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<chapter num="12" heading="Licensed Clinical Professional Counselors — Requirements for Licensure" title_num="10" subtitle_num="58">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter:</text>
    <paragraph num="A.">
      <text>Establishes the requirements for an individual to practice clinical professional counseling;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Establishes standards of supervision and the responsibilities of supervisors and supervisees in the practice of clinical professional counseling;</text>
    </paragraph>
    <paragraph num="C.">
      <text>Applies to licensees who:</text>
      <paragraph num="(1)">
        <text>Practice clinical professional counseling; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Provide supervision for licensed graduate professional counseling; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Applies to licensed graduate professional counselors who are in the process of obtaining the supervised clinical experience required by Health Occupations Article, §17-304.1, Annotated Code of Maryland.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Accredited educational institution” means a Board-approved college or university 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:</text>
        <paragraph num="(a)">
          <text>The Middle States Association of Colleges and Schools — the Commission on Higher Education;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The New England Association of Schools and Colleges;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>The North Central Association of Schools and Colleges;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>The Northwest Association of Schools and of Colleges and Universities;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>The Southern Association of Colleges and Schools; or</text>
        </paragraph>
        <paragraph num="(f)">
          <text>The Western Association of Colleges and Schools.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>“Appraisal” means:</text>
        <paragraph num="(a)">
          <text>Selecting, administering, scoring, and interpreting instruments designed to assess an individual's aptitudes, attitudes, abilities, achievements, interests, and personal characteristics; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Using nonstandardized methods and techniques for understanding human behavior in relation to coping with, adapting to, or changing life situations.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>“Board-approved supervisor” means:</text>
        <paragraph num="(a)">
          <text>A licensed clinical professional counselor, licensed clinical marriage and family therapist, licensed clinical professional art therapist, or licensed clinical alcohol and drug counselor who meets the requirements for licensure under this chapter, and has been approved by the Board; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>An individual who is authorized by law to practice a health occupation, which includes the diagnosis, prevention, treatment, and amelioration of psychological problems and emotional or mental conditions of individuals or groups, and has been approved by the Board.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>“Client contact hour” means at least 45 minutes of direct session time with a client present.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Clinical supervision hour” means at least 45 minutes of direct supervision time with the supervisee present.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Direct clinical counseling services” means the provision of face-to-face clinical professional counseling services to clients and their significant others that includes, but is not limited to the following:</text>
        <paragraph num="(a)">
          <text>Individual counseling;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Group counseling;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Family counseling;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Couples counseling;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Evaluation;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Intake or Assessment;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Diagnosis;</text>
        </paragraph>
        <paragraph num="(h)">
          <text>Treatment planning with a client; and</text>
        </paragraph>
        <paragraph num="(i)">
          <text>Crisis management or intervention.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(7)">
        <text>Face-to-Face.</text>
        <paragraph num="(a)">
          <text>“Face-to-face” means in the physical presence of an individual or using video conferencing which allows individuals to hear and see each other in synchronous points of time.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>“Face-to-face” does not include:</text>
          <paragraph num="(i)">
            <text>Telephone communication; or</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Internet communication that does not involve synchronous video conferencing, such as instant messaging services and social networking sites.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(8)">
        <text>“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:</text>
        <paragraph num="(a)">
          <text>Referral;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Intake or assessment by telephone or other means when client is not face-to-face;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Receiving individual and group supervision at site or at the university;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Consultation with other professionals;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Treatment planning with other professionals;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Case staffing;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Staff meetings;</text>
        </paragraph>
        <paragraph num="(h)">
          <text>Related trainings and seminars;</text>
        </paragraph>
        <paragraph num="(i)">
          <text>Record keeping;</text>
        </paragraph>
        <paragraph num="(j)">
          <text>Report writing;</text>
        </paragraph>
        <paragraph num="(k)">
          <text>Case note taking;</text>
        </paragraph>
        <paragraph num="(l)">
          <text>Providing clinical training;</text>
        </paragraph>
        <paragraph num="(m)">
          <text>Telephone triage;</text>
        </paragraph>
        <paragraph num="(n)">
          <text>Case management;</text>
        </paragraph>
        <paragraph num="(o)">
          <text>Program development; and</text>
        </paragraph>
        <paragraph num="(p)">
          <text>Other clinical professional counselor administrative duties as required by the setting in which the clinical hours are accrued.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(9)">
        <text>“Licensed clinical professional counselor” means an individual approved by the Board to practice clinical professional counseling.</text>
      </paragraph>
      <paragraph num="(10)">
        <text>“Licensed graduate professional counselor” means an individual approved by the Board to practice graduate professional counseling:</text>
        <paragraph num="(a)">
          <text>Under the supervision of a Board-approved supervisor; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>While fulfilling the supervised clinical experience for licensure under:</text>
          <paragraph num="(i)">
            <text>Health Occupations Article, §17-304, Annotated Code of Maryland; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Regulation .04 of this chapter.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(11)">
        <text>“Practice clinical professional counseling” means:</text>
        <paragraph num="(a)">
          <text>To engage professionally and for compensation in clinical professional counseling and appraisal activities by providing services involving the application of clinical professional counseling principles and methods in the diagnosis, crisis management, prevention, treatment, and amelioration of psychological problems, and emotional or mental conditions of individuals or groups; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The use of instruments that require specialized psychological training for administration and interpretation as described in Health Occupations Article, §17-310, Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(12)">
        <text>“Practice graduate professional counseling” means to practice clinical professional counseling:</text>
        <paragraph num="(a)">
          <text>Under the supervision of a Board-approved supervisor; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>While fulfilling the requirements for supervised experience under:</text>
          <paragraph num="(i)">
            <text>Health Occupations Article, §17-304, Annotated Code of Maryland; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Regulation .04 of this chapter.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(13)">
        <text>“Psychotherapy” means providing clinical services which involve:</text>
        <paragraph num="(a)">
          <text>The professional application of psychotherapy and counseling theories and methods, including but not limited to psychodynamic, cognitive, behavioral, humanistic, systems theories, or trauma informed care to assist the client in:</text>
          <paragraph num="(i)">
            <text>Improving functioning;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Obtaining symptom relief;</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Preventing psychosocial dysfunction;</text>
          </paragraph>
          <paragraph num="(iv)">
            <text>Changing personality; or</text>
          </paragraph>
          <paragraph num="(v)">
            <text>Maintaining improved functioning; and</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>Situations in which the principal discourse involves, but is not limited to:</text>
          <paragraph num="(i)">
            <text>Diagnosis of psychopathology based on standard diagnostic criteria;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Psychotherapeutic treatment of mental disorders, emotional disorders, and adjustment reactions utilizing clinically appropriate treatment modalities;</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Childhood trauma and abuse;</text>
          </paragraph>
          <paragraph num="(iv)">
            <text>Identifying and changing self-defeating patterns of behaving, thinking, feeling, believing, or interacting with others in systems;</text>
          </paragraph>
          <paragraph num="(v)">
            <text>Developmental issues;</text>
          </paragraph>
          <paragraph num="(vi)">
            <text>Personality development; or</text>
          </paragraph>
          <paragraph num="(vii)">
            <text>Problems related to disorders of thinking, emotional suffering, addictions, behavior, or interpersonal dysfunctions.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(14)">
        <text>“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.</text>
      </paragraph>
      <paragraph num="(15)">
        <text>“Relative” means an individual connected to another by:</text>
        <paragraph num="(a)">
          <text>Blood;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Marriage;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Guardianship; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Domestic partnership.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(16)">
        <text>“Supervised clinical experience in clinical professional counseling” means counseling services conducted under the supervision of a Board-approved supervisor.</text>
      </paragraph>
      <paragraph num="(17)">
        <text>“Supervisee” means a licensed graduate professional counselor obtaining the supervised experience required by Health Occupations Article, §17-304, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(18)">
        <text>“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 professional counseling practice while promoting development of the supervisee’s knowledge, skills, and abilities to provide clinical professional counseling services in an ethical and competent manner and includes an acceptance of direct responsibility for the client services rendered by the supervisee.</text>
      </paragraph>
      <paragraph num="(19)">
        <text>Supervision Training.</text>
        <paragraph num="(a)">
          <text>“Supervision training” means a course or program designed to provide information regarding the clinical supervision process utilized by licensed clinical professional counselors in a variety of settings.</text>
        </paragraph>
        <paragraph num="(b)">
          <text>“Supervision training” includes training obtained through:</text>
          <paragraph num="(i)">
            <text>Graduate-level course work;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Continuing education units (CEUs); or</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Other training hours approved by the Board.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(20)">
        <text>“Under the supervision of a Board-approved supervisor” means engaging in an ongoing process of receiving direction from a Board-approved supervisor that includes:</text>
        <paragraph num="(a)">
          <text>Monitoring the performance of a supervisee; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Documented and direct consultation, guidance, and instruction with respect to clinical skill and competency.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(21)">
        <text>“Written contract for supervision” means a Board-approved agreement between the supervisee and approved supervisor that is initiated before beginning supervision and that details the scope of supervision and includes at a minimum the following:</text>
        <paragraph num="(a)">
          <text>Name and credentials of the supervisor and the supervisee;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Primary purpose, goals, and objectives of the supervision process;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Details of provisions, including frequency, format, and case or chart review;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Methods of documentation;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Duties and responsibilities of the supervisor and the supervisee;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Procedural considerations in the case of the supervisor’s absence; and</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Information regarding the supervisor’s scope of competence.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Application Process for Licensure.">
    <paragraph num="A.">
      <text>In order to obtain a license, an applicant shall:</text>
      <paragraph num="(1)">
        <text>Complete and return the Board-approved application;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Submit an official transcript from an accredited educational institution awarding the highest degree attained in a clinical professional counseling or related field;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Pay all applicable fees set forth in COMAR 10.58.02;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Submit to a criminal history background check in accordance with Health Occupations Article, §17-501.1, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Be of good moral character; and</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Be at least 18 years old.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Applications shall be acted upon as follows:</text>
      <paragraph num="(1)">
        <text>Within 30 days after receipt of an application, the Board shall determine whether the application is complete;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>If the Board determines that the application is not complete, the Board shall send a notice of deficiency to the applicant;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Upon receipt of the notice, the applicant shall correct the deficiency within 90 days, or other period specified in the notice;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>If the applicant fails to correct the deficiency within the required period, the application may lapse and the applicant shall be required to:</text>
        <paragraph num="(a)">
          <text>Submit a new application; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Pay the nonrefundable fee set forth in COMAR 10.58.02;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(5)">
        <text>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;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Upon receipt of the approval notice, the applicant shall have 1 year from the date of the notice to take the examinations; and</text>
      </paragraph>
      <paragraph num="(7)">
        <text>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.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Licensed Graduate Professional Counselors.">
    <paragraph num="A.">
      <text>To qualify for licensure as a graduate professional counselor, an applicant shall have:</text>
      <paragraph num="(1)">
        <text>Completed one of the following from an accredited educational institution:</text>
        <paragraph num="(a)">
          <text>A master's degree in a clinical professional counseling or related field with:</text>
          <paragraph num="(i)">
            <text>A minimum of 60 graduate semester credit hours, or, if the master’s program provides less than 60 graduate semester credit hours, requirements may be met by completing additional graduate courses as approved by the Board; or</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>90 graduate quarter credit hours; or</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>A doctoral degree in a clinical professional counseling or related field with:</text>
          <paragraph num="(i)">
            <text>A minimum of 90 graduate semester credit hours; or</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>135 graduate quarter credit hours;</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Completed a minimum of 3 semester credit hours or the equivalent quarter credit hours of course work in each of the following course content areas:</text>
        <paragraph num="(a)">
          <text>Human growth and personality development;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Social and cultural foundations of counseling;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Counseling theory;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Counseling techniques;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Group dynamics, processing, and counseling;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Lifestyle and career development;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Appraisal;</text>
        </paragraph>
        <paragraph num="(h)">
          <text>Research and evaluation;</text>
        </paragraph>
        <paragraph num="(i)">
          <text>Professional, legal, and ethical responsibilities;</text>
        </paragraph>
        <paragraph num="(j)">
          <text>Marriage and family therapy;</text>
        </paragraph>
        <paragraph num="(k)">
          <text>Supervised field experience that includes a:</text>
          <paragraph num="(i)">
            <text>Supervised clinical internship, externship, field experience, or practicum placement; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Minimum of 125 direct clinical counseling service hours;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(l)">
          <text>Alcohol and drug counseling;</text>
        </paragraph>
        <paragraph num="(m)">
          <text>Psychopathology; and</text>
        </paragraph>
        <paragraph num="(n)">
          <text>Diagnosis and treatment of mental and emotional disorders;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>Achieved a passing score on:</text>
        <paragraph num="(a)">
          <text>A national certification exam 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="(4)">
        <text>Met all of the requirements set forth under Regulation .03 of this chapter; and</text>
      </paragraph>
      <paragraph num="(5)">
        <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="B.">
      <text>An applicant who fails an examination for licensure:</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:</text>
        <paragraph num="(a)">
          <text>Submit a new application; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Pay the nonrefundable fee set forth in COMAR 10.58.02.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The Board shall act upon applications as set forth under Regulation .03B of this chapter.</text>
    </paragraph>
    <paragraph num="D.">
      <text>A licensed graduate professional counselor shall practice clinical professional counseling under the supervision of a Board-approved supervisor.</text>
    </paragraph>
    <paragraph num="E.">
      <text>A licensed graduate professional counselor may not:</text>
      <paragraph num="(1)">
        <text>Practice independent of supervision; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Provide supervision.</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>Expiration and Extension.</text>
      <paragraph num="(1)">
        <text>The graduate professional counselor license expires 2 years after the date issued.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>If the graduate professional counselor licensee is unable to accumulate the required clinical hours for licensure as a clinical professional counselor in 2 years, the graduate professional counselor may apply on a Board-approved form for a 2-year extension before the current license expiration, up to a maximum of 6 years, except as provided in §F(4) of this regulation.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>For a graduate professional 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.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>A graduate professional counselor shall submit a written request for an extension beyond the 6-year maximum, which the Board may grant in certain circumstances.</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>Reinstatement.</text>
      <paragraph num="(1)">
        <text>Within 5 calendar years after the license renewal date, the Board may reinstate the license of a licensed graduate professional 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:</text>
        <paragraph num="(a)">
          <text>Completes within that 5-year period the minimum of 20 CEUs required for each year; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Pays the reinstatement fee set by the Board in 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 licensed graduate professional 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.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>An individual who fails to reinstate licensure is not authorized to and may not practice graduate professional counseling.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Licensed Clinical Professional Counselors.">
    <paragraph num="A.">
      <text>To qualify for licensure as a clinical professional counselor the applicant shall have:</text>
      <paragraph num="(1)">
        <text>A graduate professional counselor license or other credential approved by the Board;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>For an applicant holding a master’s degree, completed a minimum of 3 years and 3,000 hours of experience in clinical professional counseling, of which:</text>
        <paragraph num="(a)">
          <text>A minimum of the 1,500 hours shall be direct clinical counseling services;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>A maximum of 1,500 hours may consist of indirect clinical counseling services;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>A minimum of 2,000 hours of supervised clinical experience as a licensed graduate professional counselor shall be completed after the awarding of the master's degree under a Board-approved supervisor;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>A maximum of 1,000 hours of supervised clinical experience may be acquired as supervised field experience as defined under Regulation .04A(2)(k) of this chapter;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>At least half of the requisite direct and indirect hours included as supervised clinical experience hours shall be completed under the supervision of a Board-approved supervisor who is a licensed clinical professional counselor;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>No more than half of the requisite direct and indirect hours included as supervised clinical experience hours shall be completed under a Board-approved supervisor as defined in Regulation .02Bof this chapter; and</text>
        </paragraph>
        <paragraph num="(g)">
          <text>100 hours of face-to-face clinical supervision hours shall be completed within 2 years of the awarding of the master’s degree, of which:</text>
          <paragraph num="(i)">
            <text>A minimum of 50 hours shall be individual face-to-face clinical supervision; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>A maximum of 50 hours may be face-to-face group clinical supervision;</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>For an applicant holding a doctoral degree, completed a minimum of 2,000 hours of experience in clinical professional counseling, of which:</text>
        <paragraph num="(a)">
          <text>A minimum of 1,000 hours shall be face-to-face direct clinical counseling services and a maximum of 1,000 hours may consist of indirect clinical counseling services;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>1,000 hours shall be acquired after the doctoral degree has been awarded;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>A maximum of 1,000 hours of clinical experience may be acquired before the awarding of the doctoral degree;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>At least half of the requisite direct and indirect hours included as supervised clinical experience hours shall be completed under the supervision of a Board-approved supervisor who is a licensed clinical professional counselor;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>No more than half of the requisite direct and indirect hours included as supervised clinical experience hours shall be completed under a Board-approved supervisor as defined in Regulation .02Bof this chapter; and</text>
        </paragraph>
        <paragraph num="(f)">
          <text>50 hours of face-to-face clinical supervision hours shall be completed within 1 year of the awarding of the doctoral degree, including:</text>
          <paragraph num="(i)">
            <text>25 hours shall be individual face-to-face clinical supervision; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>A maximum of 25 hours may be face-to-face group clinical supervision;</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>Completed the required course work set forth under Regulation .04A(2) of this chapter;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Achieved a passing score on:</text>
        <paragraph num="(a)">
          <text>A national certification exam 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="B.">
      <text>An applicant who fails an examination for licensure:</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:</text>
        <paragraph num="(a)">
          <text>Submit a new application; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Pay the nonrefundable fee set forth in COMAR 10.58.02.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>The Board shall act upon applications as set forth under Regulation .03B of this chapter.</text>
    </paragraph>
    <paragraph num="D.">
      <text>The Board may include hours of clinical supervised experience obtained in another jurisdiction toward the total 3,000 required hours of supervised experience required for the licensed clinical professional counselor, if the clinical experience hours:</text>
      <paragraph num="(1)">
        <text>Were obtained in accordance with the rules and regulations of that jurisdiction; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Included the course work requirements set forth under Regulation .06D of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Renewal.</text>
      <paragraph num="(1)">
        <text>To renew a clinical professional counselor license, the applicant shall:</text>
        <paragraph num="(a)">
          <text>Submit a completed Board-approved application;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Pay the required application fee 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>A licensed clinical professional counselor shall comply with the renewal requirements as provided in Health Occupations Article, §17–504, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>An individual who fails to renew licensure is not authorized to and may not practice clinical professional counseling.</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>Reinstatement.</text>
      <paragraph num="(1)">
        <text>Within 5 calendar years after the license renewal date, the Board may reinstate the license of a licensed clinical professional 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:</text>
        <paragraph num="(a)">
          <text>Completes within that 5-year period the minimum of 20 CEUs required for each year; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Pays the reinstatement fee set by the Board in 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 licensed clinical professional 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.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>An individual who fails to reinstate licensure is not authorized to and may not practice clinical professional counseling.</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <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 license 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 the required, nonrefundable, annual fee 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 license is still 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 and may not practice clinical professional counseling.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>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.</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 §G(4) of this regulation, the individual shall be required to:</text>
        <paragraph num="(a)">
          <text>Submit a new application; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Pay the nonrefundable fee set forth in COMAR 10.58.02.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Licensure Eligibility: Out-of-State Applicants.">
    <paragraph num="A.">
      <text>An applicant licensed as a clinical professional counselor or its equivalent, as established by the Board, in another state, territory, or jurisdiction is eligible for licensure if the applicant:</text>
      <paragraph num="(1)">
        <text>Provides:</text>
        <paragraph num="(a)">
          <text>A completed Board-approved application;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>An official transcript from the educational institution which awarded the master’s or doctoral degree;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>A copy of a current license from each state, territory, or jurisdiction in which the applicant has been licensed, registered, or otherwise authorized to practice clinical professional counseling;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Documentation, satisfactory to the Board, that the applicant is currently licensed in good standing to practice clinical professional counseling in another state, territory, or jurisdiction; and</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Verification that the applicant has:</text>
          <paragraph num="(i)">
            <text>No history of disciplinary action, past or pending, in a state, territory, or jurisdiction in which the applicant holds a license to practice clinical professional counseling; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Not committed any act or omission that would be grounds for discipline or denial of licensure under Health Occupations Article, §17-509, Annotated Code of Maryland;</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>Pays the application fee set forth in the COMAR 10.58.02;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Has achieved a passing score on:</text>
        <paragraph num="(a)">
          <text>A national certification examination 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>COMAR 10.58;</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>Submits to a criminal history background check in accordance with Health Occupations Article, §17-501.1, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Meets the educational requirements for licensure in this State as a clinical professional counselor:</text>
        <paragraph num="(a)">
          <text>As established in Regulation .05 of this chapter; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>By providing documentation of the substitute educational and experience requirements outlined in §§B—E of this regulation;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(6)">
        <text>Is of good moral character; and</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Complies 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="B.">
      <text>Waiver of Examination. The Board may waive any examination requirements for an applicant who satisfies the Board that the applicant:</text>
      <paragraph num="(1)">
        <text>Obtained licensure in a state or country that grants a similar endorsement to licensees of this State;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Became licensed in another state or country after passing an examination approved by the Board; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Meets the qualifications otherwise required by Health Occupations Article, Title 17, Annotated Code of Maryland, and this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Equivalent Educational Requirements. The applicant shall provide documentation or transcripts confirming completion of a master's or doctoral degree in a professional counseling field from an accredited educational institution.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Waiver of Course Requirements. The Board may waive one or more course requirements specified in Regulation .04 of this chapter, except for documentation showing completion of a minimum of 3 graduate semester credit hours or the equivalent graduate quarter hours covering each of the following primary topics or content areas:</text>
      <paragraph num="(1)">
        <text>Diagnosis and psychopathology;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Psychotherapy and treatment of mental and emotional disorders, as described in Regulation .02Bof this chapter; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Professional, legal, and ethical responsibilities.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Equivalent Experience Requirements. The Board may waive the clinical experience requirements specified in Regulation .04 of this chapter as follows:</text>
      <paragraph num="(1)">
        <text>The applicant shall provide documentation, satisfactory to the Board, of one of the following for an applicant with:</text>
        <paragraph num="(a)">
          <text>A master's degree consisting of:</text>
          <paragraph num="(i)">
            <text>A minimum of 60 graduate credit hours; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Not less than 3 years, with a minimum of 3,000 hours, of supervised clinical experience in clinical professional counseling, 2 years of which shall be completed after the award of the master's degree;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(b)">
          <text>A master's degree consisting of:</text>
          <paragraph num="(i)">
            <text>Less than 60 graduate credit hours; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Not less than 3 years’ experience practicing as a licensed clinical professional counselor, with a minimum of 3,000 hours of clinical professional counseling experience; or</text>
          </paragraph>
        </paragraph>
        <paragraph num="(c)">
          <text>A doctoral degree consisting of:</text>
          <paragraph num="(i)">
            <text>Not less than 2 years practicing as a clinical professional counselor; or</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>A minimum of 2,000 hours of clinical professional counseling experience; and</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>The applicant shall provide verification, on a Board-approved form, from employers, supervisors, or colleagues that the applicant has practiced clinical professional counseling for the length of time stated in §E(1) of this regulation.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Standards for Supervision.">
    <paragraph num="A.">
      <text>Except as otherwise specified in this chapter, this chapter does not apply to personnel or management practices associated with contractual relationships or employment.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A supervisor shall:</text>
      <paragraph num="(1)">
        <text>Supervise only in those areas within the supervisor’s competence as determined by education, training, and experience;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Provide supervision appropriate to the particular level of licensure being applied for or maintained;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Provide supervision in the general content areas established in Health Occupations Article, §17-304, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Ensure that a supervisee has read and is knowledgeable about:</text>
        <paragraph num="(a)">
          <text>Health Occupations Article, Title 17, Annotated Code of Maryland; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>This subtitle, with special emphasis on the code of ethics under COMAR 10.58.03.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>In addition to the requirements of §B of this regulation, the supervisor shall specifically instruct and provide guidance:</text>
      <paragraph num="(1)">
        <text>Relating to the supervisee’s scope of practice of clinical professional counseling under Health Occupations Article, §17-101, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>For 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</text>
      </paragraph>
      <paragraph num="(3)">
        <text>To supervisees in appropriate billing practices, if applicable to the practice site, including:</text>
        <paragraph num="(a)">
          <text>Record keeping;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Disclosure of fees and financial arrangements; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Appropriate maintenance and destruction of clinical and financial records.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>The following individuals may not provide clinical supervision for a licensed graduate professional counselor supervisee:</text>
      <paragraph num="(1)">
        <text>A relative; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>An individual with whom there could be a conflict of interest, including, but not limited to:</text>
        <paragraph num="(a)">
          <text>An employee supervising their own employer; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>A student supervising their own teacher.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".08" heading="Supervisor Qualifications.">
    <paragraph num="A.">
      <text>Licensure. An individual providing supervision shall be approved by the Board and licensed by the Board as a:</text>
      <paragraph num="(1)">
        <text>Clinical professional counselor;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Clinical professional art therapist;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Clinical alcohol and drug counselor;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Clinical marriage and family therapist; or</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Mental health care provider as defined in Regulation .02B of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>Experience, Education, and Training.</text>
      <paragraph num="(1)">
        <text>A Board-approved supervisor shall have completed 2 years of active clinical practice experience:</text>
        <paragraph num="(a)">
          <text>In clinical professional counseling, marriage and family therapy, professional art therapy, or alcohol and drug counseling;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>As a clinical professional counselor, marriage and family therapist, professional art therapist, or alcohol and drug counselor licensed or certified in another state, territory or jurisdiction that has requirements that are equivalent to or exceed the requirements of Health Occupations Article, §§17-302—17-304.1, Annotated Code of Maryland; or</text>
        </paragraph>
        <paragraph num="(c)">
          <text>As another licensed mental health care provider as defined in Regulation .02Bof this chapter.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>A Board-approved supervisor shall have completed one of the following education and training experiences:</text>
        <paragraph num="(a)">
          <text>At least 3 graduate semester credit hours or the equivalent quarter credit hours of academic course work in clinical supervision;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>A Board-approved continuing education program that includes a minimum of 18 continuing education units (CEUs) in:</text>
          <paragraph num="(i)">
            <text>Clinical professional counseling supervision; or</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Another behavioral health profession that is authorized to diagnose and treat mental and emotional disorders;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(c)">
          <text>The National Board of Certified Counselors (NBCC) Approved Clinical Supervisor (ACS) credential; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Supervision training as defined in Regulation .02Bof this chapter.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>Supervision training required by this section may be obtained in a graduate course or a continuing education program as required under §B(2)(b) of this regulation that may include, but is not limited to:</text>
        <paragraph num="(a)">
          <text>The role and responsibilities of the supervisor;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>The needs of the supervisee, supervisor, and the agency setting while maintaining a clear ethical perspective, including:</text>
          <paragraph num="(i)">
            <text>The maintenance of appropriate boundaries; and</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Making clinically appropriate diagnoses;</text>
          </paragraph>
        </paragraph>
        <paragraph num="(c)">
          <text>The role of the supervisor as gatekeeper to the profession;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Methods for building effective and appropriate relationships with clients;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Models for group supervision; and</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Models and modalities for practice intervention.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Pre-Supervision Responsibilities of a Supervisor. In addition to meeting the requirements of this regulation, the Board-approved supervisor shall:</text>
      <paragraph num="(1)">
        <text>File the completed Board-approved supervisor application form;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Provide the supervisee with a copy of the Board’s licensed clinical professional counselor supervisor letter; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Have an active license that is without restrictions or conditions due to disciplinary action for the 2 years preceding an application for Board-approved supervisor status.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>A supervisor may be:</text>
      <paragraph num="(1)">
        <text>An agency-designated supervisor; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>An independent supervisor in private practice.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".09" heading="Supervisor Responsibilities.">
    <text>A supervisor shall:</text>
    <paragraph num="A.">
      <text>Agree to and sign a written contract for supervision before initiating supervision;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Ensure that the supervisee is practicing within the scope of the supervisee’s license;</text>
    </paragraph>
    <paragraph num="C.">
      <text>Determine the skill level at which the supervisee may practice;</text>
    </paragraph>
    <paragraph num="D.">
      <text>Focus on primary data from the supervisee’s practice;</text>
    </paragraph>
    <paragraph num="E.">
      <text>Maintain documentation of supervisory sessions for at least 7 years, including:</text>
      <paragraph num="(1)">
        <text>Dates;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Duration; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Focus of the supervisory sessions;</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>Ensure that a supervisee has read and is knowledgeable about:</text>
      <paragraph num="(1)">
        <text>Health Occupations Article, Title 17, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>This subtitle with special emphasis on the code of ethics under COMAR 10.58.03;</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>Within a reasonable period of time before the conclusion of supervision, provide the supervisee and employer with a notice of termination to avoid or minimize any harmful effect on the supervisee’s clients or patients;</text>
    </paragraph>
    <paragraph num="H.">
      <text>Be responsible for the clinical professional practices of supervisees;</text>
    </paragraph>
    <paragraph num="I.">
      <text>Provide:</text>
      <paragraph num="(1)">
        <text>For emergency supervision of and direction to a supervisee by a Board-approved supervisor;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A written evaluation of progress to the supervisee on a regular basis or as needed; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>A copy of the documentation required by §E of this regulation on request by the:</text>
        <paragraph num="(a)">
          <text>Supervisee; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Board or its authorized agent; and</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="J.">
      <text>Comply with a Board audit of a Board-approved supervisor’s compliance with regard to the supervisory requirements and responsibilities.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".10" heading="Supervisee Responsibilities.">
    <paragraph num="A.">
      <text>A supervisee shall:</text>
      <paragraph num="(1)">
        <text>Verify that the supervisor has been approved by the Board;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Agree to and sign a Board-approved contract before initiating supervision;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Attend and participate in supervision as agreed to in the supervision contract;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Prepare for supervision using case materials related to the supervisee’s clinical professional counseling practice;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Maintain documentation of supervisory sessions for at least 7 years, to be available for verification to the Board or its authorized agent, including:</text>
        <paragraph num="(a)">
          <text>Dates;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Duration; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Focus of the supervision; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(6)">
        <text>Follow all terms of the written contract for supervision.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A supervisee may not engage in the practice of clinical professional counseling independent of supervision.</text>
    </paragraph>
    <paragraph num="C.">
      <text>A supervisee shall give the client a copy of a professional disclosure statement as described in Health Occupations Article, §17-507, Annotated Code of Maryland, that:</text>
      <paragraph num="(1)">
        <text>Clearly states the counseling services are provided under clinical supervision; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Provides the name of the supervisor with address and contact information.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>A supervisee shall obtain from the client a signed:</text>
      <paragraph num="(1)">
        <text>Release of information; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Informed consent for treatment which indicates that the client:</text>
        <paragraph num="(a)">
          <text>Is aware that counseling services are being provided under clinical supervision;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Consents to the recording of counseling sessions with the knowledge that the recording may only be shared with the supervisor; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Consents to the sharing of client information between the licensed graduate professional counselor and the named clinical supervisor.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health Occupations Article, §§17-101 17-205, 17-301, 17-304, 17-307, and 17-509, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: August 22, 2011 (38:17 Md. R. 1013)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.08 under Supervision Requirements repealed and new Regulations .01—.10 under Licensed Clinical Professional Counselors — Requirements for Licensure adopted effective June 28, 2021 (48:13 Md. R. 508)</annotation>
  </annotations>
</chapter>