Maryland PT, OT and SLP guide

For OT, PT and SLP clinics in Maryland: three state boards license the disciplines, the licensing law and the board’s rules give the physical therapist the evaluation and the plan of care, Maryland Medicaid covers children’s therapy under EPSDT and adults within its own rules, and telehealth follows the patient’s location. Every rule here is quoted from its source.⁠^1,2,3,4,5

Who licenses OTs, PTs and SLPs in Maryland?

Three state boards license the three disciplines in Maryland, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.⁠^1,6,7 A clinic that employs more than one discipline keeps three registers, not one.

Physical therapists and physical therapist assistants answer to the Maryland Board of Physical Therapy Examiners.⁠^{1,31,32,33,34,35,36,37} Occupational therapists and occupational therapy assistants answer to the Maryland Board of Occupational Therapy Practice.⁠^{6,38,39,40,41,42,43,44} Speech-language pathologists answer to the Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists.⁠^{7,45,46,47,48,49,50,51,52} One board licenses audiologists, hearing aid dispensers, speech-language pathologists and music therapists, and it also licenses speech-language pathology assistants.⁠^{7,45,46,47,48,49,50,51,52} A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.

What does a Maryland license renewal require?

Each board sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.⁠^1,6,7 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.

Can a patient see a Maryland PT, OT or SLP without a referral?

State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the licensing law defines practicing physical therapy to include evaluating a patient’s physical therapy needs, performing and interpreting tests and measurements, and planning treatment programs based on the findings, and the board’s standards of practice require the physical therapist to evaluate the patient and develop a plan of care before the patient is treated and let the physical therapist decline, with the decision documented, evaluation or treatment of a patient referred by a health care practitioner that the physical therapist judges contraindicated or unjustified.⁠^2,8,9 Maryland Medicaid, as a payer, covers physical therapy ordered in writing by a physician, dentist, physician assistant, nurse practitioner, nurse midwife or podiatrist, and the therapist requests a new order when the order exceeds 30 days.⁠^2,8,9 For occupational therapy, the licensing law defines occupational therapy as the therapeutic use of purposeful and meaningful goal-directed activities to evaluate, consult and treat individuals whose condition interferes with their ability to function independently in daily life roles, or who benefit from prevention; the board’s code of ethics requires a licensee who declines ordered evaluation or treatment believed to be contraindicated or unjustified to notify the referring professional and the client.⁠^53,54,55 Maryland Medicaid, as a payer, covers occupational therapy for participants 20 and younger when provided upon the referral and order of an EPSDT screening provider.⁠^53,54,55 For speech-language pathology, the licensure act defines practicing speech-language pathology as applying the principles, methods and procedures of measurement, prediction, evaluation, testing, counseling, consultation and instruction for disorders of speech, voice, swallowing and related language and hearing disorders.⁠^56,57 Maryland Medicaid, as a payer, covers speech-language pathology for participants 20 and younger when provided upon the referral and order of an EPSDT screening provider.⁠^56,57

The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.⁠²¹ Maryland Medicaid’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.

How does Maryland Medicaid pay for pediatric and adult therapy?

Maryland Medicaid is run by the Maryland Department of Health, and a clinic enrolls through its provider enrollment route before it bills.⁠⁵⁸ For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.⁠⁵⁹ For participants 20 and younger, Maryland Medicaid covers occupational, physical and speech therapy outside home health and inpatient stays as fee-for-service benefits carved out of the HealthChoice MCO package, so the therapist bills Medicaid directly even when the child is enrolled in an MCO.⁠^3,4,5

For adults, HealthChoice MCOs must provide medically necessary outpatient rehabilitative services, including physical therapy, and the Department’s therapy manual sends providers to the MCO for preauthorization for participants 21 and older. A participant 21 or older who is not enrolled in an MCO is billed to fee-for-service Medicaid for physical therapy.⁠^10,11,12 Fee-for-service Medicaid requires no preauthorization for the children’s therapy it pays, but the treating provider shares a quarterly care plan or progress report with the participant’s primary care provider and obtains the screening provider’s approval every six months for continued treatment. For participants 21 and older, providers contact the MCO for its preauthorization requirements.⁠^60,61,62 Maryland Medicaid’s managed care program is HealthChoice, and its MCO comparison chart lists Aetna Better Health, CareFirst BlueCross BlueShield Community Health Plan Maryland, Jai Medical Systems, Kaiser Permanente, Maryland Physicians Care, MedStar Family Choice, Priority Partners, United Healthcare Community Plan and Wellpoint Maryland. Children’s therapy outside home health and inpatient stays is billed to fee-for-service Medicaid rather than the MCO.⁠^63,64 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.⁠⁶⁵

How does Maryland Medicaid want OT, PT and SLP claims coded?

For children’s therapy, an enrolled therapist bills fee-for-service Medicaid directly on the CMS-1500 under the therapist’s own Medicaid provider number, up to the maximum units the manual’s fee schedule lists for each code.⁠^{66,67,68,69,70,71} The codes, modifiers and authorization forms are the manual’s and change with it, so the clinic reads the current therapy sections before its first claim and records the manual’s page-updated date in the payer register.

Does Maryland Medicaid pay for therapy in schools?

Therapy documented on a child’s IEP or IFSP is billed directly to Medicaid, not to the child’s MCO, and monthly supervision of PTAs, COTAs and SLPAs is documented for these claims.⁠^72,73 A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.

Does Maryland Medicaid cover therapy by telehealth?

Maryland Medicaid requires the participant’s consent to telehealth, unless an emergency prevents it, and holds telehealth services to the same restrictions, preauthorizations, limitations and coverage as in-person services; school-based services billed via telehealth carry the GT modifier.⁠^74,75,76 The telehealth section below covers the state’s own rules for the session itself.

What are Maryland’s telehealth rules for therapy?

A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.⁠¹³ Maryland’s telehealth law lets a licensed health care practitioner establish a practitioner-patient relationship through synchronous or asynchronous telehealth after verifying the patient’s identity, disclosing the practitioner’s name, contact information and license type, and obtaining oral or written consent. The practitioner is held to the same standards as in person and must be licensed or otherwise authorized in Maryland to treat a patient located in the state.⁠^{77,78,79,80,81,82}

A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.⁠^14,15 Section 15-139 requires insurers, nonprofit health service plans and HMOs to cover health care services appropriately delivered through telehealth, not to exclude a service solely because it is delivered through telehealth, and to reimburse a service appropriately provided through telehealth on the same basis and at the same rate as in person.⁠^83,84

Which business steps are specific to Maryland?

The entity is registered with the State Department of Assessments and Taxation (SDAT), through Maryland Business Express, and the choice of entity is shaped by the state’s rule on who may own a therapy business.⁠²³ Maryland’s professional corporation law names a physical therapist’s services among the professional services a professional corporation is organized to render, and a corporation renders professional services in Maryland only through individuals licensed or otherwise authorized in the state to render them.⁠^24,25 State tax registration is with the Comptroller of Maryland, through its Online Combined Registration Application.⁠⁸⁵ Maryland’s sales and use tax reaches retail sales and the use of tangible personal property, digital codes and products, and taxable services, and the Tax-General Article defines a taxable service as a specific list of services, such as special-order fabrication, commercial cleaning, telecommunications, security services, and data and information technology services.⁠^86,87,88 Every Maryland employer must secure workers’ compensation for all covered employees, by insurance with an authorized insurer, a qualifying self-insurance group or individual self-insurance, and an individual working under an express or implied contract of hire is presumed to be a covered employee.⁠^89,90 A city or county business license is a local question, answered by the city hall of the clinic’s address. The startup-costs guide carries the budget worksheet these registrations go into.

What record and privacy rules apply in Maryland?

Maryland’s retention statute, which names occupational therapists, physical therapists and speech-language pathologists, bars destroying a patient’s medical record for 7 years after it is made, and a minor’s record until the patient reaches the age of majority plus 7 years, unless the patient (or for a minor, the parent or guardian) is notified first.⁠²² Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.⁠^91,92

Section 4-302 requires a health care provider to keep a patient’s medical record confidential and to disclose it only as Maryland’s medical records subtitle or other law provides.⁠⁹³ Maryland’s breach law requires a business, including a sole proprietorship or partnership, that owns or licenses computerized personal information of a Maryland resident to investigate a breach promptly and, unless it reasonably determines misuse is not likely, notify the individual as soon as reasonably practicable and no later than 45 days after discovery, notifying the Office of the Attorney General before the individuals.⁠^94,95,96 Maryland’s child abuse and neglect law requires each health practitioner acting in a professional capacity who has reason to believe a child has been abused or neglected to notify the local department or law enforcement, orally as soon as possible and in writing to the local department within 48 hours. The law defines a health practitioner to include any person authorized to practice healing under the Health Occupations Article. A separate law requires a health practitioner who contacts, examines, attends or treats an alleged vulnerable adult, and has reason to believe the adult has been subjected to abuse, neglect, self-neglect or exploitation, to notify the local department.⁠^97,98,99

Which Maryland rules shape a pediatric clinic?

The Maryland Infants and Toddlers Program, at the Maryland State Department of Education, directs early intervention for young children with developmental delays and disabilities through 24 local Infants and Toddlers Programs, whose services may include physical therapy, occupational therapy and speech-language pathology. A referral is made to the county’s local program or through the program’s online referral site. A child from birth through age two is eligible in one of three ways, including a 25% delay in one or more of five developmental areas. Maryland’s Extended IFSP Option lets a family keep an IFSP past the child’s third birthday when the child is eligible for preschool special education.⁠^{26,27,28,29,30} A child who turns three moves from early intervention to the school district’s evaluation, and a private clinic’s services run beside both systems rather than inside them. Maryland’s habilitative services statute requires insurers, nonprofit health service plans and HMOs to cover habilitative services, defined to include occupational, physical and speech therapy, for children until at least the end of the month they turn 19, through a managed care system if the plan chooses. Plans need not pay for habilitative services delivered through early intervention or school services, and medical necessity for treating autism and autism spectrum disorders is decided under the Insurance Commissioner’s regulations.⁠¹⁰⁰ The Maryland Department of Health’s Children’s Medical Services Program can pay for services including therapies for low-income, uninsured or underinsured Marylanders ages 0 to 21 who get specialty care for a chronic illness or disability. Every service must be preauthorized, with at least 10 business days to process.⁠^101,102

Which Maryland rules shape an adult clinic?

Medicare claims from Maryland go to Novitas Solutions, Inc., the Medicare Administrative Contractor for Jurisdiction L, Parts A and B (Delaware, the District of Columbia, Maryland, New Jersey and Pennsylvania), whose local coverage articles for therapy are the ones a Maryland clinic reads.⁠^103,104 Maryland Medicaid’s adult therapy rules are in the Medicaid section above. The Workers’ Compensation Commission’s Guide of Medical and Surgical Fees, whose authorized providers include occupational therapists, physical therapists and speech-language pathologists, sets the maximum reimbursement from the current year’s CMS RBRVS and a Maryland specific conversion factor. No multiple procedure discount applies to physical medicine and rehabilitation codes 97010 to 97799, and only one code per session is paid for 97012 to 97039.⁠^105,106,107

Which associations and directory pages serve Maryland?

The state chapters are APTA Maryland, a chapter of the American Physical Therapy Association for physical therapy, the Maryland Occupational Therapy Association (MOTA) for occupational therapy and the Maryland Speech-Language-Hearing Association (MSHA) for speech-language pathology.⁠^108,109,110 On DrSensory, families browse Maryland clinics by discipline on the occupational therapy, physical therapy and speech therapy pages for the state, which the directory builds from the clinic addresses it holds; a clinic appears on the pages of its own address.⁠¹¹¹

Which Maryland cities have DrSensory city pages?

Beyond its three Maryland pages, the directory publishes city pages for 3 Maryland cities, 9 pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.⁠¹¹¹

How many Maryland PT, OT and SLP clinics does DrSensory list?

DrSensory lists 52 PT, OT and SLP clinics in Maryland, on its occupational therapy, physical therapy and speech therapy pages for the state.⁠¹¹¹

Where does each requirement come from, and what does the clinic do?

Which templates does a Maryland launch need?

How might two Maryland clinics plan a launch?

Sources

1. Maryland Department of Health. Maryland Board of Physical Therapy Examiners. Checked October 30, 2026.
2. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 13-101. Checked October 30, 2026.
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   “(i) (1) “Practice physical therapy” means to design, implement, and modify therapeutic interventions for the purpose of: (i) The prevention of disability in patients or clients; and (ii) The physical rehabilitation of patients or clients with a congenital or acquired disability. (2) “Practice physical therapy” includes: (i) Performing an evaluation of the physical therapy needs of patients or clients; (ii) Performing and interpreting tests and measurements of neuromuscular and musculoskeletal functions to aid treatment; (iii) Planning treatment programs that are based on test findings ...”
3. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). Checked October 30, 2026.
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   “This section of the manual addresses occupational therapy, speech language pathology, and physical therapy services for children when the services are not part of home health services or an inpatient hospital stay. These services are “carved-out” from the HealthChoice MCO benefits package for participants who are 20 years of age and younger and must be billed directly to the FFS Medicaid Program.”
4. Maryland Division of State Documents. COMAR 10.67.08.03 Nonbehavioral Health Fee-For-Service Benefits. Checked October 30, 2026.
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   “An MCO may not be required to provide any of the following benefits or services that are reimbursed directly by the Department: ... G. Physical therapy, speech therapy, and occupational therapy services when: (1) The enrollee is younger than 21 years old; and (2) The services are not part of home health services or an inpatient hospital stay ...”
5. Maryland Division of State Documents. COMAR 10.09.23.04 Covered Services. “(2) EPSDT services covered under §D of this regulation include: ... (d) Occupational therapy services; (e) Speech therapy services ...” Checked October 30, 2026.
6. Maryland Department of Health. Maryland Board of Occupational Therapy Practice. Checked October 30, 2026.
7. Maryland Department of Health. Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists. Checked October 30, 2026.
8. Maryland Division of State Documents. COMAR 10.38.03.02 Standards of Practice. Checked October 30, 2026.
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   “(e) Evaluate the patient and develop a plan of care before the patient is treated; ... (3) The physical therapist may: ... (b) Decline to carry out evaluation or treatment of a patient who has been referred to the physical therapist by a health care practitioner if: (i) In the physical therapist’s judgment, the evaluation or treatment is contraindicated or unjustified; and (ii) The physical therapist documents the decision in the patient’s record.”
9. Maryland Division of State Documents. COMAR 10.09.17.04 Covered Services. Checked October 30, 2026.
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   “A. The Physical Therapy Program covers medically necessary physical therapy services ordered in writing by a physician, doctor of dental surgery or of dental medicine, physician assistant, nurse practitioner, nurse midwife, or podiatrist when the services are: ... C. If the prescribing order exceeds 30 days, the therapist shall request a new order from the prescriber for continued therapy.”
10. Maryland Division of State Documents. COMAR 10.67.06.16 Benefits — Outpatient Rehabilitative Services. “An MCO shall provide to its enrollees medically necessary outpatient rehabilitative services, including but not limited to physical therapy for adult enrollees.” Checked October 30, 2026.
11. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). Checked October 30, 2026.
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    “Providers of physical therapy services should bill FFS Medicaid for participants under 21 years of age. Contact the MCO for preauthorization for participants 21 years of age and older. If a participant who is 21 or older is not enrolled in an MCO, the provider should bill FFS for physical therapy services.”
12. Maryland Division of State Documents. COMAR 10.67.06.06 Benefits — Habilitation Services for Medicaid Expansion Populations. “A. An MCO shall provide the following medically necessary habilitation services to enrollees eligible for Medical Assistance under §1902(a)(10)(A)(i)(VIII) of the Social Security Act: (1) Physical therapy; (2) Occupation therapy; and (3) Speech therapy.” Checked October 30, 2026.
13. U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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    “Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”.
14. PT Compact Commission. PT Compact Map. “Member States (38) ... Louisiana Maryland Mississippi ... 38 Member States Actively Issuing and Accepting Compact Privileges ...” Checked October 30, 2026.
15. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 13-3A-01. “The Interstate Physical Therapy Licensure Compact is enacted into law and entered into with all other states legally joining in it in the form substantially as it appears in this section as follows ...” Checked October 30, 2026.
16. Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. Checked October 30, 2026.
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    “States not listed below are not a member of the Occupational Therapy Compact. ... State Accepting OTC Applications? Jurisprudence Information State Regulations / Practice Acts State Fee for OTs State Fee for OTAs OT Compact Fee for OTs and OTAs ... Maryland April 15, 2026 MD Jurisprudence Information MD OT Practice Act ...”
17. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 10-3A-01. “The Interstate Occupational Therapy Licensure Compact is enacted into law and entered into with all other states legally joining in it in the form substantially as it appears in this section as follows ...” Checked October 30, 2026.
18. Audiology and Speech-Language Pathology Interstate Compact Commission. Delegate Information. “Member State Appointed Delegates ... Maryland Audiology Appointment Pending Maryland SLP Jill Silverman ...” Checked October 30, 2026.
19. Audiology and Speech-Language Pathology Interstate Compact Commission. ASLP-IC Home. “Registration for compact privileges to practice is open for licensed practitioners in Louisiana, Ohio, Tennessee, and West Virginia.” Checked October 30, 2026.
20. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 2-3A-01. “The Audiology and Speech–Language Pathology Interstate Compact is enacted into law and entered into with all other states legally joining in it in the form substantially as it appears in this section as follows ...” Checked October 30, 2026.
21. Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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    “The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”.
22. Maryland General Assembly. Annotated Code of Maryland, Health-General § 4-403. Checked October 30, 2026.
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    “(a) (1) In this section, a “health care provider” means: ... (xii) An occupational therapist; ... (xiv) A physical therapist; ... (xx) A speech–language pathologist; ... (b) Except for a minor patient, unless a patient is notified, a health care provider may not destroy a medical record or laboratory or X–ray report about a patient for 7 years after the record or report is made. (c) In the case of a minor patient, a medical record or laboratory or X–ray report about a minor patient may not be destroyed until the patient attains the age of majority plus 7 years, unless: (1) The parent or guardian of the minor patient is notified ...”
23. Maryland State Department of Assessments and Taxation. Businesses in Maryland - SDAT. Checked October 30, 2026.
24. Maryland General Assembly. Annotated Code of Maryland, Corporations and Associations § 5-101. Checked October 30, 2026.
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    “(g) (1) “Professional service” means a service that may lawfully be rendered only by a person licensed or otherwise authorized by a licensing unit in the State to render the service and that may not lawfully be rendered by a corporation under the Maryland General Corporation Law. (2) “Professional service” includes, but is not limited to, a service provided by: ... (xiii) A physical therapist.”
25. Maryland General Assembly. Annotated Code of Maryland, Corporations and Associations § 5-105. “(a) A domestic or foreign corporation may render professional services in the State only through individuals licensed or otherwise authorized in the State to render the professional services.” Checked October 30, 2026.
26. Maryland State Department of Education. Maryland Infants and Toddlers Program. “The Maryland Infants and Toddlers Program (MITP) directs a family-centered system of early intervention services for young children with developmental delays and disabilities and their families. ... To make a referral visit the Maryland Infants and Toddlers Program online referral site.” Checked October 30, 2026.
27. Maryland State Department of Education. Maryland Infants and Toddlers Program. “The MITP provides monitoring and technical assistance to 24 local Infants and Toddlers Programs (LITPs) throughout Maryland. ... Services may include: audiology, physical therapy, occupational therapy, transportation, speech-language pathology, family training, special instruction, assistive technology, health services and home visits.” Checked October 30, 2026.
28. Maryland State Department of Education. Maryland Infants and Toddlers Program. Checked October 30, 2026.
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    “State regulations specify that a child, birth through age two is eligible for early intervention through the MITP in any one of three ways: Has a 25% delay in at least one or more of five developmental areas (cognitive; physical, including vision and hearing; communication; social or emotional; adaptive) ...”
29. Maryland State Department of Education. Maryland Infants and Toddlers Program. “If you are interested in making a referral for a child, please locate the number for your county’s Infants and Toddlers Program or visit the MITP online referral website.” Checked October 30, 2026.
30. Maryland State Department of Education. Maryland Infants and Toddlers Program. “Maryland’s Extended IFSP Option offers families the choice to remain on an IFSP beyond their child’s third birthday if their child is determined eligible for preschool special education and related services as a child with a disability.” Checked October 30, 2026.
31. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 13-311. “(a) (1) A license expires on the date set by the Board, unless the license is renewed for an additional term as provided in this section. (2) A license may not be renewed for a term longer than 2 years.” Checked October 30, 2026.
32. Maryland Division of State Documents. COMAR 10.38.01.04 Issuance of Licenses. “(2) Renewal of Physical Therapist or Physical Therapist Assistant License. (a) The licensee shall renew the license biennially.” Checked October 30, 2026.
33. Maryland Division of State Documents. COMAR 10.38.01.01 Definitions. “(4) “Biennial renewal” means renewal every other year with even-numbered licenses being renewed in even-numbered years and odd-numbered licenses being renewed in odd-numbered years.” Checked October 30, 2026.
34. Maryland Division of State Documents. COMAR 10.38.08.05 Renewal Requirements. Checked October 30, 2026.
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    “A. A licensee shall: (1) Earn CE hours between June 1 and May 31 during the 2-year period before renewal; ... B. CE hours completed after May 31 of the year of the renewal may not be accepted. ... D. A physical therapist shall earn 30 CE hours for the renewal period. E. A physical therapist assistant shall earn 20 CE hours for the renewal period. F. CE hours may not be carried over from one renewal period to the next.”
35. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 1-225. Checked October 30, 2026.
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    “(a) Subject to subsection (c) of this section, an applicant for the renewal of a license or certificate issued by a health occupations board under this article shall attest in the application that the applicant has completed an implicit bias and structural racism training program approved by the Cultural and Linguistic Health Care Professional Competency Program under § 20–1306 of the Health – General Article. ... (c) The requirement under subsection (a) of this section that an applicant attest to the completion of an implicit bias and structural racism training program shall apply only to an applicant’s first license or certificate renewal after April 1, 2026.”
36. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 13-310. “(b) A licensed physical therapist assistant may practice limited physical therapy only under the direction of a licensed physical therapist who gives ongoing supervision and instruction that is adequate to ensure the safety and welfare of the patient.” Checked October 30, 2026.
37. Maryland Division of State Documents. COMAR 10.38.03.02 Standards of Practice. “(3) The physical therapist assistant may not initiate treatment until: (a) The patient has been evaluated and the plan of care has been developed by a physical therapist; and (b) A supervising physical therapist has been assigned to the physical therapist assistant.” Checked October 30, 2026.
38. Maryland Division of State Documents. COMAR 10.46.04.04 Licensure and Contact Hour Requirements. Checked October 30, 2026.
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    “(1) Licensure Time Frame. (a) The Board shall stagger the terms of licenses. (b) A license is valid for a 2-year term and expires as follows: (i) Licensees originally licensed in even-numbered years are issued a license that expires on June 30 of even-numbered years; and (ii) Licensees originally licensed in odd-numbered years are issued a license that expires on June 30 of odd-numbered years.”
39. Maryland Division of State Documents. COMAR 10.46.04.04 Licensure and Contact Hour Requirements. Checked October 30, 2026.
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    “B. Requirements Regarding Contact Hours. (1) The occupational therapist or occupational therapy assistant shall certify a minimum of 24 contact hours of competency activities obtained within the 2-year period preceding the application for licensure, reactivation, or reinstatement. (2) The 24 contact hours referred to in §B(1) of this regulation shall consist of: (a) A minimum of 16 contact hours related to occupational therapy principles and procedures; and (b) A maximum of 8 contact hours through occupational therapy role-related activities.”
40. Maryland Division of State Documents. COMAR 10.46.04.04 Licensure and Contact Hour Requirements. “(1) Maintenance of Current Certification with the National Board of Certification in Occupational Therapy (NBCOT). (a) The Board recognizes the maintenance of current NBCOT certification as fulfilling the requirements of §B(1) and (2) of this regulation.” Checked October 30, 2026.
41. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 1-225. Checked October 30, 2026.
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    “(a) Subject to subsection (c) of this section, an applicant for the renewal of a license or certificate issued by a health occupations board under this article shall attest in the application that the applicant has completed an implicit bias and structural racism training program approved by the Cultural and Linguistic Health Care Professional Competency Program under § 20–1306 of the Health – General Article. ... (c) The requirement under subsection (a) of this section that an applicant attest to the completion of an implicit bias and structural racism training program shall apply only to an applicant’s first license or certificate renewal after April 1, 2026.”
42. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 10-310. “(b) A licensed occupational therapy assistant may practice limited occupational therapy only under the supervision of an occupational therapist who is authorized to practice occupational therapy in this State.” Checked October 30, 2026.
43. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 10-101. “(r) (1) “Periodic supervision” means supervision by a licensed occupational therapist on a face-to-face basis, occurring the earlier of at least: (i) Once every 10 therapy visits; or (ii) Once every 30 calendar days.” Checked October 30, 2026.
44. Maryland Division of State Documents. COMAR 10.46.01.04 Supervision Requirements. Checked October 30, 2026.
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    “B. Occupational Therapy Assistant. (1) Subject to the requirements of this section, an occupational therapy assistant may practice limited occupational therapy under the supervision of an occupational therapist provided it is at least periodic supervision. ... (3) In addition to the other requirements specified by this section, supervision requires that, before the initiation of the treatment program and before a planned discharge, the supervising occupational therapist shall provide direction to the occupational therapy assistant by verbal, written, or electronic communication.”
45. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 2-101. “(c) “Board” means the State Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech–Language Pathologists, and Music Therapists.” Checked October 30, 2026.
46. Maryland Division of State Documents. COMAR 10.41.11.02 Speech-Language Pathology Assistant License Requirements. “A. The Board shall issue a speech-language pathology assistant license to an applicant who ...” Checked October 30, 2026.
47. Maryland Division of State Documents. COMAR 10.41.03.05 Renewal of Licensure. Checked October 30, 2026.
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    “B. Full Licensure. (1) A license shall be renewed on or before May 31 of the year in which it expires. ... C. Failure to Renew a License. A licensee who has failed to renew a license to practice in this State by June 30 of the year in which the license is due to be renewed is prohibited from practicing in this State.”
48. Maryland Division of State Documents. COMAR 10.41.03.06 Continuing Education. “A. Required Continuing Education Units. (1) Within the 2-year renewal period immediately preceding the licensee’s application for renewal, the licensee shall earn 30 continuing education units (CEUs) as follows ...” Checked October 30, 2026.
49. Maryland Division of State Documents. COMAR 10.41.03.06 Continuing Education. Checked October 30, 2026.
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    “A. Required Continuing Education Units. (1) Within the 2-year renewal period immediately preceding the licensee’s application for renewal, the licensee shall earn 30 continuing education units (CEUs) as follows: (a) A minimum of 20 CEUs in the area of licensure that includes a minimum of 1 CEU in each of the following areas: (i) Cultural competency; and (ii) Ethics; (b) No more than 10 CEUs in areas related to speech-language pathology or audiology or both, including practice management, that includes: (i) Supervision; (ii) Billing; and (iii) Interdisciplinary collaboration ...”
50. Maryland Division of State Documents. COMAR 10.41.03.02 Definitions. “(4) “Continuing education unit (CEU)” means a period of 60 minutes for a licensee’s direct participation in an approved continuing education experience.” Checked October 30, 2026.
51. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 1-225. Checked October 30, 2026.
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    “(a) Subject to subsection (c) of this section, an applicant for the renewal of a license or certificate issued by a health occupations board under this article shall attest in the application that the applicant has completed an implicit bias and structural racism training program approved by the Cultural and Linguistic Health Care Professional Competency Program under § 20–1306 of the Health – General Article. ... (c) The requirement under subsection (a) of this section that an applicant attest to the completion of an implicit bias and structural racism training program shall apply only to an applicant’s first license or certificate renewal after April 1, 2026.”
52. Maryland Division of State Documents. COMAR 10.41.11.07 Supervisor Responsibilities. Checked October 30, 2026.
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    “A. A supervising speech-language pathologist or audiologist is responsible for the direction of all client services provided by a speech-language pathology assistant or an audiology assistant. B. A licensed full-time (35 hours or more a week) speech-language pathologist or audiologist may not supervise more than the equivalent of two full-time (35 hours or more a week) speech-language pathology assistants or audiology assistants. C. A licensed part-time (less than 35 hours a week) speech-language pathologist or audiologist may not supervise more than the equivalent of one full-time (35 hours a week) speech-language pathology assistant or audiology assistant. D. A supervising speech-language pathologist or audiologist shall: (1) Have a minimum of 3 years work experience (2 years since receipt of full license or ASHA-CCC) as a speech-language pathologist or audiologist; (2) Maintain on-going contact with all clients seen by a speech-language pathology assistant or an audiology assistant by participating in: (a) Not less than one session every 2 weeks of in-person contact per client if the client is being seen three times per week or more; or (b) Not less than one session per month of in-person contact per client if the client is being seen two times per week or less ...”
53. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 10-101. Checked October 30, 2026.
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    “(l) “Occupational therapy” means the therapeutic use of purposeful and meaningful goal–directed activities to evaluate, consult, and treat individuals who: (1) Have a disease or disorder, impairment, activity limitation, or participation restriction that interferes with their ability to function independently in daily life roles; or (2) Benefit from the prevention of impairments and activity limitations.”
54. Maryland Division of State Documents. COMAR 10.46.02.01 General Conduct. “(18) Notify the referring professional and the client if the licensee declines to carry out evaluation and treatment that has been ordered but that the licensee believes to be contraindicated or unjustified ...” Checked October 30, 2026.
55. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). Checked October 30, 2026.
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    “Services are covered for participants who are 20 years of age and younger when the services are: • Necessary to correct or ameliorate defects and physical illnesses and/or conditions discovered during an EPSDT screen, • Provided upon the referral and order of a screening provider ...”
56. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 2-101. Checked October 30, 2026.
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    ““Practice speech–language pathology” means to apply the principles, methods, and procedures of measurement, prediction, evaluation, testing, counseling, consultation, and instruction that relate to the development and disorders of speech, voice, swallowing, and related language and hearing disorders, to prevent or modify the disorders or to assist individuals in cognition–language and communication skills.”
57. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). Checked October 30, 2026.
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    “Services are covered for participants who are 20 years of age and younger when the services are: • Necessary to correct or ameliorate defects and physical illnesses and/or conditions discovered during an EPSDT screen, • Provided upon the referral and order of a screening provider ...”
58. Maryland Department of Health. Provider Enrollment. Checked October 30, 2026.
59. Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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    “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
60. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). “Preauthorization is not required under FFS Medicaid; however, it is expected that a quarterly care plan be shared with the participant’s primary care provider.” Checked October 30, 2026.
61. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). Checked October 30, 2026.
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    “In order to participate as an EPSDT-referred services provider, the provider shall: • Obtain approval by the screening provider every six (6) months or as authorized by the Department for continued treatment of a participant. ... • Submit a quarterly progress report to the participant’s primary care provider, ...”
62. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). “For occupational therapy and speech language pathology services rendered to participants under the age of 21, bill FFS Medicaid. Contact the MCO for preauthorization requirements for participants 21 years of age and older.” Checked October 30, 2026.
63. Maryland Department of Health. HealthChoice. “HealthChoice is the name of Maryland’s managed care program. Only MCOs that are part of the HealthChoice program can work with Medicaid and with you.” Checked October 30, 2026.
64. Maryland Department of Health. MCO Comparison Chart (HealthChoice, file dated February 27, 2026). “Name of MCO Aetna Better Health CareFirst BlueCross BlueShield Community Health Plan Maryland Jai Medical Systems Kaiser Permanente Maryland Physicians Care MedStar Family Choice Priority Partners United Healthcare Community Plan Wellpoint Maryland ...” Checked October 30, 2026.
65. Maryland Department of Health. Provider Information: Fee Schedules and Resources. Checked October 30, 2026.
66. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). “Therapy providers who are enrolled as a Maryland Medicaid provider may render the prescribed therapy services and bill the Program directly on the CMS-1500 form using his/her Maryland Medicaid assigned provider identification number.” Checked October 30, 2026.
67. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). Checked October 30, 2026.
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    “PLEASE NOTE: Services are reimbursed up to the maximum units as indicated on this schedule. Providers enrolled as a Therapy Group (Provider Type 28) may bill the per visit charge for each enrolled discipline participating in the group.”
68. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). Checked October 30, 2026.
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    “PLEASE NOTE: Under Maryland Medicaid, acupuncturists, therapists, and chiropractors who are part of a physician’s group are not considered physician extenders. Services rendered by these providers cannot be billed under the supervising physician’s rendering number.”
69. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). “28 - Therapy Group 35 (group) Must be comprised of at least two different specialties: OT (173), PT (189), SLP (209)” Checked October 30, 2026.
70. Maryland Division of State Documents. COMAR 10.09.17.04 Covered Services. “(1) Provided by a licensed physical therapist or by a licensed physical therapist assistant under a licensed physical therapist’s direct supervision ...” Checked October 30, 2026.
71. Maryland Department of Health. EPSDT for Audiology, Physical, Occupational, Speech & Vision Services Provider Manual (effective January 2026, updated January 2026). “... services rendered by a SLP Clinical Fellow must be billed under the NPI of the fully licensed supervising SLP who is enrolled with Maryland Medicaid.” Checked October 30, 2026.
72. Maryland Department of Health. Medicaid Policy & Procedure Manual for Services Delivered through the IEP/IFSP (effective January 1, 2026, updated June 2026). Checked October 30, 2026.
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    “A participant who is enrolled with an MCO under HealthChoice is eligible for school health-related or health-related early intervention services that are documented on an IEP/IFSP. These services are billed directly to Medicaid and not to the MCO.”
73. Maryland Department of Health. Medicaid Policy & Procedure Manual for Services Delivered through the IEP/IFSP (effective January 1, 2026, updated June 2026). “Supervision: Documentation of monthly supervision must be maintained for lesser qualified licensed professionals (SLPA, COTA, PTA, LGPC, LMSW, and TBA).” Checked October 30, 2026.
74. Maryland Division of State Documents. COMAR 10.09.49.04 Provider Conditions for Participation. “B. The provider shall obtain the participant’s consent to services via telehealth, unless there is an emergency that prevents obtaining consent, which shall be documented in the participant’s medical record.” Checked October 30, 2026.
75. Maryland Division of State Documents. COMAR 10.09.49.07 Limitations. “A. A service delivered via telehealth is subject to the same program restrictions, preauthorizations, limitations, and coverage that exist for services delivered in person.” Checked October 30, 2026.
76. Maryland Department of Health. Medicaid Policy & Procedure Manual for Services Delivered through the IEP/IFSP (effective January 1, 2026, updated June 2026). “** Indicates that the service may be delivered via telehealth. Services billed via telehealth require the GT modifier.” Checked October 30, 2026.
77. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 1-1002. Checked October 30, 2026.
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    “A health care practitioner may establish a practitioner–patient relationship through either a synchronous telehealth interaction or an asynchronous telehealth interaction, if the health care practitioner: (1) Verifies the identity of the patient receiving health care services through telehealth; (2) Discloses to the patient the health care practitioner’s name, contact information, and the type of health occupation license held by the health care practitioner; and (3) Obtains oral or written consent from the patient or from the patient’s parent or guardian if State law requires the consent of a parent or guardian.”
78. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 1-1003. “(a) A health care practitioner providing telehealth services shall: (1) Be held to the same standards of practice that are applicable to in–person health care settings ...” Checked October 30, 2026.
79. Maryland General Assembly. Annotated Code of Maryland, Health Occupations § 1-1005. “A health care practitioner providing health care services through telehealth must be licensed, certified, or otherwise authorized by law to provide health care services in the State if the health care services are being provided to a patient located in the State.” Checked October 30, 2026.
80. Maryland Division of State Documents. COMAR 10.38.13.04 Standards of Practice for Telehealth. “(3) Obtain oral or written consent from a patient or patient’s parent or guardian if State law requires the consent of a parent or guardian, including informing patients of the risks, benefits, and side effects of the recommended treatment plan ...” Checked October 30, 2026.
81. Maryland Division of State Documents. COMAR 10.46.08.04 Standards of Practice for Telehealth. “(3) Obtain oral or written consent from a patient or patient’s parent or guardian if State law requires the consent of a parent or guardian, including informing patients of the risks, benefits, and side effects of the recommended treatment plan ...” Checked October 30, 2026.
82. Maryland Division of State Documents. COMAR 10.41.06.04 Standards of Practice for Telehealth. Checked October 30, 2026.
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    “(3) Except for interpretive services, obtain oral or written consent from a patient or patient’s parent or guardian if State law requires the consent of a parent or guardian, including informing patients of the risks and benefits of the services to be provided ...”
83. Maryland General Assembly. Annotated Code of Maryland, Insurance § 15-139. Checked October 30, 2026.
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    “(2) (i) When a health care service is appropriately provided through telehealth, an entity subject to this section shall provide reimbursement in accordance with paragraph (1)(i) of this subsection on the same basis and at the same rate as if the health care service were delivered by the health care provider in person.”
84. Maryland General Assembly. Annotated Code of Maryland, Insurance § 15-139. Checked October 30, 2026.
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    “(c) (1) An entity subject to this section: (i) shall provide coverage under a health insurance policy or contract for health care services appropriately delivered through telehealth regardless of the location of the patient at the time the telehealth services are provided; (ii) may not exclude from coverage a health care service solely because it is provided through telehealth and is not provided through an in–person consultation or contact between a health care provider and a patient ...”
85. Comptroller of Maryland. Starting a New Business in Maryland. Checked October 30, 2026.
86. Maryland General Assembly. Annotated Code of Maryland, Tax-General § 11-102. “(a) Except as otherwise provided in this title, a tax is imposed on: (1) a retail sale in the State; and (2) a use, in the State, of tangible personal property, a digital code, a digital product, or a taxable service.” Checked October 30, 2026.
87. Maryland General Assembly. Annotated Code of Maryland, Tax-General § 11-101. Checked October 30, 2026.
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    “(m) “Taxable service” means: (1) fabrication, printing, or production of tangible personal property or a digital product by special order; (2) commercial cleaning or laundering of textiles for a buyer who is engaged in a business that requires the recurring service of commercial cleaning or laundering of the textiles; (3) cleaning of a commercial or industrial building; (4) cellular telephone or other mobile telecommunications service; ... (10) a security service, including: ... (14) a data or information technology service described under NAICS Sector 518, 519, or 5415; or (15) a system software or application software publishing service described under NAICS Sector 5132.”
88. Maryland General Assembly. Annotated Code of Maryland, Tax-General § 11-211. Checked October 30, 2026.
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    “(b) The sales and use tax does not apply to a sale of: ... (5) an artificial eye, hearing device, or limb; ... (8) an orthopedic or surgical appliance prescribed by a physician and designed to be worn on the person of the user; ... (11) crutches; (12) a wheelchair ...”
89. Maryland General Assembly. Annotated Code of Maryland, Labor and Employment § 9-402. Checked October 30, 2026.
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    “(a) Subject to subsections (b) through (f) of this section, each employer shall secure compensation for all covered employees of the employer by: (1) maintaining insurance with an authorized insurer; (2) participating in a governmental self–insurance group that meets the requirements of § 9–404 of this subtitle; (3) participating in a self–insurance group of private employers that meets the requirements of Title 25, Subtitle 3 of the Insurance Article; (4) maintaining self–insurance for an individual employer in accordance with § 9–405 of this subtitle ...”
90. Maryland General Assembly. Annotated Code of Maryland, Labor and Employment § 9-202. “(a) An individual, including a minor, is presumed to be a covered employee while in the service of an employer under an express or implied contract of apprenticeship or hire.” Checked October 30, 2026.
91. Code of Federal Regulations. 42 CFR 424.516, Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program (eCFR, up to date as of October 22, 2026; paragraph (f), Maintaining and providing access to documentation). Checked October 26, 2026.
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    “A provider or a supplier that furnishes covered ordered, certified, referred, or prescribed Part A or B services, items or drugs is required to—”; “Maintain documentation (as described in paragraph (f)(1)(ii) of this section) for 7 years from the date of service; and”; “Upon the request of CMS or a Medicare contractor, to provide access to that documentation”; “The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs.”.
92. Code of Federal Regulations. 45 CFR 164.316, Policies and procedures and documentation requirements (eCFR, up to date as of October 22, 2026; HIPAA Security Rule; paragraph (b)). Checked October 26, 2026.
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    “Maintain the policies and procedures implemented to comply with this subpart in written (which may be electronic) form; and”; “If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record of the action, activity, or assessment.”; “Retain the documentation required by paragraph (b)(1) of this section for 6 years from the date of its creation or the date when it last was in effect, whichever is later.”.
93. Maryland General Assembly. Annotated Code of Maryland, Health-General § 4-302. “(a) A health care provider shall: (1) Keep the medical record of a patient or recipient confidential; and (2) Disclose the medical record only: (i) As provided by this subtitle; or (ii) As otherwise provided by law.” Checked October 30, 2026.
94. Maryland General Assembly. Annotated Code of Maryland, Commercial Law § 14-3504. Checked October 30, 2026.
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    “(b) (1) A business that owns, licenses, or maintains computerized data that includes personal information of an individual residing in the State, when it discovers or is notified that it incurred a breach of the security of a system, shall conduct in good faith a reasonable and prompt investigation to determine the likelihood that personal information of the individual has been or will be misused as a result of the breach. (2) Subject to subsection (c)(4) of this section, unless the business reasonably determines that the breach of the security of the system does not create a likelihood that personal information has been or will be misused, the owner or licensee of the computerized data shall notify the individual of the breach. (3) Except as provided in subsection (d) of this section, the notification required under paragraph (2) of this subsection shall be given as soon as reasonably practicable, but not later than 45 days after the business discovers or is notified of the breach of the security of a system.”
95. Maryland General Assembly. Annotated Code of Maryland, Commercial Law § 14-3504. “(h) (1) Prior to giving the notification required under subsection (b) of this section and subject to subsection (d) of this section, a business shall provide notice of a breach of the security of a system to the Office of the Attorney General.” Checked October 30, 2026.
96. Maryland General Assembly. Annotated Code of Maryland, Commercial Law § 14-3501. “(b) (1) “Business” means a sole proprietorship, partnership, corporation, association, or any other business entity, whether or not organized to operate at a profit.” Checked October 30, 2026.
97. Maryland General Assembly. Annotated Code of Maryland, Family Law § 5-704. Checked October 30, 2026.
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    “(a) Notwithstanding any other provision of law, including any law on privileged communications, each health practitioner, police officer, educator, or human service worker, acting in a professional capacity in this State who has reason to believe that a child has been subjected to abuse or neglect: (1) shall notify the local department or the appropriate law enforcement agency; ... (b) (1) An individual who notifies the appropriate authorities under subsection (a) of this section shall make: (i) an oral report, by telephone or direct communication, as soon as possible to the local department or appropriate law enforcement agency; and (ii) a written report: 1. to the local department not later than 48 hours after the contact, examination, attention, or treatment that caused the individual to believe that the child had been subjected to abuse or neglect ...”
98. Maryland General Assembly. Annotated Code of Maryland, Family Law § 5-701. “(1) “Health practitioner” includes any person who is authorized to practice healing under the Health Occupations Article ...” Checked October 30, 2026.
99. Maryland General Assembly. Annotated Code of Maryland, Family Law § 14-302. Checked October 30, 2026.
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    “(a) (1) Except as provided in paragraph (2) of this subsection, notwithstanding any law on privileged communications, each health practitioner, police officer, or human service worker who contacts, examines, attends, or treats an alleged vulnerable adult, and who has reason to believe that the alleged vulnerable adult has been subjected to abuse, neglect, self–neglect, or exploitation shall: (i) notify the local department ...”
100. Maryland General Assembly. Annotated Code of Maryland, Insurance § 15-835. Checked October 30, 2026.
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     “(2) “Habilitative services” means services and devices, including occupational therapy, physical therapy, and speech therapy, that help a child keep, learn, or improve skills and functioning for daily living. ... (c) (1) An entity subject to this section: (i) shall provide coverage of habilitative services for insureds and enrollees who are children until at least the end of the month in which the insured or enrollee turns 19 years old; and (ii) may do so through a managed care system. (2) An entity subject to this section is not required to provide reimbursement for habilitative services delivered through early intervention or school services. ... (e) Beginning November 1, 2013, a determination by an entity subject to this section of whether habilitative services covered under this section are medically necessary and appropriate to treat autism and autism spectrum disorders shall be made in accordance with regulations adopted by the Commissioner.”
101. Maryland Department of Health. Children’s Medical Services Program. Checked October 30, 2026.
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     “CMS can help Marylanders who: Are low-income Are uninsured or underinsured Are ages 0-21 years Get specialty care for a chronic illness or disability CMS helps these Marylanders by paying for some needed services. CMS can pay for many kinds of services, such as visits to a specialist, hospitalizations, surgeries, medications, therapies, lab work, x-rays, and medical equipment/supplies.”
102. Maryland Department of Health. Children’s Medical Services Program. “In order to be covered by the CMS Program, all services must be pre-authorized. CMS requires a minimum of 10 business days to process the pre-authorization, before the service is given.” Checked October 30, 2026.
103. Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction L (JL). “Contract Awardee: Novitas Solutions, Inc., contract number 75FCMC21C0019 ... JL processes FFS Medicare Part A and Part B claims for Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania ...” Checked October 30, 2026.
104. Novitas Solutions. Medicare JL Home. “Medicare JL ... Providers in DC, DE, MD, NJ & PA ...” Checked October 30, 2026.
105. Maryland Division of State Documents. COMAR 14.09.08.03 Calculation of the Maximum Reimbursement Allowable. Checked October 30, 2026.
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     “E. After March 24, 2008. (1) For medical services and treatment provided after March 24, 2008, the Commission shall utilize the current calendar year CMS Resource Based Relative Value Scale (RBRVS), exclusive of any Federal Budget Neutrality Adjustment Factor or CMS conversion factor, as the basis for calculating the MRA. (2) The non-facility MRA shall be calculated by multiplying each RBRVS relative value unit (RVU) by each corresponding GPCI, adding those sums, and then multiplying that total by the Maryland specific conversion factor (MSCF)”
106. Maryland Division of State Documents. COMAR 14.09.08.01 Definitions. “(2) “Authorized provider” means: ... (i) An occupational therapist (O.T.); ... (k) A licensed physical therapist (P.T.); ... (o) A licensed speech-language pathologist ...” Checked October 30, 2026.
107. Maryland Division of State Documents. COMAR 14.09.08.05 Guidelines for Using Values and Codes. Checked October 30, 2026.
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     “H. For procedures performed or services rendered after September 1, 2004, a multiple procedure discount is not permitted for physical medicine and rehabilitation services (CPT codes 97010—97799). I. After September 1, 2004, only one code per session will be reimbursed for CPT codes 97012—97039.”
108. APTA Maryland, a chapter of the American Physical Therapy Association. APTA Maryland, a chapter of the American Physical Therapy Association (the state association's site). Checked October 30, 2026.
109. the Maryland Occupational Therapy Association (MOTA). the Maryland Occupational Therapy Association (MOTA) (the state association's site). Checked October 30, 2026.
110. the Maryland Speech-Language-Hearing Association (MSHA). the Maryland Speech-Language-Hearing Association (MSHA) (the state association's site). Checked October 30, 2026.
111. DrSensory. Occupational therapy clinics in Maryland, with the physical therapy and speech therapy pages for the state (the directory's state pages, built from the addresses it holds). Checked October 30, 2026.
112. DrSensory. Clinic Directory Pricing. “Claiming your listing is free. The subscription is $349.99 a year or $29.99 a month for your first location, and $99.99 a year or $9.99 a month for each additional location, not per therapist.” Checked October 30, 2026.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic in Maryland, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.