Maryland Administrative Code

.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. An occupational 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 throu…

.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 Scope. This chapter establishes standards for the provision of dry needling as an intervention performed by occupational therapists who are certified hand therapists (CHTs).

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the Maryland Board of Occupational Therapy Practice. (2) “Dry needling” means a physical agent modality as defined in COMAR 10.46.06.03, also known as intramu…

.03 Minimum Education and Training Necessary to Perform Dry Needling. A. In order to perform dry needling, an occupational therapist shall be a certified hand therapist in good standing, in addition to having completed at least 52 total hours of further instruction, which include…

.04 Standards of Practice in Performing Dry Needling. A. An occupational 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…

.01 Scope. This chapter sets forth the requirements for certification of drug and alcohol treatment programs.

.02 Definitions. A. In this subtitle, the following terms have the meanings indicated. B. Terms Defined. (1) “Addiction Severity Index” means a standardized method for the assessment of adults regarding addictions severity and patient need. (2) “Administration” means the Alcohol …

.03 Governance. A. The program shall: (1) Have a governing body legally responsible for overseeing the management and operation of the program and for ensuring compliance with applicable laws and regulations by: (a) Approving the program's: (i) Mission; (ii) Goals; (iii) Policies…

.04 Clinical Requirements. A. Admission. The program: (1) Shall upon request for admission: (a) Establish an interview date that falls within 10 working days of the individual's initial contact; (b) Refer or recommend another program to the individual; or (c) Place the individual…

.05 Environmental Requirements. A. Life Safety Requirements. A program shall: (1) Have a facility free from fire hazards and have: (a) Adequate smoke detectors; (b) Working and updated fire extinguishers; (c) A written fire evacuation plan; and (d) A current fire inspection certi…

.06 Staff Requirements. A. Administrator. (1) A program shall have an administrator. (2) Qualifications. The administrator shall: (a) Possess a working knowledge of all applicable State and federal laws; (b) Possess a working knowledge of program management skills; (c) Be employe…

.07 Patient Rights and Grievance Procedures. A. Patient Rights. (1) A program shall: (a) Treat each patient with consideration, respect, and full recognition of the patient's human dignity and individuality; (b) Provide treatment, care, and services that are adequate, appropriate…

.08 Records. A. Program Records. (1) A program shall either manually or electronically maintain a record for each patient that includes, but is not limited to: (a) A patient identifier, which may be a name, number, or an identifying code; (b) Intake information, including the pat…

.08-1 Outcome Evaluation. A. The Administration shall annually evaluate all publicly funded substance abuse treatment programs certified under this subtitle, using federal outcomes measures or other subsequently adopted federal standards, to determine the extent that individuals …

.09 Referral Agreements and Program Cooperation. A. A program shall coordinate patient care with other community service providers to ensure that the widest range of appropriate services are available to patients. B. Referral Agreements. (1) A program shall establish referral agr…

.01 Scope. This chapter sets forth additional requirements that a program shall meet to be certified to offer a particular level of treatment. The program shall meet the requirements of COMAR 10.47.01 and 10.47.03.

.02 Definitions. In this chapter, terms have the meanings stated in COMAR 10.47.01.02.

.03 Early Intervention Level 0.5. A. Prevention Program Description. The prevention program shall treat patients who are, for a known reason, at risk for developing alcohol or other drug abuse or dependence but for whom there is not yet sufficient information to document alcohol …

.04 Outpatient Services Level I. A. Program Description. The program shall provide outpatient evaluation and treatment to patients who require services for less than 9 hours weekly for adults and 6 hours weekly for adolescents. B. Patients who are appropriate for this level of tr…

.05 Intensive Outpatient Services Level II.1 and Partial Hospitalization Services Level II.5. A. Program Description. A program shall provide structured outpatient evaluation and treatment to patients who require programming: (1) From 9 to 20 hours weekly for adult intensive outp…

.06 Residential Service — Clinically Managed Low Intensity Treatment Level III.1. A. Program Description. Clinically managed low intensity treatment programs shall offer treatment services at least 5 hours a week directed toward preventing relapse, applying recovery skills, promo…

.07 Residential Services — Clinically Managed Medium Intensity Treatment Level III.3. A. Program Description. A clinically managed medium intensity treatment program provides a structured environment in combination with medium intensity treatment and ancillary services to support…

.08 Residential Services — Clinically Managed High Intensity Treatment Level III.5. A. Program Description. A clinically managed high intensity residential program shall: (1) Provide a highly structured environment in combination with moderate to high intensity treatment and anci…

.09 Residential Services — Medically Monitored Intensive Inpatient Treatment Level III.7. A. Program Description. A medically monitored intensive inpatient treatment program shall: (1) Offer a planned regimen of 24-hour professionally directed evaluation, care, and treatment in a…

.10 Detoxification Services. A. Description of Services. A detoxification program shall provide services to an intoxicated patient by: (1) Monitoring the decreasing amount of psychoactive substances in the body; (2) Managing the withdrawal symptoms; and (3) Motivating the individ…

.11 Opioid Maintenance Therapy. A. Program Description. Opioid maintenance therapy: (1) Uses pharmacological interventions, including full and partial opiate agonist treatment medications, to provide treatment, support, and recovery to opioid-addicted patients; (2) Is a separate …

.01 Scope. A. This chapter sets forth: (1) Additional requirements that a program shall meet to be certified to offer the correctional levels of care; and (2) Requirement exemptions for a program certified as a correctional level of care, which shall meet the requirements of COMA…

.02 Definitions. In this chapter, terms have the meanings stated in COMAR 10.47.01.02.

.03 Correctional Level I. A. Program Description. (1) The program shall provide evaluation and treatment to patients who require services for less than 9 hours weekly in a correctional facility. (2) Inmates receiving treatment may be housed throughout the correctional facility. B…

.04 Correctional Level II.1. A. Program Description. (1) A program shall provide structured evaluation and treatment to patients who require services from 9 to 20 hours weekly in a correctional facility. (2) Inmates receiving treatment may be housed throughout the institution. B.…

.05 Correctional Level II.5. A. Program Description. (1) A program shall provide structured evaluation and treatment to patients who require programming from 20 to 35 hours weekly in a correctional facility. (2) Inmates receiving treatment may be housed together in a separate uni…

.06 Correctional Level III.1. A. Program Description. (1) A program shall offer treatment services at least 5 hours a week directed toward preventing relapse, applying recovery skills, promoting personal responsibility, and reintegration into the community. (2) Inmates receiving …

.07 Correctional Level III.5. A. Program Description. A correctional Level III.5 program: (1) Shall provide a highly structured environment in combination with moderate to high intensity treatment and ancillary services to support and promote recovery; (2) Shall be characterized …

.01 Scope. This chapter sets forth additional requirements that a program shall meet to be certified to offer a particular level of treatment. The program shall meet the requirements of COMAR 10.47.01 and this chapter.

.02 Definitions. A. In this chapter, terms have the meanings stated in COMAR 10.47.01.02. B. In addition to terms referenced under §A of this regulation, in this chapter the following terms have the meanings indicated. C. Terms Defined. (1) “Deficiency” means a failure to meet a …

.03 Certification Required. A. All programs and prevention programs shall be certified by the Department before program services and prevention program services may be provided in the State. B. The following are exempt from certification under this chapter: (1) A health professio…

.04 Type and Duration of Certification. A. Initial Certification. (1) After receipt of the completed written or electronic application provided by the Administration and after inspection by the Office of Health Care Quality, if there are no deficiencies, the Administration shall …

.05 Application Process and Evaluation. A. Application. An applicant for certification of a program or renewal of certification shall submit to the Office of Health Care Quality: (1) A completed application on a written or electronic form approved by the Administration; (2) Docum…

.06 Waiver and Variances. A. Upon written request by the program, the Director shall issue a written decision which may: (1) Grant a variance or waiver from a regulation if the: (a) Variance or waiver would not endanger the life or safety of a patient in a program; or (b) Intent …

.07 Investigation or Inspection by the Administration or Office of Health Care Quality. A. A program shall be open at all reasonable times for announced and unannounced inspections or investigations by the Administration or its designees. B. A program shall be open at all reasona…

.08 Denial, Probation, Intermediate Sanctions, Suspension, or Revocation. A. If an applicant or program fails to comply with the applicable State and federal laws, rules, or regulations, the Director may: (1) Deny approval to the applicant; or (2) Take disciplinary action, such a…

.01 Scope. This chapter sets forth additional requirements that a program shall meet as a private or public education program for individuals convicted under Transportation Article, §21-902, Annotated Code of Maryland, and ordered to attend an education program.

.02 Definitions. In this chapter, terms have the meanings set forth in COMAR 10.47.01.02.

.03 Application Process and Evaluation. A. The applicant shall complete an application on a form approved by the Administration and submit the application and documentation to indicate the applicant is in compliance with the requirements of this chapter. B. After the Administrati…

.04 Program Requirements. The program shall: A. Comply with COMAR 10.47.01 and 10.47.02.03; B. At minimum, offer six weekly 2-hour sessions for a total of 12 hours; C. Have instructors approved by the Administration who are: (1) Instructors before October 1, 2002; or (2) At a min…