MedicaidAdministrativeLow impact
Pennsylvania Medicaid: Certification now required for community health workers
UnitedHealthcare·PA·State news
Effective date
Jan 1, 2026
We identified it
Apr 1, 2026
Summary
Effective January 1, 2026, Pennsylvania Medicaid requires all community health workers (CHWs) working with managed care organizations to be certified through the Pennsylvania Certification Board. CHWs employed outside of UnitedHealthcare have until December 31, 2026 to obtain certification.
Action Required
By December 31, 2026: Healthcare practices employing community health workers in Pennsylvania must ensure all CHWs obtain certification through the Pennsylvania Certification Board. HR/credentialing staff should verify certification status and track quarterly compliance updates required by MCOs.