<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.46.01.05" title_num="10" subtitle_num="46" chapter_num="01" heading="Documentation Requirements for Supervision.">
  <paragraph num="A.">
    <text>Occupational Therapy Assistant. Documentation for supervision of an occupational therapy assistant shall include, but is not limited to:</text>
    <paragraph num="(1)">
      <text>Reports or summaries documenting compliance with periodic supervision that are written and signed with credentials by the occupational therapy assistant and cosigned by the supervising occupational therapist;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the occupational therapy assistant and cosigned by the supervising occupational therapist; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Documentation of demonstrated competency in the use of specific procedures, activities, modalities, and techniques.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Temporary License to Practice Occupational Therapy. Documentation for supervision of an occupational therapist with a temporary license shall include, but is not limited to:</text>
    <paragraph num="(1)">
      <text>Evaluations cosigned by the supervising occupational therapist;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Reports or summaries documenting compliance with on-site supervision that are written and signed with credentials by the temporary occupational therapist and cosigned by the supervising occupational therapist;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Cosigned revised treatment programs designed in response to changes in a client's status; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the temporary occupational therapist and cosigned by the supervising occupational therapist.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Temporary License to Practice Limited Occupational Therapy. Documentation for supervision of an occupational therapy assistant with a temporary license shall include:</text>
    <paragraph num="(1)">
      <text>All client records cosigned by the supervisor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Reports or summaries documenting compliance with on-site supervision that are written and signed with credentials by the temporary occupational therapy assistant and cosigned by the supervising occupational therapist or occupational therapy assistant; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the temporary occupational therapy assistant and cosigned by the supervising occupational therapist.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Aides. The supervising occupational therapist or occupational therapy assistant shall:</text>
    <paragraph num="(1)">
      <text>Be responsible for the safe and competent performance of tasks assigned to the aide; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Document evidence of unsafe or incompetent performance.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Occupational Therapy and Occupational Therapy Assistant Students Level I and Level II Fieldwork. Documentation for supervision of a Level I or Level II fieldwork occupational therapy or occupational therapy assistant student shall include:</text>
    <paragraph num="(1)">
      <text>All client records cosigned by the supervisor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Reports or summaries documenting compliance with on-site supervision that are written and signed by the Level I or Level II fieldwork occupational therapy or occupational therapy assistant student and cosigned by the supervising occupational therapist or occupational therapy assistant; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the Level I or Level II fieldwork occupational therapy or occupational therapy assistant student and cosigned by the supervising occupational therapist.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Signature and Cosignature. Acceptable methods of authentication include a written signature or electronic signature that includes the signer's credentials.</text>
  </paragraph>
</regulation>