1. A. An occupational therapist shall:

   1. (1) Fully explain dry needling to the patient in advance of treatment; and
   2. (2) Obtain written informed consent specific to dry needling that shall be included in the patient’s medical record.
2. B. An occupational therapist shall perform dry needling to the hand, wrist, elbow, and shoulder in a manner consistent with standards set forth in the Maryland Occupational Safety and Health Act, Labor and Employment Article, Title 5, Annotated Code of Maryland.
3. C. An occupational therapist shall document the provision of dry needling services in accordance with the documentation requirements set forth under COMAR 10.46.01.03.
4. D. An occupational therapist who practices dry needling in a manner inconsistent with the standards of practice enumerated in this regulation shall be subject to discipline pursuant to COMAR 10.46.07.
5. E. Dry needling is not within the scope of practice of limited occupational therapy and shall only be performed by a licensed occupational therapist with a hand therapy certification.

Authority: Health Occupations Article, §§10-101 and 10-205, Annotated Code of Maryland

Effective date: September 16, 2024 (51:18 Md. R. 810)