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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 146TRAINING AND REGULATION OF PROMOTORES OR COMMUNITY HEALTH WORKERS
RULE §146.4Application Requirements and Procedures for Sponsoring Organizations
Repealed Date:08/20/2019

(a) Minimum eligibility requirements for sponsoring organizations. The following requirements apply to all organizations applying for certification as an approved training program:

  (1) physical location in Texas;

  (2) experience in training or sponsoring training for promotores, community health workers, and other health care professionals or paraprofessionals including training that utilizes adult learning principles and is related to core competencies in communication skills, interpersonal skills, service coordination, capacity-building skills, advocacy, organizational skills, teaching, and knowledge base on specific health issues;

  (3) affiliation with one or more instructors currently certified by the department; and

  (4) program plan to provide training for community health workers or instructors on at least an annual basis, including primary training location(s), training schedule, and procedures related to target population, recruitment, registration/enrollment, cost class attendance, training methodology, course completion/graduation requirements, and evaluation of training.

(b) Application requirements and procedures.

  (1) Unless otherwise indicated, an applicant must submit all required information and documentation in a format specified by the department.

  (2) A sponsoring organization may submit an application that includes the use of a certified curriculum from another sponsoring organization who has agreed to share the certified curriculum. In this situation, the application must include a description of changes, if any, to the certified curriculum.

  (3) The department shall send a notice listing the additional materials and revisions required to an applicant whose application is incomplete. The department may require a sponsoring organization to submit a new application if additional materials and revisions are not submitted within 90 days.

(c) Application approval.

  (1) The committee shall review initial applications from sponsoring organizations and recommend to the department certification for applications and curricula that meet program requirements.

  (2) The department shall approve an application which is in compliance with this chapter and which properly documents applicant eligibility, unless the application is disapproved under the provisions of subsection (d) of this section.

(d) Disapproved applications.

  (1) The department may disapprove the application if the applicant:

    (A) has not met the eligibility and application requirements set out in this chapter; or

    (B) has failed or refused to properly complete or submit required information or has knowingly presented false or misleading information in the application process.

  (2) If the department determines that the application should not be approved, the department shall give the applicant written notice of the reason for the disapproval and of the opportunity for re-application or appeal.

  (3) The applicant whose application has been disapproved under paragraph (1) of this subsection shall be permitted to reapply and shall submit a current application satisfactory to the department, in compliance with the then current requirements of this chapter and the provisions of the Health and Safety Code, Chapter 48.

  (4) An applicant whose application has been disapproved may appeal the disapproval under the fair hearing procedures found in Chapter 1, Subchapter C of this title (relating to Fair Hearing Procedures).

(e) Application processing. The following periods of time shall apply from the date of receipt of an application until the date of issuance of a written notice that the application has been approved or that the application is deficient and additional specific information is required.

  (1) Notice of approval for certification - no more than 90 days.

  (2) Notice of application deficiency - no more than 90 days.

(f) Changes of name and address. Sponsoring organizations shall notify the department of changes in organization name, contact information, mailing address, or physical location within 30 calendar days of such change(s).

(g) Certificate.

  (1) Upon approval of the application, the department shall issue the sponsoring organization a certificate with an expiration date and a certificate number.

  (2) Certificates shall be signed by the commissioner of the department and presiding officer of the advisory committee.

  (3) Any certificate issued by the department remains the property of the department and shall be surrendered to the department on demand.

  (4) A sponsoring organization shall display the original certificate at the primary training or educational site.

  (5) No one shall make any alteration on any certificate issued by the department.

  (6) The department shall replace a lost, damaged, or destroyed certificate upon written request.

(h) Standards for the approval of curricula.

  (1) The purpose of this subsection is to establish the minimum standards for approval of curricula for programs to train persons to perform promotor(a) or community health worker services or to act as an instructor.

  (2) All core curricula of at least 160 hours to be used to train individuals to perform promotor(a) or community health worker services or to serve as instructors must:

    (A) assure that the eight core skill and knowledge competencies, identified in the National Community Health Advisor Study, June 1998 for promotores or community health workers, including communication, interpersonal, service coordination, capacity-building, advocacy, teaching and organizational skills and knowledge base on specific health issues are addressed;

    (B) include at a minimum 20 clock hours of knowledge and skill-building per core competency for promotores or community health workers and include at a minimum 20 clock hours for instructor training in each of the core competencies that affect promotores or community health workers;

    (C) include a component for hands-on learning, such as field practice, internship or practicum;

    (D) include specific learner-centered objectives;

    (E) include the name and organization of the curriculum developer or, if curriculum was developed by another entity, include public domain information or documentation of approval by the curriculum developer;

    (F) include the participation of a certified instructor in the review or development of a curriculum;

    (G) include appropriate citations and references documenting sources of information detailed in the curriculum;

    (H) include activities and other strategies consistent with adult learning theory and principles;

    (I) demonstrate cultural sensitivity and literacy level appropriate to the topic and target audience;

    (J) include a translation of the curriculum if the curriculum will be provided in a language other than English;

    (K) specify the method or methods by which training will be delivered, including classroom instruction and use of distance learning;

    (L) include a method or process to evaluate and document the acquisition of knowledge and mastery of skills by the individual trained;

    (M) include a method or process for the individual trained to evaluate the training experience;

    (N) be certified by the department and if offered in person, be provided within the geographic limits of the State of Texas;

    (O) be submitted to the department along with supporting materials in a format and timeframe specified by the department;

    (P) report the names of individuals to the department who have successfully completed the training program within seven business days of program completion in a format specified by the department; and

    (Q) maintain an accurate record of each person's attendance and participation for not less than three years.

(i) All continuing education curricula to be used to provide department-certified continuing education to certified promotores or community health workers or instructors must:

  (1) assure that one or more of the eight core skill and knowledge competencies, identified in the National Community Health Advisor Study, June 1998 for promotores or community health workers, including communication, interpersonal, service coordination, capacity-building, advocacy, teaching and organizational skills and knowledge base are addressed;

  (2) identify the title of the proposed continuing education curriculum, total contact hours, and hours per core competency;

  (3) include specific learner-centered objectives;

  (4) include the name and organization of the curriculum developer or, if curriculum was developed by another entity, include public domain information or documentation of approval by the curriculum developer;

  (5) include the participation of a certified instructor in the review or development of a curriculum;

  (6) include appropriate citations and references documenting sources of information detailed in the curriculum;

  (7) include activities and other strategies consistent with adult learning theory and principles;

  (8) demonstrate cultural sensitivity and literacy level appropriate to the topic and target audience;

  (9) include a translation of the curriculum if the curriculum will be provided in a language other than English;

  (10) specify the method or methods by which training will be delivered, including classroom instruction and use of distance learning;

  (11) if applicable, include any pre or posttest or other process to be used to evaluate acquisition of knowledge by the individual trained;

  (12) if applicable, include an evaluation by the individual trained of the training experience;

  (13) be certified by the department and if in person, be offered within the geographic limits of the State of Texas;

  (14) be submitted to the department along with supporting materials in a format specified by the department;

  (15) report the names of individuals to the department who have successfully completed the training program within seven business days of program completion; and

  (16) maintain an accurate record of each person's attendance and participation for not less than three years.

(j) Addenda to existing certified curriculum.

  (1) A sponsoring organization may submit an addendum when making revisions to a current, certified curriculum.

  (2) An addendum may be submitted in a format specified by the department and must be in compliance with standards listed in this section.

  (3) Curricula shall be provided by a certified instructor, unless otherwise approved by the department.

(k) Certificate renewal.

  (1) Certificate renewal for sponsoring organizations. Each sponsoring organization shall renew the certificate biennially (every two years).

  (2) Each sponsoring organization is responsible for renewing the certificate before the expiration date. Failure to receive notification from the department prior to the expiration date will not excuse failure to file for renewal.

  (3) Each sponsoring organization is responsible for completing a renewal application, which shall include a program plan to provide training for community health workers or instructors on at least an annual basis. A sponsoring organization shall include an explanation for failure to provide training for community health workers or instructors at least annually during the renewal period and include additional information regarding the program plan to assure that the minimum training requirement will be met.

  (4) The department may not renew the certificate of a sponsoring organization that is in violation of Health and Safety Code, Chapter 48 or this chapter at the time of renewal.

(l) Late renewals.

  (1) A sponsoring organization whose certificate has expired for not more than one year may renew the certificate by submitting to the department the completed renewal application. The sponsoring organization shall not provide training for community health workers or instructors until the certificate has been renewed.

  (2) A certificate not renewed within one year after expiration cannot be renewed.

  (3) A sponsoring organization whose certification has been expired for more than one year may apply for another certificate by meeting the then-current requirements of the Health and Safety Code, Chapter 48 and this chapter which apply to all new applicants.

(m) Expired certificates. The department, using the last address known, shall attempt to inform each sponsoring organization who has not timely renewed a certificate, after a period of more than ten days after the expiration of the certificate that the certificate has automatically expired.

(n) Right to inspect. The department reserves the right to inspect facilities and documentation and to monitor sponsoring organizations.


Source Note: The provisions of this §146.4 adopted to be effective June 24, 2015, 40 TexReg 3828

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