Maryland Administrative Code

.03 Application. A. This chapter shall be used by the Board as a guide for sanctioning licensees in formal and informal actions and proceedings. B. Except as provided in Regulation .05 of this chapter, the Board shall impose a sanction not less severe than the minimum listed in R…

.04 Worksheet. A. The Board shall complete a sanctions worksheet after considering each disciplinary matter. B. The sanctions worksheet shall, at a minimum: (1) Briefly summarize the conduct that constituted the violation or violations meriting action; (2) Identify the severity o…

.05 Aggravating and Mitigating Factors. A. Sanctions in a particular case may fall outside the range of the sanctioning guidelines established by the Board. B. If the sanctions imposed by the Board fall outside the range of the sanctioning guidelines the Board shall state its rea…

.06 Disciplinary Guidelines. The following guidelines shall be used by the Board as a guide for sanctioning licensees in formal and informal actions and proceedings: A. Abuse — Physical and Emotional. Severity Tier/Conduct Sanction Range Duration Minimum Maximum Least to Greatest…

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

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

.03 Standards of Practice. A. A chiropractor registered to perform dry needling shall: (1) Fully explain dry needling to the patient in advance of treatment; (2) Obtain informed written consent specific to dry needling, which shall be included in the patient’s medical record; (3)…

.04 Minimum Education and Training Required. A. A chiropractor with physical therapy privileges shall be in good standing before registering to perform dry needling. B. The Board shall accept a dry needling course completed before May 18, 2020, if: (1) The same course, in substan…

.05 Registration Required. A. The Board shall register a chiropractor with physical therapy privileges as qualified to perform dry needling in the State, provided the chiropractor submits to the Board: (1) Evidence of completion of the education and training requirements outlined…

.01 Scope. A. This chapter governs the practice of chiropractic using telehealth as an adjunct to, or replacement for, in-person patient visits. B. Nothing in the chapter restricts or limits reimbursement requirements pursuant to the Health-General Article and Insurance Article, …

.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 Chiropractic Examiners. (3) “In-person” means within the physical presence of the p…

.03 Licensure. Subject to the provisions of Health Occupations Article, Title 3, Annotated Code of Maryland, a telehealth practitioner shall be licensed in Maryland when providing telehealth services to a patient located in the State.

.04 Standards of Practice for Telehealth. 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 through use of: (a) A government-issued photograph ide…

.05 Patient Evaluation. A. A telehealth practitioner 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 telehealth; and (2) If…

.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 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the State Board of Dental Examiners. (2) “Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Saf…

.02 Classifications No Longer Recognized by the Board. A. Dental Assistant Recognized as Qualified in Orthodontics. (1) The Board no longer recognizes the classification “dental assistant recognized as qualified in orthodontics.” (2) A dental assistant previously recognized by th…

.03 Level One Dental Assistants. A. A Level one dental assistant shall be at least 18 years old. B. Except as otherwise provided, a dentist may use the services of a level one dental assistant to perform the following intraoral procedures under the direct supervision of a license…

.04 Dental Assisting National Board. The Board shall in consultation with DANB determine: A. The subjects, scope, form, and passing score for EFDA examinations; and B. The grading method.

.05 Qualifications for General Duties Expanded Function Dental Assistants. A. To qualify for a Board certification to be a general duties EFDA, an applicant shall: (1) Be of good moral character; (2) Be at least 18 years old; (3) Be a high school graduate or have attained a high …

.06 Application for Board Certification—General Duties Expanded Function Dental Assistants. A. To apply for a Board certification as a general duties EFDA, an applicant shall: (1) Submit to the Board an application on the form provided by the Board; (2) Submit a recent photograph…

.07 Qualifications for Orthodontic Expanded Function Dental Assistants. A. To qualify for a Board certification to be an orthodontic EFDA, an applicant shall: (1) Be of good moral character; (2) Be at least 18 years old; (3) Be a high school graduate or have attained a high schoo…

.08 Application for Board Certification for Orthodontic Expanded Function Dental Assistants. A. To apply for a Board certification as an orthodontic EFDA, an applicant shall: (1) Submit to the Board an application on the form provided by the Board; (2) Submit a recent photograph …

.09 Dental Assistants Previously Recognized as Qualified in Orthodontics. A. Except as otherwise provided in this regulation, in order to perform the intraoral procedures of an orthodontic EFDA, a dental assistant recognized by the Board as qualified in orthodontics prior to Augu…

.10 Board Issuance of Expanded Function Dental Assistant Certificates. A. The Board shall issue an appropriate certificate to an applicant who meets the requirements of Health Occupations Article, Title 4, Subtitle 3, Annotated Code of Maryland, this chapter, and any other applic…

.11 Term and Renewal of Expanded Function Dental Assistant Certificates. A. Term of Certificate. A certification as an orthodontic EFDA or a general duties EFDA shall expire on October 31 of the second year following the effective date of the certificate unless it is renewed for …

.12 Renewal and Reinstatement of Expired Certificates. A. Renewal of Expired Certificates Held for 30 Days or Less. (1) After the expiration date of a certificate to practice EFDA in the State, the certificate holder may renew the certificate within 30 days of its expiration if t…

.13 Lost or Destroyed Certificates. The Board shall issue a certificate to replace a lost or destroyed certificate if the EFDA pays the fee set by the Board in accordance with COMAR 10.44.20 that approximates the actual cost of replacing the certificate.

.14 Display of Regulations and Certificates. A. Regulations. The supervising dentist in charge of a dental office where an orthodontic EFDA or a general duties EFDA performs intraoral procedures shall display a copy of this chapter in a conspicuous place in the office for the inf…

.15 Retention of Certification and Qualification Documents. A. An individual certified as either an orthodontic EFDA or a general duties EFDA shall keep their original Board certification and their original current renewal document in the office where the dental assistant is empl…

.16 Continuing Education. A. In addition to the requirements set forth in Regulation .11 of this chapter, an orthodontic EFDA or a general duties EFDA seeking certification renewal shall, at minimum, complete: (1) 15 hours of Board-approved continuing education specifically desig…

.17 Continuing Education Certificates of Completion. A. A Board-approved continuing education sponsor shall, at a minimum, issue a hard copy of a Continuing Education Certificate of Completion to an EFDA who successfully completes a Board-approved continuing education course. B. …

.18 Requirements for Board-Approved Courses. A. General Duties EFDA. The course identified in Regulation .05A(5) of this chapter shall include at a minimum, the following: (1) 6 hours of instruction on nitrous oxide monitoring; (2) 2 hours of in-person hands-on clinical training,…

.19 Requirements for Instructors of Expanded Function Dental Assistant and Courses. A. Any instructor of either an orthodontic EFDA course or a general duties EFDA course shall: (1) Be qualified by education and experience to provide instruction in the subject matter; and (2) Pro…

.20 Assessment of Board-Approved Courses. A. At least once every calendar year, each Board-approved orthodontic EFDA course and each Board-approved general duties EFDA course shall be assessed by a dentist licensed in the State other than the dentist who is the instructor. B. The…

.21 Rescission of Course Approval. A. The Board may rescind approval of a previously approved orthodontic EFDA course or a general duties EFDA course if the Board determines that the course: (1) Does not meet the requirements of this chapter; (2) Does not meet its stated objectiv…

.22 Procedures Permitted to be Performed by General Duties EFDAs. A. Except for an individual licensed as a dentist or a dental hygienist under Health Occupations Article, Title 4, Annotated Code of Maryland, an individual shall be expressly certified by the State Board of Dental…

.23 Monitoring Nitrous Oxide—Standards of Practice for General Duties EFDAs. A. A general duties EFDA who monitors a patient to whom nitrous oxide has been administered may not: (1) Increase the nitrous oxide levels; (2) Monitor more than one patient at a time; (3) Treat any othe…

.24 Procedures Permitted to be Performed by Orthodontic EFDAs. A. Except for an individual licensed as a dentist or a dental hygienist under Health Occupations Article, Title 4, Annotated Code of Maryland, an individual shall be expressly certified by the State Board of Dental Ex…

.25 Radiographs. A dentist may not permit a dental assistant to place and expose radiographs unless the individual is certified to practice dental radiation technology in accordance with COMAR 10.44.19.

.26 Simultaneous Certification. An individual may be simultaneously certified as an orthodontic EFDA, a general duties EFDA, a dental radiation technologist, or any combination thereof.

.27 Dental Sealant Program Exception — General Supervision. A. This regulation applies only to the dental assistant dental sealant program described in §C of this regulation. B. Notwithstanding any other provision of this chapter, a level one dental assistant may provide the foll…

.28 Expanded Function Dental Assistant Practicing After Certificate Has Expired. A supervising dentist who allows an EFDA to practice EFDA duties after their certificate has expired may be found guilty of unprofessional conduct under Health Occupations Article, §4-315(a)(16), Ann…

.29 Violations. A dentist who uses the services of a dental assistant who is not qualified or for purposes other than what is permitted may be found guilty of: A. Unprofessional conduct in accordance with Health Occupations Article, §4-315(a)(16), Annotated Code of Maryland; B. V…

.30 Severability. If any provision of this chapter or its application to any person or circumstance is held invalid, the invalidity does not affect other provisions or applications of this chapter which can be given effect without the invalid provision or application, and to this…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Applicant” means any person applying for a license to practice dentistry pursuant to the provisions of these regulations and of Health Occupations Article, §§4-303 and 4-3…

.02 Requirements for Limited License to Practice Dentistry; Exclusion. A. This regulation does not apply to a pediatric dental fellow or an individual who has successfully completed a pediatric dental fellowship. The requirements for these individuals are contained in Regulation …