1. (a) Purpose. The purpose of this section is to establish the minimum standards for approval of curricula and programs to train persons to perform promotor(a) or community health worker services and to qualify for the certificate of competence.

2. (b) All curricula to be used and programs developed to train individuals to perform promotor(a) or community health worker services or to act as instructors must:

   1. (1) assure that the eight core skill and knowledge competencies, identified in the National Community Health Advisor Study, June 1998 for promotores(as) or community health workers, including communication, interpersonal, service coordination, capacity-building, advocacy, teaching and organizational skills and knowledge base are addressed. Individuals applying for certification as an instructor may seek certification in one or more of the eight core competencies outlined in this subsection;
   2. (2) include at a minimum 20 clock hours of knowledge and skill-building per core competency for promotores(as) or community health workers and include at a minimum 20 clock hours for instructor training in each of the core competencies that affect promotores(as) or community health workers;
   3. (3) evaluate and document the acquisition of knowledge and mastery of skills by the individual and the success of the training program according to the performance measures framework established within the National Community Health Advisor Study, June 1998;
   4. (4) be approved by the department and be offered within the geographic limits of the State of Texas;
   5. (5) be submitted to the department at least ten weeks prior to the starting date of the program to be offered by a sponsoring institution;
   6. (6) be submitted to the department along with supporting materials in a three-ring binder with all pages clearly legible and consecutively numbered with a table of contents (follow Required Table of Contents on page ii of application form) and divided with tabs identified to correspond to the core competencies, including evaluation materials and other programmatic information and assurances required within this section;
   7. (7) provide a list of certified instructors, facilities and locations for the training program;
   8. (8) provide a yearly calendar of scheduled training events by dates, times and locations;
   9. (9) identify the method for recruiting persons to the program;
   10. (10) report the names of individuals to the department who have successfully completed the training program within 30 days of program completion;
   11. (11) maintain an accurate record of each person's attendance and participation for not less than five years;
   12. (12) be live and interactive and directed by an approved instructor or delivered by an approved instructor through interactive technology in real time; and
   13. (13) focus on the eight core roles of the promotor(a) or community health worker as noted in the definition of promotor(a) or community health worker.

Source Note:The provisions of this §146.8 adopted to be effective July 20, 2000, 25 TexReg 6708; amended to be effective December 1, 2003, 28 TexReg 10226; amended to be effective January 17, 2006, 31 TexReg 289.