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<regulation prefix="Regulation" num=".07" citation="COMAR 10.58.07.07" title_num="10" subtitle_num="58" chapter_num="07" heading="Certified Associate Counselor-Alcohol and Drug.">
  <paragraph num="A.">
    <text>Scope of Practice. The scope of practice of a certified associate counselor-alcohol and drug consists of the following activities, performed in accordance with §B of this regulation:</text>
    <paragraph num="(1)">
      <text>Biopsychosocial evaluation, including participating in the development of diagnostic impressions for SUDs or Screening, Brief Intervention, and Referral to Treatment (SBIRT);</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Treatment planning for SUDs and CODs, including initial, ongoing, continuity of care, discharge, and planning for relapse prevention;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Referral;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Service coordination and case management for SUDs and CODs;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Counseling, therapy, and trauma informed care, with individuals, couples, families, and groups;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Client, family, and community education;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Documentation; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Complying with:</text>
      <paragraph num="(a)">
        <text>Professional and ethical responsibilities; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Supervisory responsibilities for a certified associate counselor-alcohol and drug, certified supervised counselor-alcohol and drug, or a trainee seeking certification, provided that the certified associate counselor-alcohol and drug has been approved as a supervisor by the Board.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A certified associate counselor-alcohol and drug:</text>
    <paragraph num="(1)">
      <text>Shall provide alcohol and drug counseling:</text>
      <paragraph num="(a)">
        <text>As an employee of an agency or facility that is certified or licensed by the State; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Under the moderate supervision of an approved alcohol and drug counselor supervisor as specified in Health Occupations Article, §17–403, Annotated Code of Maryland;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>May provide supervision with approval by the Board; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>May not practice independently.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>To qualify for certification as a certified associate counselor-alcohol and drug (CAC-AD) an applicant shall have:</text>
    <paragraph num="(1)">
      <text>At a minimum:</text>
      <paragraph num="(a)">
        <text>A bachelor’s degree from an accredited educational institution in a health and human services counseling field; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A bachelor’s degree and have completed a program of studies determined by the Board to be substantially equivalent in subject matter with a minimum of 45 credit hours in counseling, including the required alcohol and drug course work for the level of certification sought, as specified in §C(2) of this regulation;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>3 semester credit hours or 5 quarter credit hours of course work in each of the following course content areas:</text>
        <paragraph num="(i)">
          <text>Pharmacology;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Group counseling;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Individual counseling;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Addictions treatment delivery;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Ethics that includes alcohol and drug counseling issues; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Abnormal psychology; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Any three of the following 3 semester credit hours or 5 quarter credit hours of course work in each of the following course content areas:</text>
        <paragraph num="(i)">
          <text>Human development;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Theories of counseling;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Treatment of co-occurring disorders;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Topics in substance-related and addictive disorders; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Family counseling;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Completed one of the following:</text>
      <paragraph num="(a)">
        <text>An internship in alcohol and drug counseling that totals 6 semester credit hours or 10 quarter credit hours; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A minimum of 1,000 hours of alcohol and drug counseling work completed as a certified associate counselor-alcohol and drug, a certified supervised counselor-alcohol and drug, or an alcohol and drug trainee under and verified by an approved alcohol and drug counselor supervisor;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>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;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Achieved a passing score on:</text>
      <paragraph num="(a)">
        <text>A national alcohol and drug counselor examination as approved by the Board; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An examination of:</text>
        <paragraph num="(i)">
          <text>Health Occupations Article, Title 17, Annotated Code of Maryland; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>This subtitle;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Met all of the requirements set forth under Regulation .03 of this chapter; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Complied with:</text>
      <paragraph num="(a)">
        <text>Health Occupations Article, Title 17, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The code of ethics as set forth in COMAR 10.58.03.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Certified associate counselors-alcohol and drug shall have available for inspection a professional disclosure statement, as described in Health Occupations Article, §17-507, Annotated Code of Maryland, that:</text>
    <paragraph num="(1)">
      <text>Clearly states that the counseling services are provided under supervision; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provides the name, title, and credentials of the supervisor of record, including the supervisor’s address and contact information.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Reexamination. An applicant who fails an examination for certification:</text>
    <paragraph num="(1)">
      <text>May retake the exam if:</text>
      <paragraph num="(a)">
        <text>It is within the time frame set by the applicable testing authority; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A waiver is approved by the Board to extend the testing deadline upon proof of exceptional circumstances; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall be required to submit a new application and pay the nonrefundable fee set forth in COMAR 10.58.02.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>The Board shall act upon applications as set forth under Regulation .03B of this chapter.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Renewal.</text>
    <paragraph num="(1)">
      <text>To renew the certification of a certified associate counselor-alcohol and drug, the applicant, before the current certificate expiration, shall:</text>
      <paragraph num="(a)">
        <text>Complete a Board-approved renewal application;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Pay all applicable fees set forth in COMAR 10.58.02; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Attest to completion of continuing education activities as specified in COMAR 10.58.05.05 and .06.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>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.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual who fails to renew certification is not authorized to and may not practice alcohol and drug counseling.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Reinstatement.</text>
    <paragraph num="(1)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Completes the required CEUs as set forth under COMAR 10.58.05;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Meets the current certification requirements; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Pays the reinstatement fee as set forth under COMAR 10.58.02.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>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.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>Inactive Status.</text>
    <paragraph num="(1)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Completed Board-approved application; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Payment of all applicable fees set forth in COMAR 10.58.02.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An individual may apply for inactive status only if the individual’s certificate is active at the time application for inactive status is made.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual on inactive status is not authorized to practice alcohol and drug counseling.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>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.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Submit a new application;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Meet the current certification requirements; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Pay the nonrefundable fee set forth in COMAR 10.58.02.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>