Code of Massachusetts Regulations
272 CMR - CERTIFICATION OF COMMUNITY HEALTH WORKERS, BOARD OF
Title 272 CMR 4.00 - CERTIFICATION AS A COMMUNITY HEALTH WORKER
Section 4.03 - Initial Certification as a Community Health Worker
Universal Citation: 272 MA Code of Regs 272.4
Current through Register 1531, September 27, 2024
(1) The Board will consider an application for certification as a Community Health Worker, provided that the applicant has submitted a complete application on a form specified by the Board, and provided that the Board has also received:
(a) A
certificate of completion from a Board-approved Community Health Worker
Education and Training Program, unless the applicant has submitted an
application prior to July 31, 2023 and meets the criteria at
272
CMR 4.02(3)(b);
(b) At least three professional references
prepared on a form specified by the Board for this purpose, that must be
completed with no omissions, signed and submitted directly to the Board by
persons who satisfy the criteria at
272
CMR 4.02(4).
1. Each reference form must include a rating
other than "not-applicable" for at least eight of the ten core competencies;
and
2. The combination of all three
reference forms must include a rating other than "not-applicable" for all ten
core-competencies.
(c) An
attestation that the applicant has read and understands the Board's regulations
at 272 CMR
8.00: Professional and Ethical Standards of
Conduct for Certified Community Health Workers;
(d) A passport size color photograph of the
applicant;
(e) Documentation as may
be necessary pursuant to
803 CMR
2.00: Criminal Offender Record Information
(CORI) to authorize the Board's receipt of criminal offender record
information to the extent allowed by law;
(f) Payment of a non-refundable application
fee in the amount set by the Executive Office of Administration and Finance;
unless waived in accordance with M.G.L.c. 112, § 1B; and (g) Other
documentation as the Board may require to determine whether the applicant
qualifies for certification.
(2) Processing of Applications
(a) The Board will
not review any materials intended to support an application for certification
as a Community Health Worker unless the applicant has submitted a complete
application.
(b) The Board may
refuse to act on an incomplete application.
(c) Incomplete application forms shall expire
one year from the date of the Board's receipt of the form. The Board may refuse
to act on an expired application and may require that the applicant submit a
new application.
(d) Applicants are
responsible for ensuring that all information in the application is accurate
and up to date and shall notify the Board of any material changes in the
information previously submitted; and
(e) The Board may require the applicant to
submit additional documentation, or appear before it, or both, in order to
determine whether the applicant meets all qualifications and is of Good Moral
Character.
(3) The Board may issue a certification to the applicant provided that the Board determines that the applicant is 18 years of age or older, of Good Moral Character and meets all qualifications set forth in M.G.L. c. 112, § 260 and 272 CMR. The Board may deny certification to an applicant on one or more of the following grounds:
(a) The Board cannot verify
to its satisfaction that the applicant meets all qualifications for
certification;
(b) The Board cannot
verify to its satisfaction, based on the professional references submitted,
that the applicant's work experience includes successful application of each of
the ten core competencies;
(c) The
Board determines that the applicant is not of Good Moral Character;
(d) The applicant has not complied with the
Board's request(s) for additional information, or that the applicant appear
before it, or both;
(e) The
application contains factual inaccuracies that are material in
nature;
(f) The applicant has not
submitted valid payment of the application fee; or
(g) Other grounds as permitted by
law.
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