Qualification. To qualify as an auricular detoxification specialist, an applicant shall be a certified or licensed practitioner in the State as one of the following health care professionals who works directly with chemically dependent clients of a chemical dependency program in the counseling or treatment of those clients: A certified professional counselor—alcohol and drug; A certified associate counselor—alcohol and drug; A supervised counselor—alcohol and drug; A licensed clinical alcohol and drug counselor; A licensed nurse; A licensed psychologist who works directly with chemically dependent clients of a chemical dependency program in the counseling or treatment of those clients; or A licensed certified social worker—clinical who works directly with the chemically dependent clients of a chemical dependency program in the counseling or treatment of those clients. A practitioner that is a medical doctor shall obtain a medical acupuncture certification specific to physicians in accordance with COMAR 10.32.15. Registration. The Board shall maintain a registry of all certified auricular detoxification specialists. To apply for certification with the Board as an auricular detoxification specialist, an applicant shall: Provide documentation of successful completion of a Board and NADA approved training program that consists of a minimum 70-hour basic training of which 40 hours are clinical training which includes the following training and subject matter: At least 5 treatments during a 10-minute period with good point location and techniques; The uses and limitations of the treatment; Communal treatment effect and maintaining an appropriate atmosphere; Clean needle technique; The limited scope of practice of auricular detoxification and other ethical principles; The implications of the role of auricular acupuncture for addition in the larger addition treatment context; Preparation of written chart notes regarding status, treatment given, and patient response; Adjunctive nature of auricular acupuncture for addiction and the importance of collaboration and communication with the treatment team; The psycho-spiritual nature of recovery and the ability to respect and support the client's individual beliefs and cognitive process; Methods to modify treatment appropriately and to respond to adverse clinical situations should they occur; Sensitivity, compassion, and respect for clients; and Understanding of addictions from the perspective of basic concepts of East Asian medicine; Complete an application provided by the Board; Provide the name and address of the acupuncturist licensed by the State who shall supervise the applicant; Provide verification of active licensure in good standing in the State from the appropriate Health Occupations Board; Provide verification that an applicant works in a State-approved professional setting that specializes in the treatment of addiction; and Pay the registration fee in COMAR 10.26.01.03. Certification Renewal. A certified practitioner shall renew their certification every 2 years. As part of the renewal, the practitioner shall provide proof to the Board of: Licensure in the approved health profession; Employment working directly with chemically dependent clients of a chemical dependency program in the counseling or treatment of those clients; Employment working in a State-approved setting, working with chemically dependent patients of a chemical dependency program in the counseling or treatment of those patients; and Completion of three continuing education units relevant to the practice of auricular detoxification and the counseling or treatment of chemically dependent patients. At least 1 month before a certification expires, the Board shall send a renewal notice to an auricular detoxification specialist that states: The date the current certification expires; The date the renewal application is to be received by the Board for the renewal to be issued before the certification expires; and The amount of the renewal fee. Before a certification expires, a practitioner certified to perform auricular detoxification may renew the certification if the individual submits: A completed renewal application in the format required by the Board; and Verification from the appropriate Health Occupation Board under §A of this regulation, that confirms that the individual has a current certification or license in good standing; and The renewal fee specified in COMAR 10.26.01.03. An individual registered to perform auricular detoxification shall maintain a current address and telephone number with the Board. A practitioner listed on the registry to perform auricular detoxification: May not practice using any other name than the name on their certification; and Shall immediately inform the Board of any name change. Certification Reinstatement. An auricular detoxification specialist holding an expired certification may apply for reinstatement if the individual: Completes an application for reinstatement approved by the Board; Submits the auricular detoxification specialist registration reinstatement fee specified in COMAR 10.26.01.03; and Submits proof of completion of at least three continuing education units directly related to the certification. Supervision. The Board may approve a Maryland licensed acupuncturist for supervision of a practitioner on the registry to perform auricular detoxification if the licensee: Holds an active license in good standing to practice acupuncture in Maryland; Has completed a training program in auricular detoxification as set forth in §C of this regulation; and Submits to the Board a completed application in the format provided by the Board. Supervisor Responsibilities. A supervisor shall ensure that: Auricular detoxification specialists are sufficiently competent in the areas listed in §C(1) of this regulation; The supervised auricular detoxification specialist and the Board are notified if the supervisor cannot or is unwilling to fill the role of supervisor; and An on-site visit with the auricular detoxification specialist occurs at least once annually before renewal to: View the setting where services are being provided; and Observe at least five treatments, within an hour, performed according to the NADA group protocol. Setting. The clinical substance abuse program or professional setting where an individual performs auricular detoxification on patients with documented substance abuse concerns shall meet best practices within community healthcare standards. Complaints. The Board may investigate a complaint filed against an auricular detoxification specialist or the supervising licensed acupuncturist. The Board may withdraw the certification of the auricular detoxification specialist or take action against the license of the supervising acupuncturist if either individual violates an applicable law, regulation, or standard of practice while performing auricular detoxification.