Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 21 - MENTAL HYGIENE REGULATIONS
Chapter 10.21.30 - Telemental Health Services
Section 10.21.30.08 - Medical Records
Universal Citation: MD Code Reg 10.21.30.08
Current through Register Vol. 51, No. 19, September 20, 2024
A. Originating Site. The originating site shall:
(1) Be
responsible for maintaining a complete medical record as if the individual were
seen face-to-face at the originating site;
(2) Meet the facility and community standard
for medical record completion and retention, including applicable record
reviews; and
(3) Be responsible for
any proper release of information contained in an individual's medical
record.
B. Distant Site.
(1) The distant site shall maintain copies of
all documentation completed by the distant site TMH provider unless the distant
site TMH provider enters the information directly into the originating site's
electronic medical record system.
(2) The distant site, as part of its quality
improvement system, shall have a process to review TMH care.
(3) As part of quality monitoring, when the
originating site's electronic medical records are reviewed at the distant site,
the:
(a) Review may include the TMH provider's
documentation online, if authorized; or
(b) Distant site may request sections of the
individual's electronic medical record from the originating site for the
distant site peer review.
C. TMH records shall be retained according to the provisions of Health-General Article, §4-403, Annotated Code of Maryland.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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