# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 89 — 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families

#### Regulation .11 Covered Services — Expressive and Experiential Behavioral Services.

*COMAR 10.09.89.11*

A. Expressive and experiential behavioral services:

  (1) May be provided to an individual or group;

  (2) Provide sensory modalities to participants to assist in achieving POC objectives; and

  (3) Include:

    (a) Art behavioral services;

    (b) Dance behavioral services;

    (c) Equine-assisted behavioral services;

    (d) Horticultural behavioral services;

    (e) Music behavioral services; or

    (f) Drama behavioral services.

B. Qualification to Provide Expressive and Experiential Behavioral Services.

  (1) To provide expressive and experiential behavioral services, an individual shall have:

    (a) A bachelor's or master's degree from an accredited college or university; and

    (b) Current registration in the applicable association as outlined in §E(5) of this regulation;

  (2) Association Registration.

    (a) Art Behavioral Services. To provide art behavioral services, an individual shall be currently registered as a registered art therapist by:

      (i) The Art Therapy Credentials Board in the American Art Therapy Association; or

      (ii) A comparable association with equivalent requirements.

    (b) For Dance Behavioral Services. To provide dance behavioral services, an individual shall be currently registered as a dance therapist registered, or an academy of dance therapists registered in:

      (i) The American Dance Therapy Association; or

      (ii) A comparable association with equivalent requirements.

    (c) For Equine-Assisted Behavioral Services. To provide equine-assisted behavioral services, an individual shall be currently certified by:

      (i) The Equine Assisted Growth and Learning Association (EAGALA) to provide services under the EAGALA model;

      (ii) Professional Association of Therapeutic Horsemanship International (PATHI); or

      (iii) A comparable association with certification requirements at least equivalent to EAGALA or PATHI.

    (d) For Horticultural Behavioral Services. To provide horticultural behavioral services, an individual shall be currently registered as a horticultural therapist registered in:

      (i) The American Horticultural Therapy Association; or

      (ii) A comparable association with equivalent requirements.

    (e) For Music Behavioral Services. To provide music behavioral services, an individual shall be currently registered as a music therapist-board certified by:

      (i) The Certification Board for Music Therapists, Inc; or

      (ii) A comparable association with equivalent requirements.

    (f) For Drama Behavioral Services. To provide psychodrama/drama behavioral services, an individual shall be currently registered as a registered drama therapist or a board certified trainer in:

      (i) The National Association for Drama Therapy; or

      (ii) A comparable association with equivalent requirements.