Title 10 — Subtitle 58. Board of Professional Counselors and Therapists

COMAR 10.58.07;

COMAR 10.58.08;

COMAR 10.58.12; and

COMAR 10.58.17.

“Certificate” means a certificate issued by the Board to practice:

“Credit hour” means attendance in class for a minimum of 12 hours per semester or 18 hours per quarter, resulting in a grade which is earned, not audited, from an accredited educational institution approved by the Board.

“License” means a license issued by the Board to practice:

The title alcohol and drug trainee (ADT); or

Any other:

Complete and return the Board-approved application;

Except for out-of-state Marriage and Family Therapist applicants, submit an official transcript from an accredited educational institution awarding the highest degree attained in counseling or a related field;

Pay all applicable fees set forth in COMAR 10.58.02;

Provide at least three references from persons familiar with the work of the applicant;

Submit to a criminal history background check in accordance with Health Occupations Article, §17-501.1, Annotated Code of Maryland;

Be of good moral character; and

Be at least 18 years old.

Within 30 days after receipt of an application, the Board shall determine whether the application is complete;

If the Board determines that the application is not complete, the Board shall send a notice of deficiency to the applicant;

Upon receipt of the notice, the applicant shall correct the deficiency within 90 days, or other period specified in the notice;

If the applicant fails to correct the deficiency within the required period, the application may lapse and the applicant shall be required to:

If the Board determines that an applicant is eligible to take the required examinations, the Board shall send a notice of approval to the applicant;

Upon receipt of the approval notice, the applicant shall have 1 year from the date of the notice to take the examinations; and

If the applicant fails to take the examinations within 1 year from the date of the approval notice, the requirements set forth under §B(4) of this regulation shall apply.

It is within the time frame set by the applicable testing authority; or

A waiver is approved by the Board to extend the testing deadline upon proof of exceptional circumstances; or

Submit a new application; and

Pay the nonrefundable fee set forth in COMAR 10.58.02.

Issue a certificate or license number to an applicant who has met the requirements as set forth under this subtitle; and

Provide licensure, certification, or trainee status verification:

To renew as a certified professional counselor, the applicant shall:

The Board may not:

Along with any application form or renewal form; and

To any other person upon request.

For certificate and trainee status ... $150; or

For licensure ... $250;

For certificate ... $150;

For license ... $200;

For organization ... $750;

For individual ... $300; or

For an individual workshop ... $150;

“Board” means the State Board of Professional Counselors and Therapists.

Client.

“Counselor” means a counselor or therapist either certified or licensed by the Board.

“Dual relationship” means a relationship in which a counselor is simultaneously involved in more than one type of relationship with a client.

“Impaired counselor” means a counselor who cannot perform the counselor's job due to substance abuse, or psychological or physical illness.

“Inappropriate sexual language” means:

“Public statements” include, but are not limited to, communications or public announcements by a newspaper, magazine, book list, directory, television, radio, motion picture, advertisement, or any other electronic means.

“Sexual behavior” means:

“Sexual exploitation” means a counselor taking advantage of an unequal relationship between a counselor and a client, student, or supervisee, and not permitting the autonomy of a client, student, or supervisee.

“Sexual harassment” means a deliberate or repeated comment, advance, gesture, solicitation, request, or physical contact of a sexual nature.

“Supervisee” means an individual to whom a counselor provides professional, educational, or administrative supervision or direction.

“Therapeutic deception” means a representation by a counselor that sexual contact or sexual activity by or with a client is consistent with or part of a client's treatment.

Practice only within the boundaries of a counselor's competence, based on education, training, supervised experience, and professional credentials;

When developing competence in a new service or technique, or both, engage in ongoing consultation with other counselors or relevant professionals and acquire appropriate additional education or training, or both, in the new area; and

Maintain qualifications to practice counseling, including meeting the continuing education requirements established by the Board.

Suspend, terminate, or limit professional activities if the counselor determines that he or she is unable to continue professional activities; or

Seek competent professional assistance to determine whether to suspend, terminate, or limit the scope of professional or scientific activities if a counselor becomes or is made aware that personal problems interfere with providing or conducting counseling or therapy services.

Consult with other counselors or other relevant professionals regarding questions related to ethical obligations or professional practice;

Take credit only for professional work actually performed;

Notify the Board if the counselor's license, or certificate, or both, has been limited, restricted, suspended, revoked, or subject to disciplinary action by any other state, federal agency, or the District of Columbia;

Disclose, to all involved, conflicts of interest regarding confidentiality requirements;

Receive appropriate written authorization to provide counseling services for minors or other clients unable to give informed consent;

Protect the interests of minors or other clients unable to give informed consent;

Maintain accurate records;

Provide supervision to supervisees as required under COMAR 10.58.01, 10.58.07, and 10.58.08;

Make arrangements for another appropriate professional to act in the event of an absence of the counselor;

Provide lawfully requested treatment reports or evaluations, or both, to a client, insurance carriers, courts systems, institutions, or other authorized persons;

Be familiar with and adhere to this chapter;

Report suspected violations of Health Occupations Article, Title 17, Annotated Code of Maryland, to the Board;

Cooperate with investigations, proceedings, and other requirements of the Board; and

Take reasonable precautions to protect clients from physical or psychological trauma.

Knowingly associate with, or permit the use of the professional counselor's name or firm name in a business venture by any person or firm which the professional counselor knows, or has reason to believe, is engaging in business or professional practices of a fraudulent or dishonest nature;

Participate in dishonest, fraudulent, or deceitful activity in the capacity of a counselor; or

Enter into relationships that could compromise a counselor's objectivity or create a conflict of interest.

Respect and protect the dignity, privacy, and welfare of research subjects;

Comply with existing federal and State laws and regulations concerning treatment of research subjects;

Take responsibility for the ethical treatment of research participants by others directly and reasonably related to the research; and

Clearly indicate to prospective recipients treatment given as part of a research study and obtain written permission in advance of treatment.

A counselor shall:

A counselor may not:

A counselor shall:

A counselor may not:

A counselor shall clarify the unit of treatment in a counselor's written records as:

A counselor shall identify in the written records individuals present in sessions, but not a part of the unit of treatment.

A counselor shall communicate limitations on confidentiality to all clients.

Termination may occur if:

A counselor may terminate a counseling relationship only after:

The relationship is not exploitative;

The client requests it;

A clear written contract is established; and

The arrangements are an accepted practice among professionals in the community.

A counselor may place advertisements with directories, newspapers, periodicals, radio or television stations, or on the internet.

In placing advertisements or making other types of public statements, a counselor shall identify a counselor's credentials in a manner that is accurate and not false, misleading, deceptive, or fraudulent.

A counselor may not place advertisements or make public statements that:

If advertising on the internet, a counselor shall ensure that the advertisement contains the counselor's name, credentials, and certificate or license number.

In advertising products, workshops, or training events, a counselor shall:

A counselor holding a doctoral degree in a field other than counseling may not represent that doctoral degree as relating to status or practice as a counselor.

A counselor shall:

A counselor may not:

Statements made are based on current and appropriate professional counseling literature and methodology;

Recipients of the information are not mislead or encouraged to infer that a professional counseling relationship has been established; and

Statements are in conformance with this chapter.

Maintain the privacy and confidentiality of a client and a client's records;

Release mental health records or information about a client only with a client's consent, or as permitted by Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland;

Release alcohol and substance abuse records or information about a client only with a client's consent, or as permitted by State and federal law;

Dispose of records in accordance with Health-General Article, Title 4, Annotated Code of Maryland;

Provide sufficient information to a client to allow a client to make an informed decision regarding treatment, including the following:

Obtain full informed consent of a client participating in a human research program; and

Protect a client's autonomy and dignity to decide whether to participate in a human research program.

Inappropriate sexual language;

Sexual exploitation;

Sexual harassment;

Sexual behavior; and

Therapeutic deception.

A client;

A student or supervisee over whom the counselor exercises professional authority, or with whom the counselor maintains evaluative responsibility, supervision, or education, while the professional relationship continues to exist; or

An individual with whom the client has a close personal relationship, including but not limited to a relative or significant individual in the client's life, if there is a risk of exploitation or potential harm to the client.

Except as set forth in §C(3) of this regulation, a counselor may not engage in sexual behavior with a former client.

A counselor may not terminate professional services or a professional relationship with a client in order to enter into a nonprofessional, social, or sexual relationship with a client or an individual with whom a client has a close personal relationship.

A counselor may enter into a relationship with an individual with whom a counselor's prior professional contact was brief, peripheral, consultative, or indirect, and did not constitute a therapeutic relationship.

A counselor may not sexually harass a:

If sexually harassed by a client, a counselor shall:

Engage in sexual activity with a client or an individual in a close personal relationship with a client, on the pretense of therapeutic intent or benefit;

Represent to a client or individual in close personal contact with a client that sexual contact or activity by or with a counselor is consistent with or part of a client's therapy; or

Suggest, recommend, or encourage a client to engage in a sexually provocative act, including but not limited to:

An assessment of a client;

A written rationale for the use of the physical contact treatment modality for a client; and

A copy of the informed consent, signed and dated by the client and the counselor which addresses:

Date, time, and place of the hearing; and

Issues or charges involved in the proceeding, provided, however, that if by reason of the nature of the proceeding, the issues cannot be stated in advance of the hearing, or if subsequent amendment of the issues is necessary, they shall be fully stated as soon as practicable.

Discovery on Request. By written request served on the other party and filed with the Board, a party may require another party to produce, within 15 days, the following:

Mandatory Discovery.

Parties are not entitled to discovery of items other than as listed in §A(1) and (2) of this regulation.

Both parties have a continuing duty to supplement their disclosures of witnesses and documents.

Absent unforseen circumstances which would otherwise impose an extraordinary hardship on a party, witnesses or documents may not be added to the list:

The prohibition against adding witnesses does not apply to witnesses or documents to be used for impeachment or rebuttal purposes.

The Board may administer oaths and compel the attendance of witnesses and the production of physical evidence before it from witnesses upon whom process is served anywhere within the State, as in civil cases in the circuit court of the county or of Baltimore City, by subpoena issued over the signature of the Chairman or Secretary and the seal of the Board.

Upon a request by a party and statement under oath that the testimony or evidence is necessary to the party's defense, the Board shall issue a subpoena in the party's behalf.

The Chairman, or in the Chairman's absence a member designated by the Chairman, shall be the presiding officer, or if in a delegated hearing, an administrative law judge under State Government Article, §§9-1601—9-1610, Annotated Code of Maryland, shall be the presiding officer.

The presiding officer shall:

The presiding officer may set reasonable time limits on arguments and presentation of evidence.

The presiding officer shall be responsible for decorum in hearings and can suspend the proceedings as necessary to maintain decorum.

The Board may request the Office of the Attorney General to participate in any hearing to present the case on behalf of the Board.

The member of the Office of the Attorney General presenting the case on behalf of the Board shall have all the following rights:

The Board may also request a representative of the Office of the Attorney General to act as legal advisor to the Board as to questions of evidence and law.

The rules of evidence in all hearings under these regulations shall be as set forth in State Government Article, §§10-208 and 10-209, Annotated Code of Maryland.

Each party has the right to:

If a party is represented by counsel, the submission of evidence, examination and cross-examination of witnesses, and filing of objections, exceptions, and motions shall be done and presented solely by counsel.

Witnesses.

If an accused or complainant fails to appear at a hearing after due notice, the Board or its designee may reschedule the hearing, or may proceed upon the available investigation, report, documents, witnesses, and records.

Based on information gathered in an investigation or otherwise provided to the Board, the Board may vote to issue:

If the Board votes to issue a notice of intent to summarily suspend a license or certificate or an order of summary suspension, the Board shall refer the matter to an administrative prosecutor for prosecution.

A notice of intent to summarily suspend a license or certificate shall include:

Service.

If the Board issues a notice of intent to summarily suspend a license or certificate, the respondent may request an opportunity to appear before the Board to show cause why the respondent’s license or certificate should not be suspended before the Board executes the order of summary suspension.

Predeprivation Show Cause Hearing Before Board.

The Board member who presides over the hearing:

A Board member may be recognized by the presiding member to ask questions of either party appearing before the Board.

Extraordinary Circumstances. The Board may, after consultation with Board counsel, order the summary suspension of a license or certificate without first issuing a notice of intent to summarily suspend a license or certificate or providing a respondent with an opportunity for a predeprivation hearing if the Board determines that:

Time — Service and Hearing.

If the respondent requests a hearing under §B(3)(a)(iii) of this regulation, that hearing shall:

In a show cause proceeding under §C of this regulation, the respondent may present argument in opposition to the allegations presented in the order for summary suspension or which otherwise demonstrate that the public health, safety, or welfare is not at risk.

The administrative prosecutor bears the burden of demonstrating by a preponderance of the evidence that the health, safety, or welfare of the public imperatively requires the Board to summarily suspend the respondent’s license or certificate.

If the Board issues a notice of intent to summarily suspend a license or certificate before summarily suspending a license or certificate, the Board may, after the show cause hearing, vote to:

If the Board orders a summary suspension before a show cause hearing, the Board may, at the conclusion of the hearing, vote to:

An order for summary suspension or other order issued by the Board after the initiation of summary suspension proceedings are final orders of the Board and public records under State Government Article, §10–611, Annotated Code of Maryland.

If the Board orders the summary suspension of a license or certificate under §C or D of this regulation, the respondent may request an evidentiary hearing before the Board, or if the Board delegates the matter to the Office of Administrative hearings, before an administrative law judge.

The respondent may request an evidentiary hearing within 10 days after the Board issues the order of summary suspension.

Unless otherwise agreed by the parties, a hearing shall be provided within 45 days after the respondent’s request.

An evidentiary hearing may be consolidated with a hearing on charges issued by the Board that include the facts that form the basis for the summary suspension.

An evidentiary hearing shall be conducted under the contested case provisions of State Government Article, Title 10, Subtitle 2, Annotated Code of Maryland.

If the Board delegates the matter to the Office of Administrative Hearings, the administrative law judge shall issue a recommended decision to the Board with:

If the hearing is one combined with charges, the administrative law judge’s determination of the merits of the summary suspension shall be based only on the parts of the record available to the Board when the Board voted for summary suspension.

The parties may file exemptions to the recommended decision, as provided in State Government Article, §10–216, Annotated Code of Maryland.

An order issued by the Board after a post-deprivation evidentiary hearing is a final order of the Board and is a public record under State Government Article, §10–611, Annotated Code of Maryland.

“Accredited institution of higher education” means a college or university accredited by a national or regional accrediting body recognized by the Council on Post-Secondary Accreditation.

“Activity” means any program, publication, course, institute, seminar, lecture, conference, workshop, symposium, or professional meeting that meets the criteria and objectives of continuing education.

“Approved program” means an activity that has been reviewed and approved by the Board for Category A credit.

“Authorized sponsor” means an organization or individual reviewed and authorized by the Board, or automatically eligible, to present Category A programs.

“Board” means the State Board of Examiners of Professional Counselors and Therapists.

“Committee” means the Advisory Committee for Continuing Education, appointed by the Board, consisting of at least one member of the Board.

“Continuing education” means additional professional activities beyond that required for certification or licensure.

“Continuing education unit (CEU)” means 60 minutes of activity that is approved by the Board to fulfill the continuing education requirements.

“Course” means a series of meetings with defined content and systematic presentation with an instructor, as an expert, who imparts information to the participants.

“Home study” means independent study that:

“Renewal date” means the date upon which a certificate or license expires, as specified in the notice sent to the certified or licensed professional counselor by the Board in accordance with Health Occupations Article, §§17-309(b) and 17-3A-08(b), Annotated Code of Maryland.

“Renewal period” means the 2-year period immediately before the renewal date.

“Seminar” means a meeting or meetings of highly experienced participants or experts with an expert leader who conducts a discussion on a specific topic.

“Symposium” means a presentation or presentations by two or more speakers with different views on a specific topic and with a discussant who summarizes the issues.

“Workshop” means a meeting or meetings of general sessions and face-to-face groups with a leader, an expert in the defined content area, who imparts information to participants who have ample opportunity to interact.

At least 30 CEUs shall be in Category A activities and not more than 10 CEUs may be in Category B activities; or

All 40 CEUs may be in Category A activities.

A license or certificate holder shall attest to completion of required CEUs at the time of renewal or reinstatement, on a form supplied by the Board.

The license or certificate holder shall obtain the requisite documentation of CEU attendance and retain this documentation for the succeeding 4 years for possible inspection by the Board.

Required Documentation of Category A and Category B Activities.

The license or certificate holder shall demonstrate that the CEU activity fell within the renewal period.

Maintain professional competency;

Increase professional skills and knowledge;

Prepare for new roles or responsibilities in the practice of counseling or therapy; or

Expand the science of counseling and therapy theory, method, or practice.

Business meetings, professional committee meetings, and meetings concerned with the management of a professional practice;

Presentations and publications intended for a lay audience; and

Home study.

Attending formally organized Category A programs as follows:

Developing and presenting a Category A program which is credited as follows:

Authoring, editing, or reviewing a juried publication with CEUs earned only in the year of publication, and only to the following extent:

Attendance at or presentation of informal courses, in-house colloquia, invited speaker sessions, in-house seminars, and case conferences which are specifically designed for training, teaching, or both;

Attendance at or presentation of informal non-publicized programs offered at professional or scientific meetings of local, state, regional, national, and international professional or scientific organizations; or

Individualized learning, such as receiving formal professional supervision (except administrative supervision), participation in peer case conference or peer supervision groups, and participation in distance learning programs with evidence of appropriateness, minimum mastery of materials, and completion.

The Board shall establish a committee to advise the Board on continuing education.

The committee shall evaluate and the Board may authorize applicants to sponsor Category A programs.

The committee may recommend Board approval of programs by authorized sponsors for Category A according to the objectives stated in Regulations .04A and .05 of this chapter.

The Board shall evaluate each continuing education program submitted on the basis of the following criteria:

A program sponsored by the American Counseling Association, the National Board for Certified Counselors, the American Association for Marriage and Family Therapy, the National Association of Alcohol and Drug Abuse Counselors, the International Certification and Reciprocity Consortium/Alcohol and Other Drug Abuse, Inc., any other national or international organization, or their regional or state affiliates is automatically approved by the Board for Category A, unless otherwise excluded.

A program sponsored by an accredited institution of higher education and state departments of health is automatically approved by the Board for Category A, unless otherwise excluded.

The following may be authorized to sponsor Category A programs upon application and approval by the Board:

An application, on a form provided by the Board, shall be made and fee submitted to the Board for authorization of programs of sponsoring agencies meeting the requirements of these regulations.

The application shall be submitted to the committee at least 10 weeks before the scheduling of each continuing education program.

Authorized sponsors shall state in the continuing education program description the following:

Authorized sponsors shall maintain documentation of registration and attendance records, stated purpose, content and presentation, time and length of the activity, and participant evaluations for a 4-year period following the program that may be audited by the Board.

Approved sponsors' programs shall be approved for a 2-year period except as otherwise provided in §D of this regulation.

Certificate holders and licensees may request, upon payment of a fee, that the Board review programs that do not have pre-approval for awarding CEU units.

The certificate holder or licensee shall complete and submit a form attesting to satisfactory completion of the continuing education requirements for each renewal.

The certificate holder or licensee who is audited shall provide full documentation of CEUs as set forth in Regulation .03D of this chapter on a completed form provided by the Board.

The Board shall audit a percentage of certificate holders and licensees to be determined by the Board each renewal period.

A certificate holder or licensee who fails to renew by the renewal date shall provide full documentation as set forth in Regulation .03D of this chapter on a completed form provided by the Board.

A written request for an extension of time in which to complete CEU requirements shall be submitted by the certificate holder's or licensee's renewal date.

The Board may grant an extension and renew a certificate or license if the Board determines that:

The Board may deny the request for an extension, deny renewal of the certificate or license, or issue any other order the Board finds appropriate.

CEUs which are acquired in order to fulfill the conditions of an extension may be credited only for the previous renewal period.

Completed within that year the minimum of 40 CEUs required during the prior renewal period as set forth in Regulation .03A of this chapter; and

Pays to the Board a reinstatement fee set by the Board.

40 Category A CEUs for 2 or less years of inactive status; or

80 Category A CEUs for 3 or more years of inactive status, at least 40 of which shall have been obtained within the 2-year period immediately preceding the application for reinstatement.

“Asynchronous” means not occurring in real time.

“Board” means the Maryland Board of Professional Counselors and Therapists.

“Client” means the individual, couple, family, group, business, agency, school, organization, or association that the counselor or therapist provides, or has provided, with professional services.

“Counselor or therapist” means an individual who is licensed or certified by the Board to practice:

“In-person” means within the physical presence of the client.

“Synchronous” means occurring in real time.

“Teletherapy” means telehealth as defined in Health Occupations Article, §1-901, Annotated Code of Maryland.

“Teletherapy practitioner” means:

Verify the identification of the client receiving teletherapy services through the use of:

For an initial client-teletherapy practitioner encounter, disclose the teletherapy practitioner’s:

Obtain oral or written informed consent from a client or a client’s parent or guardian if State law requires the consent of a parent or guardian, including informing clients of potential risks and benefits of services to be performed;

Securely collect and transmit a client’s clinical data and self-reported medical history, as necessary, and prevent access to data by unauthorized persons through encryption or other means;

Notify clients in the event of a data breach;

Ensure that the teletherapy practitioner provides a secure and private communication modality and complies with federal and state privacy laws; and

Establish safety protocols to be used in the case of an emergency, including contact information for emergency services at the client’s location.

Obtain or confirm an alternative method of contacting the client in case of a technological failure;

Confirm whether the client is in Maryland and identify the client’s specific location; and

Identify all individuals present at each location and confirm they are permitted to hear the client’s health information.

Perform a synchronous or asynchronous clinical client evaluation that is appropriate for the client and the condition with which the client presents before providing treatment or services through teletherapy; and

If clinically appropriate for the client, provide or refer a client to:

“Accredited educational institution” means a Board-approved college or university that is accredited by a national or regional accrediting body recognized by the Council on Post-Secondary Accreditation or through one of the following bodies recognized by the U.S. Department of Education:

“Appraisal” means:

“Approved alcohol and drug counselor supervisor” means a Board-approved:

“Biopsychosocial evaluation” means a comprehensive assessment of the patient addressing the following areas:

“Case management” means the provision of services which assist participants in gaining access to:

“Clinical supervision” means that the supervisor:

“Close supervision” means that the supervisor:

“Co-occurring disorders (CODs)” means the occurrence in any individual, simultaneously or sequentially, of two or more somatic or behavioral health disorders which may imply an interaction between the disorders that affect the course and prognosis of each diagnosis.

“Diagnosis” means the identification of psychological problems, emotional, or mental disorders by a licensed clinician, using specified terms and criteria identified in the current editions of the:

“Direct clinical counseling services” means the provision of face-to-face clinical professional counseling services to clients and their significant others that include, but are not limited to the following:

“Direct supervision” means supervision provided by a supervisor who is present on the premises where services are provided, and is available for consultation within the treatment area.

Face-to-Face.

“Health and human services counseling field” means a specific degree program with a counseling emphasis, including but not limited to the following areas:

“Immediately available supervision” means supervision provided by a supervisor who is instantly available:

“Indirect clinical counseling services” means all case management and professional development activities related to the provision of clinical professional counseling services to a client that include but are not limited to the following:

“Licensed graduate alcohol and drug counselor” means an individual approved by the Board to practice graduate alcohol and drug counseling under the supervision of an approved alcohol and drug counselor supervisor while fulfilling the supervised clinical experience for licensure under:

“Moderate supervision” means that the supervisor:

Ongoing Process of Supervision.

“On-site supervision” means supervision provided by a supervisor who is:

Participating in the development of diagnostic impressions.

“Practice clinical alcohol and drug counseling” means to engage professionally and for compensation in alcohol and drug counseling and appraisal activities by providing services for individuals, couples, families and groups involving:

“Psychotherapy” means providing clinical services which involve:

“Relative” means an individual connected to another by:

“SBIRT” means Screening, Brief Intervention, and Referral to Treatment, including the following practices:

“Scope of competence” means that area within which the individual is proficient to practice based on:

“Substance use disorders (SUDs)” means any problematic pattern of substance use leading to clinically significant impairment or distress, which is diagnosed using specified terms and criteria identified in the current editions of the:

“Supervised clinical experience in alcohol and drug counseling” means alcohol and drug counseling services provided under the close or moderate supervision of an approved licensed or certified alcohol and drug counselor supervisor.

“Supervisee” means any of the following who obtains the supervised clinical experience required by Health Occupations Article, §17-302, Annotated Code of Maryland:

Supervision.

“Trauma informed care” means including in treatment an approach that:

“Under the supervision of an approved alcohol and drug counselor supervisor” means:

“Written contract for supervision” means a Board-approved agreement between the supervisee and approved alcohol and drug supervisor that is initiated before beginning supervision and that details the scope of supervision and includes at a minimum the following:

Complete and return the Board-approved application;

Submit an official transcript from an accredited educational institution indicating the:

Pay all applicable fees set forth in COMAR 10.58.02;

Submit to a criminal history background check in accordance with Health Occupations Article, §17-501.1, Annotated Code of Maryland;

Be of good moral character; and

Be at least 18 years old.

Within 30 days after receipt of an application, the Board shall determine whether the application is complete;

If the Board determines that the application is not complete, the Board shall send a notice of deficiency to the applicant;

Upon receipt of the notice, the applicant shall correct the deficiency within 90 days, or other period specified in the notice;

If the applicant fails to correct the deficiency within the required period, the application may lapse and the applicant shall be required to:

If the Board determines that an applicant is eligible to take the required examinations, the Board shall send a notice of approval to the applicant;

Upon receipt of the approval notice, the applicant shall have 1 year from the date of the notice to take the examinations; and

If the applicant fails to take the examinations within 1 year from the date of the approval notice, the requirements set forth under §B(4) of this regulation shall apply.

Clinical evaluation, including screening, assessment, and diagnosis for mental health disorders;

Treatment planning for mental health disorders, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;

Referral;

Service coordination and case management;

Counseling, therapy, and trauma informed care with individuals, couples, families and groups;

Client, family, and community education;

Documentation; and

Professional and ethical responsibilities.

Completed one of the following from an accredited educational institution:

Completed a minimum of 39 semester credit hours or 65 quarter credit hours in alcohol and drug counselor training from an accredited educational institution including:

Completed one of the following:

Completed a minimum of 3 graduate semester credit hours or 5 quarter credit hours in each of the following course content areas:

Achieved a passing score on:

Met all of the requirements set forth under Regulation .03 of this chapter; and

Complied with:

Clearly states that the counseling services are provided under supervision; and

Provides the name, title, and credentials of the supervisor of record, including the supervisor’s address and contact information.

May retake the exam if:

Shall be required to:

Practice independently; or

Provide supervision.

The graduate alcohol and drug counselor license expires 2 years after the date issued.

If the graduate alcohol and drug counselor licensee is unable to accumulate the required clinical hours for licensure as a clinical alcohol and drug counselor in 2 years, the graduate alcohol and drug counselor may apply on a Board-approved form for a 2-year extension before the current license as a graduate alcohol and drug counselor expires, up to a maximum of 6 years, except as provided in §G(4) of this regulation.

For the graduate alcohol and drug counselor who has been granted a 2-year extension, CEUs are not required for the first 2-year extension. Subsequent extensions approved by the Board shall be subject to the continuing education requirements in COMAR 10.58.05.

A graduate alcohol and drug counselor shall submit a written request for an extension beyond the 6-year maximum, which the Board may grant in certain circumstances.

Within 5 calendar years after the license renewal date, the Board may reinstate the license of a licensed graduate alcohol and drug counselor otherwise entitled to reinstatement under Health Occupations Article, §17-505(b), Annotated Code of Maryland, whose license was not renewed for any reason, if the licensee:

CEUs which are acquired in order to reinstate under COMAR 10.58.05.05 and .06 may be credited only once and may not be credited for any future renewals.

For any licensed graduate alcohol and drug counselor whose license has expired more than 5 calendar years before the request for reinstatement, a new application for licensure shall be completed and the current licensure requirements shall be met.

An individual who fails to reinstate licensure is not authorized to and may not practice clinical alcohol and drug counseling.

In accordance with Health Occupations Article, §17-505, Annotated Code of Maryland, a request to transfer a license to inactive status shall be granted upon receipt of the:

An individual may apply for inactive status only if the individual’s license is still active at the time application for inactive status is made.

An individual on inactive status is not authorized to practice graduate alcohol and drug counseling.

Within 5 calendar years after being placed on inactive status, an individual on inactive status seeking to be reinstated to active status shall be required, as a condition of reinstatement, to submit proof of having completed the CEU requirements as set forth under COMAR 10.58.05.

If an individual on inactive status seeks to be reinstated beyond the required 5-year period and the conditions set forth under §I(4) of this regulation, the individual shall be required to:

Clinical evaluation, including screening, assessment, and diagnosis for mental health disorders;

Treatment planning for mental health and substance use disorders, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;

Referral;

Service coordination and case management;

Counseling, therapy, and trauma-informed care with individuals, couples, families, and groups;

Client, family, and community education;

Documentation;

Professional and ethical responsibilities; and

Supervisory responsibilities for all categories of licensed and certified alcohol and drug counselors or trainees.

Completed one of the following from an accredited educational institution:

Completed a minimum of 39 semester credit hours or 65 quarter credit hours in alcohol and drug counselor training from an accredited educational institution with at least 3 semester credit hours or 5 quarter credit hours of course work in each of the following course content areas:

Completed one of the following:

Completed a minimum of 3 graduate semester credit hours or 5 quarter credit hours in each of the following content areas:

Completed a minimum of 2 years and 2,000 hours of supervised clinical experience in alcohol and drug counseling:

Achieved a passing score on:

Met all of the requirements set forth under Regulation .03 of this chapter; and

Complied with:

To renew clinical alcohol and drug counselor licensure, the applicant, before the current license expiration, shall:

A licensed clinical alcohol and drug counselor shall comply with the renewal requirements as provided in Health Occupations Article, §17–504, Annotated Code of Maryland.

An individual who fails to renew licensure is not authorized to and may not practice clinical alcohol and drug counseling.

Biopsychosocial evaluation, including screening, assessment, and participating in the development of diagnostic impressions for SUDs and CODs;

Treatment planning for SUDs and CODs, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;

Referral;

Service coordination and case management in the areas of SUDs and CODs;

Counseling, therapy, and trauma-informed care with individuals, families, and groups in the areas of SUDs and CODs;

Client, family, and community education;

Documentation;

Professional and ethical responsibilities; and

Supervisory responsibilities for all categories of certified alcohol and drug counselors or trainees in the certification track.

To renew certified professional counselor-alcohol and drug certification, the applicant, before the current certificate expiration, shall:

The Board may not renew the certification of any certified professional counselor-alcohol and drug who fails to complete all requirements for renewal before the expiration date of the current certification.

Biopsychosocial evaluation, including participating in the development of diagnostic impressions for SUDs or Screening, Brief Intervention, and Referral to Treatment (SBIRT);

Treatment planning for SUDs and CODs, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;

Referral;

Service coordination and case management for SUDs and CODs;

Counseling, therapy, and trauma informed care, with individuals, couples, families, and groups;

Client, family, and community education;

Documentation; and

Complying with:

Shall provide alcohol and drug counseling:

May provide supervision with approval by the Board; and

May not practice independently.

At a minimum:

Completed a minimum of 33 semester credit hours or 50 quarter credit hours in alcohol and drug counselor training from an accredited educational institution including:

Completed one of the following:

Completed not less than 1 year with a minimum of 1,000 hours of clinically supervised experience in alcohol and drug counseling completed as a certified supervised counselor-alcohol and drug or an alcohol and drug trainee under and verified by an approved alcohol and drug counselor supervisor;

Achieved a passing score on:

Met all of the requirements set forth under Regulation .03 of this chapter; and

Complied with:

Clearly states that the counseling services are provided under supervision; and

Provides the name, title, and credentials of the supervisor of record, including the supervisor’s address and contact information.

May retake the exam if:

Shall be required to submit a new application and pay the nonrefundable fee set forth in COMAR 10.58.02.

To renew the certification of a certified associate counselor-alcohol and drug, the applicant, before the current certificate expiration, shall:

The Board may not renew the certification of any certified associate counselor — alcohol and drug who fails to complete all requirements for renewal before the expiration date of the current certification.

An individual who fails to renew certification is not authorized to and may not practice alcohol and drug counseling.

Within 5 calendar years after the certificate renewal date, the Board may reinstate the certificate of a certified associate counselor-alcohol and drug otherwise entitled to reinstatement under Health Occupations Article, §17-505(b), Annotated Code of Maryland, whose certificate was not renewed for any reason, if the certificate holder:

CEUs which are acquired in order to reinstate under COMAR 10.58.05.05 and .06 may be credited only once and may not be credited for any future renewals.

For any certified associate counselor-alcohol and drug whose certificate has expired more than 5 calendar years before the request for reinstatement, a new application for certification shall be completed and the current certification requirements shall be met.

In accordance with Health Occupations Article, §17-505, Annotated Code of Maryland, a request to transfer a certificate to inactive status shall be granted upon receipt of the:

An individual may apply for inactive status only if the individual’s certificate is active at the time application for inactive status is made.

An individual on inactive status is not authorized to practice alcohol and drug counseling.

Within 5 calendar years after being placed on inactive status, an individual on inactive status seeking to be reinstated to active status shall be required, as a condition of reinstatement, to submit proof of having completed the CEU requirements as set forth under COMAR 10.58.05.

If an individual on inactive status seeks to be reinstated beyond the required 5-year period and conditions set forth under §I(4) of this regulation, the individual shall be required to:

Participating in the development of diagnostic impressions for SUDs and CODs, as:

Biopsychosocial evaluation, as permitted by the Board-approved supervisor;

Screening, Brief Intervention, and Referral to Treatment (SBIRT);

Treatment planning for SUDs and CODs, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention, as confirmed by:

Referral;

Participating in service coordination, case coordination, and case management for SUDs and CODs;

Counseling of individuals and groups for SUDs;

Client, family, and community education for SUDs;

Documentation; and

Complying with the professional and ethical responsibilities set forth in COMAR 10.58.03.

Shall practice under the close supervision of an approved alcohol and drug counselor supervisor;

Shall provide alcohol and drug counseling as an employee of an agency or facility that is certified or licensed by the State; and

May not:

At a minimum:

Completed a minimum of 24 semester credit hours or 37 quarter credit hours in alcohol and drug counselor training from an accredited educational institution including:

Completed one of the following:

Achieved a passing score on:

Met all of the requirements set forth under Regulation .03 of this chapter; and

Complied with:

Clearly states that the counseling services are provided under supervision; and

Provides the name, title, and credentials of the supervisor of record, including the supervisor’s address and contact information.

May retake the exam if:

Shall be required to:

Biopsychosocial evaluation, including screening, assessment, and diagnostic impressions for SUDs and CODs;

Treatment planning for SUDs and CODs, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;

Referral;

Service coordination and case management in the areas of SUDs and CODs;

Counseling, therapy, and trauma informed care with individuals, couples, families and groups in the areas of SUDs and CODs;

Client, family, group, and community education;

Documentation; and

Compliance with professional and ethical responsibilities.

Hold an associate’s degree or higher from an accredited educational institution:

Have completed 15 semester credit hours or 25 quarter credit hours from among the topic areas specified in Regulation .05B of this chapter including:

Practice under the supervision of a Board-approved alcohol and drug supervisor as specified under §§E—H of this regulation; and

Have available for inspection a professional disclosure statement, as described in Health Occupations Article, §17-507, Annotated Code of Maryland, that:

Practice under the clinical supervision of an approved alcohol and drug counselor supervisor as defined under Regulation .02B of this chapter;

Provide alcohol and drug counseling as an employee of an agency or facility that is certified or licensed by the State; and

Provide documentation satisfactory to the Board every 2 years of progress towards the fulfillment of the experiential and course of study requirements under Health Occupations Article, §17-302, Annotated Code of Maryland.

Practice under the moderate supervision of an approved alcohol and drug counselor supervisor;

Provide alcohol and drug counseling as an employee of an agency or facility that is certified or licensed by the State; and

Provide documentation satisfactory to the Board every 2 years of progress towards the fulfillment of the experiential and course of study requirements under Health Occupations Article, §17-403 or 17-404, Annotated Code of Maryland.

Practice under the close supervision of an approved alcohol and drug counselor supervisor;

Provide alcohol and drug counseling as an employee of an agency or facility that is certified or licensed by the State; and

Provide documentation satisfactory to the Board every 2 years of progress towards the fulfillment of the experiential and course of study requirements under Health Occupations Article, §17-403 or 17-404, Annotated Code of Maryland.

To qualify for alcohol and drug trainee status, an applicant shall:

The trainee shall notify the Board in writing within 30 days of any changes in employment and supervision.

An individual licensed as a clinical mental healthcare provider under the Health Occupations Article, Title 17, Annotated Code of Maryland, may not apply as a trainee.

An individual may practice alcohol and drug counseling as a trainee for a maximum of 6 years.

After fulfilling the experiential and course of study requirements under Regulations .04, .05, .07, or .08 of this chapter, the alcohol and drug trainee may be eligible to apply for:

The Board shall issue a letter to the individual authorizing the individual to practice alcohol and drug counseling as a trainee for 2 years, renewable in 2-year increments up to a total of 6 years.

In each 2-year renewal application, before the expiration of the current trainee period, the trainee shall:

The Board may deny renewal if the applicant fails to document sufficient progress as determined by the Board.

A trainee who fails to renew their trainee status is not authorized to practice alcohol and drug counseling.

Provides:

Pays the application fee set forth in the COMAR 10.58.02;

Has achieved a passing score on:

Meets all of the requirements set forth under Regulation .03 of this chapter; and

Complies with:

Obtained licensure in a state or country that grants a similar endorsement to license holders of this State;

Became licensed in another state or country after passing an examination approved by the Board; and

Meets the qualifications otherwise required by Health Occupations Article, Title 17, Annotated Code of Maryland, and this chapter.

As established in Regulation .05 of this chapter; or

By providing documentation of the substitute educational and experience requirements outlined in §§D and E of this regulation.

3 graduate semester credit hours or 5 graduate quarter credit hours covering the following primary topics or content areas:

3 undergraduate semester credit hours or 5 undergraduate quarter credit hours in:

The applicant shall provide documentation, satisfactory to the Board, of one of the following for an applicant with:

The applicant shall provide verification, on a Board-approved form, from employers, supervisors, or colleagues that the applicant has practiced clinical alcohol and drug counseling for the length of time stated in §E(1) of this regulation.

Provides:

Pays the application fee set forth in the COMAR 10.58.02;

Has achieved a passing score on:

Meets all of the requirements set forth under Regulation .03 of this chapter; and

Complies with:

Obtained certification in a state or country that grants a similar endorsement to certificate holders of this State;

Became certified in another state or country after passing an examination approved by the Board;

Meets the qualifications otherwise required by Health Occupations Article, Title 17, Annotated Code of Maryland, and this chapter.

As established in Regulation .07 of this chapter; or

By providing documentation of the substitute educational and experience requirements outlined in §§D and E of this regulation.

12 continuing education units (CEUs) in the ethics of alcohol and drug counseling; or

1 semester credit hour or 2 quarter credit hours in the ethics of alcohol and drug counseling.

Documentation, satisfactory to the Board, of not less than 2 years of supervised clinical experience in alcohol and drug counseling with a minimum of 2,000 hours experience; and

Verification, on a Board-approved form, from employers, supervisors, or colleagues that the applicant has practiced alcohol and drug counseling for the length of time stated in §E(1) of this regulation.

Provides:

Pays the application fee set forth in the COMAR 10.58.02;

Has achieved a passing score on:

Meets all of the requirements set forth under Regulation .03 of this chapter; and

Complies with:

As established in Regulation .08 of this chapter; or

By providing documentation of the substitute educational and experience requirements outlined in §§D and E of this regulation.

12 continuing education units (CEUs) in the ethics of alcohol and drug counseling; or

1 semester credit hour or 2 quarter credit hours in the ethics of alcohol and drug counseling.

Documentation, satisfactory to the Board, of not less than 2 years of supervised clinical experience in alcohol and drug counseling with a minimum of 2,000 hours experience; and

Verification, on a Board-approved form, from employers, supervisors, or colleagues that the applicant has practiced alcohol and drug counseling for the length of time stated in §E(1) of this regulation.

Supervise only in those areas within the supervisor’s competence, as determined by:

Provide supervision appropriate to the particular level of licensure or certification being applied for or maintained;

Provide supervision in the general content areas established in Health Occupations Article, §§17-302, 17-403, 17-404, and 17-406, Annotated Code of Maryland; and

Ensure that a supervisee has read and is knowledgeable about:

The supervisee’s scope of practice of:

Activities specified under Regulations .04A, .07A, .08A, and .09A, of this chapter;

Appropriate billing practices, if applicable to the practice site, including:

Professional and ethical responsibilities, including a working knowledge of the Board’s code of ethics, as set forth in COMAR 10.58.03;

The provision of services involving the application of counseling principles and methods in the diagnosis, prevention, treatment, and amelioration of psychological problems, emotional conditions, or mental conditions of individuals or groups, as required by Health Occupations Article, §17-308, Annotated Code of Maryland; and

Appropriate maintenance and destruction of clinical and financial records.

A licensed graduate alcohol and drug counselor;

A certified associate counselor-alcohol and drug;

A certified supervised counselor-alcohol and drug; or

An alcohol and drug trainee.

Licensed by the Board as a clinical alcohol and drug counselor;

Licensed by the Board as:

A licensed mental health care provider as defined in Regulation .02B of this chapter;

Certified by the Board as a certified professional counselor-alcohol and drug; or

Certified by the Board as a certified associate counselor-alcohol and drug for at least 2 years.

A supervisor licensed or certified by the Board, or any Board-approved mental health care provider licensed under Health Occupations Article, Annotated Code of Maryland, with 3 years of documented experience in alcohol and drug counseling, including 3,000 hours of direct client contact, shall complete any of the following options:

Supervision training required by §B(1) of this regulation may be obtained in a graduate or undergraduate course as provided in §B(1)(a) or (b) of this regulation, or continuing education as listed in §B(1)(c) of this regulation, and may include, but is not limited to, training in:

File with the Board the approved alcohol and drug supervisor application form;

Provide each supervisee with a copy of the Board’s authorization of approved alcohol and drug supervisor status;

Have a license or certification that is in good standing; and

Be an approved alcohol and drug supervisor as defined under Regulation .02B of this chapter.

Dates;

Duration; and

Focus of the supervisory sessions;

Health Occupations Article, Title 17, Annotated Code of Maryland; and

This subtitle, with special emphasis on the code of ethics chapter, COMAR 10.58.03;

For emergency supervision of and direction to a supervisee by a Board-approved alcohol and drug supervisor;

A written evaluation of progress to the supervisee on a regular basis or as needed; and

A copy of the documentation required by §E of this regulation on request by the:

Verify that the supervisor has been approved by the Board;

Agree to and sign a Board-approved contract before initiating supervision;

Attend and participate in supervision as agreed to in the supervision contract;

Prepare for supervision using case materials related to the supervisee’s alcohol and drug counseling practice;

Maintain documentation of supervisory sessions for at least 7 years, to be available for verification to the Board or its authorized agent, including:

Follow all terms of the written contract for supervision.

That the supervisee’s alcohol and drug counseling services are provided under supervision; and

The name of the supervisor, including the supervisor’s address and contact information.

Is aware that counseling services are being provided under supervision; and

Consents to the recording of counseling sessions, and the sharing of client information, acknowledging that all of these materials may be shared with:

Practice clinical marriage and family therapy; or

Provide supervision for licensed graduate marriage and family therapists; and

“Accredited educational institution” means a Board-approved college or university that is accredited by a national or regional accrediting body recognized by the Council on Post-Secondary Accreditation or through one of the following bodies recognized by the U.S. Department of Education:

“Appraisal” means:

“Board-approved marriage and family therapy supervisor” means:

“Client contact hour” means at least 45 minutes of direct session time with a client present.

“Clinical supervision hour” means at least 45 minutes of direct supervision time with the supervisee present.

“Direct clinical marriage and family therapy services” means the provision of face-to-face clinical marriage and family therapy services to clients and their significant others that includes, but is not limited, to the following:

Face-to-Face.

“Indirect clinical marriage and family therapy services” means all case management and professional development activities related to the provision of clinical marriage and family therapy services to a client that include, but are not limited to, the following:

“Licensed clinical marriage and family therapist” means an individual approved by the Board to practice clinical marriage and family therapy.

“Licensed graduate marriage and family therapist” means an individual approved by the Board to practice graduate marriage and family therapy under the supervision of a Board-approved marriage and family therapy supervisor while fulfilling the supervised clinical experience for licensure under Health Occupations Article, §§17-303 and 17-309, Annotated Code of Maryland, and Regulation .04B of this chapter.

“Licensed mental health care provider” means a:

“Marriage and family therapy field” means a specific degree program with a marriage and family therapy emphasis, including, but not limited to, the following areas:

“Practice clinical marriage and family therapy” means:

“Practice graduate marriage and family therapy” means to practice marriage and family therapy:

“Psychotherapy” means providing clinical services that involve:

“Related field” means a profession using counseling whose academic requirements include degree programs from an accredited college or university that has curricula in areas such as expressive therapy, gerontology, human services, marriage and family therapy, mental health, pastoral counseling, psychology, psychotherapy, social work, and other areas approved by the Board.

“Relative” means an individual connected to another by:

“Scope of competence” means that area within which the individual is proficient to practice, based on education, training, supervised experience, and professional credentials.

“Substantially equivalent” means:

“Supervised clinical experience in marriage and family therapy” means the provision of marriage and family therapy services conducted under the supervision of a Board-approved marriage and family therapy supervisor.

“Supervisee” means a licensed graduate marriage and family therapist obtaining the supervised experience required by Health Occupations Article, §17-303, Annotated Code of Maryland.

“Supervision” means a formalized professional relationship between a supervisor and supervisee in which the supervisor directs, guides, monitors, instructs, and evaluates the supervisee’s clinical marriage and family therapy practice while promoting development of the supervisee’s knowledge, skills, and abilities to provide clinical marriage and family therapy services in an ethical and competent manner and includes an acceptance of direct responsibility for the client services rendered by the supervisee.

Supervision Training.

“Under the supervision of a Board-approved marriage and family therapy supervisor” means engaging in an ongoing process of receiving direction from a Board-approved supervisor that includes:

“Written contract for supervision” means an agreement between the supervisee and Board-approved supervisor that is initiated before beginning supervision and that details the scope of supervision and includes at a minimum the following:

Complete and return the Board-approved application;

Submit an official transcript from an accredited educational institution awarding the highest degree attained in clinical marriage and family therapy or a related field;

Pay all applicable fees set forth in COMAR 10.58.02;

Submit to a criminal history background check in accordance with Health Occupations Article, §17-501.1, Annotated Code of Maryland;

Be of good moral character; and

Be at least 18 years old.

Within 30 days after receipt of an application, the Board shall determine whether the application is complete;

If the Board determines that the application is not complete, the Board shall send a notice of deficiency to the applicant;

Upon receipt of the notice, the applicant shall correct the deficiency within 90 days, or other period specified in the notice;

If the applicant fails to correct the deficiency within the required period, the application may lapse and the applicant shall be required to:

If the Board determines that an applicant is eligible to take the required examinations, the Board shall send a notice of approval to the applicant;

Upon receipt of the approval notice, the applicant shall have 1 year from the date of the notice to take the examinations; and

If the applicant fails to take the examinations within 1 year from the date of the approval notice, the requirements set forth under §B(4) of this regulation shall apply.

One of the following from an accredited educational institution approved by the Board:

Completed a minimum of 45 graduate semester credit hours or 68 graduate quarter credit hours as required by Regulation .05B of this chapter;

Of the graduate credit hours required by §A(1) and (2) of this regulation, completed a minimum of 45 credit hours in each of the following areas:

Met all of the requirements set forth under Regulation .03 of this chapter;

Achieved a passing score on:

Complied with:

May retake the exam if:

Shall be required to:

Practice independent of supervision; or

Provide supervision.

The graduate marriage and family therapist license expires 2 years after the date issued.

If a licensed graduate marriage and family therapist is unable to accumulate the required clinical hours for licensure as a clinical marriage and family therapist within 2 years, the licensed graduate marriage and family therapist may apply on a Board-approved form for a 2-year extension before the current license expires, up to a maximum of 6 years, except as provided in §F(4) of this regulation.

For a licensed graduate marriage and family therapist who has been granted a 2-year extension, CEUs are not required for the first 2-year extension. Subsequent extensions approved by the Board shall be subject to the continuing education requirements in COMAR 10.58.05.

If a licensed graduate marriage and family therapist notifies the Board in writing, the Board may grant, in certain circumstances, a license extension beyond the 6-year maximum as set forth in §F(2) of this regulation.

Within 5 calendar years after the license renewal date, the Board may reinstate the license of a licensed graduate marriage and family therapist otherwise entitled to reinstatement under Health Occupations Article, §17-505(b), Annotated Code of Maryland, whose license was not renewed for any reason, if the licensee:

CEUs which are acquired in order to reinstate under COMAR 10.58.05.05 and .06 may be credited only once and may not be credited for any future renewals.

For any licensed graduate marriage and family therapist whose license has expired more than 5 calendar years before the request for reinstatement, a new application for licensure shall be completed and the current licensure requirements shall be met.

An individual who fails to reinstate licensure is not authorized to and may not practice graduate marriage and family therapy.

A graduate marriage and family therapist license or other credential approved by the Board;

Completed the course work requirements set forth under Regulation .04B of this chapter;

Completed a minimum of 2 years and 2,000 hours of clinical experience in marriage and family therapy, of which:

Achieved a passing score on:

Met all of the requirements set forth under Regulation .03 of this chapter; and

Complied with:

May retake the exam if:

Shall be required to:

Were obtained in accordance with the rules and regulations of that jurisdiction; and

Included the course work requirements set forth under Regulation .06D of this chapter.

To renew a clinical marriage and family therapist license, the applicant shall:

A licensed clinical marriage and family therapist shall comply with the renewal requirements as provided in Health Occupations Article, §17–504, Annotated Code of Maryland.

An individual who fails to renew licensure:

Within 5 calendar years after the license renewal date, the Board may reinstate the license of a licensed clinical marriage and family therapist otherwise entitled to reinstatement under Health Occupations Article, §17-505(b), Annotated Code of Maryland, whose license was not renewed for any reason, if the licensee:

CEUs which are acquired in order to reinstate under COMAR 10.58.05.05 and.06 may be credited only once and may not be credited for any future renewals.

For any licensed clinical marriage and family therapist whose license has expired more than 5 calendar years before the request for reinstatement, a new application for licensure shall be completed and the current licensure requirements shall be met.

An individual who fails to reinstate licensure is not authorized to and may not practice clinical marriage and family therapy.

In accordance with Health Occupations Article, §17-505, Annotated Code of Maryland, a request to transfer a license to inactive status shall be granted upon receipt of the:

An individual may apply for inactive status only if the individual’s license is still active at the time application for inactive status is made.

An individual on inactive status is not authorized to and may not practice clinical marriage and family therapy.

Within 5 calendar years after being placed on inactive status, an individual seeking to be reinstated to active status shall be required, as a condition of reinstatement, to submit proof of having completed 20 CEUs for each year of inactive status, at least 40 of which shall have been obtained within the 2-year period immediately preceding the application for reinstatement.

If an individual on inactive status seeks to be reinstated beyond the required 5-year period and conditions set forth under §G(4) of this regulation, the individual shall be required to:

Provides:

Pays the application fee set forth in COMAR 10.58.02;

Has achieved a passing score on an examination of:

Submits to a criminal history background check in accordance with Health Occupations Article, §17-501.1, Annotated Code of Maryland;

Is of good moral character; and

Complies with:

To pass a national certification examination; and

Who meets the qualifications otherwise required by Health Occupations Article, Title 17, Annotated Code of Maryland, and this chapter.

Supervise only in those areas within the supervisor’s competence, as determined by:

Provide supervision appropriate to the particular level of licensure being applied for or maintained;

Provide supervision in the general content areas established in Health Occupations Article, §17-303, Annotated Code of Maryland; and

Ensure that a supervisee has read and is knowledgeable about:

Appropriate billing practices if applicable to the practice site, including:

Providing services involving the application of therapy principles and methods in the diagnosis, prevention, treatment, and amelioration of psychological problems, emotional conditions, or mental conditions of individuals, families, couples, or groups, as stated in Health Occupations Article, §17-308, Annotated Code of Maryland; and

Appropriate maintenance and destruction of clinical and financial records.

A relative;

A licensed graduate marriage and family therapist, licensed graduate alcohol and drug counselor, a certified alcohol and drug counselor, licensed graduate professional counselor, licensed graduate professional art therapist, or any other graduate-level health care provider licensed under Health Occupations Article, Annotated Code of Maryland; or

An individual with whom there could be a conflict of interest, including, but not limited to, an employee supervising their own employer or a student supervising their own teacher.

Licensed by the Board as a clinical:

A licensed mental health care provider as defined in Regulation .02B of this chapter and approved by the Board.

A Board-approved supervisor, or any licensed mental health care provider as defined in Regulation .02B of this chapter who is approved by the Board and has completed 3 years of documented experience in clinical marriage and family therapy shall complete at least one of the following education and training experiences:

In addition to the requirements of §B(1) of this regulation, a supervisor shall complete at least 6 semester credit hours or 10 quarter credit hours of graduate-level academic training in Theories of Couples and Family Therapy.

Supervision training required by this section may be obtained in a graduate course as listed in §B(1) of this regulation and may include, but not be limited to:

File the completed Board-approved supervisor application form;

Provide the supervisee with a copy of the Board’s licensed clinical marriage and family therapy approved supervisor letter; and

Have an active license that is without restrictions or conditions due to disciplinary action for the 2 years preceding an application for licensed clinical marriage and family therapy Board-approved supervisor status.

Agency-designated supervisor; or

Independent supervisor in private practice.

Dates;

Duration; and

Focus of the supervisory sessions;

Health Occupations Article, Title 17, Annotated Code of Maryland; and

This subtitle with special emphasis on the code of ethics under COMAR 10.58.03;

For emergency supervision and direction to a supervisee by a Board-approved supervisor;

A written evaluation of progress to the supervisee on a regular basis or as needed; and

A copy of the documentation required by §E of this regulation on request by the:

Verify that the supervisee's supervisor has been approved by the Board;

Agree to and sign a written contract for supervision before initiating supervision;

Attend and participate in supervision as agreed to in the supervision contract;

Prepare for supervision using case materials related to the supervisee’s clinical marriage and family therapy practice;

Maintain documentation of supervisory sessions for at least 7 years, to be available for verification to the Board or its authorized agent, including:

Follow all terms of the written contract for supervision.

Clearly states the marriage and family therapy services are provided under clinical supervision; and

Provides the name of the supervisor with address and contact information.