1. A. To render or bill for services delivered via telehealth, the provider shall meet the requirements as set forth in:

   1. (1) COMAR 10.09.36.02;
   2. (2) COMAR 10.09.36.03; and
   3. (3) The COMAR chapter defining the covered service being rendered.
2. B. The provider shall obtain the participant’s consent to services via telehealth, unless there is an emergency that prevents obtaining consent, which shall be documented in the participant’s medical record.

3. C. Medical Record Documentation. The provider shall:

   1. (1) Maintain documentation in the same manner as during an in-person visit, using either electronic or paper medical records;
   2. (2) Retain telehealth records according to the provisions of Health-General Article, §4-403, Annotated Code of Maryland; and
   3. (3) Include the participant's consent to participate in telehealth or an explanation as to why consent was not available.
4. D. An originating site may be any secure location, approved by the participant and the provider, for the delivery of telehealth services.
5. E. Distant Site Providers may render services via telehealth within the provider's scope of practice.

Authority: Health-General Article, §§2-104(b), 15-103, 15-105, and 15-105.2(b), Annotated Code of Maryland; Ch. 280, Acts of 2013; Ch. 366, Acts of 2016;
Ch. 367, Acts of 2016

Effective date: September 30, 2013 (40:19 Md. R. 1546)

Regulation .01 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .01A amended effective December 22, 2014 (41:25 Md. R. 1479)

Regulation .02B amended effective April 28, 2014 (41:8 Md. R. 471); December 22, 2014 (41:25 Md. R. 1479); October 26, 2015 (42:21 Md. R. 1300); April 11, 2016 (43:7 Md. R. 449)

Regulation .03 amended effective December 22, 2014 (41:25 Md. R. 1479); October 26, 2015 (42:21 Md. R. 1300)

Regulation .04 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .04D amended effective December 22, 2014 (41:25 Md. R. 1479)

Regulation .05 amended effective December 22, 2014 (41:25 Md. R. 1479); October 26, 2015 (42:21 Md. R. 1300)

Regulation .05B, D amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .06 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .06B amended effective December 22, 2014 (41:25 Md. R. 1479)

Regulation .07 amended effective December 22, 2014 (41:25 Md. R. 1479); October 26, 2015 (42:21 Md. R. 1300)

Regulation .07B amended effective April 11, 2016 (43:7 Md. R. 449)

Regulation .08 amended effective April 28, 2014 (41:8 Md. R. 471); October 26, 2015 (42:21 Md. R. 1300)

Regulation .09 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .10A, B amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .11 amended effective October 26, 2015 (42:21 Md. R. 1300)

Regulation .11I, J adopted effective December 22, 2014 (41:25 Md. R. 1479)

Regulation .12A, B amended effective December 22, 2014 (41:25 Md. R. 1479)

Regulation .12 repealed and new Regulation .12 adopted effective October 26, 2015 (42:21 Md. R. 1300)

Chapter revised effective October 24, 2016 (43:21 Md. R. 1166)

Regulation .02B amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .04D amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .05 amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .06 amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .07C, D amended effective March 26, 2018 (45:6 Md. R. 319)

Regulation .07D amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .09 amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .10 amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .11 amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .11C, D amended effective February 27, 2017 (44:4 Md. R. 252)

Chapter revised effective October 7, 2019 (46:20 Md. R. 844)

Chapter revised effective July 24, 2023 (50:14 Md. R. 593)

Regulation .02B amended effective June 8, 2026 (53:11 Md. R. 485)

Regulation .07B, F amended effective June 8, 2026 (53:11 Md. R. 485)

Regulation .08B amended effective June 8, 2026 (53:11 Md. R. 485)