⚡ What’s New for Health Cloud in Winter ’26?
More questions around care plans, care teams, assessments, and program enrollment across complex patient journeys.
Updated content for payer-specific workflows, UM processes, and authorization life cycles using Health Cloud features.
Greater focus on integrating with EHR/EMR, HL7/FHIR concepts, and aligning Health Cloud data with clinical systems.
Salesforce Health Cloud Accredited Professional Exam Guide
Implement Patient, Member & Care Team Experiences on Health Cloud
The Salesforce Health Cloud Accredited Professional exam validates your ability to design and implement patient and member-centric solutions using Health Cloud. You’ll be tested on the Health Cloud data model, care management capabilities, payer/provider workflows, interoperability patterns, and best practices for security and compliance.
📊 Exam at a Glance
Exam Domains & Weightage (High-Level View)
1. Health Cloud Data Model & Security
~24%This domain focuses on how core Salesforce and Health Cloud data structures support healthcare use cases while remaining secure and compliant.
- Understanding person accounts, patients, members, providers and relationships.
- Households, care teams, and affiliations between people and organizations.
- Clinical and non-clinical data representation in Health Cloud objects.
- Row-level security, PHI access, and data segmentation for different roles.
- Using sharing, consent, and policies to control access to sensitive data.
Tip: Be comfortable reading Health Cloud data model diagrams and mapping them to real-world payer/provider requirements.
2. Care Management & Care Programs
~22%This domain checks your ability to use Health Cloud features to support care management across patients and members.
- Care programs, care plans, goals, tasks, and activities.
- Managing care teams, roles, and collaboration across disciplines.
- Assessments, questionnaires, and risk stratification concepts.
- Tracking adherence, outcomes, and follow-up actions.
- Using Health Cloud console/workspaces for care coordinators.
Expect scenario questions where you must choose which Health Cloud capabilities best support a specific care management model.
3. Payer, Provider & Utilization Management Use Cases
~20%Here the exam evaluates how well you understand key healthcare business processes and how they map to Health Cloud.
- Payer use cases: member services, care management, utilization management.
- Provider use cases: care coordination, referrals, and patient services.
- Authorizations, clinical review workflows, and UM life cycle.
- Enrollment, eligibility, and benefits visibility.
- Handling escalations, appeals, and complex cases.
Tip: Learn the vocabulary of payers vs. providers and which Health Cloud features are most relevant to each side of the ecosystem.
4. Integrations, Interoperability & External Systems
~18%This domain covers how Health Cloud fits into the wider health IT landscape and how data flows between systems.
- Common integration patterns with EHR/EMR and claims systems.
- High-level understanding of HL7/FHIR concepts and why they matter.
- Using integration tools (APIs, MuleSoft, middleware) for clinical and administrative data.
- Design considerations for data latency, data ownership, and golden records.
- Surfacing external clinical data safely in Health Cloud workspaces.
You don’t need to be a full integration architect, but you must recognize appropriate patterns and constraints for healthcare data.
5. Implementation, Analytics & Adoption
~16%Finally, the exam checks whether you can help customers implement Health Cloud successfully and measure outcomes.
- Implementation planning, configuration strategy, and environment setup.
- Using Flows, OmniStudio (where applicable), and other tools to automate workflows.
- Analytics and dashboards for care teams, operations, and leadership.
- Training, onboarding, and ongoing support for clinicians and non-clinical users.
- Change management and adoption approaches tailored to healthcare organizations.
Percentages above are grouped at a high level based on typical Health Cloud AP coverage; Salesforce may adjust the breakdown in future releases.
📝 Sample Health Cloud Accredited Professional Questions
💡 Practice with Healthcare Scenario-Based Questions
These questions are not from the actual exam but mimic the style and reasoning required. Focus on realistic healthcare scenarios and pick the option that best aligns with Health Cloud capabilities and compliance expectations.
Question 1 – Health Cloud Data Model
A payer organization wants to see each member’s household context, including dependents and primary subscriber, on a single, consolidated view. They also want to assign a care team that works with the entire household. Which approach best leverages Health Cloud?
✓ Correct Answer: B) Use Health Cloud household and relationship features to model the family and care team.
Health Cloud provides household and relationship management out of the box, allowing you to represent families, dependents, subscribers, and related care teams in a structured way. This approach uses the standard Health Cloud data model and simplifies reporting and care coordination.
Question 2 – Care Management & Utilization
A care management team wants to track members enrolled in a diabetes management program with goals, tasks, and periodic assessments. They also need to ensure that only clinicians assigned to the case can view detailed assessment results. What should you recommend?
✓ Correct Answer: B) Use Health Cloud care programs, care plans, and assessments with appropriate sharing.
Health Cloud is designed for care programs and care plans, including goals, tasks, assessments, and secure access. Using these features ensures that clinical details are stored in structured objects, with row-level security and sharing protecting sensitive data.
Question 3 – Integrations & Interoperability
A provider organization wants care coordinators to see recent hospital discharge summaries from the EHR directly in Health Cloud, without copying clinical notes into Salesforce. They also want to avoid storing PHI that is not needed for coordination. Which approach is most appropriate?
✓ Correct Answer: B) Use a real-time integration that surfaces context-aware links or summarized EHR data in Health Cloud.
The best practice is to integrate with the EHR so that care coordinators can see relevant clinical information within Health Cloud while minimizing duplication of PHI. Context-aware links or summarized data balances usability, data minimization, and compliance.
🎯 4–6 Week Study Plan for Health Cloud Accredited Professional
Read the official exam guide and Health Cloud documentation. Focus on person accounts, patients/members, households, relationships, and care teams. Build a small Health Cloud demo org or use a sandbox to click through standard objects and page layouts.
Deep dive into care programs, care plans, tasks, assessments, and UM flows. Choose one payer and one provider scenario (for example, chronic disease management and hospital discharge) and map them explicitly to Health Cloud features.
Review interoperability concepts, high-level integration patterns, and Health Cloud reporting/analytics. Work through scenario-based practice questions and write short “solution notes” explaining why you chose each answer.
💡 Exam & Real-World Success Tips
Frame each question as part of a patient or member journey (onboarding, care management, discharge, UM, etc.). The best answers usually support continuity of care and coordination across teams.
PHI, access control, and data minimization matter. If two options are functionally similar, choose the one that best respects security, consent, and governance.
Health Cloud comes with many industry-specific capabilities. Prefer solutions that use standard Health Cloud features over heavy customization, unless the scenario clearly requires something custom.
Salesforce Health Cloud Accredited Professional – FAQ
Who is the Health Cloud Accredited Professional exam for?
This exam is designed for consultants, administrators, and solution specialists who work on Health Cloud implementations for payer, provider, or other healthcare organizations. You should already understand core Salesforce concepts and be comfortable with basic healthcare terminology.
Do I need previous Salesforce certifications?
There are typically no formal prerequisite certifications, but having Salesforce Administrator or relevant Consultant credentials (like Service Cloud Consultant) makes the exam significantly easier. Real-world Health Cloud project experience is a big advantage.
How much healthcare domain knowledge do I need?
You should be comfortable with common healthcare concepts such as patients vs. members, payers vs. providers, care management, and utilization management. You don’t need to be a clinician, but you should understand the workflows and stakeholders involved.
How is this different from a generic Salesforce Consultant exam?
Generic Consultant exams focus on cross-industry CRM patterns. The Health Cloud AP exam is industry-specific, covering Health Cloud data model, care management features, payer/provider scenarios, and healthcare-grade security and compliance expectations.
How long does it take to prepare for Health Cloud AP?
With existing Salesforce experience and access to a Health Cloud org, many candidates take around 4–8 weeks of focused study (a few hours per week). If you are new to both Salesforce and healthcare, you may need more time to build foundational knowledge.