The purpose of this document is to define the profession of community health worker (CHW) by its scope of practice. This document describes activities that are within the expertise of the profession. This Scope of Practice statement is intended for use by CHWs, their respective employers and payers, and the general public. It serves as a reference for issues of service delivery, third-party reimbursement, legislation, consumer education, regulatory action, state and professional certification. The document is not intended to be an exhaustive list of contributions that CHWs make. Rather, it is a broad statement of professional practice. Periodic updating of any scope of practice statement is necessary as evidence based practices are refined.