To maintain the CARH credential, certificants must recertify every 5 years through one of two options: by earning professional development points or by re-examination.
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Option 1: Recertify by Professional Development Points
Earn 75 points across the 5-year certification cycle. Points may be earned through:
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Accredited and non-accredited CE
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Conferences, teaching, or presenting
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Higher education coursework
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Participation in validated quality improvement or research projects
Note: Only renal healthcare-related activities that align with CARH exam content are accepted.
Download Activity Categories and Point Values (Appendix C)
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Option 2: Recertify by Exam
Certificants may take the current CARH certification exam within 12 months before expiration. You may take the exam up to 2 times within this period.
⚠️ If you do not pass within the allowed attempts, you must reapply under initial eligibility requirements.
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