Maryland Administrative Code

.06 Collaboration Agreements—Core Duties. A. Before a physician assistant may perform medical acts, the physician assistant shall: (1) Execute a collaboration agreement between the physician assistant and one or more patient care team physicians; (2) Notify the Board in a manner …

.07 Collaboration Agreements—Advanced Duties. A. A physician assistant that has sufficient education, training, and experience in the performance of an advanced duty, may perform that advanced duty under a collaboration agreement without Board approval if: (1) The physician assis…

.08 Approval, Disapproval, Ineligible, or Modification of Advanced Duties. A. Approvals of Advanced Duties. (1) Documentation demonstrating a physician assistant’s authority to perform an advanced duty under this section shall be maintained at the facility where the physician ass…

.09 Prescriptive Authority and Dispensing Starter Dosage or Drug Samples. A. In order for a patient care team physician to delegate prescriptive authority, the [primary supervising] patient care team physician shall ensure that the collaboration agreement includes: (1) A statemen…

.10 Renewal, Reinstatement, Change in Name or Address, and Continuing Education. A. Renewal. (1) The Board may not renew a license until the Comptroller of Maryland has verified that the individual has paid all undisputed taxes and unemployment insurance contributions, or arrange…

.11 Identification as Physician Assistant. A. A physician assistant shall: (1) Wear an identification tag or badge which identifies that individual as a physician assistant; (2) Identify himself or herself to all patients as a physician assistant; and (3) Maintain a copy of the p…

.12 Responsibility of the Physician Assistant. A. A physician assistant shall: (1) Notify the Board in a manner approved by the Board of an executed collaboration agreement developed by the listed patient care team physician or physicians and the physician assistant; (2) Collabor…

.13 Prohibited Conduct. A. The Board may deny a license, reprimand a physician assistant, place a physician assistant on probation, or suspend or revoke a license if the physician assistant: (1) Fraudulently or deceptively obtains or attempts to obtain a license for the applicant…

.14 Reports by Employers and Patient Care Team Physician. A. Except as provided in §B of this regulation, a hospital, related institution, alternative health care system, and employer physician shall file with the Board a report that the hospital, related institution, alternative…

.15 Examination and Audit of Physician Assistant Practice. A. Examination. (1) The Board may direct a physician assistant who is an applicant or licensee to submit to an appropriate examination to determine the physician assistant’s physical, mental, or professional ability to pe…

.16 Practice During a Disaster. A. A physician assistant who is licensed in this State or in any other state or who is an employee of the federal government is authorized to perform acts, tasks, or functions as a physician assistant during a disaster within a county in which a st…

.17 Fees. The following fees are applicable to physician assistants: A. Application fees: (1) Initial application — $310 (2) Endorsement application — $100 (3) Reciprocity application — $100; and (4) Reinstatement application — $400; B. Physician Assistant license fee per month u…

.18 Sanctioning and Imposition of Fines. A. General Application of Sanctioning Guidelines. (1) Sections A and B of this regulation and Regulation .18A and B of this chapter do not apply to offenses for which a mandatory sanction is set by statute or regulation. (2) Except as prov…

.01 Scope. This chapter concerns the registration of psychiatrist's assistants before October 1, 1993, and re-registration and discipline of psychiatrist's assistants currently registered by the Board of Physicians.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Applicant” means the registered psychiatrist's assistant and supervisory psychiatrist who applied to the Board on or before October 1, 1993, for approval of duties and sup…

.03 Permitted Assignment of Duties. A psychiatrist may assign duties which constitute the practice of medicine to a psychiatrist's assistant in accordance with these regulations.

.04 Standards for Psychiatrist Supervision of Psychiatrist's Assistants. A. The psychiatrist shall personally examine, diagnose, and establish a treatment plan for each patient before assigning a patient to a psychiatrist's assistant. B. Adequate supervision of a psychiatrist's a…

.05 Registration and Re-registration. A. After October 1, 1993, the Board may not accept or approve any application for registration. B. An individual who has been registered by the Board as a psychiatrist's assistant pursuant to this chapter shall renew the registration every 2 …

.06 Approval of Duties and Supervision. A. When a physician or facility and a psychiatrist's assistant have agreed to the psychiatrist's assistant's employment, the two parties shall provide the Board with a written application for approval of duties and supervision before the ps…

.07 Termination of Employment. Notice shall be given to the Board by the psychiatrist or the facility and the psychiatrist's assistant within 10 days of termination of employment.

.08 Responsibility of the Psychiatrist. A. A record of patient reviews with the psychiatrist's assistant shall be kept on file and shall include a summary of the psychiatrist's observations and recommendations. B. A psychiatrist may not assign the ultimate responsibility for diag…

.09 Psychiatrist's Responsibility to Patient not to be Limited by Assignment. When the Board approves a psychiatrist's assistant's duties and supervisory relationship with a psychiatrist, that approval does not relieve the psychiatrist from the primary responsibility for the care…

.10 Fees. The Board shall establish fees for application, registration, re-registration, late registration, and reinstatement of psychiatrist's assistants.

.11 Identification of the Psychiatrist's Assistant. A. The psychiatrist's assistant shall wear a tag or badge with lettering clearly visible to the patient, bearing his name and the title “Registered Psychiatrist's Assistant”. The use of any other degree designation either on the…

.12 Hearings Following Denial of Application or Re-Registration. A. If the Board disapproves an application for approval of duties and supervision, it shall give notice to the applicant and set forth the specific reasons for the denial. The applicant shall have the right to appea…

.13 Prohibited Conduct, Hearings, and Appeals. A. For the commission of a prohibited act, subject to the hearing provisions of Health Occupations Article, §14-405, Annotated Code of Maryland, on the affirmative vote of a majority of its full, authorized membership, the Board may:…

.01 Scope. This chapter governs the practice of medicine using telehealth as an adjunct to, or replacement for, in-person patient visits.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Asynchronous” means not occurring in real time. (2) “In-person” means within the physical presence of the patient. (3) “Interpretive services” means reading and analyzing …

.03 Licensure. A. Except as specified in Health Occupations Article, §14-302, Annotated Code of Maryland, a telehealth practitioner shall be licensed when providing telehealth services to a patient located in the State. B. Telehealth practitioners licensed in the State are subjec…

.04 Specific Telehealth Requirements. A. Before performing telehealth services, a telehealth practitioner shall develop and follow a procedure to: (1) Verify the identification of the patient receiving telehealth services within a reasonable degree of certainty through use of: (a…

.05 Patient Evaluation. A. A telehealth practitioner shall perform a synchronous or asynchronous clinical patient evaluation that is appropriate for the patient and the condition with which the patient presents before providing treatment or issuing a prescription through teleheal…

.06 Standard Related to Telehealth. A. A telehealth practitioner shall be held to the same standards of practice and documentation as those applicable in in-person health care settings. B. A telehealth practitioner may not treat a patient or prescribe medication based solely on a…

.07 Telehealth Practitioner Discipline. A. The Board shall use the same standards in evaluating and investigating a complaint about and in disciplining a licensee who practices telehealth as it would use for a licensee who does not use telehealth technology in the licensee’s prac…

.01 Scope. A. This chapter governs the practice of polysomnographic technology. B. Except as provided in §C or D of this regulation, on or before October 1, 2013, an individual shall be licensed by the Board before the individual may practice polysomnography. C. This chapter does…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the State Board of Physicians. (2) “Board eligible” means a physician’s status that starts upon completion of all the requirements to take a sleep medicine ce…

.03 Committee. A. The Board shall appoint members of the Polysomnographic Professional Standards Committee as follows: (1) Three polysomnographic technologists who: (a) Before October 1, 2009, are registered polysomnographic technologists; and (b) On or after October 1, 2009, are…

.04 Application for Initial Licensure as a Polysomnographic Technologist. A. An applicant shall: (1) Complete an application on a form supplied by the Board; (2) Pay the required application fee set by the Board in Regulation .09 of this chapter; (3) Be 18 years old or older; (4)…

.05 Scope of Practice. A. A licensed polysomnographic technologist may practice only under the supervision of a licensed physician. B. A licensed polysomnographic technologist may practice only in a hospital sleep laboratory or a stand-alone sleep center. C. The scope of practice…

.06 Identification as Polysomnographic Technologist; Notice of Name or Address Change. A. A licensed polysomnographic technologist shall wear an identification tag or a badge displaying in readily visible type that the individual is a licensed polysomnographic technologist. B. An…

.07 Renewal and Reinstatement. A. Renewal. (1) The Board may not renew a license until the Comptroller of Maryland has verified that the individual has paid all undisputed taxes and unemployment insurance contributions, or arranged for repayment. (2) An individual who has been li…

.08 Continuing Education. A. Application. (1) A licensed polysomnographic technologist is not required to obtain continuing education hours for the first renewal after initial licensure or reinstatement. (2) Except as stated in §A(1) of this regulation, the Board may not renew or…

.09 Fees. A. The following fees are applicable to polysomnographic technologists: (1) Initial licensure application fee — $200; (2) License renewal fees: (a) License renewal fee — $150; and (b) Maryland Health Care Commission (MHCC) fee — As determined by MHCC in accordance with …

.10 Prohibited Conduct. A. Subject to the hearing provisions of Health Occupations Article, §14-405, Annotated Code of Maryland, and in accordance with COMAR 10.32.02, a disciplinary panel may deny a license to any applicant, reprimand any licensee, place any licensee on probatio…

.11 Required Reports. A reporting entity, as defined in COMAR 10.32.22.02, shall file all required reports in accordance with Health Occupations Article, §14-5C-18, Annotated Code of Maryland, and COMAR 10.32.22.

.12 Penalties, Fines, and Sanctions. A. An individual who violates any provision of Heath Occupations Article, Title 14, Subtitle 5C, Annotated Code of Maryland, is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1…

.13 Sanctioning Guidelines for Polysomnographic Technologists. A. A. Subject to provisions of Regulation .12F and G of this chapter, a disciplinary panel may impose sanctions as outlined in §B of this regulation on polysomnographic technologists for violations of Health Occupatio…

.01 Scope. A. This chapter governs the practice of athletic training including “dry needling” within the practice of athletic training. B. This chapter does not prohibit an athletic training student who is enrolled in an accredited athletic training educational program from perfo…