• English

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Maryland Register
    Issue Date:  December 23, 2016
    Volume 43 • Issue 26 • Pages 1487—1488
    Title 10
    Notice of Proposed Action
    The Secretary of Health and Mental Hygiene proposes to amend:
    (1) Regulation .04 under COMAR 10.09.08 Freestanding Clinics; and
    (2) Regulations .04 and .06 under COMAR 10.09.77 Urgent Care Centers.
    Statement of Purpose
    The purpose of this action is to clarify language regarding scope of practice for services rendered by physicians, nurses, psychologists, and social workers in freestanding clinics and by physicians and physician assistants in urgent care centers.
    Comparison to Federal Standards
    There is no corresponding federal standard to this proposed action.
    Estimate of Economic Impact
    The proposed action has no economic impact.
    Economic Impact on Small Businesses
    The proposed action has minimal or no economic impact on small businesses.
    Impact on Individuals with Disabilities
    The proposed action has no impact on individuals with disabilities.
    Opportunity for Public Comment
    Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through January 23, 2017. A public hearing has not been scheduled.
    10.09.08 Freestanding Clinics
    Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
    .04 Covered Services.
    A. (text unchanged)
    B. Medically Necessary Services. The program covers medically necessary services as described in §§C, D, and E of this regulation and in Regulation .05 of this chapter, rendered to participants by a freestanding clinic, when these services are performed by a physician or by [one of the following]:
    (1) A registered nurse, a psychologist, or a social worker, provided that the individual[:
    (a) Performing the service is in the physician’s employ;
    (b) Is under the physician’s direct supervision; and
    (c) Performs] performs the service within the scope of the individual’s license or certification for the purpose of assisting in the provision of physicians’ services;
    (2)—(3) (text unchanged)
    C.—E. (text unchanged)
    10.09.77 Urgent Care Centers
    Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland
    .04 Covered Services.
    The Program covers the following medically necessary services rendered to recipients in a free-standing urgent care center:
    A.—C. (text unchanged)
    D. [Physician] Urgent care services [rendered in free-standing urgent care centers], when the services are performed by a physician or one of the following acting within the scope of their practice:
    [(1) Another licensed physician in the physician’s employ;]
    [(2)] (1) A certified registered [physician’s] physician assistant [or a];
    (2) A licensed registered nurse [provided the individual performing the service:]; or
    [(a) Is in the physician’s employ;
    (b) Is under the physician’s direct supervision; and
    (c) Performs the service within the scope of the individual’s license or certification for the purpose of assisting in the provision of physician’s services; or]
    (3) A certified nurse practitioner [provided that the individual performing the service is in the physician’s employ and performs the services within the scope of the individual’s license or certification]; and
    E. (text unchanged)
    .06 Payment Procedures.
    A. Payment for free-standing urgent care centers is as follows:
    (1) (text unchanged)
    (2) In addition to the facility fee, the Program shall reimburse for services rendered by the physician, nurse practitioner, or physician assistant during the visit at the free-standing urgent care center [when performed by a physician, or by other authorized personnel under that physician’s supervision]; and
    (3) (text unchanged)
    B.—J. (text unchanged)
    Secretary of Health and Mental Hygiene