A CHW certification training program shall: Provide a minimum of 100 hours of instruction; Verify successful completion of an additional supervised 40-hour practicum by a student; Employ a curriculum framework that incorporates, at a minimum, the following core competencies: Advocacy and community capacity building skills; Effective oral and written communication skills; Cultural competency; Understanding of ethics and confidentiality issues; Knowledge of local resources and system navigation; Care coordination support skills; Teaching skills to promote healthy behavior change; Outreach methods and strategies; and Understanding of public health concepts and health literacy; and Include an objective knowledge assessment. To complete an accredited CHW certification training program, a student shall successfully meet all requirements of the program. Each accredited CHW certification training program shall submit to the Department, as requested, information on the program. Without the Department’s approval, an accredited CHW certification training program may not substantively modify an accredited curriculum in a way that results in the curriculum no longer satisfying the core competency requirements.