<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.36.10.04" title_num="10" subtitle_num="36" chapter_num="10" heading="Standards of Practice for Telepsychology.">
  <paragraph num="A.">
    <text>Before providing telepsychology services, a psychologist or psychology associate shall develop and follow a procedure to:</text>
    <paragraph num="(1)">
      <text>Verify the identification of the client receiving telepsychology services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Obtain informed consent specific to telepsychology services using appropriate language understandable to the client;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Prevent access to data by unauthorized persons through encryption, or other means;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Notify clients in the event of a data breach;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Ensure that the telepsychology practitioner provides a secure and private telepsychology connection and complies with federal and state privacy laws;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Establish safety protocols to be used in the case of an emergency, including contact information for emergency services at the client’s location; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Ensure that any psychological testing instruments used are designed, validated, or appropriate for use via telepsychology.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A psychologist or psychology associate shall:</text>
    <paragraph num="(1)">
      <text>Obtain or confirm an alternative method of contacting the client in case of a technological failure;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Determine whether the client is in Maryland and identify the client’s specific location;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>For an initial telepsychology interaction only, disclose the psychologist’s or psychology associate’s name, location, license number, and contact information;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Identify all individuals present at each location and confirm they are permitted to hear the client’s health information; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Be held to the same standards of practice and documentation as those applicable for in-person sessions.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A psychologist or psychology associate may not treat a client based solely on an online questionnaire.</text>
  </paragraph>
</regulation>