best Practice Guidelines for Implementing and Evaluating Workforce in New York State: A New Summary Report and Credentialing-Paper.pdf Community Health Worker Programs in Health Care Settings. Recommendation. http://nyshealthfoundation.org/uploads/ resources/paving-path-advance-community-health-worker- • National Association of State Health Policy. (May 2015). State Sinai Urban Health Institute. http://www.sinai.org/sites/ october-2011.pdf Community Health Worker Models. http://www.nashp.org/ default/files/SUHI%20Best%20Practice%20Guidelines%20 state-community-health-worker-models/ for%20CHW%20Programs.pdf Ohio • Ohio Administrative Code, 4723 Ohio Board of Nursing. Chapter • The Institute of Clinical and Economic Review. (May 2013). Florida 4723-26 Community Health Workers. http://codes.ohio.gov/ Community Health Workers: A Review of Program Evaluation, • Florida Community Health Worker Coalition. Certification oac/4723-26 Evidence on Effectiveness and Value, and Status of Workforce Domains + Job Tasks. http://floridachwn.pharmacy.ufl.edu/ Development in New England. http://cepac.icer-review.org/ edu-training/certification/ Oregon wp-content/uploads/2011/04/CHW-Draft-Report-05-24-13- • Florida Community Health Worker Coalition. What You Need to • Oregon Community Health Workers Association. http://www. MASTER1.pdf. Know to Be Certified in 2015. http://cdn.webservices.ufhealth. orchwa.org/about-us/chw-education/ • Sara Kahn-Troster and Kaitlin Sheedy. (January 2016). org/wp-content/blogs.dir/571/files/2015/02/CHW-Certification- • Oregon Health Authority. Health System Transformation Update: Community Health Worker Models. State Refor(u)m. https:// Begins-bilingual.pdf Non-Traditional Health Workers. http://www.oregon.gov/oha/ www.statereforum.org/state-community-health-worker-models Indiana amh/rule/NTHW-BriefwithRules.pdf • Rural Health Information Hub. (June 2015). State Certification • Affiliated Service Providers of Indiana. Indiana’s Integrated Care • http://chwcentral.org/sites/default/files/Oregon%20Health%20 Programs. https://www.ruralhealthinfo.org/community-health/ Community Health Worker & Certified Recovery Specialists Authority_Role%20of%20non-traditional%20health%20 community-health-workers/3/certification Training Certification Program. http://www.chwcrs.org/ workers.pdf • Kristine Goodwin and Laura Tobler. (April 2008). Community • Affiliated Service Providers of Indiana. CHW/CRS Training • Oregon Health Policy Board, Workforce Committee, Non- Health Workers: Expanding the Scope of the Health Care Schedule. http://www.chwcrs.org/files/6713/8436/8286/ Traditional Health Worker Subcommittee. (January 2012). Delivery System. National Conference of State Legislatures. Schedule_of_Modules_.pdf Recommendations for Core Competencies and Education http://www.ncsl.org/print/health/chwbrief.pdf Kentucky and Training Requirements for Community Health Workers, Peers Wellness Specialists and Personal Health Navigators. • University of Texas Institute for Health Policy. (March • University of Kentucky – Center for Excellence in Rural Health. http://arcweb.sos.state.or.us/pages/rules/oars_400/ 2014). Communtiy Health Workers: Credentially and New https://ruralhealth.med.uky.edu/cerh-homeplace oar_410/410_180.html Opportunities. http://ruralhealthlink.org/Portals/0/Resources/ • University of Kentucky – Center for Excellence in Rural Health. Webinars/CHW%20Credentialing%20and%20New%20 Community Health Worker Curriculum. https://ruralhealth.med. • Oregon Health Authority, Office of Equity and Inclusion. Opportunities.pdf uky.edu/sites/default/files/CHW%20Training%20Agenda%20 (September 2015). http://www.oregon.gov/oha/oei/ Website.pdf thwcommissiondocs/September%202015%20Meeting%20 Packet.pdf State specific sources: Massachusetts • Massachusetts Association of Community Health Workers. • Oregon Heatlh Authority, Division of Medical Assistance Alaska (January 2016). Certification Update. http://www.machw.org/ Programs Rules. Division 180 Traditional Health Workers. • Community Health Aide Program Certification Board: Standards images/Board%20of%20Certification%20of%20%20CHWs_ (December 2013). http://arcweb.sos.state.or.us/pages/rules/ and Procedures. (January 2015). http://www.akchap.org/ One%20Pager_Updated%201.04.16.pdf oars_400/oar_410/410_180.html resources/chap_library/CHAPCB_Documents/CHAPCB_ • Massachusetts Department of Public Health, Office of Rhode Island Standards_Procedures_Amended_2015-01-22.pdf Community Health Workers. http://www.mass.gov/eohhs/gov/ • Community Health Worker Association of Rhode Island • Alaska Community Health Aide Program, Office of Statewide departments/dph/programs/community-health/prevention-and- (CHWARI). http://chwassociationri.wix.com/chwari Services. http://www.akchap.org/html/home-page.html wellness/comm-health-wkrs/ South Carolina Arizona Minnesota • South Carolina Health and Human Services. South Carolina • Arizona Advisory Council on Indian Health Care. (December • Minnesota Community Health Worker Alliance. Minnesota Medicaid and the Community Health Worker Program. https:// 2015). CHR Movement Meeting (webinar). https://acoihc. CHW Competency-Based Curriculum – Frequently Asked www.statereforum.org/sites/default/files/sc_medicaid_and_ az.gov/sites/default/files/CHR_Movement_Meeting_12-11-15. Questions. http://s472440476.onlinehome.us/wp-content/ the_community_health_worker_program.pdf pdf uploads/2013/05/FAQchw.pdf • South Carolina Health and Human Services. Community Health • National Partnership for Action to End Health Disparities. • Agency for Healthcare Research and Quality. (July 2014). Policy Worker Frequently Asked Questions. https://www.scdhhs. (September 2014). Community Health Workers: Part of the Innovation Profile: Alliance Creates Community Health Workers’ gov/sites/default/files/Community%20Health%20Worker%20 Solution for Advancing Health Equity, Perspectives and Scope of Practice, Training Curriculum, Certificate Program, FAQ-%201-17-13.pdf Initiatives from the Pacific and Southwest Regional Health and Reimbursement Strategy, Expanding Their Integration Texas Equity Council (Region IX). http://www.astho.org/Health-Equity/ Into the Health System to Reduce Health Disparities. https:// • Texas Department of State Health Services. Community Health RHEC-9-Health-Equity-Webinar-Slides/ innovations.ahrq.gov/profiles/alliance-creates-community- Workers – Promotor(a) or Community Health Worker Training California health-workers-scope-practice-training-curriculum-certificate and Certificate Program. http://www.dshs.state.tx.us/mch/chw. • Anna C. Davis. (July 2013). Leveraging Community Health Mississippi shtm#Requirements Workers within California’s State Innovation Model: • Mississippi State Department of Health. Community Background, Options and Considerations. http://www.chhs. Health Workers. http://msdh.ms.gov/msdhsite/index. ca.gov/Documents/Issue%20Brief%20on%20Leveraging%20 cfm/44,0,372,593,html

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