Md. Code Regs. 10.41.06.04

Current through Register Vol. 51, No. 24, December 2, 2024
Section 10.41.06.04 - Standards of Practice for Telehealth
A. Before performing telehealth services, a telehealth practitioner shall develop and follow a procedure to:
(1) Verify the identification of the patient receiving telehealth services through use of:
(a) A government issued photograph identification;
(b) An insurance, Medicaid, or Medicare card; or
(c) Documentation of the patient's:
(i) Date of birth; and
(ii) Home address;
(2) For an initial patient-telehealth practitioner encounter, disclose the telehealth practitioner's:
(a) Name;
(b) Contact information;
(c) Maryland license number and type or compact privilege number, if applicable; and
(d) Medical specialty, if applicable;
(3) Except for interpretive services, obtain oral or written consent from a patient or patient's parent or guardian if State law requires the consent of a parent or guardian, including informing patients of the risks and benefits of the services to be provided;
(4) Securely collect and transmit a patient's medical health information, clinical data, clinical images, laboratory results, and self-reported medical health and clinical history, as necessary, and prevent access to data by unauthorized persons through encryption or other means;
(5) Notify patients in the event of a data breach;
(6) Ensure that the telehealth practitioner provides a secure and private communication modality that complies with federal and state privacy laws; and
(7) Establish safety protocols to be used in the case of an emergency.
B. Except when providing asynchronous telehealth services, a telehealth practitioner shall:
(1) Obtain or confirm an alternative method of contacting the patient in case of a technological failure;
(2) Confirm whether the patient is in Maryland and identify the specific practice setting in which the patient is located; and
(3) Identify all individuals present at each location and confirm they are allowed to hear the patient's health information.
C. A telehealth practitioner shall be held to the same standards of practice and documentation as those applicable for in-person health care settings.
D. The requirements set forth under §§A and B of this regulation may be delegated.

Md. Code Regs. 10.41.06.04

Regulation .04 adopted effective 50:18 Md. R. 796, eff. 9/18/2023