![[photo, Herbert R. O'Conor State Office Building entrance, 201 West Preston St., Baltimore, Maryland]](/msa/mdmanual/16dhmh/images/1198-1-10082c.jpg)
With Senate advice and consent, the Governor appoints the Secretary of Health (Code Health-General Article, sec. 2-102). The Secretary is responsible for the health interests of all Marylanders; sets health care policy; administers laws relating to health issues; and adopts and revises a State health improvement plan. While overseeing the Maryland Department of Health, the Secretary also directs and coordinates numerous boards, commissions, and citizen advisory groups (Code Health-General Article, secs. 2-101 through 2-611).
OFFICE OF EQUAL OPPORTUNITY PROGRAMS
Within the Department of Health and Mental Hygiene (now Maryland Department of Health), the Office of Equal Opportunity Programs began in 1994 as the Office of Community Relations under the Personnel Services Administration. In August 2006, it was transferred to Operations, and reorganized as the Office of Equal Opportunity Programs. From April 2008 to 2012, the Office was part of the Office of Diversity and Inclusion. In 2012, it was placed directly under the Office of Secretary.The Office monitors Department programs and health care providers to assure that they comply with civil rights laws, mandates, and regulations. For the same purpose, the Office monitors personnel management, services, and procurement procedures of the Department. The Office also develops and monitors programs for equal opportunities for employment, including affirmative action; on-site review; outreach recruitment; and complaint processing. In addition, the Office develops and monitors programs for equal access to health care, and minority business participation in State contracts.
OFFICE OF MINORITY BUSINESS ENTERPRISE
The Office oversees two divisions: Audits, and Program Integrity.
AUDITS DIVISION
Research that uses human subjects is reviewed by the Board to ensure that the rights, safety, and dignity of those involved are protected. The review process is mandated as a condition of federal funding.
PROGRAM INTEGRITY DIVISION
In October 2004, the Office of Minority Health and Health Disparities was established within the Office of Secretary (Chapter 443, Acts of 2004; Code Health-General Article, Subtitle 10).
With public and private organizations and institutions, the Office works to secure funding, administer grants, establish programs, and conduct research to reduce and eliminate racial or ethnic health care disparities in Maryland. Emphasizing habits of health care and preventive health measures, the Office also seeks to educate the public and reach underserved minorities (Code Health-General Article, secs. 20-1001 through 20-1007).
For the Secretary of Health, the Office helps define priorities for State health programs, services, and resources to address disparities. To expedite delivery of health services to minorities, it also recommends changes in State laws and regulations.
While advocating for improvements in minority health care, the Office also oversees the Cigarette Restitution Fund Program.
The Committee advises the Office of Minority Health and Health Disparities on improving the health of Maryland's ethnic and racial minorities. To assist the Office in accomplishing its duties and responsibilities, the Committee may set long- and short-term goals and objectives for the Office. Further, the Commitee may consider data reporting of the health status of each minority group; increasing knowledge and understanding of health risk factors; and coordinating Office activities with Department of Health projects for disease prevention, health promotion, service delivery, and reserach.
CIGARETTE RESTITUTION FUND PROGRAM
With $1 billion of the State's tobacco settlement money committed over ten years, the Program works with academic institutions, county health departments, medical facilities, and community-based organizations to implement programs that reduce tobacco use by Maryland citizens, and reduce cancer-related illnesses and deaths.
The Program conducts baseline and annual studies of cancer incidences and mortality. The findings are evaluated and monitored to determine the Program's effectiveness in controlling cancer and ending smoking.
To stop smoking, the Cigarette Restitution Fund Program works to establish local health coalitions that help local health officers identify, support, and initiate smoking cessation programs. Media campaigns are developed to counteract tobacco industry advertising and promote healthy behavior.
With Maryland's top research institutions, the Program instigates cancer research and encourages clinical trials. The Program also supports community-based services for those who are uninsured or underinsured.
DEER'S HEAD CENTER
Authorized in 1945, Deer's Head Center was established in 1950 (Chapter 994, Acts of 1945). The Center joined the Community and Public Health Administration in January 1997, and transferred to the Family Health Administration in July 2001 (Code Health-General Article, sec. 19-502). In July 2012, the Center moved to the Health Systems and Infrastructure Administration, and in 2015 was placed directly under the Chief of Staff for Public Health Services. In June 2018, it transferred to the Assistant Secretary, Public Health Services Chronic Hospitals.
The Center is a regional facility for the chronically ill and elderly adults in need of medical and rehabilitation services, or general medical care for chronic disease or terminal illness. It also operates a kidney dialysis facility for area residents.
The Center is licensed for 66 hospital beds, providing the services of a chronic disease hospital (including a small hospice service) and 80 long-term nursing home care beds, as well as outpatient and end-stage kidney dialysis, and outpatient rehabilitation therapy. Also in FY2017, the Center provided 8,830 dialysis treatments to 62 patients (Code Health-General Article, secs. 19-501 through 19-507).
WESTERN MARYLAND CENTER
Western Maryland Center began as Western Maryland State Hospital. Authorized in 1952, the Hospital opened in 1957 (Chapter 53, Acts of 1952). The Center was made part of the Community and Public Health Administration in January 1997, and moved to the Family Health Administration in July 2001. In July 2012, it became part of the Health Systems and Infrastructure Administration, and in 2015 was placed directly under the Chief of Staff for Public Health Services.
The Center provides chronic care or rehabilitation hospital care, long-term nursing home care, and inpatient renal dialysis services. The Center also offers adult day care; end-stage kidney dialysis services; and physical, occupational and speech rehabilitation to outpatients. In Fiscal Year 2018, it had 60 licensed hospital beds and 63 licensed comprehensive care beds and an average daily population of 49 inpatients (Code Health-General Article, sec. secs. 19-501 through 19-507).
The Developmental Disabilities Administration started in 1966 as the Division of Mental Retardation within the Bureau of Preventive Medical Services of the Office of Medical Care Services. In 1970, the Division reformed into a Directorate of Mental Retardation from which the Mental Retardation Administration was created in 1971. The Administration reorganized in 1982 as the Mental Retardation and Developmental Disabilities Administration (Chapter 430, Acts of 1982). In 1986, the Administration received its present name (Chapter 637, Acts of 1986). It was placed under Behavioral Health and Disabilities in July 2008. In October 2014, the Administration separated from Behavioral Health and Disabilities, to come under direction of the Deputy Secretary for Developmental Disabilities (Chapter 539, Acts of 2014).
For persons with developmental disabilities and their families, the Developmental Disabilities Administration plans, develops, and directs a statewide system of services. Among the services are programs for individuals with intellectual disabilites, cerebral palsy, spina bifida, epilepsy, and severe communicative disorders. The Administration coordinates its work with other government, voluntary and private health, education and welfare agencies. These include private licensed Medicaid providers, not-for-profit licensed Medicaid providers, local health departments, and fiscal management agencies.
Residential facilities are operated by the Administration which also funds community-based services, such as purchased care, group homes and apartments, small residential centers, and daytime programs for developmentally disabled persons. In addition, the Administration funds Children's Summer Programs, Family and Individual Support Services, and Supported Employment Programs. Regional offices initiate, coordinate, and evaluate local programs (Code Health-General Article, secs. 7-101 through 7-1301).
The Developmental Disabilities Administration runs four regional offices; two forensic residential facilities under the Court-Involved Service Delivery System; and two facilities: Holly Center, and Potomac Center.
Serving the Administration are a citizens advisory board for each center, and the Mortality and Quality Review Committee. Reporting directly to the Deputy Secretary is the Sykesville Secure Evaluation and Therapeutic Treatment (SETT) Unit.
The Committee is concerned with the death of any person with developmental disabilities who, at the time of death, resided in or was receiving services from any program or facility licensed or operated by the Developmental Disabilities Administration, or operated by waiver. After the Office of Health Care Quality reviews each such death, the Office reports to the Committee which, in turn, examines the Office report. Annually, the Committee prepares a public summary report.
Appointed by the Secretary of Health, the Committee has eighteen members (Code Health-General Article, secs. 5-801 through 5-810).
Authorization for the Committee extends through December 31, 2022 (Chapter 341, Acts of 2012).
HOLLY CENTER
In 1968, the Holly Center began as the Regional Mental Retardation Center - Eastern Shore (Chapter 435, Acts of 1968). It was renamed the Holly Center
in 1973.
At Holly Center in Wicomico County, residential and training services are offered to individuals with intellectual disabilites and their families residing in the nine counties of the Eastern Shore. Both in the Center and the community, education, training, and habilitation services and programs are provided (Code Health-General Article, sec. 7-305). Further, the Center coordinates and assists day programs and group homes for individuals with intellectual disabilities. As of June 2018, the Center has a licensed capacity of 150 inpatient residents.
POTOMAC CENTER
The Potomac Center originated as Western Maryland I - Mental Retardation Center in 1978. It became the Potomac Center in 1981.
In Washington County, Potomac Center serves as a State residential center for individuals with intellectual disabilities (Code Health-General Article, sec. 7-501). It provides habilitative services to expedite the return of individuals to a less restrictive environment. Persons with borderline to profound intellectual disabilities are served by the Center. In FY2016, with a licensed capacity of 63 residents, the Center served a daily average of 39 people.
With the Alcohol and Drug Administration and the Mental Hygiene Administration, the Potomac Center initiated the Transitions Program in 2009. This program provides a therapeutic environment to treat individuals with both mental illness and intellectual disabilities, and possibly compounded by substance abuse.
SECURE EVALUATION & THERAPEUTIC TREATMENT UNIT (Sykesville)
When Rosewood Center closed in July 2009, those residents at Rosewood committed there by the courts as developmentally disabled adults either incompetent to stand trial or found not criminally responsible for their crimes were transferred to the Sykesville Secure Evaluation and Therapeutic Treatment Unit. In Carroll County, the Unit is a secure commitment program with a capacity for up to twenty individuals.
From January 2017 to January 2018, the Chief of Staff had oversight of units formerly overseen by the Deputy Secretary for Operations. These units supported the Department through expenditure control, personnel management, data processing and information technology, general services, grants administration, and capital construction. In January 2018, they were placed under Enterprise Shared Services, overseen by the Chief Operating Officer.
Enterprise Shared Services directs eight offices: Communications, Constituent Services, Enterprise Technology, Finance, Human Resources, Police, Policy and Regulations, and Procurement and Support Services. In addition, Enterprise Shared Services is assisted by the Central Services Division, and Facilities Planning and Development.
For the Department, the Division manages the Central Warehouse, building services, fleet management, forms management, inventory control, life safety, security, and telecommunications.
FACILITIES PLANNING & DEVELOPMENT
The Department's annual Executive Plan, the Five-Year Capital Improvement Plan, the Master Facilities Plan, and twenty individual facility plans are prepared by Facilities Planning and Development. Moreover, this office is responsible for the Department's annual capital budget, real estate transactions, and bond bill submission. Internal policies and procedures also are developed and promulgated through Facilities Planning and Development. In addition, this office conducts special studies requested by the General Assembly or the Secretary of Health.
OFFICE OF COMMUNICATIONS
The Office of Communications directs public affairs of the Department and coordinates them with Departmental officials, local health officers, and the Governor's Office. The Office of also arranges special events and disseminates employee information.
OFFICE OF ENTERPRISE TECHNOLOGY
The Office devises information-processing strategies and implements the policy, procedures, and controls required for automation programs. Security, systems analysis, programming and data communications, and training and computer operation services for the Department's information systems throughout the State are provided by the Office. These systems inlcude the Electronic Vital Records System (EVRS); the Hospital Management Information System (HMIS); the National Electronic Disease Surveillance System (NEDSS); and the Medicaid Management Information System II (MMIS II). The Department's wide area network connects to local health departments, hospitals, and health clinics with over 9,000 user connections across the State.
Under the Office are three divisions: Administrative Operations; Applications; and Infrastructure and Network. The Office also oversees Records Management. In May 2018, the Office became responsible for the Office of Systems, Operations, and Pharmacy, formerly under Health Care Financing.
The Office of Systems, Operations, and Pharmacy originated in 1975 as the Medical Care Operations Administration. It reorganized as the Program Systems and Operations Administration in November 1993, and reclaimed its original name in July 1997. In December 1999, it became the Medical Care Operations and Eligibility Administration and, in January 2000, the Office of Operations and Eligibility, Medical Care Programs. From 1999 to July 2007, the Office was responsible for eligibility determination and policy. Renamed the Office of Operations, Eligibility, and Pharmacy in 2004, it reformed as the Office of Systems, Operations, and Pharmacy in July 2007, when its eligibility functions transferred to the Office of Eligibility Services. In May 2018, the Office moved to the Office of Information Technology, which was renamed the Office of Enterprise Technology in May 2019.
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland, December 2000. Photo by Diane F. Evartt.
Under the Office are the Kidney Disease Program, the Maryland Pharmacy Program, and the Systems and Operations Administration.
The Division conducts personnel transactions, prepares budgets, promulgates Medicaid regulations, and formulates amendments to the Medicaid State Plan.
KIDNEY DISEASE PROGRAM
The Program financially assists Marylanders who are certified end-stage renal disease patients. This assistance for treatment is available only after all other medical and federal insurance coverage has been pursued.
MARYLAND PHARMACY PROGRAM
The Program provides Medicare Part D premium and coverage gap assistance to eligible Marylanders with moderate incomes who are eligible for Medicare and enrolled in a Medicare Part D prescription drug plan.
The Program is set to expire December 31, 2019.
SYSTEMS & OPERATIONS ADMINISTRATION
The Division processes all claims for payment made by providers of health care services under the Medical Assistance Program (Medicaid) and the Pharmacy Assistance Program. Processing includes mail sorting, microfilming, entry of claims into the Batch and Invoice Control File of the Medicaid Management Information System, and processing of payments in excess of $2.5 billion annually for claims received, resolution of erroneous claims, and claim storage and retrieval. Records of payments to the more than 45,000 health care providers enrolled in the Medical Assistance Program are maintained by the Division.
DIVISION OF MEDICAID INFORMATION SYSTEMS
DIVISION OF MEDICAL ASSISTANCE RECOVERIES
The Division operates third-party liability programs. Through these, other responsible parties are pursued for payment of health care received under the Medical Assistance Program (Medicaid). Money spent on behalf of recipients is recovered from sources allowed by federal or State law.
OFFICE OF HUMAN RESOURCES
The Office of Human Resources started as the Office of Personnel Management. It became the Personnel Services Administration in 1988. On May 1, 2004, the Administration reformed as the Office of Human Resources.
For the Department, the Office provides personnel services and training.
Under the Office are five divisions: Administration; Employee Relations; Employment; Recruitment and Selection; and Training Services. The Office also is responsible for units for Personnel Information Systems, and Risk Management.
OFFICE OF POLICY & REGULATIONS
The Department's liaison with State and federal government is Governmental Affairs. It coordinates the preparation of legislative bills that the Department wants introduced in the General Assembly, and analyzes other bills for their impact on the Department.
OFFICE OF REGULATION & POLICY COORDINATION
A central clearinghouse for health regulations is provided by the Office. Here, regulations are drafted, amended, reviewed, and revised. The Office establishes internal policy and procedures, and provides technical assistance to administrative units of the Department.
OFFICE OF PROCUREMENT & SUPPORT SERVICES
The Office develops policies, procedures, and standards that govern how the Department procures and manages contracts, and ensures that those policies and procedures are disseminated and adhered to throughout the Department. Upon request, the Office serves in an advisory capacity to programs, and directly delivers procurement services for programs not certified to process or approve their own procurements. The Office also gives legal advice on procurement issues, and serves as the repository and clearinghouse for procurement and contract management information within the Department.
The Office of Finance began as the Financial Planning Administration and became the Budget Management Office in 1997. In March 2004, it moved from Operations to the Chief Financial Officer within the Office of Secretary. As the Financial Management Administration, it moved to Operations in June 2007, and reorganized as the Budget Revenue Administration in November 2008. In February 2016, it became the Office of Finance.
All Department financial affairs, including liaison with the Department of Budget and Management and the General Assembly, are monitored and controlled by the Office of Finance. Moreover, the Office also oversees budget preparation and review, expenditure management, funding enhancement, rate setting, cost analysis, and fiscal policy.
Office functions are carried out by the Budget Management Office, and the Cost Accounting and Reimbursements Division. Since September 2015, the Office of Finance has overseen the Fiscal Services Administration, and since January 2017, the Office of Capital Planning, Budgeting, and Engineering Services, which became the Office of Capital Planning in January 2018. That Office transferred to the Deputy Secretary for Operations in July 2019 as Facilities Management and Development.
In 1975, Health Care Financing began as the Office of Regulatory Services. By 1981, responsibilities of the Office were assigned to the Assistant Secretary for Health Regulation and Policy Analysis and, by 1985, to the Assistant Secretary for Health Regulation. In 1987, Policy, Financing, and Regulation was created and, in 1988, renamed Health Care Policy, Finance, and Regulation. The deputy secretariat reorganized as Health Care Financing in December 1999.
Health Care Financing administers three of Maryland's medical care programs: Family Planning; Maryland Children's Health Program; and Medical Assistance (Medicaid & HealthChoice).
The principal health regulatory functions of the Department are overseen by Health Care Financing which also provides leadership and guidance for the Department's financing and regulatory programs. This entails oversight of regulatory functions of the Maryland Health Care Commission and the State Health Services Cost Review Commission.
For the Secretary of Health, the Deputy Secretary for Health Care Financing develops recommendations to modify and shape the role of the Department. The Deputy Secretary helps define health problems, evaluates Department programs, and develops data on federal and other external trends so as to advise the Secretary on program emphasis and Department direction.
Under Health Care Financing are two offices: Eligibility Services; and Health Services. Health Care Financing also is assisted by the Maryland Medicaid Advisory Committee, and two administrations: Finance, and Planning.
MEDICAL ASSISTANCE PROGRAM (MEDICAID)
Herbert R. O'Conor State Office Building (view from Martin Luther King, Jr., Blvd.), 201 West Preston St., Baltimore, Maryland, October 2017. Photo by Diane F. Evartt.
From the Committee, the Secretary of Health receives advice on implementation, operation, and evaluation of managed care programs for Medicaid recipients. The Committee also reviews and makes recommendations on regulations, contracts, and quality control; assesses data; sees that information is available to Medicaid recipients in language they can understand; and otherwise assists in the transition of Medicaid to managed care.
The Committee has up to twenty-five members. Seventeen are appointed to four-year terms by the Secretary of Health. Two are appointed by the Senate President, and three by the House Speaker. Three serve ex officio (Code Health-General Article, sec. 15-101 through 15-103).
The Work Group is to provide advice on streamlining the enrollment process for the Medicaid Family Planning Program through presumptive enrollment, and using the Program to encourage participants to enroll for full health coverage. The Work Group will recommend how to ensure that all participants in the Medicaid Family Planning Program have access to the full range of contraceptive options.
The Office of Eligibility Services originated as part of the Office of Operations, Eligibility, and Pharmacy (under Health Care Financing). It was established as a separate Office of Eligibility in July 2007. In September 2007, it became the Office of Eligibility Services.
Through statewide outreach efforts, the Office of Eligibility Services ensures that eligible Marylanders receive the Medical Assistance benefits for which they are eligible. The Office provides benefit information, enrollment assistance, and problem resolution. Further, the Office develops and implements eligibility policy, and provides training to staff in local health departments.
Under the Office are Eligibility Determination and Eligibility Policy. Two divisions, Recipient Enrollment and Call Center, and Recipient Eligibility Programs, report directly to the Executive Director.
DIVISION OF RECIPIENT ELIGIBILITY PROGRAMS
Systems and procedures are the responsibility of the Division to update the Recipient Eligibility Master File; produce and issue Medical Care Program identification cards; and resolve eligibility problems. It also oversees the Buy-In Programs for Medicare.
Buy-In Programs for Medicare (Parts A & B). Under the these programs, the State, through the Medical Assistance Program (Medicaid), pays federal premiums for people certified by the local department of social services as unable to cover hospital insurance (Part A) or medical insurance (Part B).
DIVISION OF RECIPIENT ENROLLMENT & CALL CENTER
The Division oversees the HealthChoice Program.
To improve the quality of health care for Medical Assistance recipients, HealthChoice maintains a roster of primary care physicians. Recipients who have difficulty finding their own physician may choose a primary care provider enrolled with the Program. That provider then refers the recipient to medical specialists as needed. The Program enrolls both recipients and providers and informs Medical Assistance recipients about the Program.
Home and Community-Based Waiver programs are administered by Eligibility Determination. Waivers allow persons to receive Medical Assistance (Medicaid) benefits in a community setting, at home, or in assisted-living facilities. Waivers include: the Waiver for Older Adults; Living at Home Maryland Community Choices Waiver; Waiver for Children with Autism Spectrum Disorder; Model Waiver for Disabled Children; Waiver for Individuals with Developmental Disabilities; and the Home and Community-Based Services Model Waiver for Adults with Traumatic Brain Injury.
For children in residential treatment centers and institutions providing mental health services, Eligibility Determination also determines and maintains Medical Assistance eligibility.
MARYLAND CHILDREN'S HEALTH PROGRAM
The Program provides complete health coverage for children and pregnant women who are not eligible for Medicaid, are uninsured, and whose family income is near the federal poverty level. To all uninsured children (through age 18) whose family income is up to 300% of the federal poverty level, and to pregnant women with incomes up to 250% of the federal poverty level, the Program provides health care coverage through the HealthChoice Program, a managed care program (Code Health-General Article, secs. 15-301 through 15-305).
Since October 1, 2013, persons may apply for benefits through Maryland Health Connection, the State's health insurance marketplace, administered by the Maryland Health Benefit Exchange.
The Office of Health Services began as the Policy Administration in 1975. Renamed the Health Systems Financing Administration in 1987, and the Medical Care Policy Administration in March 1990, it became the Medical Care Services Administration in December 1999. Under Health Care Financing, the Office received its present name in January 2000.
Policies and regulations that establish eligibility criteria, define services, detail coverage, specify limitations, and determine reimbursement rates for the Medical Assistance Program (Medicaid) are developed and reviewed by the Office of Health Services. Moreover, the Office updates the State Plan for the Medical Assistance Program, and secures federal approval for Program changes to assure the continued availability of federal matching funds.
In October 1997, the Office reorganized into three main units: Acute and Primary Care; Long-Term Care and Community Support Services; and Long-Term Care and Waiver Services. In January 2000, it further reorganized under two administrations: HealthChoice and Acute Care; and Long-Term Care and Community Support Services. The Long-Term Care and Community Support Services Administration was renamed the Long-Term Services and Supports Administration in January 2014.
ACUTE CARE
DIVISION OF DENTAL, CLINICS & LABORATORY SERVICES
DIVISION OF HOSPITAL SERVICES
For certain parts of the Medical Assistance Program (Medicaid), the Division plans, prepares, and amends regulations, and interprets policy. These parts cover Ambulatory Surgery; Free-standing Dialysis Centers; Hospitals; Medical Laboratories; Mental Health; and Residential Treatment Centers.
MANAGED CARE
Managed Care oversees four divisions: Community Liaison and Care Coordination; HealthChoice Complaint Resolution; HealthChoice Provider Network Management; and HealthChoice Quality Assurance.
The Division manages certain grants; leads in setting maternal health and family policy; oversees Maryland HealthChoice helplines; and manages the referral process for access and care coordination of pregnant women.
DIVISION OF HEALTHCHOICE QUALITY ASSURANCE
The Division establishes and articulates the State Medicaid policies and regulations pertaining to medical and professional services. These services are provided by physicians, dentists, podiatrists, vision care providers, nurse-midwives, nurse anesthestists, nurse practitioners, free-standing clinics, and health maintenance organizations.
The Administration works through three directorates: Community Integration Programs; Nursing and Waiver Services; and Nursing Homes and Community Long-Term Care.
COMMUNITY INTEGRATION PROGRAMS
Community Integration Programs oversees three divisions: Community Options Administrative; Evaluation and Service Review; and Quality and Compliance Review.
NURSING & WAIVER SERVICES
This office is responsible for three divisions: Community Long-Term Care; Community Support Services; and Nursing Services.
DIVISION OF WAIVER PROGRAMS
Medical Assistance waivers are the concern of the Division of Waiver Programs. These are exceptions granted by the federal Health Care Financing Administration to certain federal regulations governing Medical Assistance (Medicaid). Such waivers are authorized when it becomes cost effective to do so, but only if the quality of medical care is maintained (federal Social Security Act, sec. 1915). Typically, waivers help people who otherwise would require a hospital, or a facility providing skilled nursing or intermediate care.
The Division coordinates and manages three home- and community-based services waivers. These are the Model Waiver, Senior Assisted-Housing Waiver, and Developmental Disabilities Waiver. The Division also directs nine targeted case-management services programs, and two managed-care waivers and proposals (Maryland Access to Care and the Diabetes Care Waiver).
NURSING HOMES & COMMUNITY LONG-TERM CARE
Nursing Homes and Community Long-Term Care is responsible for the Division of Long-Term Care Services.
Maryland Medicaid coverage and reimbursement for nursing home services, medical day care, and personal care are administered by the Division. The Division develops strategies for financing and delivering services to persons with special needs who are eligible for Medical Assistance (Medicaid). These include children and adults with chronic or mental illnesses, traumatic injury, developmental disability, AIDS, or a history of drug and alcohol abuse.
Services funded entirely by the State are refinanced to include federal Medicaid funds. Financial resources and services are reallocated from institutions, such as nursing homes and State psychiatric and developmental disability facilities, to community-based services.
Health Occupations Boards and Commissions began as the Division of Boards and Commissions. The Division reorganized in 1986 as the Office of Boards and Commission Programs and, in 1993, was renamed Health Professional Boards and Commissions. In August 2005, it was placed under Regulatory Programs, and renamed Health Occupations Boards and Commission in 2018.
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland, October 2019. Photo by Diane F. Evartt.
Under Health Occupations Boards and Commissions are the Office of Appointments and Executive Nominations, the State Commission on Kidney Disease, and twenty licensing and regulatory boards:
OFFICE OF APPOINTMENTS & EXECUTIVE NOMINATIONS
The Office of Appointments and Executive Nominations recruits and screens candidates for those health regulatory boards and commissions, task forces, and citizen advisory boards whose members are appointed by the Governor or the Secretary of Health.
In 1994, the State Acupuncture Board was created (Chapter 620, Acts of 1994).
To protect consumers, the Board licenses persons wishing to practice acupuncture in Maryland. Further, the Board registers auricular detoxification specialists, and certifies persons performing acupuncture on animals. The Board provides information about the licensure procedure, fees, continuing education requirements, and new trends in acupuncture and Oriental medicine to both applicants for licenses and the public. Consumers may make inquiries to the Board regarding licensed acupuncturists and also file complaints.
The Board consists of seven members. They are appointed to four-year terms by the Governor.
Authorization for the Board extends to July 1, 2025 (Code Health Occupations Article, secs. 1A-101 through 1A-502).
From three separate boards, the State Board of Examiners for Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists originated. The first was the Board of Examiners for Hearing Aid Dealers, formed in 1969 and placed within the Department of Licensing and Regulation in 1970 (Chapter 634, Acts of 1969; Chapter 402, Acts of 1970). The other two boards - the State Board of Examiners for Audiologists, and the Board of Examiners for Speech Pathologists - both started in 1972 within the Department of Health and Mental Hygiene (Chapter 547, Acts of 1972). In 1987, the speech pathologists' board was renamed the State Board of Examiners for Speech-Language Pathologists (Chapter 478, Acts of 1987). All three boards merged in 1992 to become the State Board of Examiners for Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists within the Department of Health and Mental Hygiene (Chapter 326, Acts of 1992). In 1993, the Board received its present name (Chapter 448, Acts of 1993).
The Board licenses audiologists, hearing aid dispensers, and speech-language pathologists.
Thirteen members constitute the Board. They are appointed to four-year terms by the Governor on recommendation of the Secretary of Health.
Authorization for the Board continues until July 1, 2026 (Chapter 93, Acts of 2014; Code Health Occupations Article, secs. 2-101 through 2-502).
In October 2004, the State Board for Certification of Residential Child-Care Program Administrators was established (Chapter 438, Acts of 2004). In October 2008, it was restructured as the State Board for Certification of Residential Child-Care Program Professionals (Chapter 218, Acts of 2008).
Since October 2007, administrators of residential child-care programs have been required to be certified by the Board. Since October 1, 2015, residential and child youth care practitioners also are required to be certified by the Board (Chapter 583, Acts of 2010).
Residential child-care programs provide 24-hour per day care within a structured set of services and activities designed to achieve specific objectives for the children, including provision of food, clothing, shelter, education, social services, health, mental health, recreation, or any combination of these.
The Board's twelve members are appointed to four-year terms. The Governor appoints six members with Senate advice and consent, and the Secretary of Health appoints two. One each is appointed by the Secretary of Human Services, the Secretary of Juvenile Services, the State Superintendent of Schools, and the Children's Cabinet.
Authorization for the Board extends to July 1, 2024 (Code Health Occupations Article, sec. 20-501).
In 1920, the State Board of Chiropractic Examiners formed (Chapter 666, Acts of 1920). In October 2008, it was restructured as the State Board of Chiropractic and Massage Therapy Examiners (Chapter 243, Acts of 2008). In October 2016, the Board reformed under its first name to focus solely on chiropractors when those concerned with massage therapy formed a separate board (Chapter 739, Acts of 2016).
Each person holding a chiropractic license in Maryland must renew it every two years with the State Board of Chiropractic Examiners.
The Board examines applicants for licenses to practice as chiropractors, investigates complaints, and (in consultation with the Office of Attorney General) conducts disciplinary proceedings as necessary. Each year, the Board holds three examinations. It also ascertains whether schools of chiropractic meet the requirements of the law.
Seven members make up the Board. They are appointed by the Governor with the advice of the Secretary of Health and Senate advice and consent. Members serve four-year terms.
Authorization for the Board continues until July 1, 2022 (Chapter 133, Acts of 2010; Code Health Occupations Article, secs. 3-201 through 3-602).
The State Board of Professional Counselors and Therapists originated in 1985 as the State Board of Examiners of Professional Counselors (Chapter 734, Acts of 1985). The Board adopted its present name in October 2000 (Chapter 358, Acts of 2000), and was reorganized in October 2008 (Chapter 505, Acts of 2008). The Board licenses professional counselors and therapists, and regulates their services within the State.
In 1998, the General Assembly provided for licensure of three categories of counselors offering clinical counseling: licensed clinical professional counselor; licensed clinical marriage and family therapist; and licensed clinical alcohol and drug counselor (Chapter 132, Acts of 1998). In 2008, three more categories were added: graduate alcohol and drug counselor; graduate marriage and family therapist; and graduate professional counselor (Chapter 505, Acts of 2008). These new categories allow an individual to practice counseling under the supervision of a licensed counselor or therapist if they have completed all other requirements for licensure but still need the 2,000 hours of supervised experience.
Since 2013, the Board is charged with licensing professional art therapists (Chapters 628 & 629, Acts of 2012), and since January 1, 2015, the Board also is charged with licensing behavior analysts (Chapter 328, Acts of 2014).
With the advice of the Secretary of Health, the Governor appoints the Board's thirteen members to four-year terms. Since 1997, the Governor also has been authorized to appoint an advisor to the Board (Chapter 461, Acts of 1997).
Authorization for the Board continues until July 1, 2026 (Chapters 756 & 757, Acts of 2018; Chapters 158 & 159, Acts of 2020; Code Health Occupations Article, secs. 17-101 through 17-502).
To improve and expedite the licensing and certification process for alcohol and drug counselors and alcohol and drug trainees, the Subcommittee evaluates the process and makes recommendations to the State Board of Professional Counselors and Therapists. Alcohol and drug trainee is a status, not a certificate or license for which entry-level trainees must submit an application to the Board.
Ways to improve disciplinary processes are recommended by the Subcommittee, which assists the Board in drafting regulations pertaining to alcohol and drug counselors and alcohol and drug trainees.
BEHAVIOR ANALYST ADVISORY COMMITTEE
The Advisory Committee develops regulations, a code of ethics, licensure requirements, and continuing education requirements for behavior analysts, who, since January 1, 2015, must be licensed by the State Board of Professional Counselors and Therapists to practice in Maryland.
Established in 1884, the State Board of Dental Examiners regulates the practice of dentistry by testing the qualifications of candidates for licenses in dentistry and in dental hygiene (Chapter 150, Acts of 1884).
All applicants for license to practice dentistry must be graduates of accredited dental colleges authorized to grant degrees in dental surgery by the laws of one of the United States or a province of Canada. For a license to practice dental hygiene, all applicants must be graduates of a school for dental hygienists that requires at least two years of study and is approved by the State Board of Dental Examiners. Examinations, held twice a year, are both written and practical. Every two years, dentists and dental hygienists must renew their licenses to practice.
Dental radiation technologists also are certified by the Board. An individual may not practice dental radiation technology in Maryland unless certified by the Board.
The Governor appoints the Board's sixteen members for four-year terms with the advice of the Secretary of Health. Three consumer members are appointed with the advice of the Secretary of Health and Senate advice and consent.
Authorization for the Board continues until July 1, 2021 (Code Health Occupations Article, secs. 4-101 through 4-702).
To protect the public by setting standards for the practice of dietetics in Maryland, the State Board of Dietetic Practice was authorized in 1985 (Chapter 773, Acts of 1985).
The Board licenses dietitians and nutritionists in Maryland, sets standards for the practice of dietetics, and develops and enforces regulations. Licenses to practice dietetics must be renewed with the Board every two years.
Nine members constitute the Board. They are appointed to four-year terms by the Governor.
Authorization for the Board continues until July 1, 2025 (Code Health Occupations Article, secs. 5-101 through 5-502).
The State Board of Environmental Health Specialists originated in 1969 as the Board of Sanitarian Registration within the Department of Health and Mental Hygiene (Chapter 434, Acts of 1969). In 1984, the Board was renamed the State Board of Environmental Sanitarian Registration (Chapter 560, Acts of 1984). It transferred to the Department of the Environment in 1987 (Chapter 306, Acts of 1987). In 1989, the Board reformed as the State Board of Environmental Sanitarians (Chapter 151, Acts of 1989). Placed under the Water Management Administration in 1992, the Board was made part of the Office of Operational Services and Administration in 1997. In July 2012, the Board transferred to the Department of Health and Mental Hygiene (now Maryland Department of Health) as the State Board of Environmental Health Specialists (Chapter 667, Acts of 2012).
Qualified applicants are licensed as registered environmental health specialists by the State Board of Environmental Health Specialists. The Board also issues certificates of eligibility to applicants awaiting examination. Environmental health specialists are concerned with environmental effects on public health. They promote environmental health and maintain it by securing compliance with public health laws and regulations. They inspect and investigate the manufacture, preparation, handling, distribution, or sale of food and milk; water supply and treatment; wastewater treatment and disposal; solid waste management and disposal; vector control; insect and rodent control; air quality; noise control; product safety; recreational sanitation; and institutional and residential sanitation.
Upon recommendation of the Secretary of Health and with Senate advice and consent, the Governor appoints the Board's nine members to four-year terms.
Authorization for the Board continues until July 1, 2027 (Chapter 359, Acts of 2016; Code Health Occupations Article, secs. 21-201 through 21-206).
In 1971, the State Commission on Kidney Disease was authorized (Chapter 492, Acts of 1971).
The Commission oversees a program of State assistance throughout Maryland for persons with chronic renal disease.
Information on the treatment of chronic renal disease in the State is gathered and disseminated by the Commission. It also sets physical and medical standards for the operation of dialysis and renal transplantation centers, and sets standards for the acceptance of a patient into the treatment phase of such programs. Patients accepted for treatment are eligible for State medical assistance. For the public and providers of health services, the Commission also institutes and supervises educational programs on kidney disease and its treatment and prevention.
The Governor appoints the Commission's twelve members to four-year terms. The Commission selects the executive director (Code Health-General Article, secs. 13-301 through 13-316).
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215
The State Board of Massage Therapy Examiners began in 2008 as the State Board of Chiropractic and Massage Therapy Examiners (Chapter 243, Acts of 2008). In October 2016, that board was divided into two separate boards - one concerned with chiropractors and another focused on massage therapists. At that time, the State Board of Massage Therapy Examiners was created (Chapter 739, Acts of 2016).
Seven members make up the Board. They are appointed to four-year terms by the Governor with the advice of the Secretary of Health and Senate advice and consent.
In 1902, the State Board of Morticians and Funeral Directors was established as the State Board of Undertakers of Maryland (Chapter 160, Acts of 1902). Renamed the State Board of Funeral Directors and Embalmers in 1937, the Board became the State Board of Morticians in 1981 (Chapter 8, Acts of 1981). The Board received its present name in October 2007 (Chapters 186, Acts of 2007), and reorganized in 2008 (Chapter 583, Acts of 2008).
The State Board of Morticians and Funeral Directors regulates the funeral industry in Maryland.
Every funeral director and mortician in Maryland must register with and procure a license from the Board. The Board sets the standards for the practice of mortuary science in the State and examines applicants for licensure. Every two years, the Board renews licenses and has the power to suspend or revoke any license. The Board makes regulations for the enforcement of laws regarding funeral directing and mortuary science.
Administered by the Board, the Family Security Trust Fund was created in January 2009 (Chapter 532, Acts of 2008; Code Health Occupations Article, secs. 7-4A-01 through 7-4A-13). The Fund was established to reimburse consumers for certain losses related to pre-need contracts, regulation of crematories, and establishment of procedures for handling and transporting human remains.
Upon recommendation of the Secretary of Health and with Senate consent, the Governor appoints the Board's eleven members to four-year terms.
Authorization for the Board continues until July 1, 2028 (Chapters 823 & 824, Acts of 2017; Code Health Occupations Article, secs. 7-101 through 7-702).
The Committee consists of five members. Three of these are appointed by the State Board of Morticians and Funeral Directors. One member is designated by the Maryland State Funeral Directors Association, and one by the Funeral Directors and Morticians Association of Maryland, Inc. Members serve four-year terms.
The State Board of Nursing began as the State Board of Examiners of Nurses in 1904 (Chapter 172, Acts of 1904). It adopted its present name in 1987 (Chapter 109, Acts of 1987).
To assure safe, competent nursing care for the public, the State Board of Nursing regulates the practice of registered nurses, licensed practical nurses, nurse practitioners, nurse midwives, nurse anesthetists, nurse psychotherapists, nursing assistants, and direct-entry midwives. The Board administers licensure examinations and issues licenses to those who successfully complete requirements and examinations. The Board evaluates, monitors, and approves nursing education programs; enforces the standards and defines the scope of nursing; approves refresher programs; and assesses and evaluates trends in nursing. Through its investigative unit, the Board also investigates any complaint alleging violation of the Nurse Practice Act by a nurse, conducts hearings, and takes disciplinary action as required. Such action may include emergency suspension, revocation of license, denial of licensure, probation, or fine.
With the National Council of State Boards of Nursing, the Board cooperates in the preparation of the examination used for licensure. The Board also works with health care facilities, educational institutions, professional organizations, the Maryland Higher Education Commission, the State Board of Education, the Department of Aging, county health departments, local school systems, and Department agencies.
Upon recommendation of the Secretary of Health, the Governor appoints the Board's fourteen members for four-year terms. Two members are consumers appointed with Senate advice and consent.
Authorization for the Board continues until July 1, 2023 (Chapter 621, Acts of 2012; Code Health Occupations Article, secs. 8-101 through 8-802).
The State Board of Nursing is assisted by four committees: Certified Nursing Assistant Advisory, Direct-Entry Midwifery Advisory, Electrology Practice, and Safe Practice.
The Committee advises the State Board of Nursing on applications for nursing assistant certification, approval of training programs for nursing assistants, and discipline of nursing assistants and medication technicians.
Fifteen members constitute the Committee. They are appointed to four-year terms by the State Board of Nursing (Code Health Occupations Article, sec. 8-6A-13).
DIRECT-ENTRY MIDWIFERY ADVISORY COMMITTEE
The Committee advises the State Board of Nursing on issues relating to the practice of direct-entry midwifery.
A direct-entry midwife is an independent practitioner who has entered the profession through self-training, apprenticeship, and certification programs not affiliated with the practice of nursing. By December 2016, the State Board of Nursing must adopt regulations to license direct-entry midwives and the practice of direct-entry midwifery in Maryland.
The Committee's seven members are appointed by the State Board of Nursing to four-year terms.
ELECTROLOGY PRACTICE COMMITTEE
The Committee adopts and revises standards of electrology practice for registered electrologists and prescribes standards for educational programs leading to licensure. It examines and licenses qualified applicants. The Committee also conducts hearings on charges calling for discipline of a licensed electrologist by penalty, denial, revocation, or suspension of a license, and causes the prosecution of all persons in violation of the Electrology Practice Act.
Three members comprise the Committee. They are appointed to four-year terms by the State Board of Nursing.
Authorization for the Board continues until July 1, 2023 (Chapter 573, Acts of 2011; Chapter 154, Acts of 2014; Code Health Occupations Article, secs. 8-6B-01 through 8-6B-29).
SAFE PRACTICE COMMITTEE
Nurses whose job performance is impaired by drugs, alcohol, or mental illness may participate in the Safe Practice Program upon recommendation of the Committee.
The State Board of Nursing selects the Committee's six members. Three are licensed registered nurses with expertise in the field of substance use disorders or psychiatric nursing. One member is a registered nurse, who has demonstrated expertise in pain management; one is a licensed practical nurse; and one, a consumer knowledgeable in the field of substance use disorders (Code Health Occupations Article, sec. 8-208).
In 1970, the State Board of Examiners of Nursing Home Administrators was authorized.
The Board examines, licenses, and regulates nursing home administrators (Chapter 262, Acts of 1970). Licenses must be renewed with the Board every two years. They may be revoked or suspended for cause. The Board also studies nursing homes and their administrators to improve licensing standards and enforcement procedures.
Fourteen members constitute the Board. They are appointed to four-year terms by the Governor upon recommendation of the Secretary of Health. A representative of the Office of Health Care Quality serves ex officio. The Governor names the chair and vice-chair. The Board appoints the Executive Director, who is confirmed by the Secretary of Health (Chapter 24, Acts of 2011; Chapter 59, Acts of 2015; Code Health Occupations Article, secs. 9-101 through 9-502).
Created in 1978, the State Board of Occupational Therapy Practice administers, coordinates, and enforces the provisions of the Maryland Occupational Therapy Practice Act (Chapter 909, Acts of 1978).
The Board evaluates the qualifications of applicants for licensure and supervises the examination of applicants. It keeps a current list of licensed occupational therapists and occupational therapy assistants. Licenses must be renewed every two years and may be revoked or suspended for cause.
With the advice of the Secretary of Health, the Governor appoints the Board's seven members to four-year terms. The Board selects the Executive Director.
Authorization for the Board continues until July 1, 2025 (Code Health Occupations Article, secs. 10-201 through 10-502).
In 1914, the State Board of Examiners in Optometry was formed.
Optometry laws of the State are administered by the Board, which regulates the practice of optometry (Chapter 652, Acts of 1914). It examines, licenses, and registers applicants, and may revoke any certificate of registration or examination for just cause.
The Board consists of seven persons appointed to four-year terms by the Governor upon the recommendation of the Secretary of Health from nominees of the Maryland Optometric Association. Two members are consumers appointed by the Governor on recommendation of the Secretary of Health with Senate advice and consent.
Authorization for the Board continues until July 1, 2023 (Chapter 236, Acts of 2010; Code Health Occupations Article, secs. 11-101 through 11-602).
The State Board of Pharmacy was created in 1902.
By examination and reciprocity, the Board licenses pharmacists (Chapter 179, Acts of 1902). It also conducts a biennial re-registration program for pharmacists. The Board issues permits for the operation of retail pharmacies and for the manufacture of drugs, medicines, toilet articles, dentifrices, and cosmetics. The Board also licenses jobbers, distributors, and wholesalers or manufacturers of prescription drugs. In cooperation with the Maryland Department of Health, the Board enforces the pharmacy and drug laws of the State.
All pharmacies or other places where prescriptions, medicines, drugs, drug products, or domestic remedies are compounded or sold are inspected by Board members and duly authorized agents of the Maryland Department of Health. They also inspect prescriptions, medicines, drugs, drug products, or domestic products offered for sale. Pharmacists are required to keep in their places of business, for a period of not less than five years, a file of every prescription compounded or dispensed.
Annually, the State Board of Pharmacy meets with the State Board of Physicians and the State Board of Nursing to determine what vaccines may be administered by pharmacists and to develop and review regulations for administering such vaccines (Chapter 304, Acts of 2009).
The Board's twelve members include ten licensed pharmacists and two consumers. All are appointed to four-year terms by the Governor with the advice of the Secretary of Health. The Board may designate an executive director.
Authorization for the Board continues until July 1, 2023 (Code Health Occupations Article, secs. 12-101 through 12-802).
In 1947, the State Board of Physical Therapy Examiners was authorized.
Physical therapists and physical therapist assistants are examined and licensed to practice in Maryland by the Board (Chapter 606, Acts of 1947). The Board also makes rules and regulations governing the denial, suspension, and revocation of licenses.
In October 2019, Maryland will join the Interstate Physical Therapy Licensure Compact Commission (Chapter 374, Acts of 2019). The Commission allows physical therapists licensed in a member state to practice in other member states under certain conditions.
The Board's eight members are appointed to four-year terms by the Governor with the advice of the Secretary of Health. Two consumer members are named with Senate advice and consent.
Authorization for the Board continues until July 1, 2022 (Code Health Occupations Article, secs. 13-101 through 13-502).
In Maryland, authority to license physicians was granted first to the Medical and Chirurgical Faculty of the State of Maryland in their charter of 1798 (Chapter 105, Acts of 1798). From 1798 to 1838, the Faculty examined candidates, issued licenses upon payment of a fee, and prosecuted unlicensed doctors. The petitions of botanic medical practitioners influenced the legislature to pass a law in 1838 allowing any person to collect fees for medical services performed, which effectively ended the licensing of doctors for fifty years in Maryland (Chapter 281, Acts of 1838).
In 1888, the State Board of Health began to license all physicians (Chapter 429, Acts of 1888). By 1892, two boards of medical examiners carried on this function. One represented the Medical and Chirurgical Faculty and the other the State Homeopathic Society (Chapter 296, Acts of 1892). The General Assembly in 1957 abolished the Homeopathic Board and set up the State Board of Medical Examiners to regulate the practice of medicine. In 1968, responsibility for disciplining licensed physicians was assigned to the Commission on Medical Discipline of Maryland (Chapter 469, Acts of 1968). Functions of both the State Board of Medical Examiners and the Commission on Medical Discipline of Maryland combined in 1988 under the State Board of Physician Quality Assurance (Chapter 109, Acts of 1988). The Board reformed in 2003 as the State Board of Physicians (Chapter 252, Acts of 2003).
The State Board of Physicians tests and licenses physicians to practice medicine in Maryland. The Board determines the eligibility of physicians to represent themselves as specialists. For certain causes, the Board may revoke the license of any physician. The Board also registers residents and x-ray assistants. In addition, the Board certifies or licenses seven categories of allied health practitioners, including physician assistants, respiratory care practitioners, medical radiation technologists, nuclear medical technologists, polysomniographic technologists, radiation therapists, and radiologist assistants. With the State Board of Nursing, the Board reviews written agreements between physicians and nurse practitioners and nurse midwives.
To determine eligibility for initial medical licensure, the Board administers the United States Medical Licensing Examination. The Board also administers the Special Purpose Examination of the Federation of State Medical Boards to some applicants and licensees to determine if they have remained competent practitioners after an absence from practicing medicine.
For certain cases, the Board may take disciplinary action, including revocation, suspension, reprimand, or probation, and may fine a licensee. Where there is an imminent threat to the public, the Board may issue an emergency suspension of a license. In an effort to prevent misconduct, the Board operates a speaker's bureau, and conducts educational programs and training sessions on certain high-risk behavioral areas. Quarterly, the Board issues a newsletter with a lead article of topical interest to the medical community as well as information about Board acts or sanctions.
The Board works closely with state and local law-enforcement agencies, as well as federal agencies, such as the Federal Bureau of Investigation and the U.S. Office of Inspector General. Since 1977, the Board has participated in the network of state disciplinary information bank of the Federation of State Medical Boards. Since 1990, the Board has served as a conduit of disciplinary information between Maryland hospitals and the National Practitioners Data Bank.
Two disciplinary panels, each consisting of eleven Board members, work to resolve allegations which would require disciplinary action against a licensed physician or an allied health professional (Chapter 401, Acts of 2013).
Composed of twenty-two members, the Board is appointed by the Governor with Senate advice and consent to four-year terms. The Governor names the chair to a two-year term.
Authorization for the Board continues until July 1, 2030 (Chapter 681, Acts of 2012; Chapter 401, Acts of 2013; Chapter 218, Acts of 2017; Chapter 419, Acts of 2019; Chapters 612 & 613, Acts of 2020; Code Health Occupations Article, secs. 14-101 through 15-502).
The Athletic Trainer Advisory Committee was authorized in October 2009.
To the State Board of Physicians, the Committee develops and makes recommendations concerning licensure of athletic trainers. The Committee advises the Board on regulations for the practice of athletic training, continuing education requirements, and evaluation and treatment protocols.
The Committee's nine members are appointed by the State Board of Physicians to three-year terms. Every two years, the Committee elects a chair.
Authorization for the Committee extends to July 1, 2030 (Chapter 218, Acts of 2017; Chapter 419, Acts of 2019; Chapters 612 & 613, Acts of 2020; Code Health Occupations Article, secs. 14-5F-32).
NATUROPATHIC DOCTORS FORMULARY COUNCIL
The Council is to develop and annually review a formulary of drugs and devices that licensed naturopathic doctors may prescribe. Based on the Council's recommendations, the State Board of Physicians is to adopt a formulary.
Six members of the Council are appointed by the State Board of Physicians to four-year terms. One member serves ex officio (Code Health Occupations Article, sec. 14-5F-04.1).
NATUROPATHIC MEDICINE ADVISORY COMMITTEE
Naturopathic medicine is the prevention, diagnosis, and treatment of human health conditions, injury, and disease using only patient education and naturopathic therapies and therapeutic substances recognized by the Council of Naturopathic Medical Education.
In October 2014, the Naturopathic Medicine Advisory Committee was established by the State Board of Physicians to develop and recommend regulations; procedures for reciprocity licensing; examination standards; a naturopathic medicine code of ethics; and continuing education requirements for license renewal (Chapter 153, Acts of 2014; Health Occupations Article, secs. 14-5F-06 through 14-5F-09).
Authorization for the Committee extends to July 1, 2030 (Chapter 218, Acts of 2017; Chapter 419, Acts of 2019; Chapters 612 & 613, Acts of 2020; Code Health Occupations Article, secs. 14-5F-32).
PERFUSION ADVISORY COMMITTEE
Since October 1, 2013, individuals must be licensed to practice perfusion in Maryland.
A perfusionist operates and monitors equipment which performs the functions of a patient's heart and lungs, usually during open-heart surgery.
The Committee develops and recommends regulations, a code of ethics, standards of care, and continuing education requirements for the practice of perfusion in Maryland.
Appointed to three-year terms by the State Board of Physicians, seven members constitute the Committee. Every two years, the Committee selects a chair.
Authorization for the Committee extends to July 1, 2030 (Chapter 218, Acts of 2017; Chapter 419, Acts of 2019; Chapters 612 & 613, Acts of 2020; Code Health Occupations Article, secs. 14-5E-06 through 14-5E-25).
PHYSICIAN ASSISTANT ADVISORY COMMITTEE
The Committee recommends to the State Board of Physicians, regulations for the certification of physician assistants. To the Board, it also recommends the approval, modification, or disapproval of an application for certification. The Committee may report to the Board any alleged unauthorized practice of a physician assistant, or any conduct of a supervising physician or a physician assistant that may be cause for disciplinary action.
To perform delegated medical acts, a physician assistant must obtain an approved delegation agreement from the State Board of Physicians. The Committee evaluates the qualifications of the physician assistant for delegated medical acts to be performed under that agreement and recommends that the Board approve, modify, or reject the application for a delegation agreement. The Board, on review of the Committee's recommendation, may approve, modify, or disapprove a delegation agreement for good cause.
The Committee's seven members are appointed to three-year terms by the State Board of Physicians.
Authorization for the Committee expires July 1, 2023 (Chapter 218, Acts of 2017; Code Health Occupations Article, secs. 15-101 through 15-502).
POLYSOMNOGRAPHY PROFESSIONAL STANDARDS COMMITTEE
The State Board of Physicians appoints the Committee's seven members to three-year terms.
Authorization for the Committee continues until July 1, 2030 (Chapter 401, Acts of 2013; Chapter 218, Acts of 2017; Chapter 419, Acts of 2019; Chapters 612 & 613, Acts of 2020; Code Health Occupations Article, secs. 14-5C-25).
RADIATION THERAPY, RADIOGRAPHY, NUCLEAR MEDICINE TECHNOLOGY ADVISORY , & RADIOLOGY ASSISTANCE COMMITTEE
The Committee reviews and makes recommendations to the State Board of Physicians on all applications for licensing of nuclear medical technologists, radiation therapists, radiographers, and radiologist assistants. To the Board, the Committee also recommends the approval, modification, or disapproval of applications for licensure. In addition, the Committee recommends to the Board regulations governing such practice (Code Health Occupations Article, secs. 14-5B-05 through 14-5B-21).
Appointed to three-year terms by the State Board of Physicians, nine members constitute the Committee.
Authorization for the Committee extends to July 1, 2030 (Chapter 401, Acts of 2013; Chapter 218, Acts of 2017; Chapter 419, Acts of 2019; Chapters 612 & 613, Acts of 2020).
RESPIRATORY-CARE PROFESSIONAL STANDARDS COMMITTEE
The Committee advises the State Board of Physicians on regulations governing the practice of respiratory care, and the approval, modification, or disapproval of an application for certification. The Committee refers to the Board any allegation of unauthorized practice by a respiratory care practitioner or conduct by a supervising physician or respiratory care practitioner that may be cause for disciplinary action.
The Committee's seven members are appointed to three-year terms by the State Board of Physicians. Every two years the Committee elects a chair.
Authorization for the Committee extends to July 1, 2030 (Chapter 218, Acts of 2017; Chapter 419, Acts of 2019; Chapters 612 & 613, Acts of 2020; Code Health Occupations Article, secs. 14-5A-01 through 14-5A-25).
The State Board of Podiatric Medical Examiners commenced in 1916 as the State Board of Chiropody Examiners (Chapter 173, Acts of 1916). In 1965, it became the State Board of Podiatry Examiners (Chapter 416, Acts of 1965). The Board was renamed the State Board of Podiatric Medical Examiners in 1986 (Chapter 243, Acts of 1986).
In Maryland, the practice of podiatry is regulated by the Board. The Board evaluates credentials, gives licensure examinations, issues licenses, renews licenses biennially, approves continuing education programs, monitors compliance of licensees with continuing education requirements, and investigates allegations of professional misconduct. After a hearing, the Board may revoke the license of any podiatrist charged with malpractice or unethical conduct.
The Governor appoints the Board's seven members to four-year terms with the advice of the Secretary of Health. Two are consumers appointed with Senate advice and consent.
Authorization for the Board continues until July 1, 2022 (Chapter 419, Acts of 2011; Code Health Occupations Article, secs. 16-101 through 16-602).
The practice of psychology in Maryland is regulated by the State Board of Examiners of Psychologists. Established in 1957, the Board evaluates the qualifications of psychologists in the State and issues licenses to those who fulfill the requirements (Chapter 748, Acts of 1957). Licenses must be renewed biennially. The Board administers examinations to qualified applicants for licensing twice each year.
Nine members compose the Board. They are appointed by the Governor with the advice of the Secretary of Health and Senate advice and consent. Members serve four-year terms.
Authorization for the Board continues until July 1, 2023 (Chapter 574, Acts of 2011; Code Health Occupations Article, secs.18-101 through 18-502).
In 1975, the State Board of Social Work Examiners formed (Chapter 453, Acts of 1975).
The Board issues licenses to social work associates, graduate social workers, certified social workers, and certified social workers-clinical. Under certain conditions the Board may take disciplinary measures to reprimand, suspend, revoke, or refuse to renew the license of a licensee.
The Board's twelve members are appointed by the Governor to four-year terms. Two are consumers appointed on recommendation of the Secretary of Health with Senate advice and consent. The Board appoints the Executive Director.
Authorization for the Board continues until July 1, 2024 (Code Health Occupations Article, secs. 19-201 through 19-502).
To improve access to health-care for those who are under insured and those without any insurance, the Commission awards operating and information technology grants to community clinics which meet Commission-determined criteria as community health resources. Using such clinics as the basis for community health care, the Commission helps communities establish integrated health services.
45 Calvert St., Annapolis, Maryland, July 2014. Photo by Diane F. Evartt.
Authorization for the Commission extends through June 30, 2025 (Chapter 625, Acts of 2008; Chapter 368, Acts of 2014; Code Health-General Article, secs. 19-2101 through 19-2111).
The Council works to improve both health and education for students who receive services from school-based health centers. To advance these purposes, the Council seeks to integrate school-based health centers into State and local health care systems and educational systems (Code Health-General Article, sec. 19-22A-05).
Twenty-one members constitute the Council. Fifteen members are appointed by the Governor, and six are nonvoting ex officio members. The Council elects the Chair to a two-year term (Code Health-General Article, secs. 19-22A-01 through 19-22A-05).
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland, October 2019. Photo by Diane F. Evartt.
Strategies to limit health care costs and extend health care access for all Marylanders are developed by the Commission. The Commission also formulates a uniform set of benefits for the comprehensive standard health benefit plan; devises a payment system for health care services; and fosters development of practice parameters. Moreover, the Commission facilitates public disclosure of medical claims data for the development of public policy; maintains and analyzes a medical care database on health care provided by health care practitioners; and ensures the use of that database as a primary means to compile data and annually report on trends, variances, and comparisons regarding fees for service, cost of care, and malpractice. Additionally, the Commission encourages the development of clinical resource management systems that permit cost comparisons between various treatment settings and making available information to consumers, providers, and purchasers of health care. It also sets standards for the operation and licensing of medical care electronic claims clearinghouses; and reduces the costs of submitting and administering claims for health care practitioners and payors.
To evaluate the quality and performance of health maintenance organizations (HMOs) operating in Maryland, the Commission has developed a system based on clinical standards and a consumer survey. Each fall since October 1997, an annual report is issued enabling employers and employees to compare the quality of care and services provided by Maryland HMOs, and make informed choices about health care plans.
In July 2006, the Commission organized its work under five centers: Health Care Financing and Health Policy; Health Information Technology; Hospital Services; Information Services and Analysis; and Long-Term and Community-Based Services. In July 2013, the Commission restructured with four centers: Analysis and Information Systems; Health Care Facilities Planning and Development; Health Information Technology and Innovative Care Delivery; and Quality and Reporting.
In September 2008, the Center for Health Care Financing and Health Policy began enrolling participants in the Health Insurance Partnership, which assists small businesses in providing health insurance to their employees (Chapter 7, Acts of 2007 Special Session).
Since October 2013, the Commission has been charged with establishing five palliative-care pilot programs in hospitals with at least fifty beds. From data collected through these pilot programs, the Commission will recommend standards and regulations for expanding palliative care services in hospitals statewide (Code Health-General Article, sec. 19-308.9).
With Senate advice and consent, the Governor appoints the Commission's fifteen members to four-year terms. The Governor also names the chair. With the Governor's approval, the Executive Director is appointed by the Commission (Code Health-General Article, secs. 19-101 through 19-227).
The Commission is aided by the Electronic Prescription Records System Work Group, the Health Care Provider-Carrier Work Group, and the Health Record and Payment Integration Program Advisory Committee.
The Work Group assessd the benefits and feasibility of developing an electronic system for health providers to access patient prescription medication history.
In July 2019, the Work Group submitted its final report to the Governor and General Assembly.
Authorization for the Work Group ends June 30, 2020.
HEALTH CARE PROVIDER-CARRIER WORK GROUP
The Work Group serves as a mechanism for health care providers and carriers to resolve disputes on issues over which no State agency has statutory or regulatory authority (Code Health-General Article, sec. 19-108.3).
In 2015, the Work Group conducted a study on the Maryland Patient Referral Law as requested by the House Health and Government Relations Committee (Code Health Occupations Article, secs. 1-301 through 1-306).
HEALTH RECORD & PAYMENT INTEGRATION PROGRAM ADVISORY COMMITTEE
The Committee studied the feasibility of creating a health record and payment integration program. If the Committee recommended establishing such a program, it also was to provide guidance in drafting legislation to create and maintain the program, and estimate the funding necessary for it. Further, the Committee considered how to accelerate the adjudication of certain claims, and other issues relating to health and payment record integration.
In May 2019, the Maryland Health Care Commission reported the Committee's recommendations to the Governor and General Assembly.
Authorization for the Committee ends June 30, 2020.
In 1971, the State Health Services Cost Review Commission was mandated to monitor all fiscal affairs of Maryland's hospitals and related institutions (Chapter 627, Acts of 1971). In August 2005, it was placed under Regulatory Programs.
The Commission publicly may disclose a hospital's financial position, its verified total costs incurred in rendering health services, and the level of reasonableness of its rates as determined by Commission review and certification. The Commission also evaluates the adequacy of each institution's financial resources. When these resources are inadequate, the Commission seeks solutions.
For purchasers of hospital health care, the Commission assures that total costs are reasonable, aggregate rates are set in relation to a hospital's aggregate costs, and rates are set equitably.
In January 2015, the Commission reorganized its functions under four centers: Clinical and Financial Information, Engagement and Alignment, Population-Based Methodologies, and Revenue and Compliance.
In late 2018, the Commission restructured under five centers: Administration; Medical Economics and Data Analytics; Payment Reform and Provider Alignment; Population-Based Methodologies; and Revenue and Compliance.
The Commission consists of seven members appointed to four-year terms by the Governor, who names the chair. With the approval of the Governor, the Commission appoints the Executive Director (Code Health-General Article, secs. 19-201 through 19-227).
Assisting the State Health Services Cost Review Commission is the Advisory Council on the Implementation of Population-based and Patient-centered Payment Systems.
The Council works to implement the new system and its design by providing a forum for discussion and debate. Through the Council, those affected by the models - hospitals, insurers, providers, and patients - will help develop the guiding principles for the new payment system and its implementation.
c Copyright Maryland State Archives
Under the Office of Equal Opportunity Programs, the Office of Minority Business Enterprise works to increase the participation of small, minority and veteran-owned businesses in the Department's procurement process.
OFFICE OF INSPECTOR GENERAL
In October 2006, the Office of Inspector General was established by statute (Chapter 70, Acts of 2006; Code Health-General Article, secs. 2-501 through 2-505).
Under the Office of Inspector General, the Audits Division investigates allegations of fraud, waste, and abuse in Medicaid, Medicare, and other programs of the Maryland Department of Health, as well as violations of the Department's Code of Conduct. The Division also provides training in corporate compliance policies; conducts internal and external audits, and Medicaid internal audits; and oversees the Institutional Review Board.
INSTITUTIONAL REVIEW BOARD
The Institutional Review Board was created by the Department of Health and Mental Hygiene (now Maryland Department of Health) in 1977. Formerly under the Community Health Administration, the Board transferred to the Office of Inspector General in January 2004.
The Program Integrity Division investigates potential recipient fraud in Medicaid and other programs, and reviews provider records.
OFFICE OF MINORITY HEALTH & HEALTH DISPARITIES
Herbert R. O'Conor State Office Building, 201 West Preston St., Room 500, Baltimore, MD 21201
ADVISORY COMMITTEE ON MINORITY HEALTH
In August 2019, the Secretary of Health established the Advisory Committee on Minority Health.
In July 2000, the Cigarette Restitution Fund Program began.
MARYLAND PRIMARY CARE PROGRAM OFFICE
In June 2018, the Maryland Primary Care Program Office was established under the Secretary of Health. It is a voluntary program that provides financial and technical support to eligible Maryland primary care providers to assist them in the transformation to advanced primary care.
PUBLIC HEALTH SERVICES CHRONIC HOSPITALS
In June 2018, the Assistant Secretary assumed oversight of Deer's Head Center and Western Maryland Center, formerly under Public Health Services.
P. O. Box 2018, Emerson Ave., Salisbury, MD 21802 - 2018
CITIZENS ADVISORY BOARD
Upon recommendation of the Secretary of Health, the Governor appoints the Board's seven members to four-year terms (Code Health-General Article, secs. 19-508 through 19-513).
1500 Pennsylvania Ave., Hagerstown, MD 21740
CITIZENS ADVISORY BOARD
The Board's seven members are appointed to four-year terms by the Governor upon recommendation of the Secretary of Health (Code Health-General Article, secs. 19-508 through 19-513).
BEHAVIORAL HEALTH
BEHAVIORAL HEALTH ADMINISTRATION
DEVELOPMENTAL DISABILITIES ADMINISTRATION
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399
MORTALITY & QUALITY REVIEW COMMITTEE
Within the Department of Health and Mental Hygiene (now Maryland Department of Health), the Mortality and Quality Review Committee was initiated in October 2000 as the Mortality Review Committee (Chapter 470, Acts of 2000). It reformed as the Mortality and Quality Review Committee in July 2006 (Chapter 268, Acts of 2006; Code Health-General Article, secs. 5-801 through 5-803).
CENTRAL MARYLAND REGION
The Regional Director for the Central Maryland Region oversees administration of community-based services.
EASTERN SHORE REGION
The Regional Director for the Eastern Shore Region oversees administration of community-based services and Holly Center.
P. O. Box 2358
Snow Hill Road (Route 12), Salisbury, MD 21801 - 2358
CITIZENS ADVISORY BOARD
The seven members of the Board are appointed to four-year terms by the Governor upon recommendation of the Secretary of Health.SOUTHERN MARYLAND REGION
The Regional Director for the Southern Maryland Region oversees administration of community-based services.
WESTERN MARYLAND REGION
Administration of community-based services and Potomac Center are overseen by the Regional Director for the Western Maryland Region.
1380 Marshall St., Hagerstown, MD 21740
CITIZENS ADVISORY BOARD
The Governor, upon recommendation of the Secretary of Health, appoints the Board's seven members to four-year terms.
Muncie Building, Springfield Hospital Center, Sykesville, MD 21784
PUBLIC HEALTH SERVICES
OFFICE OF CHIEF MEDICAL EXAMINER
OFFICE OF CONTROLLED SUBSTANCES ADMINISTRATION
OFFICE OF HEALTH CARE QUALITY
OFFICE OF POPULATION HEALTH IMPROVEMENT
OFFICE OF PREPAREDNESS & RESPONSE
STATE ANATOMY BOARD
LABORATORIES ADMINISTRATION
PREVENTION & HEALTH PROMOTION ADMINISTRATION
VITAL STATISTICS ADMINISTRATION
OPERATIONS & MEDICAID
In January 2018, oversight of Enterprise Shared Services, Medicaid (formerly Health Care Financing), and Regulatory Programs, including Health Occupations Boards and Commissions, were transferred to Operations and Medicaid, directed by the Chief Operating Officer and Medicaid Director. Previously, these offices reported directly to the Secretary of Health and had been overseen by the Chief of Staff.
ENTERPRISE SHARED SERVICES
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399
CENTRAL SERVICES DIVISION
Formerly under the General Services Administration, the Central Services Division originated as the Division of Central Services. The Division transferred to the Office of Contract Policy, Management, and Procurement in January 2006. Under the Office of Procurement and Support Services, it reformed as Support Services in January 2008. Later, it reorganized as the Central Services Divison, and moved under the Deputy Secretary for Operations.
Facilities Planning and Development started as the Office of Planning and Policy Management. In 1994, it became the Office of Planning and Capital Financing and, in August 2006, the Office of Capital Planning, Budgeting, and Engineering Services. As the Office of Capital Planning, it reformed in January 2018. Transferring to Operations from the Office of Finance, it was renamed as Facilities Planning and Development in July 2019.
Under Operations, the Office of Communications originated in 1999 as the Office of Public Relations and transferred to the Office of Secretary. In August 2005, it moved under the Office of Public Relations and Governmental Affairs. It was placed under the Office of Secretary in December 2008, and reformed under its present name in February 2009. The Office transferred to Operations in August 2015, and was placed under the Chief of Staff in January 2017. In January 2018, it moved to the Office of Policy, Regulations, and Communications. In June 2018, it separated from that office and became the Office of Communications under Enterprise Shared Services.
By 1967, the Office Enterprise Technology originated as the Division of Data Processing under the Bureau of Analysis and Records. By 1973, the Division was placed under the Office of General Administration. As Data Systems, the unit reorganized by 1977 as part of the Office of Service Operations. As the Division of Data Processing in 1981, it came under the Fiscal and Support Operations Administration. By 1983, the Division became part of the Information Systems Administration, renamed the Information Services Administration in 1985. As Information Services, the division joined the Program Systems and Operations Administration in November 1993. By July 1997, Information Services reorganized as the Information Resources Management Administration, and by June 2007 it was functioning under Operations. In January 2011, the Administration restructured as the Office of Information Technology, and in 2017, it transferred to the Office of Secretary. In July 2017, the Office was placed under the Chief of Staff. In January 2018, the Office moved under Enterprise Shared Services and, in May 2019, restructured as the Office of Enterprise Technology.
RECORDS MANAGEMENT
Since October 1, 2017, the Maryland Department of Health has had a program for the continual, economical and efficient management of its records. The Department's Records Officer develops and oversees the program, and serves as liaison to the Records Management Division of the Department of General Services, and to the State Archives (Chapter 539, Acts of 2017; Code State Government Article, secs. 10-608 through 10-611).
![[photo, Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland]](/msa/mdmanual/16dhmh/images/i005909a.jpg)
OFFICE OF SYSTEMS, OPERATIONS, & PHARMACY
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399
Systems for prompt and accurate payment to providers of health care services are developed and maintained by the Office of Systems, Operations, and Pharmacy. It also maintains files of approved providers of services, and of Maryland residents certified as eligible to receive services through the Medical Assistance Program (Medicaid).
ADMINISTRATIVE SERVICES
Administrative Services started in March 1990.
Created in 1971, the Kidney Disease Program was formerly under the Office of Eligibility Services. The Program transferred to the Office of Systems, Operations, and Pharmacy in August 2008.
The Maryland Pharmacy Program started in 1978 as the Pharmacy Assistance Program. It adopted its current name on July 1, 2003 when the Pharmacy Discount Program joined the Program. Although the Pharmacy Discount Program was repealed effective Jan. 1, 2006 (Chapter 282, Acts of 2005), the Maryland Pharmacy Program continues.
SENIOR PRESCRIPTION DRUG ASSISTANCE PROGRAM
In July 2016, the Senior Prescription Drug Assistance Program transferred to the Department of Health and Mental Hygiene (now Maryland Department of Health) from the Maryland Health Insurance Plan (Chapter 321, Acts of 2016).
The Systems and Operations Administration oversees Program Operations.
PROGRAM OPERATIONS
Under the Systems and Operations Administration, Program Operations originally was responsible for six divisions: Adjustments and Payment Auditing; Claims Processing; Long-Term Care Problem Resolution; Medical Assistance Recoveries; Provider Relations; and Provider Services. When Technical Services was abolished in 2016, the Division of Medicaid Information Systems, and the Division of Systems and Liaison Services transferred to Program Operations.
DIVISION OF CLAIMS PROCESSING
The Division of Claims Processing was first named the Division of Invoice Processing, and adopted its present name in 1989.
Established in 1982, the Division of Medicaid Information Systems serves as the data processing unit for Medical Care Programs. The Division performs systems analysis and programming, and maintains a teleprocessing network. It maintains and operates the Medicaid Management Information System (MMIS), an automated claims processing and information retrieval system mandated by the federal government. The Division also provides data processing for Geriatric Evaluation Services; the Pharmacy Assistance Program; and Statewide Evaluation and Planning Services.
In 1969, the Division of Medical Assistance Recoveries started. By 1993, it was made part of the Medical Care Finance and Compliance Administration. The Division transferred to the Medical Care Operations Administration in February 1998, and was made part of the Office of Health Services in January 2000, and later joined the Office of Systems, Operations, and Pharmacy.
Herbert R. O'Conor State Office Building, 201 West Preston St., 1st floor, Baltimore, MD 21201 - 2399
The Office of Policy and Regulations formed under Enterprise Shared Services as the Office of Policy, Regulations, and Communications in January 2018. It was responsible for Communications, Government Affairs, and the Office of Regulation and Policy Coordination. In June 2018, Communications became a separate unit, and the Office adopted its present name.
GOVERNMENTAL AFFAIRS
Formerly under Operations, the Office of Governmental Affairs was placed under the Office of Secretary in July 2011. It moved back to Operations in August 2015, and was placed under the Chief of Staff in January 2017. Under its present name, it moved to the Office of Policy, Regulations, and Communications.
The Office of Regulation and Policy Coordination began as the Office of Regulations Coordination, and adopted its present name in August 2006.
In December 2001, the Office of Procurement and Support Services formed as the Office of Contract Policy, Management, and Procurement under Operations. It adopted its present name in April 2006.
OFFICE OF FINANCE
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399
MEDICAID (HEALTH CARE FINANCING)
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399
![[photo, Herbert R. O'Conor State Office Building (view from Martin Luther King, Jr., Blvd.), 201 West Preston St., Baltimore, Maryland]](/msa/mdmanual/16dhmh/images/1198-1-08270b.jpg)
Health Care Financing plans, directs, and evaluates the Medical Assistance Program (Medicaid). Since 1966, the Program has provided access to health care for categorically and medically needy residents throughout Maryland. Health care includes hospital services (inpatient and outpatient), laboratory and X-ray services, nursing facility services, physician services, and home health care. Additional health care is available as indicated in the Medical Assistance State Plan. The Program is implemented by two offices: Eligibility Services; and Health Services.
For approximately 90 percent of recipients, health care expenses of the Medical Assistance Program (Medicaid) are federally matched on a 50/50 basis. For the remaining 10 percent, services are funded totally by State and local funds (Code Health-General Article, secs. 15-101 through 15-147).
MARYLAND MEDICAID ADVISORY COMMITTEE
The Maryland Medicaid Advisory Committee organized as the Medical Assistance Advisory Committee. It was created for the Medical Assistance Program (Medicaid) by the Secretary of Health and Mental Hygiene in accordance with the federal Social Security Act (sec. 1902A(22)). In 1996, the legislation which enabled Medicaid recipients to be enrolled in managed health-care organizations also reconstituted the Committee as the Maryland Medicaid Advisory Committee (Chapter 352, Acts of 1996).
WORK GROUP ON THE MEDICAID FAMILY PLANNING PROGRAM
In July 2018, the Secretary of Health covened the Work Group on the Medicaid Family Planning Program (Chapters 464 & 465, Acts of 2018).
OFFICE OF ELIGIBILITY
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399
The Division of Recipient Eligibility Programs began as the Division of Programs and Liaison. Renamed the Division of Eligibility Services in 1989, it reorganized as Recipient Eligibility Programs in November 1993, and reformed as the Division of Recipient Eligibility Programs in November 2005.
In December 1999, the Division of Recipient Enrollment and Call Center was created as the Beneficiary Services Division. It reorganized as the Division of Beneficiary Enrollment and Call Center in 2003, and under its present name in 2015.
HEALTHCHOICE PROGRAM
HealthChoice Program. This program was initiated in December 1991 as the Maryland Access to Care (MAC) Program. It reorganized as Maryland Access to Care (MAC) Recipient Services and Medical Assistance Provider Relations in November 1993, and further reformed as HealthChoice in July 1998.
ELIGIBILITY DETERMINATION
Eligibility Determination formerly was known as the Medical Assistance Waiver Unit of the Family Investment Administration within the Department of Human Resources. As the Division of Eligibility Waiver Services, it transferred to the Department of Health and Mental Hygiene (now Maryland Department of Health) in March 2002.
ELIGIBILITY POLICY
Under Eligibility Policy are the Division of Eligibility Policy and Training, and the Maryland Children's Health Program.
The Maryland Children's Health Program began in 1998 as the Children and Families Health Care Program (Chapter 110, Acts of 1998). On July 1, 2001, it adopted its current name (Chapter 16, Acts of 2000).
OFFICE OF MEDICAL BENEFITS MANAGEMENT
Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399
HEALTHCHOICE & ACUTE CARE ADMINISTRATION
Formed in January 2000, the HealthChoice and Acute Care Administration consists of two directorates: Acute Care; and Managed Care.
Acute Care organized in November 2005. It oversees three divisions: Children's Services; Dental, Clinics and Laboratory Services; and Hospital Services.
DIVISION OF CHILDREN'S SERVICES
The Division of Children's Services organized in May 1998.
The Division of Hospital Services was established in July 1979 as the Division of Acute Care. It became the Division of Medical Services in October 1997, the Division of Pharmacy and Clinic Services in January 2000, and the Division of Hospital and Physician Services in June 2003. It further reformed as the Division of Hospital and Professional Services in November 2005, and adopted its present name in January 2011.
In January 2000, Managed Care formed as Provider Management and adopted its present name in November 2005.
DIVISION OF COMMUNITY LIAISON & CARE COORDINATION
The Division of Community Liaison and Care Coordination formed in May 1998 as the Division of Outreach and Women's Services, became the Division of Outreach and Assistance in January 2000, the Division of Outreach and Care Coordination in July 2000, and received its current name in July 2014.
In July 1987, the Division of HealthChoice Quality Assurance was initiated as the Division of Primary Care, became the Division of Managed Care in October 1997, and the Division of HealthChoice Management in January 2000. That division merged with the Division of Managed Care Quality Assurance in April 2002 to form the Division of HealthChoice Management and Quality Assurance, and later was renamed the Division of HealthChoice Quality Assurance.
LONG-TERM SERVICES & SUPPORTS ADMINISTRATION
The Long-Term Services and Supports Administration began as Eligibility and Administration under the Medical Care Services Administration. Under the Office of Health Services, it became the the Long-Term Care and Community Support Services Administration in January 2000, and adopted its present name in January 2000.
In January 2000, Community Integration Programs started as Access, Quality, and Program Integrity and restructured as Nursing and Community Programs in July 2004. In January 2011, it further reorganized as Community Integration Programs.
Under the Long-Term Services and Supports Administration, Nursing and Waiver Services originated as Long-Term Care and Waiver Services, and adopted its present name in January 2011.
DIVISION OF COMMUNITY LONG-TERM CARE
The Division of Community Long-Term Care organized as the Division of Special Populations in December 1994. It was one of two units created from the former Division of Program Services. In 1997, the Division of Special Populations reorganized as the Division of Planning and Evaluation. It received its present name in January 2000.
The Division of Waiver Programs was one of two agencies derived from the former Division of Program Services in December 1994.
Formed in November 2005 as Long-Term Care Financing, Nursing Homes and Community Long-Term Care adopted its present name in January 2011.
DIVISION OF LONG-TERM CARE SERVICES
In July 1979, the Division of Long-Term Care Services was created. It became the Division of Institutional Long-Term Care Services in January 2000, and returned to its original name in 2006.
REGULATORY PROGRAMS
Organized in August 2005, Regulatory Programs oversees Health Occupations Boards and Commissions, including the State Board of Nursing and the State Board of Physicians. It also is responsible for the the Maryland Community Health Resources Commission; the Maryland Health Care Commission; and the State Health Services Cost Review Commission.
HEALTH OCCUPATIONS BOARDS & COMMISSIONS
![[photo, Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland]](/msa/mdmanual/16dhmh/images/1198-1-10086c.jpg)
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
This office is responsible for the examination, licensing, regulation, and surveillance of health professionals in Maryland.
State Acupuncture Board
State Board of Examiners for Audiologists, Hearing Aid Dispensers, & Speech-Language Pathologists
State Board for Certification of Residential Child-Care Program Administrators
State Board of Chiropractic Examiners
State Board of Professional Counselors & Therapists
State Board of Dental Examiners
State Board of Dietetic Practice
State Board of Environmental Health Specialists
State Board of Massage Therapy Examiners
State Board of Morticians & Funeral Directors
State Board of Nursing
State Board of Examiners of Nursing Home Administrators
State Board of Occupational Therapy Practice
State Board of Examiners in Optometry
State Board of Pharmacy
State Board of Physical Therapy Examiners
State Board of Physicians
State Board of Podiatric Medical Examiners
State Board of Examiners of Psychologists
State Board of Social Work Examiners
Formerly under Business and Regulatory Services, the Office of Appointments and Executive Nominations was placed under Operations in 1997. It transferred to the Office of Public Relations and Governmental Affairs in 2005, and back to Operations in December 2008. The Office moved under the Office of Secretary in 2013, and joined Operations in August 2015. In July 2017, the Office moved under Health Professionals Boards and Commissions (now Health Occupations Boards & Commissions).
STATE ACUPUNCTURE BOARD
Metro Executive Office Building, 4201 Patterson Ave., Room 320, Baltimore, MD 21215 - 2299
STATE BOARD OF EXAMINERS FOR AUDIOLOGISTS, HEARING AID DISPENSERS, & SPEECH-LANGUAGE PATHOLOGISTS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD FOR CERTIFICATION OF RESIDENTIAL CHILD-CARE PROGRAM PROFESSIONALS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF CHIROPRACTIC EXAMINERS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
ALCOHOL & DRUG COUNSELOR SUBCOMMITTEE
In May 2018, the Alcohol and Drug Counselor Subcommittee was established (Chapters 756 & 757, Acts of 2018).
In July 2014, the Behavior Analyst Advisory Committee was established under the State Board of Professional Counselors and Therapists (Chapter 328, Acts of 2014).
STATE BOARD OF DENTAL EXAMINERS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF DIETETIC PRACTICE
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF ENVIRONMENTAL HEALTH SPECIALISTS
Metro Executive Office Building, 4201 Patterson Ave., Room 318, Baltimore, MD 21215 - 2299
STATE COMMISSION ON KIDNEY DISEASE
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF MASSAGE THERAPY EXAMINERS
STATE BOARD OF MORTICIANS & FUNERAL DIRECTORS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
FAMILY SECURITY TRUST FUND ADVISORY COMMITTEE
Established in January 2009, the Family Security Trust Fund Advisory Committee provides nonbinding counsel and advice to the State Board of Morticians and Funeral Directors on any matters relating to the Family Security Trust Fund other than individual claim matters (Chapter 532, Acts of 2008; Code Health Occupations Article, sec. 7-4A-04).
STATE BOARD OF NURSING
Metro Executive Office Building, 4140 Patterson Ave., Baltimore, MD 21215 - 2254
CERTIFIED NURSING ASSISTANT ADVISORY COMMITTEE
In 1999, the Certified Nursing Assistant Advisory Committee was initiated.
In June 2015, the Direct-Entry Midwifery Advisory Committee was established (Chapter 393, Acts of 2015).
In 1978, the Electrology Practice Committee began as the State Board of Electrologists (Chapter 851, Acts of 1978). On July 1, 2003, it moved under the State Board of Nursing and assumed its current name (Chapter 422, Acts of 2003).
The Safe Practice Committee started as a nonpunitive alternative to the disciplinary process of the State Board of Nursing. It originated as the Rehabilitation Committee, authorized in 1988 (Chapter 508, Acts of 1988). To handle the volume of nurses referred to the Program, a second committee was established in 1992. Later, the two committees were consolidated into one, renamed the Rehabilitation and Safe Practice Committee. In October 2017, the Committee received its current name (Chapters 515 & 516, Acts of 2017).
STATE BOARD OF EXAMINERS OF NURSING HOME ADMINISTRATORS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF OCCUPATIONAL THERAPY PRACTICE
Tuerk Building, 2nd floor, 55 Wade Ave., Spring Grove Hospital Center, Catonsville, MD 21228
STATE BOARD OF EXAMINERS IN OPTOMETRY
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF PHARMACY
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
PHARMACY REVIEW COMMITTEE
In 1997, the State Board of Pharmacy was authorized to appoint a Pharmacy Review Committee (Chapter 615, Acts of 1997).
STATE BOARD OF PHYSICAL THERAPY EXAMINERS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF PHYSICIANS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 0095
ATHLETIC TRAINER ADVISORY COMMITTEE
Since October 1, 2011, a person must be licensed by the State Board of Physicians to act as an athletic trainer in Maryland (Chapter 530, Acts of 2009).
In October 2016, the Naturopathic Doctors Formulary Council was established under the State Board of Physicians (Chapter 700, Acts of 2016).
Since March 1, 2016, persons practicing naturopathic medicine must be licensed by the State Board of Physicians (Chapter 153, Acts of 2014).
In October 2012, the Perfusion Advisory Committee was authorized under the State Board of Physicians (Chapter 588, Acts of 2011).
Within the State Board of Medical Examiners, the Physician Assistant Advisory Committee was created in 1986 (Chapter 759, Acts of 1986). The Committee became part of the State Board of Physician Quality Assurance (now State Board of Physicians) in 1988 (Chapter 109, Acts of 1988).
Since October 2006, the State Board of Physicians has licensed and regulated the practice of polysomnography, the monitoring and recording of physiological data during sleep for purposes of diagnosing and treating sleep disorders (Chapter 595, Acts of 2006). At that time, the Polysomnography Professional Standards Committee was created to make recommendations to the State Board of Physicians on how to regulate the profession of polysomnography, and develop a code of ethics, standards of care, and licensure requirements (Code Health Occupations Article, secs. 14-5C-05 through 14-5C-07).
The Radiation Therapy, Radiography, Nuclear Medicine Technology Advisory, and Radiology Assistance Committee began in 1990 as the Medical Radiation and Nuclear Medical Technology Advisory Committee. In 2002, it became the Radiation Oncology/Therapy, Medical Radiation, and Nuclear Medicine Technology Advisory Committee (Chapter 373, Acts of 2002). In October 2008, the Committee adopted its present name (Chapter 328, Acts of 2008).
Authorized in 1988, the Respiratory-Care Professional Standards Committee formed in 1990 (Chapter 127, Acts of 1988).
STATE BOARD OF PODIATRIC MEDICAL EXAMINERS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
STATE BOARD OF SOCIAL WORK EXAMINERS
Metro Executive Office Building, 4201 Patterson Ave., Room 315, Baltimore, MD 21215
MARYLAND COMMUNITY HEALTH RESOURCES COMMISSION
45 Calvert St., Room 336, Annapolis, MD 21401
![[photo, 45 Calvert St., Annapolis, Maryland]](/msa/mdmanual/11dbm/images/1198-1-06433b.jpg)
The Maryland Community Health Resources Commission was established in July 2005, and placed under Regulatory Programs in August 2005 (Chapter 280, Acts of 2005).
To four-year terms, the Commission's eleven members are appointed by the Governor with Senate advice and consent. The Governor designates the chair. With the Governor's approval, the Commission appoints the Executive Director.
MARYLAND COUNCIL ON ADVANCEMENT OF SCHOOL-BASED HEALTH CENTERS
In October 2015, the Maryland Council on Advancement of School-Based Health Centers was established in the State Department of Education. The Council transferred to the Maryland Department of Health in October 2017 (Chapter 417, Acts of 2015; Chapter 199, Acts of 2017).
MARYLAND HEALTH CARE COMMISSION
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215 - 2299
![[photo, Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland]](/msa/mdmanual/16dhmh/images/1198-1-10089c.jpg)
The Maryland Health Care Commission originated in 1993 as the Maryland Health Care Access and Cost Commission, an independent body within the Department of Health and Mental Hygiene (Chapter 9, Acts of 1993). Assuming functions of the former State Health Resources Planning Commission, it reorganized in 1999 as the Maryland Health Care Commission, and was placed under Regulatory Programs in August 2005 (Chapter 702, Acts of 1999). The Commission has been part of the Maryland Department of Health since 2017.
To provide all Marylanders with financial and geographic access to quality health care at a reasonable cost, the Commission promotes a health regulatory system.
ELECTRONIC PRESCRIPTION RECORDS SYSTEM WORK GROUP
In July 2018, the Maryland Health Care Commission convened the Electronic Prescription Records System Work Group (Chapters 435 & 436, Acts of 2018).
At the request of the General Assembly, the Health Care Provider-Carrier Work Group was created by the Maryland Health Care Commission in October 2014 (Chapter 614, Acts of 2014).
In July 2018, the Maryland Health Care Commission convened the Health Record and Payment Integration Program Advisory Committee (Chapter 452, Acts of 2018).
STATE HEALTH SERVICES COST REVIEW COMMISSION
Metro Executive Office Building, 4201 Patterson Ave., Baltimore, MD 21215
ADVISORY COUNCIL ON THE IMPLEMENTATION OF POPULATION-BASED & PATIENT-CENTERED PAYMENT SYSTEMS
In November 2013, the State Health Services Cost Review Commission convened the Advisory Council on the Implementation of Population-based and Patient-centered Payment Systems. At that time, the State had an application for a new all-payer model pending with the federal Centers for Medicare and Medicaid Services. Maryland's application was approved in January 2014. Under the new all-payer model, a hospital's revenue is determined at the beginning of the year, which provides stability for planning and predictable revenues. It also gives incentives for better medical outcomes at lower costs, as well as increased efficiency. The five-year model focuses on improving health care quality, affordability, and delivery.
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