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<regulation prefix="Regulation" num=".02" citation="COMAR 10.27.17.02" title_num="10" subtitle_num="27" chapter_num="17" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Certified registered nurse practitioner/psychiatric mental health (CRNP/PMH)” means a certified registered nurse practitioner who:</text>
      <paragraph num="(a)">
        <text>Is certified by the Board as a certified registered nurse practitioner in the practice of psychiatric mental health; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Autonomously and independently engages in activities authorized by this chapter and in accordance with COMAR 10.27.07.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Psychiatric mental health/advanced practice registered nurse (PMH/APRN)” means an advanced practice registered nurse who:</text>
      <paragraph num="(a)">
        <text>Is certified by the Board as a clinical nurse specialist in the practice of psychiatric mental health; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Autonomously and independently engages in activities authorized by this chapter and in accordance with COMAR 10.27.12.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Synchronous” means simultaneous or quick enough to allow two or more individuals to interact.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Teletherapy.</text>
      <paragraph num="(a)">
        <text>“Teletherapy” means the delivery of behavioral health services by a CRNP/PMH or a PMH/APRN at a location other than the location of the client through the use of synchronous interactive audio, video, audio-visual, or other telecommunications or electronic technology.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Teletherapy” does not include:</text>
        <paragraph num="(i)">
          <text>An audio-only telephone conversation between the CRNP/PMH or PMH/APRN and a client;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An electronic mail message between a CRNP/PMH or PMH/ APRN and a client; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A facsimile transmission between a CRNP/PMH or PMH/APRN and a client.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>