Health navigator training waivers

Two types of grandfather waivers are available: (1) for those who attended a CDPHE-funded training program since June 2015 or (2) for those who have approximately 4,000 clock hours of experience in past five years from application submission. Both waivers expire November 30, 2019, and neither waiver requires a fee. The waivers allow individuals to take the Colorado Health Navigator Assessment without having to complete a CDPHE-recognized training program. Individuals who qualify for the waivers must successfully complete the Colorado Health Navigator Competency Assessment to be on the registry.
Individuals who did not attend either of the programs listed below between June 29, 2015 and June 29, 2018, or do not have two years of experience as a health navigator in the past five years (between June 29, 2013 and June 29, 2018), must attend a CDPHE-recognized health navigator training program and successfully complete the Colorado Health Navigator Competency Assessment in order to be placed on the Colorado Health Navigator Registry.
The two types of grandfather waivers are:
  1. For those who completed a CDPHE-funded and monitored health navigator training program between June 29, 2015 and June 29, 2018.
The two eligible programs are:
An application for this waiver is not required. Successful completion of the training program will be verified by Otero Jr. College and/or PNTC, and CDPHE. Please see a flowchart for this process here. Please complete the Attestation of Health Navigator Training and Competency Assessment Form and send to the appropriate training program for their signature and so they can send the form directly to CAPE.
  • Please note that CDPHE staff will CC' the navigator sending their attestation form to CAPE.
  1. For those who have documented approximately 4,000 clock hours of experience as a paid and/or volunteer lay navigator in a healthcare setting between June 29, 2013 and June 29, 2018.
This waiver requires verification of proficiency in the health navigator entry-level core competencies by a supervisor in Colorado or the health care agency’s human resource department. Please see a flowchart for this process here.
The information below describes the requirements and application process for the waiver based on experience:

Relevant definitions

Health navigator*
Also referred to as a lay or unlicensed navigator, patient navigator (PN) or resource navigator. A health navigator assists individuals in reducing and eliminating barriers to health care access and in negotiating complex health delivery systems. In Colorado, training programs are available to prepare health navigators for this role, ranging from health care facility-based, nonprofit community-based organizations, community college programs, online or distant modalities and university offerings. Health navigators are employed by health care delivery systems including primary care, specialty care, managed care as well as local public health agencies.
Health care delivery system
Systems eligible for reimbursement for health care services through public and private health insurance programs such as private health insurance companies, Medicaid, Medicare, managed care organizations, etc. Typically they are HIPAA-covered entities or may be HIPAA hybrid agencies where only some programs in the system are HIPAA-covered (e.g., some local public health agencies may be HIPAA hybrids). Examples of agencies that are part of the health care system include:
  • Individual health clinic (includes provider-owned clinic).
  • Federally Qualified Health Center (FQHC).
  • Community health center.
  • Hospital and hospital networks.
  • Integrated health systems - health systems focus on the continuum of care, from wellness and preventive services to urgent care, inpatient care, outpatient care, hospice, health plan offerings and more.
  • School-based clinic.
  • Safety net clinic or hospital.
  • Rural health center.
  • Local public health agency.
  • Accountable Care Collaborative (ACC) and Accountable Care Organizations (ACO) – in Colorado, Regional Accountable Entities (RAEs).
*Because the credentialing program is not required by law, the program does not prohibit non-credentialed health navigator training programs from operating or prohibit non-credentialed individuals from using the title health navigator. Individuals who hold a Colorado license in the health professions are not eligible for this program.
**The health care agency may not have used this title, however, the application must include verification of proficiency in the role and core competencies by the lay navigator’s supervisor or the agency’s human resources department.