# COMAR Title 10 — Maryland Department of Health

## Subtitle 21 — Behavioral Health Regulations

### Chapter 30 — Telemental Health Services

#### Regulation .05 Eligibility.

*COMAR 10.21.30.05*

A. Individual Eligibility. An individual is eligible to receive TMH services if the individual:

  (1) Is Medicaid eligible;

  (2) Meets the eligibility and medical necessity criteria for participation in the Public Mental Health System;

  (3) Resides in one of the designated rural geographic areas or whose situation makes person-to-person psychiatric services unavailable; and

  (4) Voluntarily consents to TMH services, which shall be documented in the individual's medical record.

B. Individual Provider Eligibility. A provider of TMH services shall be a psychiatrist who:

  (1) Has an active:

    (a) License to practice psychiatry in Maryland; and

    (b) Medicaid provider number;

  (2) Complies with professional practice standards; and

  (3) Completes a registration to provide TMH health services.

C. Originating Site Facility Eligibility. The following Maryland sites may be approved as an originating site for THM health service delivery:

  (1) County government offices appropriate for private clinical evaluation services;

  (2) Critical Access Hospital;

  (3) Federally Qualified Health Center;

  (4) Hospital;

  (5) Outpatient mental health center;

  (6) Physician's office;

  (7) Rural Health Clinic;

  (8) Elementary, middle, high, or technical school with a supported nursing, counseling or medical office; or

  (9) College or university student health or counseling office.

D. Distant Site Location Eligibility. An approved distant TMH location shall be within the State.