|(a) Minimum eligibility requirements for community
health worker instructor certification. The following requirements
apply to all individuals applying for certification:
(1) currently live in Texas;
(2) attainment of 18 years of age or an eligible and
informed minor as determined by the department;
(3) freedom from physical or mental impairment, which
in accordance with the Americans with Disabilities Act, interferes
with the performance of duties or otherwise constitutes a hazard to
the health or safety of the persons being served;
(4) achievement of core competencies in instruction
or training related to communication skills, interpersonal skills,
service coordination, capacity-building skills, advocacy, organizational
skills, teaching, and knowledge base on specific health issues through
completion of a certified competency-based instructor training program
by an approved sponsoring institution or verification of related training
(5) submission of a complete application in a format
specified by the department.
(b) Community health worker instructor based on experience.
A person who has provided instruction or training for promotores or
community health workers and other health care paraprofessionals and
professionals in the previous six years may submit an application
and required information for consideration of certification based
on their training experience. The department shall verify the applicant's
related training experience of not less than 1000 cumulative hours
demonstrating competence in training in the eight core competencies
(communication skills, interpersonal skills, service coordination,
capacity-building skills, advocacy, organizational skills, teaching,
and knowledge base on specific health issues). The department shall
approve the application and issue a certificate of competence to a
person with verified experience and competence in training who has
provided instruction or training to individuals providing promotor(a)
or community health work services for not less than 1000 cumulative
hours in the previous six years starting from the date the application
(c) Community health worker instructor based on training.
Individuals shall complete a certified competency-based instructor
training program by an approved sponsoring organization.
(d) Application requirements and procedures.
(1) Unless otherwise indicated, an applicant must complete
all required information and documentation on current official department
forms and submit the required information and documentation electronically
or in hard copy as specified by the department.
(2) The department shall send a notice listing the
additional materials or information required to an applicant whose
application is incomplete, including a notice if a color photograph
for an identification card was not submitted.
(e) Application approval. The department shall approve
any application which is in compliance with this chapter and which
properly documents applicant eligibility, unless the application is
disapproved under the provisions of subsection (f) of this section.
(f) Disapproved applications.
(1) The department may disapprove the application if
(A) has not met the eligibility and application requirements
set out in this chapter;
(B) has failed or refused to properly complete or submit
any required information or has knowingly presented false or misleading
information in the application process;
(C) has engaged in unethical conduct as defined in
§146.7 of this title (relating to Professional and Ethical Standards);
(D) has been convicted of a felony or misdemeanor directly
related to the duties and responsibilities of a promotor(a) or community
health worker or instructor as set out in §146.8 of this title
(relating to Violations, Complaints and Subsequent Actions); or
(E) has developed an incapacity, which in accordance
with the Americans with Disabilities Act, prevents the individual
from practicing with reasonable skill, competence, and safety to the
public as the result of:
(i) an illness;
(ii) drug or alcohol dependency; or
(iii) another physical or mental condition or illness;
(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 may 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
(g) 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
(h) Changes of name and address.
(1) The department shall change the status of a certification
to inactive upon receipt of notification that the certificate holder
no longer lives in Texas.
(2) Before any certificate and identification cards
will be issued by the department, notification of name changes must
be submitted to the department and shall include a copy of a marriage
certificate, court decree evidencing such change, Texas driver's license
or identification card, or a social security card reflecting the new
(1) Upon approval of the application, the department
shall issue the community health worker instructor a certificate with
an expiration date and a certificate number. An identification card
shall be included for a community health worker instructor.
(2) Certificates shall be signed by the commissioner
of the department and presiding officer of the advisory committee.
The identification card issued to a community health worker instructor
shall bear the signature of the commissioner and contain a photo of
the community health worker instructor.
(3) Any certificate or identification card(s) issued
by the department remains the property of the department and shall
be surrendered to the department on demand.
(4) A community health worker instructor shall carry
the original identification card. Photocopies shall not be carried
(5) A person certified as a community health worker
instructor shall only allow his or her certificate to be copied for
the purpose of verification by employers, professional organizations,
and third party payors for credentialing and reimbursement purposes.
Other persons and/or agencies may contact the department in writing
or by phone or access the department online licensing services website
to verify certification status.
(6) No one shall display, present, or carry a certificate
or an identification card which has been altered, photocopied, or
(7) No one shall make any alteration on any certificate
or identification card issued by the department.
(8) The department shall replace a lost, damaged, or
destroyed certificate or identification card upon written request.
(j) Certificate renewal.
(1) Each community health worker instructor shall renew
the certificate biennially (every two years).
(2) Each community health worker instructor 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 community health worker instructor is responsible
for completing a renewal application.
(4) The department may not renew the certificate of
a community health worker instructor who is in violation of Health
and Safety Code, Chapter 48 or this chapter at the time of renewal.
(k) Late renewals.
(1) A person whose certificate has expired for not
more than one year may renew the certificate by submitting to the
department the completed renewal application. Community health worker
instructors must also submit proof of compliance with continuing education
requirements for renewal as set out in this section before the late
renewal is effective. A certificate issued under this subsection shall
expire two years from the date the previous certificate expired.
(2) A certificate not renewed within one year after
expiration cannot be renewed.
(3) A person may not use a title that implies certification
while the certificate is expired as set out in §146.8 of this
title (relating to Violations, Complaints and Subsequent Actions).
(4) A person 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.
(l) Expired certificates. The department, using the
last address known, shall attempt to inform each community health
worker instructor 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.
(m) Continuing education requirements.
(1) Continuing education requirements for recertification
shall be fulfilled during each biennial renewal period.
(2) An instructor must complete at a minimum 20 contact
hours of continuing education related to the core competencies during
each biennial renewal period.
(A) At least five hours shall be satisfied by participation
in a department certified training program including a training program
sponsored or provided by the department that provides continuing education
credits for instructors.
(B) Up to five hours may be satisfied through:
(i) instruction in certified training programs which
meet the department's criteria as set out in §146.4(h) and (i)
of this title (relating to Application Requirements and Procedures
for Sponsoring Organizations). One hour of credit shall be given for
two clock hours actually taught, up to five hours. Continuing education
credit will only be given once for teaching a particular course; or
(ii) continuing education counted toward the renewal
of an instructor's Texas license/registration/certification in another
health profession provided the hours meet all the requirements of
(C) Up to 10 hours may be satisfied through verifiable
independent self-study. These activities include reading materials,
audio materials, audiovisual materials, training not certified by
the department, or a combination thereof which meet the requirements
set out in this section.
(3) A contact hour shall be defined as 50 minutes of
participation. One-half contact hour shall be defined as 30 minutes
of participation during a 30-minute period.
(n) All continuing education activities should provide
for the professional growth of the community health worker instructor.
(o) Types of acceptable continuing education. Continuing
education shall be acceptable if the experience or activity is at
least 30 consecutive minutes in length and is offered by an approved
(p) Reporting of continuing education. Each instructor
is responsible for and shall complete and file with the department
at the time of renewal a continuing education report form approved
by the department listing the title, date, number of hours, and core
competency(ies) covered for each activity for which credit is claimed.
(q) Failure to complete the required continuing education.
(1) A community health worker instructor may request
one 120-day extension per certification period if needed in order
to complete the continuing education requirement.
(2) A community health worker instructor who has not
corrected the deficiency by the expiration date of the 120-day extension
shall be considered as noncompliant with the renewal requirements
and may no longer be certified under the expired certificate.
(3) A community health worker instructor may renew
late under subsection (k) of this section after all the continuing
education requirements have been met.