What You Need
To reactivate an expired Community Health Worker Certificate, you will need to complete and submit a reactivation application online.
Complete reactivation applications must include the following documents:
- Completed application
- Application fee amount of $35.00 and a late fee amount of $57.00
- 2x2 passport style color photo
- White or off-white background
- Documentation of compliance with the Board’s Continuing Education requirement. A minimum of 15 CEUs for the most recently completed CEU cycle are required.
CEU renewal cycles begin July 31, odd year and end July 30, next odd year.
NOTE: Certificate holders are exempt from completing CEUs during their first renewal cycle if they completed a Board-approved Education & Training program within 12 months of certificate issuance.
- A National Practitioner Data Bank-Healthcare Integrity and Protection Data Bank Self-Query. To request a Self-Query, please contact the National Practitioner Data Bank. The Self-Query must be submitted to the Board without any modifications.
- Signed and notarized Criminal Offender Record Information (CORI) Acknowledgement Form (PDF) | (DOCX)
- Retain a copy of the completed reactivation application and related documents for your records.
Fees
We accept checks or credit cards as payment. Make checks payable to The Commonwealth of Massachusetts. All fees are non-refundable and non-transferable. Please don't send cash.
Please note, ALL applications for reactivation require a late renewal fee.”
|
Name |
Fee |
Unit |
|
Renewal for Fully Certified Community Health Workers |
$35 |
Each |
|
Late Renewal Fee |
$57 |
Per late license renewal (in addition to renewal fee) |
How to Apply
Online
Go to the Health Professions Licensing Portal and create an account, or log into your existing account. If this is your first time using this new portal, please visit Health Professions Licensing System User Guide.