<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.49.05" title_num="10" subtitle_num="09" chapter_num="49" heading="Technical Requirements.">
  <paragraph num="A.">
    <text>A provider of services delivered through telehealth shall adopt and implement technology in a manner that supports the standard of care to deliver the required service.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A service delivered through synchronous audio-visual telehealth shall, at a minimum, meet the following technology requirements:</text>
    <paragraph num="(1)">
      <text>Cameras at both the originating and distant sites that provide clear, synchronous video of the patient and provider, respectively, with the ability to meet the clinical requirements of the service;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Unless engaging in a telehealth with a participant who is deaf or hard of hearing, microphones and speakers at both the originating and distant sites, respectively, that provide clear, synchronous, two-way audio transmission;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Network connectivity and bandwidth at both the originating and distant site sufficient to provide clear, synchronous two-way video and audio for the full duration of the service;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Display monitor size sufficient to support diagnostic needs used in the telehealth services; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Utilize technology that meets the standards required by State and federal laws governing the privacy and security of protected health information (HIPAA compliant).</text>
    </paragraph>
  </paragraph>
</regulation>