During the Community Health Aide Program Certification Board (CHAPCB) meeting on June 10-11, 2026, the following amendments were made to the CHAPCB Standards and Procedures.

Changes are marked as follows:

• Strikethrough = removed content
• Underline = new content

These updates reflect our continued commitment to improving processes and supporting our partners. The application documents will be updated to reflect these changes.

You may access a copy of the full CHAPCB Standards and Procedures, as amended June 11, 2026 at: www.akchap.org/chapcb/standards-and-procedures.

If you would like to learn more about the process for proposing amendments to CHAPCB Standards and Procedures, please email: chapcb@anthc.org.

Sec. B2.20.100. Behavioral Health Aide I Training, Practicum, and Experience Requirements.

(b) BHA I Practicum. After completion of the training specific course(s) listed in subsection (a) [BHA I specialized training program], the applicant must additionally complete a 100 hour clinical practicum under the direct supervision of a licensed behavioral health clinician or behavioral health professional as outlined in the following subsections The applicant must satisfactorily perform each of the following:

(1) no fewer than 25 hours of providing client orientation to services including screening and initial intake, with appropriate case documentation after completion of Introduction to Documentation, Orientation to Behavioral Health Services, and Introduction to Counseling;

(2) no fewer than 25 hours of providing case management and referral with appropriate case documentation after completion of Introduction to Case Management;

(3) no fewer than 35 hours of providing village-based community education, prevention, and early intervention services with appropriate case documentation after completion of Community Approach to Prevention, and Crisis Intervention; and

(4) the balance of the hours must be related to practicum components listed in subsections (b)(1) through (b)(3) of this section.

Sec. B2.20.200. Behavioral Health Aide II Training, Practicum, and Experience Requirements.

(c) BHA II Practicum. After meeting the requirements of subsections (a) [prerequisites] and specific course(s) in subsection (b) [BHA II specialized training program], the applicant must additionally complete a 100 hour clinical practicum under the direct supervision of a licensed behavioral health clinician or behavioral health professional as outlined in the following subsections The applicant must satisfactorily perform each of the following:

(1) no fewer than 35 hours of providing client substance use assessment and treatment planning using the Diagnostic and Statistical Manual and American Society of Addiction Medicine patient placement criteria with appropriate case documentation after completion of DSM Practice Application and ASAM Criteria Practice Application;

(2) no fewer than 30 hours of providing life skills and resource development with appropriate case documentation after completion of Behavioral Health Documentation and Advanced Interviewing Skills;

(3) no fewer than 25 hours of providing community readiness evaluation and prevention plan development with appropriate case documentation after completion of Community Needs and Action; and

(4) the balance of the hours must be related to practicum components listed in subsections (c )(1) through (c)(3) of this section.

Sec. B2.20.300. Behavioral Health Aide III Training, Practicum, and Experience Requirements.

(c) BHA III Practicum. After meeting the requirements of subsections (a) [prerequisites] and specific course(s) in subsection (b) [BHA III specialized training program], the applicant must additionally complete a 100 hour clinical practicum under the direct supervision of a licensed behavioral health clinician or behavioral health professional as outlined in the following subsections The applicant must satisfactorily perform each of the following:

(1) no fewer than 45 hours of providing behavioral health clinical assessment activities, treatment planning, and rehabilitative services for clients with issues related to co-occurring disorders after completion of Advanced Behavioral Health Clinical Care and Treatment of Co-Occurring Disorders;

(2) no fewer than 20 hours of providing quality assurance case review with documentation of review activity after completion of Documentation and Quality Assurance;

(3) no fewer than 20 hours of providing clinical team leadership by leading clinical team case reviews after completion of Behavioral Health Clinical Team Building; and

(4) the balance of the hours must be related to practicum components listed in subsections (c)(1) through (c)(3) of this section.

Sec. B2.20.400. Behavioral Health Practitioner Training, Practicum, and Experience Requirements.

(c) BHP Practicum. After meeting the requirements of subsections (a) [prerequisites] and specific course(s) in subsection (b) [BHP specialized training program], the applicant must additionally complete a 100 hour clinical practicum under the direct supervision of a licensed behavioral health clinician or behavioral health professional as outlined in the following subsections The applicant must satisfactorily perform each of the following:

(1) no fewer than 20 hours engaging, mentoring, and supporting, as well as participating in supervision and evaluation of a BHA I, BHA II, or BHA III based on the understanding of the supervisee’s level of knowledge and skills, professional goals, and behavior after completion of Competencies for Village-Based Supervision and Principles & Practice of Clinical Supervision;

(2) no fewer than 25 hours of providing clinical team leadership by leading clinical team case reviews after completion of Behavioral Health Clinical Team Building (BHA III course);

(3) no fewer than 30 hours building cultural competence by learning about the Alaska Native cultural context and developing a wellness framework for this cultural context within which positive therapeutic relationships can be developed after completion of Applied Case Studies in Alaska Native Culture Based Issues (BHA III course); and

(4) the balance of the hours may be related to practicum components listed in subsections (c)(1), (c)(2), and (c)(3) of the section or provision of integrated clinical services or child/adolescent services.

Sec. B3.10.100. BHA/P Continuing Education Requirements.  

(b) must provide evidence satisfactory to the Board that they have completed a minimum of 40 contact hours of continuing education approved by the Board on varied or updated topics during the 24 months prior to the current certificate expiration date, or in the case of a lapsed certificate or delayed application, 24 months prior to the application date, provided that:

(6) “Contact hour” means no less than 50 minutes of instructional or clinical time, provided that:

(A) a course, seminar, or workshop offered or approved by an organization from which educational or continuing education requirements may be obtained will be accepted for the number of continuing education credits designated by the organization offering it; and

(B) academic credit will be converted to contact hours, as follows:

i. one semester academic credit equals 15 contact hours; and

ii. one quarter academic credit equals 10 contact hours.

Sec. C1.30.200. CHA Re-Entry.

If an applicant has had an extended clinical absence, defined as a community health aide or practitioner who, in the 6 months prior to submission of the application, has not been employed as a CHA/P in direct patient care for a minimum of 80 hours with a minimum of 30 patient encounters; has not completed a minimum of 120 full HEAP patient encounters during their two-year certification cycle and has not worked clinical hours in direct patient care in every six month period, that applicant shall have a re-entry evaluation, following Board approved guidelines.

Sec. C2.20.110. Community Health Aide I Competencies.

A certified community health aide I must successfully demonstrate and maintain:

(c) satisfactory performance of the following skills:

(5) performance only of the following lab tests and procedures:

(J) heelstick,

(K) non-clean catch urine specimen,

(L) urine culture,

(M) stool for ova and parasites,

(N) sputum for TB testing,

Sec. C2.20.210. Community Health Aide II Competencies.

(c) satisfactory performance of the following skills:

(3) perform the following lab tests and procedures:

(D) non-clean catch urine specimen

(E) urine culture

(F) stool for ova and parasites

(G) sputum for TB testing

Sec. C4.10.050. Volume, Hours and Distribution of Patient Encounters.

(a) Encounters.

(1) Session I. Ten encounters under the following conditions: the trainee will be the primary provider in at least four five patient encounters with particular emphasis on the patient problems delineated in the CHA/P Curriculum, as outlined below, and at least six five additional encounters with the trainee as an active participant.

(2) Session II. Ten encounters under the following conditions: the trainee will be the primary provider in at least four seven patient encounters with particular emphasis on patient problems delineated in the CHA/P Curriculum, as outlined below and at least six three additional encounters with the trainee as active participant.

(3) Session III. Ten encounters under the following conditions: the trainee will be the primary provider in at least six eight patient encounters with particular emphasis on the patient problems delineated in the CHA/P Curriculum, as outlined below, and at least four two additional encounters with the trainee as active participant.

(4) Session IV. Fourteen encounters under the following conditions: the trainee will be the primary provider in at least ten patient encounters with particular emphasis on the patient problems delineated in the CHA/P Curriculum, as outlined below, and at least four additional encounters with the trainee as active participant.

Sec. D1.20.100. DHA General Requirements.

The Board shall issue a dental health aide (DHA) certificate to a person who meets all the qualifications and requirements below:

(e) furnishes evidence satisfactory to the Board that the person has completed the prerequisites, training, and education and preceptorship requirements for the highest level of certification being sought and any skillsets they are seeking certification for, as follows:

(1) D2.20.100 [PDHA I: education and preceptorship]

(2) D2.20.200 [PDHA II: education, preceptorship and skillsets]

(3) D2.20.300 [DHAH: prerequisites, education, preceptorship and skillsets]

(4) D2.20.400 [EFDHA I: prerequisites, education and skillsets]

(5) D2.20.500 [EFDHA II: prerequisites and skillsets]

(6) D2.20.600 [DHAT: education and preceptorship]

(7) D2.20.700 [DHATP: prerequisites and credentialing];

(f) furnishes evidence satisfactory to the Board that at the time of consideration of the application, the person is employed by the Indian Health Service or a tribe or tribal health organization operating a community health aide program in Alaska under the ISDEAA;

(g) furnishes evidence satisfactory to the Board that the person will practice as a DHA, only when employed by the Indian Health Service or a tribe or tribal health organization operating a community health aide program in Alaska under the ISDEAA;

(h) furnishes evidence satisfactory to the Board that the person will practice as a DHA only within the scope of practice of the certification granted including what is stated in D2.10.200 [scope of practice prior to certification as a DHA] except as required to satisfy the conditions for achieving the next level of certification or when practice would be permitted under section A3.10.030(i)(2)(D) [grounds for discipline; unprofessional conduct; duties and responsibilities]; for a DHA the scopes of practice are defined in sections:

(1) D2.20.110(b) [PDHA I: supervision and scope of practice; scope of practice];

(2) D2.20.210(b) [PDHA II: supervision and scope of practice; scope of practice];

(3) D2.20.310(b) [DHAH: supervision and scope of practice; scope of practice;

(4) D2.20.410(b) [EFDHA I: supervision and scope of practice; scope of practice];

(5) D2.20.510(b) [EFDHA II: supervision and scope of practice; scope of practice];

(6) D2.20.610(b) [DHAT: supervision and scope of practice; scope of practice];

(7) D2.20.710(b) [DHATP: supervision and scope of practice; scope of practice]; or

Sec. D1.20.300. DHA Certification by Credentials Request for Requirement Waiver.

Article 40. Multiple Simultaneous Employers and Change of Employer

Sec. D1.40.100 Multiple Simultaneous Employers.

If a DHA chooses to work for multiple THO’s, they must submit an application to the board for certification at each THO for which they work.

(a) Initial Application with a Secondary Employer.  After a DHA holds a current DHA certificate associated with one employer, they can apply for a certification from a different employer if they:

(1) meet the requirements of D1.20.100 [DHA General Requirements]

(2) provide evidence satisfactory to the Board that the applicant continues to demonstrate the practical professional competencies required for the level of certification sought. For all levels of DHA, at the new THO, under direct supervision of an appropriate supervisor as defined in D2.10.100 [supervision of DHAs] complete (i) or (ii) below:

i. 80 hours of direct supervision and demonstration of competence at least once in each procedure listed in the “Competencies” sections for which they are seeking certification; or

ii. demonstrate competence 8 times for each procedure listed in the “Competencies” sections for which they are seeking recertification; and

(3) furnish evidence satisfactory to the board that the applicant has not had an extended clinical absence between the date of issuance of their last certification and the current application, or, if there has been an extended clinical absence, has met the requirements in D1.30.200 [DHA re-entry].

(b) Recertification with Multiple Employers. If a DHA is seeking recertification for multiple THO’s simultaneously, they must submit recertification applications for each THO for which they work, meeting the requirements of Sec. D1.20.100 [DHA Recertification]. The direct supervision requirement in sec D1.30.100(c) [DHA Recertification] can be completed by an appropriate supervisor as defined in D2.10.100 [supervision of DHAs] at any of the THO’s they currently have an active certification with.

(c) Date of Expiration. Expiration dates for all certifications held simultaneously for multiple employers will expire on the same date, two years from the last day of the month following the month in which the board took final action to approve the earliest of the simultaneous certifications.

Sec. D1.40.200 Change of Employer.

If a DHA chooses to change employers, they must submit an application to the board for certification with the new THO showing that they meet all the requirements below:

(a) meet the requirements of D1.20.100 [DHA General Requirements]

(b) provide evidence satisfactory to the Board that the applicant has met the continuing education requirements of chapter D-3 [DHA continuing education];

(c) provide evidence satisfactory to the Board that the applicant continues to demonstrate the practical professional competencies required for the level of certification sought. For all levels of DHA, at the new THO, under direct supervision of an appropriate supervisor as defined in D2.10.100 [supervision of DHAs] complete (1) or (2) below:

(1) 80 hours of direct supervision and demonstration of competence at least once in each procedure listed in the “Competencies” sections for which they are seeking certification; or

(2) demonstrate competence 8 times for each procedure listed in the “Competencies” sections for which they are seeking recertification; and

(d) furnish evidence satisfactory to the board that the applicant has not had an extended clinical absence between the date of issuance of their last certification and the current application, or, if there has been an extended clinical absence, has met the requirements in D1.30.200 [DHA re-entry].

Sec. D2.10.100. Supervision of Dental Health Aides

(a) Generally. The clinical supervision of a DHA may be direct, direct via telehealth, indirect, or general, as defined in section D2.10.100(b) [supervision of DHAs; levels of supervision], provided that all the following conditions are met:

(1) the DHA will practice only under supervision of individuals who are:

(A) familiar with the community health aide program and these Standards;

(B) employed by the federal government or employed by or under contract with a tribal health organization operating a community health aide program in Alaska under the ISDEAA; and

(C) employed or contracted by the same organization in which the DHA plans to work;

Sec. D2.20.610. Dental Health Aide Therapist: Supervision and Scope of Practice

(b)(1)(V) dispensing, counseling and/or administering medications as prescribed by a licensed healthcare provider from the list of approved medications in the CHAM under the dental tab.

Sec. D2.20.700. Dental Health Aide Therapist Practitioner: Prerequisites and Credentialing.

(a) Prerequisites. A person meets the requirements to be a certified DHATP upon successful completion of:

(1) three consecutive certifications as a DHAT in Alaska.

Sec. D2.30.300. Dental Prophylaxis.

(c) Preceptorship. A DHA must, after completion of the requirements in subsection (b) of this section, under the direct supervision of a dentist, DHAT, or DHATP complete a preceptorship. The DHA must satisfactorily perform a minimum of 40 dental prophylaxis of which:

(1) a minimum of 10 must be performed on children under 8 years of age; and

(2) a minimum of 10 must be performed on adults with supra-gingival calculus coronal or clinically visible calculus.

Sec. D3.10.100. DHA Continuing Education Hours.

In the 24 months prior to the current certificate expiration date, or in the case of a lapsed certificate, delayed application or change of employer, 24 months prior to the application date, an applicant for certification must complete 20 hours of continuing education approved by the Board on varied or updated topics that must include both (a) and (b):