<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 14.09.07.04" title_num="14" subtitle_num="09" chapter_num="07" heading="General Rules for Vocational Rehabilitation Service Practitioners.">
  <paragraph num="A.">
    <text>A practitioner shall consider the best interests of a disabled covered employee in providing vocational rehabilitation services. Unrepresented disabled covered employees shall be treated in the same manner as represented disabled covered employees.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A practitioner may not misrepresent the practitioner's duties or responsibilities or the workers' compensation process to disabled covered employees.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The vocational rehabilitation practitioner shall exercise independent and professional judgment when performing an assessment or developing a vocational rehabilitation plan.</text>
  </paragraph>
  <paragraph num="D.">
    <text>At the initial comprehensive assessment, a practitioner shall advise the disabled covered employee that:</text>
    <paragraph num="(1)">
      <text>The practitioner's fees are paid by the employer/insurer; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The practitioner is an independent professional and shall render an opinion based solely on the facts and evidence in the case.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Subject to any applicable privilege, a practitioner shall notify all parties of any contact with or about the disabled covered employee, whether that contact was in person, in writing, or made electronically.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Unless the disabled covered employee consents in writing, a practitioner may not be present during a medical examination.</text>
  </paragraph>
  <paragraph num="G.">
    <text>With the written consent of the disabled covered employee, a practitioner may seek a healthcare provider's opinion following examination.</text>
  </paragraph>
  <paragraph num="H.">
    <text>A practitioner shall comply with:</text>
    <paragraph num="(1)">
      <text>The Commissioner's orders and procedures; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Standards of practice adopted by the practitioner's State licensing board or commission, if applicable.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>Penalties. Violation of this regulation may result in the Commission:</text>
    <paragraph num="(1)">
      <text>Suspending or revoking the practitioner's registration;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Placing the practitioner on probation; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Reprimanding the practitioner.</text>
    </paragraph>
  </paragraph>
</regulation>