<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.58.06.04" title_num="10" subtitle_num="58" chapter_num="06" heading="Standards of Practice for Teletherapy.">
  <paragraph num="A.">
    <text>Before providing teletherapy services, a teletherapy practitioner shall develop and follow a procedure to:</text>
    <paragraph num="(1)">
      <text>Verify the identification of the client receiving teletherapy services through the use of:</text>
      <paragraph num="(a)">
        <text>A government-issued photograph identification;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An insurance, Medicaid, or Medicare card; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Documentation of the client’s:</text>
        <paragraph num="(i)">
          <text>Date of birth; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Home address;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>For an initial client-teletherapy practitioner encounter, disclose the teletherapy practitioner’s:</text>
      <paragraph num="(a)">
        <text>Name;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maryland license or certificate number and type or compact privilege number, if applicable; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Contact information;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Notify clients in the event of a data breach;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Ensure that the teletherapy practitioner provides a secure and private communication modality and complies with federal and state privacy laws; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Establish safety protocols to be used in the case of an emergency, including contact information for emergency services at the client’s location.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Except when providing asynchronous teletherapy services, a teletherapy practitioner 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>Confirm whether the client is in Maryland and identify the client’s specific location; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Identify all individuals present at each location and confirm they are permitted to hear the client’s health information.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A teletherapy practitioner shall be held to the same standards of practice and documentation as those applicable for in-person counseling and therapy sessions.</text>
  </paragraph>
</regulation>