1
The chart on the following pages includes 15 states that
are moving toward or have established training and/or a
certification process for CHWs as of December 2015. States’
processes may have evolved after that date. Information in
the chart below were gathered from both national resources
such as The National Academy for State Health Policy
(NASHP) and its State Refor(u)m, as well as state agency and
regional CHW organization websites.
Community Health Worker Legislation and Payment
Ten of these states’ efforts (AK, IL, MD, MA, MN, NM, OH,
OR, RI, TX) are guided by legislative authority that either
establishes a board or workgroup to make recommendations
around CHW certification and training, or requires certain
credentials of CHWs in order to receive payment for publicly
funded health care services.
Community Health Worker Certification
In many states private nonprofit organizations that focus
on the promotion of the CHWs have a key role in training
and certifying CHWs. Certification typically includes
classroom training on core competencies, a practicum or
internship experience and an evaluation of skills and/or
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,
OR, MN, SC) to be eligible for payments from public
payers such as Medicaid. Almost every state that has or
is in the process or establishing a certification process is
offering a “grandfathering” process to recognize current
CHWs’ experience and expertise and count it toward CHW
certification.
1 Katharine London, Margaret Carey, and Kate Russell. Tomorrow’s Health Care System
Needs Community Health Workers: A Policy Agenda for Connecticut. Connecticut
Health Foundation, July 2015.
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.
Community Health Worker Certification
Requirements by State
FEBRUARY 2016
Prepared by: Katharine London, Margaret Carey and Kate Russell, UMass Medical School
Center for Health Law and Economics
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
Alaska operates the
Community Health Aide
Program (CHAP) which
provides community
health aide grants for
third-parties to train
community health aides
as Community Health
Practitioners (CHPs).
Trainees must complete
an examination at
the conclusion of the
training.
No legislation currently
exists around CHWs.
The Arizona Department
of Health Services
is currently creating
standards for CHW
training and preparation
as a step in the
certification process.
Legislation on CHW is
being explored by the
Arizona CHW Workforce
Coalition for 2016.
California’s CalSIM
Workforce Group
is developing
recommendations
regarding CHW training
and credentialing.
(continued)
All Community
Health Aides
and Practitioners
must document
a minimum of 48
hours of ongoing
education or CME
every two years.
CHPs much take
at least 144 hours
of CME every 6
years to become
recertified.
-
-
Community
Health Aide
Program Board
Currently three
voluntary CHW
certifications are
available through
Community
Colleges in the
state.
TBD
The CHAP Certification Board
has a certified 3-4 week
intensive training course;
completion of designated
number of practice hours
and patient encounters; post-
session learning needs and
practice checklists; 200 hours
village clinical experience;
preceptorship; 80% or higher
on CHAP exam, and 100% on
statewide math exam. Four
regional training centers.
Physician supervision is
required for reimbursement
for CHA services.
Arizona Community Health
Outreach Worker Association
is developing a voluntary
certification process for
CHWs which will include a
grandfathering option.
Pending
1. An understanding of problem specific complaints
(acute care) of body systems (eye, ear, respiratory, digestive
and skin)
2. Competency in following subjects:
• Role of the community health aides
• Community health aide’s and practitioner’s general
scope of work
• Medical ethics, including patient confidentiality and rights
• Community health aide’s and practitioner’s
medical-legal coverage
• State of Alaska reporting requirements
• Consent for treatment issues
• Introductory interviewing skills
• General health/wellness and disease processes
• Infection and communicable diseases
• Introductory anatomy and function of the human body
• Introductory medical vocabulary/abbreviations
• 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).
AZ CHW Workforce Coalition Core Competencies:
1. Communication
2. Interpersonal Skills
3. Knowledge Base
4. Service Coordination
5. Capacity Building
6. Advocacy
7. Teaching
8. Organizational Skills
The Workforce Work Group Report outlines several
components of CHW Core Competencies:
Personal Qualities:
• Cultural connection/relationship to the community
• Empathy, compassion
• Interpersonal relationship building
• Motivational
• Leadership
• Flexible and problem solving ability (continued)
2
CALIFORNIA ARIZONA ALASKA
The Florida CHW
Coalition (FCHWC)
is moving towards
voluntary certification,
administered by the
Florida Certification
Board. A written exam
will be developed
in 2015, with full
credentialing in 2016.
Certified CHW
(CCHW) designation
was extended from
Jan 1 2015 to June 30
2016; the purpose of
this grandfathering
is to provide current
practitioners an
opportunity to earn
certification without
taking additional
trainings or exams.
Certified CHWs
must renew their
certification every
two years.
The certifying
entity will be
a third-party
entity approved
by the Florida
Department of
Health.
The Florida CHW Coalition
(FCHWC) has developed
30 hours of training for
certification: 20 hours from 5
domains, 10 hours of electives.
To be grandfathered, CHWs
must:
• Document at least 500
hours of paid or volunteer
experience providing CHW
services in the past 5 years
• Document at least 30
hours of training in the core
competencies in the past
5 years
• Submit two letters of
reference validating the
CHW’s experience and
training
30 hours of training for Grandfathering certification
includes 28 CHW tasks in five performance domains
(4 hours each) and 10 hours of electives:
1. Communication and Education
2. Resources
3. Advocacy
4. Foundations of Health
5. Professional Responsibility
(continued from page 2)
The CA State Innovation
Model (CalSIM) Design
Grant, approved by
CMS in April 2013,
required production of
a Statewide Health Care
Innovation Plan (SHCIP).
Six private sector work
groups reported on
payment and public
policy recommendations
for the state’s final SCHIP
submitted to CMMI; the
CalSIM Workforce Work
Group is one of these 6
work groups.
-
TBD
(continued from page 2)
Skills:
• Listening skills
• Communication skills
• Service coordination skills
• Training/ability to teach
• Facilitation
• Health promotion/education
• Advocacy skills
• Research skills
• Knowledge base
• Health coaching
Innovation Plan Initiative-specific skills:
• Ex. knowledge of particular disease or condition
Work-setting related skills:
• Organizational skills
• Computer skills
• Data entry skills for electronic health records
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
3
Illinois established a
Community Health
Worker Advisory Board by
legislation in November
2014. The Board is
charged with advising the
governor and legislature
on core competencies, a
training and certification
process, reimbursement
options, and other issues.
Pending
PendingPending
Pending
The 2014 legislation includes a list of core competencies
for consideration by the board, including, but not limited to:
1. Outreach methods and strategies;
2. Client and community assessment;
3. Effective community-based and participatory methods,
including research;
4. Culturally competent communication and care;
(continued)
ILLINOIS FLORIDA
CALIFORNIA (continued)
An Integrated Care
Community Health
Worker and Certified
Recovery Specialist
Training and Certification
Program has been
approved by the
Indiana Division of
Mental Health and
Addiction and the State
Department of Health.
The Kentucky CHW
Workgroup is developing
recommendations and a
process for certification.
Lead state agency is the
Department for Public
Health.
Massachusetts
established a CHW
certification board in the
Department of Public
Health, as authorized by
Chapter 322 (enacted
2010).
Regulations are
awaiting approval by
an independent CHW
certification board and
then by the state.
Pending
14 hours of
continuing
education credits
are requested each
year to maintain
certification.
-
15 hours continuing
education every
2 years.
Pending
Training is
provided by
the Affiliated
Service Providers
of Indiana as a
state selected
vendor. The
training is jointly
approved by the
Indiana Division
of Mental Health
and Addiction
and the State
Department of
Health.
-
Massachusetts
Board of
Certification
of Community
Health Worker,
located within
the Department
of Public
Health Division
of Health
Professions
Licensure.
Pending
CHWs are required to
complete a 3 day training and
final exam. Certified CHWs
may serve in outpatient
medical/behavioral setting,
including hospitals, medical
clinics, schools, churches and
community centers.
Kentucky Homeplace was
established in 1994 for rural
coal-mining populations. Its
training program requires 40
hours of classroom and online
instruction and an 80-hour
practicum.
80 hours class room training
in a combination of core
competencies and special
health topics from a state-
approved training program.
Credentialing pathway for
individuals with 4,000 hours
relevant work experience.
“Work only” pathway will be
phased out 3 years after the
state certification program
begins.
(continued from page 3)
5. Health education for behavior change;
6. Support, advocacy, and health system navigation
for clients;
7. Application of public health concepts and approaches;
8. Individual and community capacity building and
mobilization; and
9. Writing, oral, technical, and communication skills.
Training modules include:
• Communication skills
• Engagement skills
• Motivational interviewing
• Cultural understanding
• Prevention
• Chronic illness
• Behavioral health
• Home visiting
• Outreach
• Advocacy
No current state training. Kentucky Homeplace
competencies include:
1. Introduction to Community Health Workers
2. Communication and Health Literacy
3. Use of Public Health Concepts and Approaches
4. Health Coaching Chronic Conditions
5. Outreach and Advocacy
6. Care Coordination and System Navigation
7. Documentation Reporting and Outcomes Management
8. Legal, Ethical and Professional Conduct
9. Research
1. Outreach Methods and Strategies
2. Individual and Community Assessment
3. Effective Communication
4. Culturally-based communication and care
5. Health Education for Behavior Change
6. Support, Advocacy and Coordination of Care for Clients
7. Application of Public Health Concepts and Approaches
8. Advocacy and Community Capacity Building
9. Documentation
10. Professional Skills and Conduct
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
4
MASSACHUSETTS KENTUCKY INDIANA ILLINOIS (continued)
MARYLANDMINNESOTAMISSOURI
The Maryland
Department of Health
and Mental Hygiene
(DHMH) and the
Maryland Insurance
Administration (MIA)
created a stakeholder
workgroup to study and
make recommendations
regarding CHW
Workforce
Development, as
mandated by HB856/
SB592 (enacted 2014).
The final report to the
General Assembly was
submitted June 2015.
Minnesota requires
CHW Certification
for billing for CHW
services covered under
Minnesota Health Care
Programs (MHCP) and
Medicaid. However,
CHW certification
is not required for
employment.
The Missouri
Department of
Health and Senior
Services is establishing
a pilot project in
Kansas City area to
certify CHWs and
standardize curriculum.
Metro Community
College offers a CHW
certificate training
program adapted from
Minnesota’s CHW
curriculum. The MO
Department of Health
and Senior Services to
decide if this curriculum
will become the state
standard.
N/A
Continuing
education is not
mandatory but
often available
through worksites
and in the
community.
Tuition
reimbursement
will be available for
those enrolling in
a CHW Certificate
program.
TBD
Workgroup
recommended
creating a
certification
board that
would
approve CHW
curriculum and
CHW training
programs.
Accredited
Minnesota
post-secondary
schools offering
CHW curricula
(The training
entity provides
the certificate.
The Medicaid
Program grants
a Medicaid
provider
number with
proof of
certification.)
No central
certifying entity.
Workgroup recommendations:
2 tier certification process:
• Tier 1 – pre-certified CHW
requiring 80 hours of
training
• Tier 2 – Certified CHW
requiring 160 hour training
curriculum that be a flexible
combination of classroom
and practicum
14 credit hours. One semester
for full-time and 2 semesters
for part time students.
To work as a Medicaid-
approved provider CWH must
be supervised by a physician,
advanced practice nurse,
public health nurse work in a
unit of government, dentists
and mental health professional
who is also enrolled in the
MN Medicaid Program.
Grandfathering is available
to CHWs who have at least 5
years of experience supervised
by an enrolled clinician.
160 hours, 60 service
(practicum hours)
Workgroup recommendations:
Core Competencies
1. Effective oral and written communication skills
2. Cultural competency
3. Knowledge of local resources and system navigation
4. Advocacy and community capacity building skills
5. Care coordination skills
6. Teaching skills to promote healthy behavior change
7. Outreach methods and strategies
8. Ability to bridge needs and identify resources
9. Understanding of public health concepts and health
literacy
10. Understanding of ethics and confidentiality issues
11. Ability to use and understand health information
technology
Core Competencies
1. Role, Advocacy and Outreach
2. Organization and Resources
3. Teaching and Capacity Building
4. Legal and Ethical Responsibilities
5. Communication and Cultural Competence
Health Promotion Competencies
1. Healthy Lifestyles
2. Heart Disease & Stroke
3. Maternal, Child and Teen Health
4. Diabetes
5. Cancer
6. Oral Health
7. Mental Health
Core competencies include:
1. Communication
2. Organization and resources
3. Life style choices
4. Cultural beliefs and healthcare
5. Legal and ethical considerations
6. Employability skills.
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
5
NEW MEXICO
The New Mexico
Department of Health
administers a voluntary,
statewide certification
program for CHWs.
30 hours of CEUs
as approved by
the Department of
Health every 2 years
Re-certification
required every
2 year:
• Application fee
($45)
• Proof of at least
30 CEUs
• Criminal history
screening every
4 years.
New Mexico
CHW
Certification
Board, New
Mexico
Department
of Health
For New CHWs:
• 100 hour core competency
training through the Office
of CHWs or complete a
Department of Health
endorsed curriculum.
• Application to OCHW
• Background check
For CHW with previous
experience grandfathering
certification:
• Verification by a current
or former supervisor of
proficiency in the core
competencies.
• Two letters of reference on
agency/program letterhead.
• Applicants must provide
formal, verifiable
documentation to support
each requirement.
• 2000 clock hours of formal
CHW work and/or volunteer
CHW experience within
the scope of work and core
competency field.
• Grandfathering application
and background check.
1. CHW Profession
2. Effective Communication
3. Interpersonal skills
4. Health coaching
5. Service Coordination
6. Advocacy
7. Technical Teaching
8. Community Health Outreach
9. Community Knowledge & Assessment
10. Clinical Support Skills (optional)
MISSISSIPPI
Tougaloo College/
Central Mississippi
Area Health Education
Center (CMAHEC)
is currently working
with the Mississippi
State Department
of Health’s Office of
Preventive Health and
other organizations to
develop a standardized
program for certifying
community health
workers (CHW) within
the state of Mississippi.
As of 2015, Mississippi
covers CHW services
under the auspice of
“general education” and
not a specific billing
code.
-
Tougaloo
College
Tougaloo College/Central
Mississippi Area Health
Education Center and the
state Department of Health
-
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
6
OREGON
The Oregon Health
Authority certifies
Traditional Health
Workers.
(continued)
20 hours of
continuing
education are
required every 3
years for Traditional
Health Workers
(THW). Continuing
education offered
statewide.
Oregon Health
Authority
certifies
Traditional
Health Workers
who provide
services funded
by Medicaid.
(continued)
80 hours of mandatory
training to qualify for
reimbursement by the Oregon
Health Plan (Medicaid).
(continued)
1. Outreach Methods;
2. Community Engagement, Outreach and
Relationship Building;
3. Communication Skills, including cross-cultural
communication, active listening, and group and
family dynamics;
4. Empowerment Techniques;
(continued)
OHIO
The Ohio Board
of Nursing issues
and renews CHW
certificates, as
authorized by HB 95
(enacted 2003). The
certifications are to be
renewed biennially.
15 hours continuing
education every
2 years.
Ohio Board of
Nursing
Training program must be
approved by the Board of
Nursing; at least 100 hours
of classroom instruction
and 130 hours of clinical
instruction, standard training
exam. Certification needed
in order to perform tasks
delegated by a nurse. Only
an RN may supervise a CHW
when performing delegated
activities related to
nursing care.
Grandfathering for those
employed as CHWs before
2005.
The standard minimum curriculum for community health
workers shall include courses, content, and expected
outcomes, relative to the defined role of the community
health worker, in the following major areas:
1. Health care
2. Community resources
3. Communication skills
4. Individual and community advocacy
5. Health education
6. Service skills and responsibilities
The standard minimum curriculum for community health
workers shall also educate students on needs throughout
the span of a lifetime including the following:
1. The family during childbearing years
2. The family during pregnancy
3. The newborn, infant, and young child
4. Adolescents
5. Special health care and social needs of target populations
such as grandparents raising grandchildren, adults caring
for aging parents, and children and adults with disabilities
-
None identifiedNone identified
None identified but the 2011 report from the NYS CHW
Initiative reported that the work group created a CHW
Scope of Practice: Roles and Related Tasks, including:
• Outreach and community mobilization
• Case management and care coordination
• Home-based support
• Health promotion and health coaching
• System navigation
• Participatory research
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
NEW YORK
There are presently no
regulations for CHWs.
NYSHealth Foundation
is investing in a
statewide CHW
initiative through
partnerships with CHWs
statewide and Columbia
University’s Mailman
School of Public Health
to establish sustainable
financing for the CHW
workforce.
Also, CHWs are optional
team members of
Health Home care
teams in NY’s 2012-2013
state plan amendment
(SPA).
7
RIC Outreach and
Community Health
Worker Association
of Rhode Island
(CHWARI). Training
is supported and
endorsed by the
Rhode Island
Department of
Health.
The Community
Health Worker
Association of
Rhode Island
(CHWARI) offers
certification
training for
CHW. Training
is endorsed by
the Rhode Island
Department of
Health.
30 hours of classroom
learning and 80 hours of field
experience.
No grandfathering process.
Skills outlined in CHWARI Training:
1. Advocacy
2. Current Workforce Issues
3. Working with Children and Families
4. Communication Skills
5. Cultural Competency
Committee of CHW employers and supporters developed
the certification curriculum, using standards approved by
national CHW interest groups, as well as needs defined by
RI stakeholders.
RHODE ISLAND
Rhode Island does
not require licensure
or certification,
but endorses the
Community Health
Worker Association of
Rhode Island training
program.
(continued from
page 7)
Private training
entities may
apply to the
certification
board for
approval
of training
programs.
(continued from page 7)
Certification requires a
written exam, performance
based demonstration, and
a professional portfolio of
the CHWs previous work,
experience, skills, and
accomplishments.
Grandfathering is available
to those who have worked
over 3,000 hours in the past
five years, and completed
additional training.
(continued from page 7)
HB 3407 (2013)
established the
Traditional Health
Worker Commission,
which oversees CHWs,
Peer Support and Peer
Wellness Specialists,
Personal Health
Navigators, and Doulas.
HB 3650 (enacted 2011)
mandated the Oregon
Health Authority to
develop education and
training requirements
that meet federal
requirements to
qualify for financial
participation. The
Oregon Health Policy
Board established the
Non-Traditional Health
Worker Subcommittee
to create core
competencies,
education and training
requirements.
(continued from page 7)
5. Knowledge of Community Resources;
6. Cultural Competency and Cross Cultural Relationships,
including bridging clinical and community cultures;
7. Conflict Identification and Problem Solving;
8. Social Determinants of Health;
9. Conducting Individual Needs Assessments;
10. Advocacy Skills;
11. Building Partnerships with Local Agencies and Groups;
12. The Role and Scope of Practice of Non-Traditional
Health Workers;
13. Roles and Expectations for Working in Multidisciplinary
Teams;
14. Ethical Responsibilities in a Multicultural Context;
15. Legal Responsibilities;
16. Data Collection and Types of Data;
17. Crisis Identification, Intervention and Problem-Solving;
18. Professional Conduct, including culturally-appropriate
relationship boundaries and maintaining confidentiality;
19. Navigating Public and Private Health and Human Service
Systems, including state, regional, local;
20. Working with Caregivers, Families, and Support Systems,
including paid care workers;
21. Introduction to Disease Process including chronic
diseases, mental health, and addictions (warning signs,
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.
OREGON (continued)
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
8
TEXAS
Texas was the first state
to develop legislation to
govern CHW activities
in 1999. Texas offers a
Promotor(a) or CHW
certification program
and requires CHW
programs in health and
human services agencies
to hire state-certified
CHWs when possible.
A 2001 law required the
Department of State
Health Services (DSHS)
to establish a CHW
training program.
20 contact hours
of continuing
education every two
years.
Department of
State Health
Services
160 classroom hours State
requires CHWs to show
completion of an approved
training program to receive
certification, but there is
no direct evaluation or
assessment of their skills and
knowledge.
Experience can substituted
for completion of training for
CHWs with 1000 cumulative
hours of CHW services within
most recent 6 years.
The established core competencies include:
1. Communication skills
2. Interpersonal Skills
3. Service Coordination Skills
4. Capacity-Building Skills
5. Advocacy Skills
6. Teaching Skills
7. Organizational Skills
8. Knowledge Base on Specific Health Issues
The South Carolina
Department of Health
created the Health
Access at the Right Time
(HeART) Committee,
which is working to
create a standard
definition of CHW and
a scope of practice.
In 2013, the HeART
Committee established
the CHW Pilot Project
that is currently in
Phase I and connects
with primary care
practices that employ
CHWs with supervision.
The Department of
Health also created
a CHW certification
demonstration program.
The HeART Committee
is currently seeking a
formal body to certify
CHWs and other non-
clinical providers. The
Department of Health is
developing a Medicaid
State Plan Amendment
to authorize Medicaid
payment for CHW
services.
After one year grant
period, ongoing
training will be the
responsibility of
the primary care
practice or MCO
employer.
The South
Carolina
Department
of Health and
Human Services
certifies CHWs.
120 classroom hours;
internship/mentorship
required.
Grandfathering requires at
least 3 years of experience
with community outreach.
Documentation from
employer is required, and
CHW candidate must pass
the CHW certification exam.
CHWs must have a designated
supervisor.
1. Outreach methods and strategies
2. Client and Community Assessment
3. Effective Communication
4. Culturally Appropriate Communication and Care
5. Health Education and Behavior Change
6. Information about Common Chronic Diseases
7. Support, Advocate and Coordinate Care for Clients
8. Apply Public Health Concepts and Approaches
9. Community Capacity Building
10. Writing and Technical Communication Skills
11. Ethics
Current Status Certification/
Credentialing
and Supervision
Requirements
Core
Competencies
Continuing
Education
Certifying
Entity
State
SOUTH CAROLINA
9
10
Data Sources
All states:
• American Public Health Association. (November 2009).
Support for Community Health Workers to Increase Health
Access and to Reduce Health Inequalities. http://www.apha.
org/policies-and-advocacy/public-health-policy-statements/
policy-database/2014/07/09/14/19/support-for-community-
health-workers-to-increase-health-access-and-to-reduce-
health-inequities
• Association of State and Territorial Health Ofcials. (March
2015). Community Health Worker (CHWs) Training/Certification
Standards. http://www.astho.org/public-policy/public-health-
law/scope-of-practice/chw-certication-standards/
• Centers for Disease Control and Prevention. (July 2013). A
Summary of State Community Health Worker Laws. http://
www.cdc.gov/dhdsp/pubs/docs/CHW_State_Laws.pdf
• Peyton Miller, Taylor Bates, and Amy Katzen. (June 2014).
Community Health Worker Credentialing: State Approaches.
http://www.chlpi.org/wp-content/uploads/2014/06/CHW-
Credentialing-Paper.pdf
• National Association of State Health Policy. (May 2015). State
Community Health Worker Models. http://www.nashp.org/
state-community-health-worker-models/
• The Institute of Clinical and Economic Review. (May 2013).
Community Health Workers: A Review of Program Evaluation,
Evidence on Effectiveness and Value, and Status of Workforce
Development in New England. http://cepac.icer-review.org/
wp-content/uploads/2011/04/CHW-Draft-Report-05-24-13-
MASTER1.pdf.
• Sara Kahn-Troster and Kaitlin Sheedy. (January 2016).
Community Health Worker Models. State Refor(u)m. https://
www.statereforum.org/state-community-health-worker-models
• Rural Health Information Hub. (June 2015). State Certication
Programs. https://www.ruralhealthinfo.org/community-health/
community-health-workers/3/certication
• Kristine Goodwin and Laura Tobler. (April 2008). Community
Health Workers: Expanding the Scope of the Health Care
Delivery System. National Conference of State Legislatures.
http://www.ncsl.org/print/health/chwbrief.pdf
• University of Texas Institute for Health Policy. (March
2014). Communtiy Health Workers: Credentially and New
Opportunities. http://ruralhealthlink.org/Portals/0/Resources/
Webinars/CHW%20Credentialing%20and%20New%20
Opportunities.pdf
State specific sources:
Alaska
• Community Health Aide Program Certication Board: Standards
and Procedures. (January 2015). http://www.akchap.org/
resources/chap_library/CHAPCB_Documents/CHAPCB_
Standards_Procedures_Amended_2015-01-22.pdf
• Alaska Community Health Aide Program, Ofce of Statewide
Services. http://www.akchap.org/html/home-page.html
Arizona
• Arizona Advisory Council on Indian Health Care. (December
2015). CHR Movement Meeting (webinar). https://acoihc.
az.gov/sites/default/les/CHR_Movement_Meeting_12-11-15.
pdf
• National Partnership for Action to End Health Disparities.
(September 2014). Community Health Workers: Part of the
Solution for Advancing Health Equity, Perspectives and
Initiatives from the Pacic and Southwest Regional Health
Equity Council (Region IX). http://www.astho.org/Health-Equity/
RHEC-9-Health-Equity-Webinar-Slides/
California
• Anna C. Davis. (July 2013). Leveraging Community Health
Workers within California’s State Innovation Model:
Background, Options and Considerations. http://www.chhs.
ca.gov/Documents/Issue%20Brief%20on%20Leveraging%20
Community%20Health%20Workers%20Under%20
California’s%20State%20Innovation%20Model%20(SIM)%20
Initiative.pdf
• California Association of Community Health Workers. http://
www.cachw.org/
• Community Health Workforce Alliance. (December 2013). Taking
Innovation to Scale: Community Health Workers, Promotores,
and the Triple Aim – A Statewide Assessment of the Roles
and Contributions of California’s Community Health Workers.
http://www.chhs.ca.gov/PRI/_Taking%20Innovation%20to%20
Scale%20-%20CHWs,%20Promotores%20and%20the%20
Triple%20Aim%20-%20CHWA%20Report%2012-22-13%20
(1).pdf
• The California State Healthcare Innovation Plan Workforce
Work Group. (May 2015). Advancing Community Health
Workers to Improve Health Outcomes and Reduce Costs.-
Recommendations for the California State Health Care
Innovation Plan. http://www.chhs.ca.gov/PRI/CHW%20
Work%20Group%20report%20FINAL.pdf
• Melissa Gutierrez Kapheim and J. Campbell. (January2014).
Best Practice Guidelines for Implementing and Evaluating
Community Health Worker Programs in Health Care Settings.
Sinai Urban Health Institute. http://www.sinai.org/sites/
default/les/SUHI%20Best%20Practice%20Guidelines%20
for%20CHW%20Programs.pdf
Florida
• Florida Community Health Worker Coalition. Certication
Domains + Job Tasks. http://oridachwn.pharmacy.u.edu/
edu-training/certication/
• Florida Community Health Worker Coalition. What You Need to
Know to Be Certied in 2015. http://cdn.webservices.ufhealth.
org/wp-content/blogs.dir/571/les/2015/02/CHW-Certication-
Begins-bilingual.pdf
Indiana
• Afliated Service Providers of Indiana. Indiana’s Integrated Care
Community Health Worker & Certied Recovery Specialists
Training Certication Program. http://www.chwcrs.org/
• Afliated Service Providers of Indiana. CHW/CRS Training
Schedule. http://www.chwcrs.org/les/6713/8436/8286/
Schedule_of_Modules_.pdf
Kentucky
• University of Kentucky – Center for Excellence in Rural Health.
https://ruralhealth.med.uky.edu/cerh-homeplace
• University of Kentucky – Center for Excellence in Rural Health.
Community Health Worker Curriculum. https://ruralhealth.med.
uky.edu/sites/default/les/CHW%20Training%20Agenda%20
Website.pdf
Massachusetts
• Massachusetts Association of Community Health Workers.
(January 2016). Certication Update. http://www.machw.org/
images/Board%20of%20Certication%20of%20%20CHWs_
One%20Pager_Updated%201.04.16.pdf
• Massachusetts Department of Public Health, Ofce of
Community Health Workers. http://www.mass.gov/eohhs/gov/
departments/dph/programs/community-health/prevention-and-
wellness/comm-health-wkrs/
Minnesota
• Minnesota Community Health Worker Alliance. Minnesota
CHW Competency-Based Curriculum – Frequently Asked
Questions. http://s472440476.onlinehome.us/wp-content/
uploads/2013/05/FAQchw.pdf
• Agency for Healthcare Research and Quality. (July 2014). Policy
Innovation Profile: Alliance Creates Community Health Workers’
Scope of Practice, Training Curriculum, Certificate Program,
and Reimbursement Strategy, Expanding Their Integration
Into the Health System to Reduce Health Disparities. https://
innovations.ahrq.gov/proles/alliance-creates-community-
health-workers-scope-practice-training-curriculum-certicate
Mississippi
• Mississippi State Department of Health. Community
Health Workers. http://msdh.ms.gov/msdhsite/index.
cfm/44,0,372,593,html
Missouri
• Health Care Foundation of Greater Kansas City. http://
hcfgkc.org/news/new-pilot-course-trains-community-health-
workers-3/
• Center for Local Public Health Services. (December 2014). SBAR
for Community Health Worker. http://clphs.health.mo.gov/lphs/
pdf/sbar20141218chwsbarlpha.pdf
New Mexico
• New Mexico Department of Health. (August 2015). http://
nmhealth.org/news/information/2015/8/?view=290
• New Mexico Regulation, Title 7, Chapter 29, Part 5.
http://164.64.110.239/nmac/parts/title07/07.029.0005.htm
New York:
• NYS Health Foundation. http://nyshealthfoundation.org/
resources-and-reports/resource/the-new-york-state-community-
health-worker-initiative
• CHW Network NYC. http://www.chwnetwork.org/Default.
aspx?ssid=80&NavPTypeId=1297
• Paving a Path to Advance the Community Health Worker
Workforce in New York State: A New Summary Report and
Recommendation. http://nyshealthfoundation.org/uploads/
resources/paving-path-advance-community-health-worker-
october-2011.pdf
Ohio
• Ohio Administrative Code, 4723 Ohio Board of Nursing. Chapter
4723-26 Community Health Workers. http://codes.ohio.gov/
oac/4723-26
Oregon
• Oregon Community Health Workers Association. http://www.
orchwa.org/about-us/chw-education/
• Oregon Health Authority. Health System Transformation Update:
Non-Traditional Health Workers. http://www.oregon.gov/oha/
amh/rule/NTHW-BriefwithRules.pdf
• http://chwcentral.org/sites/default/les/Oregon%20Health%20
Authority_Role%20of%20non-traditional%20health%20
workers.pdf
• Oregon Health Policy Board, Workforce Committee, Non-
Traditional Health Worker Subcommittee. (January 2012).
Recommendations for Core Competencies and Education
and Training Requirements for Community Health Workers,
Peers Wellness Specialists and Personal Health Navigators.
http://arcweb.sos.state.or.us/pages/rules/oars_400/
oar_410/410_180.html
• Oregon Health Authority, Ofce of Equity and Inclusion.
(September 2015). http://www.oregon.gov/oha/oei/
thwcommissiondocs/September%202015%20Meeting%20
Packet.pdf
• Oregon Heatlh Authority, Division of Medical Assistance
Programs Rules. Division 180 Traditional Health Workers.
(December 2013). http://arcweb.sos.state.or.us/pages/rules/
oars_400/oar_410/410_180.html
Rhode Island
• Community Health Worker Association of Rhode Island
(CHWARI). http://chwassociationri.wix.com/chwari
South Carolina
• South Carolina Health and Human Services. South Carolina
Medicaid and the Community Health Worker Program. https://
www.statereforum.org/sites/default/les/sc_medicaid_and_
the_community_health_worker_program.pdf
• South Carolina Health and Human Services. Community Health
Worker Frequently Asked Questions. https://www.scdhhs.
gov/sites/default/les/Community%20Health%20Worker%20
FAQ-%201-17-13.pdf
Texas
• Texas Department of State Health Services. Community Health
Workers – Promotor(a) or Community Health Worker Training
and Certicate Program. http://www.dshs.state.tx.us/mch/chw.
shtm#Requirements