December 22, 2021 – Commissioner’s order: Out of state licensed providers should read this memo from DPH Commissioner Manisha Juthani, MD and note the list of professions authorized by the Commissioner’s order

Certification Requirements

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

An applicant for a community health worker may qualify for certification provided the applicant: 

Is trained and educated as a community health worker by an organization approved by the Community Health Worker Advisory Body;

 

Is at least sixteen years of age;

 

Submits a professional reference from an employer with direct knowledge of the applicant's experience as a community health worker;

 

Submits a reference from a member of the community with direct knowledge of the applicant's experience as a community health worker, and

 

Has a minimum of one thousand (1,000) hours of experience working as a community health worker during the three years prior to the date of such application;

 

OR

 

Has a minimum of two thousand (2,000) hours of paid or unpaid experience as a community health worker;

 

Submits a professional reference from an employer with direct knowledge of the applicant's experience as a community health worker

 

Submits a reference from a member of the community with direct knowledge of the applicant's experience as a community health worker.

 

Application instructions

 

As part of the application, applicants will be prompted to upload the following documents:

 

  • A recent photo of the applicant;
  • Verification of experience form documenting the appropriate number of hours of paid or unpaid experience;
  • If applicable, a letter from an approved training provider documenting completion of the required training;
  • A letter of reference from an employer with direct knowledge of the applicant's experience;
  • A professional reference letter from a member of the community with direct knowledge of the applicant's experience as a community health worker.

Please ensure that you have the appropriate documentation saved to the device you are using to file the application before starting the online application.  The preferred file format is pdf. 

 

 Applications are only accepted online.  Please select this link to apply online.  The application fee is $100.  After you have created your online account, select 'Initial Application' under 'More Online Services' and then expand the 'Public Health Practitioners' grouping.