October 2025 – CHAPCB Standards & Procedures

October 6th, 2025 by Jennifer Holganza

During the Community Health Aide Program Certification Board (CHAPCB) meeting on October 1-2, 2025, the following amendments were made to the CHAPCB Standards and Procedures.

Changes are marked as follows:

  • Strikethrough = removed content
  • Underline = new content

Sec. A1.20.010. Definitions.

14. “BLS” means Basic Life Support for Healthcare Providers/Professionals certification, which must include certification in cardiopulmonary resuscitation (“CPR”) techniques based upon training equivalent to that required for completion of a CPR course certified by the American Heart Association or American Red Cross.


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

(c) BHA II Practicum
(2) no fewer than 30 hours of providing rehabilitative services (e.g., comprehensive community support services or therapeutic behavioral health service) life skills and resource development with appropriate case documentation;


Sec. B2.30.300. Behavioral Health Aide III Training, Practicum, and Experience Requirements.

(c) BHA III Practicum.
(1) no fewer than 45 hours of providing behavioral health clinical assessment activities, treatment planning, and rehabilitative services life skills and resource development for clients with issues related to co-occurring disorders;


Sec. B2.30.010. Behavioral Health Aide and Practitioner Knowledge, Skills, and Scope of Practice.

(b) Scope of Practice. Except as provided in section 2.40.010(b)(4) [supervision of BHA/Ps; levels of supervision; (individualized protocols)], a certified behavioral health aide or practitioner must limit their scope of practice to performing only those activities described in subsection (b) [knowledge and skills] of the sections listed in subsection (a) [minimum knowledge and skills] of this section at the applicable level of performance described in subsection (a) level of performance] of each of these sections. refers to the limits of a health professional’s knowledge, skills and experience and reflects all tasks and activities they undertake within the context of their professional role.


(1) A BHA is able to perform the service activities at and below their level of certification. (e.g. a BHA II can perform everything in the BHA I and BHA II categories.)
(2) The Scope of Practice refers to what a BHA is trained to do, but the Tribal Health Organization (THO) determines what area of the client Continuum of Care the BHA can focus on. (e.g. a BHA I is trained to perform screening, intake, and referral but may be asked to focus solely on wellness promotion activities.)
(3) The following list is not meant to be exhaustive but rather to be representative of the types of services that can be provided at each level of certification.


(A) BHA I

i. Outreach such as Wellness Promotion, Advocacy, and Community Needs Assessment
ii. Prevention such as Education, and Life Skill & Resource Development/Coaching
iii. Early Interventions such as Screening, Intake, and Referral
iv. Interventions such as Case Management, Crisis Management, Medication Management, Individual, and Group

(B) BHA II

i. Substance Use Disorder activities such as Assessment, Diagnosis, Treatment Planning, and Treatment Implementation
ii. Community Readiness Assessment
iii. Counseling such as Individual, Family and Group

(C) BHA III

i. Co-Occurring Disorders activities such as Treatment Planning, and Treatment Implementation
ii. Child/Youth Services
iii. Case Review such as clinical, and quality assurance

(D) BHP

i. BHA Mentoring
ii. Child-Centered Interventions

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 October 2, 2025 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.