Maryland Administrative Code

.05 Mitigating and Aggravating Factors to be Considered in the Assessment of the Sanction and Penalty. A. Depending on the facts and circumstances of each case, and to the extent that the facts and circumstances apply, the Board may consider, but not be limited to, the mitigating…

.06 Civil Fines. A. Practicing on an Expired License. The Board may assess a civil fine against a physical therapist or physical therapist assistant who practices physical therapy or limited physical therapy on an expired license in the amount of $100 per day of practice past the…

.07 Payment of a Penalty. A. Unless the Board specifies otherwise, a licensee shall pay to the Board a penalty imposed under this chapter as of the date the Board's order is issued. B. Filing an appeal under State Government Article, §10-222, Annotated Code of Maryland, or Health…

.01 Scope. This chapter does not apply to the disclosure of information in the Board's files to a health occupations regulatory board of this State or another state that licenses or disciplines persons practicing a health occupation.

.02 Disclosure for Compelling Public Purpose. A custodian of the Board may find that a compelling public purpose warrants disclosure of information in a certification, licensing, or investigative file, regardless of whether there has been a request for the information, and may di…

.03 Other Disclosures. This chapter does not prohibit or limit the ability of the Board to disclose general licensing information under General Provisions Article, §4-333, Annotated Code of Maryland, or any information that the Board may otherwise disclose by law.

.01 Scope. This chapter establishes standards for the provision of dry needling as an intervention performed by physical therapists.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the State Board of Physical Therapy Examiners. (2) “Dry needling” means a physical therapy intervention, also known as intramuscular manual therapy, that: (a)…

.03 Minimum Education and Training Necessary to Perform Dry Needling. A. In order to perform dry needling, a physical therapist shall have at least 80 total hours of instruction, which includes: (1) A total of at least 40 hours of instruction in the following dry needling-specifi…

.04 Standards of Practice in Performing Dry Needling. A. A physical therapist shall: (1) Fully explain dry needling to the patient in advance of treatment; and (2) Obtain written informed consent specific to dry needling that shall be included in the patient’s medical record. B. …

.01 Scope. A. This chapter governs the practice of physical therapy or limited physical therapy using telehealth as an adjunct to, or replacement for, in-person patient visits. B. Nothing in these regulations restricts or limits reimbursement requirements pursuant to Health-Gener…

.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) “Board” means the Maryland Board of Physical Therapy Examiners. (3) “In-person” means within the physical presence of t…

.03 Licensure. Subject to the provisions of Health Occupations Article, §13-301, Annotated Code of Maryland, a telehealth practitioner shall be licensed in Maryland or hold a compact privilege in Maryland when providing telehealth services to a patient located in the State.

.04 Standards of Practice for Telehealth. A. Before providing telehealth services, a telehealth practitioner shall develop and follow a procedure to: (1) Verify the identification of the patient receiving telehealth services through use of: (a) A government-issued photograph iden…

.05 Patient Evaluation. A. A physical therapist who practices telehealth shall: (1) Perform a synchronous or asynchronous clinical patient evaluation that is appropriate for the patient and the condition with which the patient presents before providing a treatment plan through te…

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

.01 Exceptions. This chapter does not apply to an individual who: A. Other than a certified nursing assistant, practices a health occupation, that the individual is authorized to practice under the Health Occupations Article, Annotated Code of Maryland; B. Provides for the gratui…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Acute care nursing assistant training program” means a course of training that meets the acute care nursing assistant training program curriculum approved by the Board. (2…

.03 Fees. A. Fees are as follows: (1) Initial certification fee — $20; (2) Endorsement fee — $20; (3) Renewal fee — $40; (4) Verification of certification to another jurisdiction — $25; (5) Returned check fee — $25; (6) Duplicate certificate fee — $10. B. Fees are not refundable.…

.04 General Provisions for Applications. A. An applicant shall submit: (1) A completed application to the Board on the form that the Board requires; (2) To a CHRC in accordance with Health Occupations Article, §8-303, Annotated Code of Maryland; (3) Written evidence satisfactory …

.05 Qualifications for Certification. A. Initial Certification. An applicant for initial nursing assistant certification shall have successfully: (1) Completed: (a) An approved nursing assistant training program; (b) An approved acute care nursing assistant training program; (c) …

.06 Application for Certification. A. Initial Certification. (1) An applicant for initial certification shall: (a) Comply with all of the requirements under Regulation .04A of this chapter; (b) Pay the required fee to the Board; and (c) Submit to the Board one of the items in §A(…

.07 Nursing Assistant Competency Evaluation. A. An individual is eligible to sit for a nursing assistant competency evaluation if the individual: (1) Meets the education requirements set forth in Regulation .05A(1) of this chapter; or (2) Must retake a nursing assistant competenc…

.08 Temporary Practice Certificate. A. The Board may issue a temporary practice certificate to an applicant who: (1) Has met the appropriate certification requirements to the satisfaction of the Board; (2) Does not have a criminal record; and (3) Has not been the subject of a hea…

.09 Issuance of Certification. A. The Board may not issue a certificate to an applicant until the Board has: (1) Received and reviewed the criminal history record information of the applicant; and (2) Approved the application. B. Unless subject to discipline, the Board shall issu…

.10 Expiration and Renewal. A. Expiration. (1) Unless renewed for an additional two-year term, and except as otherwise provided in §A(2) of this regulation, a certificate expires in accordance with the following schedule: (a) The certificate of a certificate holder with an odd-nu…

.11 Administrative Reinstatement. A. The Board shall reinstate the certificate of a certificate holder who has failed to renew the certificate for any reason, if the certificate holder meets the renewal requirements in Health Occupations Article, §8-6A-08, Annotated Code of Maryl…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Acute care nursing assistant training program” means a course of training that meets the acute care nursing assistant training program curriculum approved by the Board. (2…

.02 Initial Approval and Ongoing Responsibilities. A. Approval Requirements. (1) All training programs shall be approved by: (a) The Board; and (b) The Maryland Higher Education Commission (MHEC) in accordance with Health Occupations Article, §8-6A-14(a), Annotated Code of Maryla…

.03 Administration. A. Equal Opportunity Statement. The training program provider shall have a statement of equal opportunity. B. A training program offered by a nursing facility or skilled nursing facility shall not charge a fee for any portion of the program, including textbook…

.04 Faculty. A. Faculty Requirements. (1) Each course instructor and program coordinator shall have: (a) An active, unencumbered license to practice as a Registered Nurse or a multistate licensure privilege to practice as a Registered Nurse in the State; (b) A minimum of 2 years …

.05 Facilities and Resources. A. General Facility Requirements. All classroom, laboratory, and clinical facilities used by a training program: (1) Shall be approved by the Board; (2) Shall be approved or accredited by the appropriate agency; (3) May not be on conditional or provi…

.06 Curriculum. A. Program Hours. (1) A training program shall provide a minimum of 100 hours of instruction. (2) Of the 100 hours, a minimum of: (a) 60 hours shall be devoted to didactic instruction and classroom laboratory training, with at least 16 hours of in-person laborator…

.07 Evaluation. A. Each training program shall have an objective final written examination that measures achievement of the performance indicators. B. To successfully complete the training program, each student shall: (1) Complete the required minimum hours provided in Regulation…

.08 Renewal of Approval. A. Expiration. Unless renewed, Board approval of a training program expires 2 years from the last date of approval. B. Renewal application. At least 120 days before the date of expiration of approval, a training program shall submit: (1) A complete applic…

.09 Withdrawal of Approval. A. Notice of Deficiencies. (1) If the Board determines that there is a basis for withdrawal of approval under §C of this regulation, the Board shall issue a written notice of deficiencies to the training program. (2) The notice of deficiencies shall no…

.10 Voluntary Closure. A. When a training program provider considers closing a program, the training program provider shall: (1) Notify the Board in writing of: (a) The intended closing date; and (b) The arrangements for custody and safeguarding of student and graduate records; a…

.11 Hybrid Nursing Assistant Training Programs. A. Scope. This regulation applies to hybrid nursing assistant training programs. B. Approval. The Board shall approve a hybrid training program that meets all of the requirements of this regulation. C. Prerequisite Qualifications. A…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the Maryland Board of Nursing. (2) “Certificate” means a certificate issued by the Board to practice as a nursing assistant in this State. (3) “Certified medi…

.02 Certification and Qualification. A. An applicant for certification as a CMA shall provide evidence satisfactory to the Board of meeting the following requirements: (1) Current certification by the Board as an active CNA-1 in good standing; (2) Current employment and work expe…

.03 Medicine Aide Course Requirements. A. Medicine Aide Course Curriculum. The Board shall approve a CMA program that: (1) Requires a candidate for admission to the program have current employment and work experience as set forth in Regulation .02A(2) of this chapter; (2) Require…

.04 Scope of Responsibility. A. The CMA may be delegated medication administration by the RN or LPN under the following conditions: (1) The licensed nursing supervision requirements in Regulation .05 of this chapter have been met; (2) The CMA is assigned to administer medication;…

.05 Supervision. The CMA may administer medications when: A. In a setting licensed under COMAR 10.07.02, the licensed nurse is physically present and immediately available on the unit of care in which the client resides to provide direct supervision of any client who receives med…

.06 Unlawful Delegation. The RN or LPN may not delegate the following duties to the CMA: A. Transcription of original physician orders to medication and treatment administration records, charts, or Kardexes; B. Charge level responsibilities, including receiving instructions for o…

.01 Exclusions. This chapter does not apply to an individual who is: A. Practicing a health occupation, other than as medication technician, that the individual is authorized to perform under Health Occupations Article, Annotated Code of Maryland; B. A student enrolled in an appr…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the Maryland Board of Nursing. (2) “Certificate” means a certificate issued by the Board to practice as a certified medication technician in this State. (3) C…

.03 Fees. A. Fees are as follows: (1) Initial certification fee . . . $20; (2) Renewal fee . . . $30; (3) Returned check fee . . . $25; and (4) Duplicate certification fee . . . $10. B. Fees are not refundable.