With Senate advice and consent, the Governor appoints the Secretary of Health and Mental Hygiene. The Secretary is responsible for the functions of the Department and also directs and coordinates numerous boards, commissions, and citizen advisory groups.
The Secretary serves on the Governor's Executive Council; the Governor's Subcabinet for Children, Youth, and Families; the Cabinet Council on Criminal and Juvenile Justice; and the Maryland Security Council. The Secretary also chairs the Statewide Commission on the Crisis in Nursing and serves on the Governor's Council on Adolescent Pregnancy; the Interagency Committee on Aging Services; the Appalachian States Low-Level Radioactive Waste Commission; the Asbestos Oversight Committee; the State Child Fatality Review Team; the Advisory Committee for Children, Youth, and Families; the State Emergency Medical Services Board; the State Commission on Infant Mortality Prevention; the State Information Technology Board; the Maryland Medicaid Advisory Committee; the Interdepartmental Advisory Committee for Minority Affairs; the Maryland Advisory Council for New Americans; the Interagency Nutrient Reduction Oversight Committee; the State Advisory Council on Organ and Tissue Donation Awareness; the Maryland Partnership for Children, Youth, and Families; the Governor's Pesticide Council; the Safe Schools Interagency Steering Committee; and the Women's Health Promotion Council. In addition, the Secretary is a member of the Advisory Board on After-School Opportunity Programs; the Drug and Alcohol Council; the Commission on Environmental Justice and Sustainable Communities; the Commission on Responsible Fatherhood; the Governor's Interagency Council on Homelessness; the State Advisory Council on Medical Privacy and Confidentiality; the Governor's Commission to Study Poverty in Maryland; the Prince George's Hospital System Improvement Task Force; the Advisory Committee on the Management and Protection of the State's Water Resources; and the Board of Trustees of the Maryland Health Care Foundation.
Reporting to the Secretary, three deputy secretaries each have a specific area of responsibility: Health Care Financing, Operations, and Public Health Services. Executive Operations and Quality Management Programs also fall under the Office of Secretary, which is aided by the State Child Fatality Review Team, the Panel to Review Off-Label Uses of Drugs, and the Performance Excellence Council.
PANEL TO REVIEW OFF-LABEL USES OF DRUGS
PERFORMANCE EXCELLENCE COUNCIL
The Council's twenty-one members represent a cross-section of Department employees and include the Secretary and three Deputy Secretaries.
OFFICE OF PUBLIC RELATIONS
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 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.
The Office of Health Care Quality originated in 1971 as the Division of Licensing and Certification under the Office of General Administration and reorganized in 1986 as the Office of Licensing and Certification Programs. In 1987, the Office reformed as the Licensing and Certification Administration. As the Office of Quality Assurance, it transferred from Health Care Policy, Finance, and Regulation and was placed under the Office of Secretary in March 1999. It received its present name in September 1999.
All hospitals and health-related institutions in Maryland must be licensed by the Office. The quality of care and compliance with both State and federal regulations in 8,000 health-care facilities and health-related services and programs is monitored by the Office. These include: adult daycare centers; ambulatory surgical facilities; assisted-living programs; birthing centers; developmental disabilities programs; dialysis centers; group homes; health maintenance organizations (HMOs); home health agencies; hospice programs, hospitals; independent physical therapists; major medical equipment; medical laboratories; mental health programs; nursing homes and rehabilitation centers; prison hospitals; residential service agencies; residential treatment centers; substance abuse programs; and other miscellaneous programs. To regulate these institutions and programs, the Office conducts more than 10,000 inspections yearly.
For all health facilities participating in the Medical Assistance Program (Medicaid) and Medicare, the Office is responsible for inspection and certification recommendations. Administrative actions against facilities that violate State rules and regulations are initiated by the Office.
The Office consists of Administration and three programs: Federal; Laboratory and Ambulatory Care; and State.
ADMINISTRATION
QUALITY ASSURANCE UNIT
TECHNICAL ASSISTANCE UNIT
FEDERAL PROGRAMS
LABORATORY PROGRAM & AMBULATORY CARE PROGRAM
Ambulatory Care Program. This program started as the Hospitals and Ambulatory Care Program. It reorganized in 1995 as the Developmental Disabilities and Ambulatory Care Program and adopted its present name in 1997. The Program reviews State and federal programs involving home health agencies, hospices, health maintenance organizations, major medical equipment, ambulatory care facilities, residential service agencies, and dialysis centers.
STATE PROGRAMS
Developmental Disabilities, Substance Abuse and Community Mental Health Program. This program evaluates community residential and day programs for the developmentally disabled. It also evaluates all residential and nonresidential health-related services and programs for the mentally impaired and the alcohol and drug addicted. The Program also manages the licensure of private review agents doing business in Maryland. Private review agents are third parties (often employed by insurance companies) who (in advance) approve or disapprove medical procedures to be covered by insurance.
Health Professionals 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, received its present name. This office is responsible for the examination, licensing, regulation, and surveillance of health professionals in Maryland.
Under Health Professionals Boards and Commissions are the State Commission on Kidney Disease and eighteen licensing and regulatory boards:
The State Acupuncture Board was created in 1994 (Chapter 620, Acts of 1994). To protect consumers, the Board licenses persons wishing to practice acupuncture in Maryland. 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.
Seven members constitute the Board. They are appointed to three-year terms by the Governor (Code Health Occupations Article, secs. 1A-101 through 1A-502).
The State Board of Examiners for Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists originated from three separate boards. 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.
The Board is composed of thirteen members appointed to four-year terms by the Governor on recommendation of the Secretary of Health and Mental Hygiene. Authorization for the Board continues until July 1, 2016 (Code Health Occupations Article, secs. 2-101 through 2-502).
In 1920, the State Board of Chiropractic Examiners formed (Chapter 666, Acts of 1920). The Board examines applicants for licenses, investigates complaints, and (in consultation with the Office of the Attorney General) conducts disciplinary proceedings as necessary. Each person holding a chiropractic license in Maryland must renew it every two years with the Board. The Board holds three examinations per year. It also ascertains whether schools of chiropractic meet the requirements of the law.
The Board consists of seven members appointed by the Governor with the advice of the Secretary of Health and Mental Hygiene and Senate advice and consent. Members serve four-year terms. Authorization for the Board continues until July 1, 2012 (Code Health Occupations Article, secs. 3-201 through 3-602).
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 fifteen members for four-year terms with the advice of the Secretary of Health and Mental Hygiene. Three consumer members are appointed with the advice of the Secretary and Senate advice and consent. Authorization for the Board continues until July 1, 2005 (Code Health Occupations Article, secs. 4-101 through 4-702).
The State Board of Dietetic Practice was authorized in 1985 to protect the public by setting standards for the practice of dietetics in Maryland (Chapter 773, Acts of 1985). The Board licenses dietitians and nutritionists in Maryland. Licenses to practice dietetics must be renewed with the Board every two years.
The Board has nine members appointed to four-year terms by the Governor. Authorization for the Board continues until July 1, 2005 (Code Health Occupations Article, secs. 5-101 through 5-502).
The State Board of Electrologists began in 1978 (Chapter 851, Acts of 1978). The Board adopts and revises standards of electrology practice for registered electrologists and prescribes standards for educational programs leading to licensure. The Board examines and licenses qualified applicants. The Board 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.
Five members who serve four-year terms make up the Board. Upon recommendation of the Secretary of Health and Mental Hygiene, the Governor appoints members with Senate advice and consent. Authorization for the Board continues until July 1, 2004 (Code Health Occupations Article, secs. 6-101 through 6-702).
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 13-307).
The State Board of Morticians was established as the State Board of Undertakers of Maryland in 1902 (Chapter 160, Acts of 1902). Renamed the State Board of Funeral Directors and Embalmers in 1937, the Board received its present name in 1981 (Chapter 8, Acts of 1981).
Every funeral director and mortician in the State 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. The Board renews licenses every two years 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.
Upon recommendation of the Secretary of Health and Mental Hygiene and with Senate consent, the Governor appoints the Board's twelve members to four-year terms. Authorization for the Board continues until July 1, 2008 (Code Health Occupations Article, secs. 7-101 through 7-602).
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, and nursing assistants. 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 and Mental Hygiene, the Governor appoints the Board's eleven members for four-year terms. Two members are consumers appointed with Senate advice and consent. Authorization for the Board continues until July 1, 2013 (Code Health Occupations Article, secs. 8-101 through 8-802).
NURSE ANESTHETIST PEER REVIEW ADVISORY COMMITTEE
NURSING ASSISTANT ADVISORY COMMITTEE
NURSE-MIDWIFE PEER REVIEW ADVISORY COMMITEE
JOINT COMMITTEE ON NURSE-MIDWIFERY
NURSE PRACTITIONER JOINT COMMITTEE
Six members constitute the Committee. Three are appointed by the State Board of Physician Quality Assurance and three by the State Board of Nursing.
NURSE PRACTITIONER PEER REVIEW COMMITTEE
NURSE PSYCHOTHERAPIST PEER REVIEW ADVISORY COMMITTEE
PRACTICE ISSUES COMMITTEE
REHABILITATION COMMITTEE no. 1
The State Board of Nursing selects each committee's five members. They are licensed registered nurses with expertise in the field of chemical dependency or psychiatric nursing. One member is a licensed practical nurse, and one, a consumer knowledgeable in the field of chemical dependency (Code Health Occupations Article, sec. 8-208).
Established in 1970, the State Board of Examiners of Nursing Home Administrators 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.
Eleven members constitute the Board. They are appointed to four-year terms by the Governor upon recommendation of the Secretary of Health and Mental Hygiene. The Governor names the chair and vice-chair. The Board appoints the executive director. Authorization for the Board continues until July 1, 2013 (Code Health Occupations Article, secs. 9-101 through 9-502).
The State Board of Occupational Therapy Practice was created in 1978 (Chapter 909, Acts of 1978). The Board administers, coordinates, and enforces the provisions of the Maryland Occupational Therapy Practice Act. 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.
The Board's seven members are appointed for four-year terms by the Governor with the advice of the Secretary of Health and Mental Hygiene. The Board selects the Executive Director. Authorization for the Board continues until July 1, 2015 (Code Health Occupations Article, secs. 10-201 through 10-502).
Formed in 1914, the State Board of Examiners in Optometry administers the optometry laws of the State and 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 and Mental Hygiene from nominees of the Maryland Optometric Association. Two members are consumers appointed by the Governor on recommendation of the Secretary with Senate advice and consent. Authorization for the Board continues until July 1, 2013 (Code Health Occupations Article, secs. 11-101 through 11-602).
Created in 1902, the State Board of Pharmacy licenses pharmacists by examination and reciprocity (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 Department of Health and Mental Hygiene, 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 Department of Health and Mental Hygiene. 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.
The Board's twelve members include ten licensed pharmacists and two consumers. All are appointed by the Governor with the advice of the Secretary of Health and Mental Hygiene for four-year terms. The Board may designate an executive director. Authorization for the Board continues until July 1, 2013 (Code Health Occupations Article, secs. 12-101 through 12-802).
Authorized in 1947, the State Board of Physical Therapy Examiners examines and licenses physical therapists and physical therapist assistants to practice in Maryland (Chapter 606, Acts of 1947). The Board also makes rules and regulations governing the denial, suspension, and revocation of licenses.
The Board's eight members are appointed to four-year terms by the Governor with the advice of the Secretary of Health and Mental Hygiene. Two consumer members are named with Senate advice and consent. Authorization for the Board continues until July 1, 2012 (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 (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 State Board of Physician Quality Assurance 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 seven categories of allied health practitioners, including physician assistants, psychiatrists' assistants, respiratory care practitioners, medical radiation technologists, nuclear medical technologists, cardiac rescue technicians, and emergency medical technicians-paramedics. 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.
Composed of fifteen members, the Board is appointed by the Governor. One consumer member is appointed to an initial term of three years with Senate advice and consent. Other members serve four-year terms. The Governor selects a physician member as chair. Authorization for the Board continues until July 1, 2003 (Code Health Occupations Article, secs. 14-101 through 15-502).
MEDICAL RADIATION & NUCLEAR MEDICAL TECHNOLOGY ADVISORY COMMITTEE
PHYSICIAN ASSISTANT ADVISORY COMMITTEE
The Committee recommends to the Board, 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 Physician Quality Assurance. 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 Physician Quality Assurance. Authorization for the Committee expires July 1, 2013 (Code Health Occupations Article, secs. 15-101 through 15-502).
PRACTICE OF MEDICINE ADVISORY COMMITTEE
RESPIRATORY-CARE PROFESSIONAL STANDARDS COMMITTEE
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 and Mental Hygiene. Two are consumers appointed with Senate advice and consent. Authorization for the Board continues until July 1, 2012 (Code Health Occupations Article, secs. 16-101 through 16-602).
The State Board of Professional Counselors & 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). The Board certifies 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).
With the advice of the Secretary of Health and Mental Hygiene, the Governor appoints the Board's nine members to four-year terms. Authorization for the Board continues until July 1, 2009 (Code Health Occupations Article, secs. 17-101 through 17-502). Since 1997, the Governor has been authorized to appoint an advisor to the Board (Chapter 461, Acts of 1997).
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 Mental Hygiene and Senate advice and consent. Members serve four-year terms. Authorization for the Board continues until July 1, 2013 (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 eleven members are appointed by the Governor to four-year terms. Two are consumers appointed on recommendation of the Secretary of Health and Mental Hygiene with Senate advice and consent. The Board appoints the Executive Director. Authorization for the Board continues until July 1, 2004 (Code Health Occupations Article, secs. 19-201 through 19-502)
Health Care Financing began in 1975 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. In December 1999, the deputy secretariat reorganized as Health Care Financing.
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.
The Deputy Secretary for Health Care Financing develops recommendations for the Secretary of Health and Mental Hygiene 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 the Maryland Health Care Commission, and the State Health Services Cost Review Commission. The Deputy Secretary also is responsible for three offices: Health Services; Operations and Eligibility, Medical Care Programs; and Planning, Development, and Finance.
MEDICAL ASSISTANCE PROGRAM (MEDICAID)
Health care expenses of the Medical Assistance Program (Medicaid) are federally matched on a 50/50 basis for approximately 90 percent of recipients. For the remaining 10 percent, services are funded totally by State and local funds (Code Health - General Article, secs. 15-101 through 15-128).
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 (Chapter 702, Acts of 1999).
The Commission promotes a health regulatory system to provide all Marylanders with financial and geographic access to quality health care at a reasonable cost. 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 the availability of information to consumers, providers, and purchasers of health care; 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.
With Senate advice and consent, the Governor appoints the Commission's thirteen members to four-year terms. The Governor also names the chair (Code Health - General Article, secs. 19-101 through 19-227).
NURSING HOME REPORT-CARD STEERING COMMITTEE
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). 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.
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).
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. 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. In addition, 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.
CUSTOMER SUPPORT
DIVISION OF OUTREACH & ASSISTANCE
PROVIDER MANAGEMENT
DIVISION OF PHARMACY & CLINIC SERVICES
ACCESS, QUALITY, & PROGRAM INTEGRITY
LONG-TERM CARE & WAIVER SERVICES
DIVISION OF INSTITUTIONAL LONG-TERM CARE SERVICES
The Division develops strategies for financing and delivering services to persons with special needs who are eligible for 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.
DIVISION OF WAIVER PROGRAMS
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).
The Office of Operations and Eligibility, Medical Care Programs 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, it adopted its current name.
Systems for prompt and accurate payment to providers of health care services are developed and maintained by the Office. 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). In 1999, the Office became responsible for eligibility determination and policy.
The Office is organized under two administrations: Beneficiary Services; and Systems and Operations.
DIVISION OF ADMINISTRATIVE SERVICES
ELIGIBILITY OPERATIONS
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. To improve the quality of health care for Medical Assistance recipients, HealthChoice maintains a roster of primary care physicians. Recipients having 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.
KIDNEY DISEASE PROGRAM
PHARMACY ASSISTANCE PROGRAM
RECIPIENT ELIGIBILITY PROGRAMS
Recipient Eligibility Programs is responsible for systems and procedures that 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).
ELIGIBILITY POLICY
PROGRAM OPERATIONS
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.
TECHNICAL OPERATIONS
Priority projects are developed and implemented by the Office. The Office devises initiatives and conducts technical analyzes needed to address departmental, gubernatorial or legislative concerns. It analyzes evaluations and statistics for policy decisions.
Under the Office are two main units: Finance; and Planning and Development.
From the Committee, the Secretary of Health and Mental Hygiene 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 and Mental Hygiene. 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).
Operations supports the Department through financial planning, budgeting, expenditure control, personnel management, data processing and information technology, general services, grants administration, and capital construction. The Deputy Secretary for Operations also aids the Secretary of Health and Mental Hygiene in matters involving other State agencies, the legislature, the gubernatorial staff, and the federal government.
Under Operations are the Budget Management Office and five administrations: Fiscal Services; General Services; Information Resources Management; Personnel Services; and Vital Statistics. Operations also is responsible for seven offices: Appointments and Executive Nominations; Community Relations; Contract Policy, Management, and Procurement; Governmental Affairs; Planning and Capital Financing; Regulations Coordination; and Volunteer Services.
With Senate advice and consent, the Governor appoints the Board's seven members to three-year terms (Code Health - General Article, secs. 2-201 through 2-207).
OFFICE OF APPOINTMENTS & EXECUTIVE NOMINATIONS
OFFICE OF COMMUNITY RELATIONS
OFFICE OF CONTRACT POLICY, MANAGEMENT, & PROCUREMENT
OFFICE OF GOVERNMENTAL AFFAIRS
OFFICE OF PLANNING & CAPITAL FINANCING
OFFICE OF REGULATIONS COORDINATION
VOLUNTEER SERVICES DIVISION
The Budget Management Office began as the Financial Planning Administration and received its present name in 1997. The Office monitors and controls all Department financial affairs, including liaison with the Department of Budget and Management and the General Assembly. The Administration oversees budget preparation and review, expenditure management, funding enhancement, rate setting, cost analysis, and fiscal policy. Administration functions are carried out by two divisions: Budget Analysis; and Program Costs and Analysis.
By 1923, functions of the Fiscal Services Administration were organized under the Bureau of Personnel and Accounts, which was responsible for fiscal administration of the Department of Health. The Administration analyzes and provides fiscal, accounting and contracting services for the statewide operation of major Department programs and health care facilities. The Administration develops systems, policies, and procedures for the Department's fiscal management in coordination with regulatory or control agencies, the General Assembly, and the federal government.
Under the Administration are four divisions: Auditing; Financial Management Information System (FMIS); General Accounting; and Reimbursements.
The General Services Administration was created as the Office of General Administration by 1973. Renamed the General Administrative Services Administration by 1983, it received its current name by 1985.
Support services for supplies and procurement, space allocation, fleet management, mail, photocopying, building services, and capital construction are provided by the General Services Administration. Coordination and technical assistance are provided statewide to maintenance and engineering projects; asbestos identification and abatement; and abatement of polychlorinated biphenyls (PCBs), which are toxic chemicals found in insulating oils for electric transformers and switch gear.
The Administration directs two divisions: Central Services, and Engineering and Maintenance.
The Administration devises information-processing strategies and implements the policy, procedures, and controls required for automation programs. The Administration also provides security, systems analysis, programming and data communications, and training and computer operation services for the Department's information systems throughout the State.
Under the Administration are the Project Management Office, and four divisions: Computer Operations; Information Systems; Information Technology Support; and Policy, Planning, and Administration.
The Personnel Services Administration was first the Office of Personnel Management and received its present name in 1988. The Administration provides personnel services and training for the Department.
Under the Administration are Personnel Information Systems, and eight divisions: Administrative Services; Classification and Compensation; Employer/Employee Relations; Employment Services; Payroll and Timekeeping; Recruitment and Examination; Testing Services; and Training Services.
In November 1998, the Vital Statistics Administration formed from divisions formerly under the General Services Administration. At that time, the Division of Health Statistics and the Division of Vital Records were placed under the Administration.
The Administration is responsible for two divisions: Health Statistics, and Vital Records.
Annually, the Division of Health Statistics publishes vital statistics and population estimates for the State. To highlight significant trends and findings, the Division analyzes and reports annually on the health status of Maryland residents. It provides statistical analysis and advice to programs on studies and systems development. The Division publishes annual and special reports on these topics.
The Division of Vital Records organized in 1910 as the Bureau of Vital Statistics under the State Department of Health (Chapter 560, Acts of 1910). In 1951, it reformed as the Division of Vital Records and Statistics and, in 1967, as the Division of Vital Records under the Bureau of Analysis and Records. In 1969, the Division was placed under the Center for Health Statistics. In 1988, the Division was separated from Health Statistics.
The Division provides copies of certified birth, death, and marriage certificates. All births, deaths, marriages, and divorces that occur in the State are registered. Copies of birth, death and marriage records are issued to authorized persons for a fee of $6.00 per copy (checks to be made payable to Department of Health and Mental Hygiene).
Birth and Death Records. The Division has birth and death records for Baltimore City from January 1, 1875, and for the twenty-three counties of Maryland from August 1898. The information also is available from the State Archives.
Marriage and Divorce Records. State marriage registration began on June 1, 1951, and divorce registration began in June 1961. Copies of marriage records prior to June 1951 and of all divorce records may be obtained from the Circuit Court clerk in the county where the marriage or divorce occurred, or from the State Archives.
STATE CHILD FATALITY REVIEW TEAM
The State Child Fatality Review Team formed within the Department of Health and Mental Hygiene in September 1999 (Chapter 356, Acts of 1999). The purpose of the Team is to prevent child deaths by analyzing their causes and incidence; devising plans for change within those government agencies represented on the Team; and recommending changes in law, policy, and practice. Among other duties, the Team (in cooperation with local teams) will develop a protocol for child fatality investigations, including procedures for local departments of health, law enforcement, medical examiners, and social services (Code Health-General Article, secs. 5-701 through 5-709).
Appointed by the Secretary of Health and Mental Hygiene, the Panel to Review Off-Label Uses of Drugs was authorized in 1994 (Chapter 647, Acts of 1994). Particular cases in which there is a dispute about medical insurance payments for off-label use of drugs are reviewed by the Panel. The Panel also investigates drugs prescribed for treatments other than those approved by the federal Food and Drug Administration and advises the Secretary of Health and Mental Hygiene whether a particular off-label use is medically appropriate. The Secretary forwards Panel recommendations to the Maryland Insurance Commissioner who may direct insurers to pay for the drug (Code 1957, Art. 48A, sec. 490AA).
At the direction of the Secretary of Health and Mental Hygiene, the Performance Excellence Council convened in December 2000. The Council plans and facilitates departmentwide achievement and maintenance of performance excellence standards in leadership, strategic planning, customer satisfaction, information and analysis, human resources, process management, and results.
Formerly under Operations, the Office of Public Relations transferred to Office of Secretary in 1999. The Office of Public Relations directs public affairs of the Department and coordinates them with departmental officials, local health officers, and the Governor's Office. The Office of Public Relations also arranges special events and disseminates employee information.
EXECUTIVE OPERATIONS & QUALITY MANAGEMENT PROGRAMS
Executive Operations and Quality Management Programs organized in 1999. It oversees the Cigarette Restitution Fund Program, the Office of Health Care Quality, the Office of Inspector General, and Health Professionals Boards and Commissions, including the State Board of Nursing and the State Board of Physician Quality Assurance.
CIGARETTE RESTITUTION FUND PROGRAM
In July 2000, the Cigarette Restitution Fund Program began. 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.
OFFICE OF HEALTH CARE QUALITY
Bland Bryant Building
Spring Grove Hospital Center
55 Wade Ave.
Catonsville, MD 21228
ASSISTED-LIVING IMPLEMENTATION PANEL
The Assisted-Living Implementation Panel first met in November 1998. It serves as a public forum for comments on implementation of assisted living regulations promulgated by the Department.
For the Office of Health Care Quality, Administration develops policy, operational procedures, regulations, budgets, and legislation. Under Administration are two units: Hospital; and Quality Assurance.
HOSPITAL UNIT
The Hospital Unit evaluates all hospitals, and investigates and responds to consumer complaints. The Unit licenses and certifies hospitals that participate in Medicare.
Established in 1999, the Quality Assurance Unit investigates quality-of-care complaints referred by the Maryland Insurance Commissioner, and enforces statutory and regulatory requirements relating to the quality of care provided by health maintenance organizations (Chapter 697, Acts of 1999).
The Technical Assistance Unit within the Office of Health Care Quality was authorized in October 2000 (Chapter 217, Acts of 2000). The Unit supports compliance with quality assurance for nursing home care. The Unit also is to establish a list of approved medical automated systems (Code Health-General Article, sec. 19-1412).
Within the Licensing and Certification Administration, Federal Programs originated as the Long-Term Care Program before it reformed in 1992 as Long-Term Care, Community Mental Health and Substance Abuse Programs. In 1995, it became the Long-Term Care Program, which evaluates and surveys nursing homes, adult day-care centers, and licensed and registered domiciliary-care homes. In 2001, it was renamed Federal Programs.
Laboratory Program. Within the Office of Health Care Quality, the Program evaluates and surveys some 2,000 laboratories, including physician office laboratories, to determine compliance with State and federal laws and regulations. The Program also coordinates and manages the State and federal Cytology Proficiency Testing Program for individuals who interpret pap smears.
Functions of State Programs began in 1992 as Long-Term Care, Community Mental Health and Substance Abuse Programs. The work of these units was reorganized in 1995 into two units and the Substance Abuse and Community Mental Health Program formed. In 1995, the Developmental Disabilities and Ambulatory Care Program also was created. Its ambulatory care functions were reassigned in 1997. That program reorganized as the Developmental Disabilities, Substance Abuse and Community Mental Health Program in 1997, and became State Programs in 2001.
HEALTH PROFESSIONALS BOARDS &
COMMISSIONS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
State Acupuncture Board
State Board of Examiners for Audiologists, Hearing Aid Dispensers, & Speech-Language Pathologists
State Board of Chiropractic Examiners
State Board of Dental Examiners
State Board of Dietetic Practice
State Board of Electrologists
State Board of Morticians
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 Physician Quality Assurance
State Board of Podiatric Medical Examiners
State Board of Professional Counselors & Therapists
State Board of Examiners of Psychologists
State Board of Social Work ExaminersSTATE ACUPUNCTURE BOARD
4201 Patterson Ave., Room 320
Baltimore, MD 21215 - 2299
STATE BOARD OF EXAMINERS FOR AUDIOLOGISTS, HEARING AID DISPENSERS, & SPEECH-LANGUAGE PATHOLOGISTS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF CHIROPRACTIC EXAMINERS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
MASSAGE THERAPY ADVISORY COMMITTEE
Within the State Board of Chiropractic Examiners, the Massage Therapy Advisory Committee was created in 1999 (Chapter 397, Acts of 1999). The Committee advises the Board on certification, and regulatory and disciplinary matters relating to the practice of massage therapy. Appointed by the Board, the Committee consists of six members (Code Health Occupations Article, sec. 3-5A-04).STATE BOARD OF DENTAL EXAMINERS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF DIETETIC PRACTICE
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF ELECTROLOGISTS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE COMMISSION ON KIDNEY DISEASE
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF MORTICIANS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF NURSING
4140 Patterson Ave.
Baltimore, MD 21215 - 2254
The Nurse Anesthetist Peer Review Advisory Committee started as the Anesthetist Advisory Committee in 1981 and received its present name in 1994. The Committee advises the State Board of Nursing concerning the practice of anesthesia by nurses. The Committee also oversees the use of health insurance and medical assistance benefits by certified nurse anesthetists. Appointed by the State Board of Nursing, the Committee's five members serve three-year terms (Code Health Occupations Article, sec. 8-503).
Since 1999, the Nursing Assistant Advisory Committee has advised the State Board of Nursing on applications for nursing assistant certification, approval of training programs for nursing assistants, and discipline of nursing assistants.
Appointed by the State Board of Nursing, the Nurse-Midwife Peer Review Advisory Committee organized in 1983 as the Certified Nurse-Midwives Advisory Council. It adopted its current name in 1997. The Committee advises the Board on the practice of nurse-midwifery. The Committee consists of at least three certified nurse-midwives who serve three-year terms (Code Health Occupations Article, sec. 8-503).
Established in 1983, the Joint Committee on Nurse-Midwifery reviews and makes recommendations on all written agreements between nurse-midwives and physicians. The Committee is composed of three nurse-midwives, appointed by the State Board of Nursing; and three physicians, appointed by the State Board of Physician Quality Assurance. Members serve three-year terms (Code Health Occupations Article, sec. 8-503).
The Nurse Practitioner Joint Committee was created in 1981. The Committee reviews written agreements between nurse practitioners and physicians. The Committee then makes recommendations to the State Board of Physician Quality Assurance and the State Board of Nursing.
The Nurse Practitioner Peer Review Committee organized in 1981. It oversees the use of health insurance and medical assistance benefits by certified nurse practitioners. Appointed by the State Board of Nursing, the Committee has ten nurse practitioners representing all nurse practitioner specialties (Code Health Occupations Article, sec. 8-503).
The Nurse Psychotherapist Peer Review Advisory Committee formed in 1991. It advises the State Board of Nursing on the practice of psychotherapy by clinical specialists in psychiatric and mental health nursing. The Committee also oversees the use of health insurance and medical assistance benefits by clinical specialists-psychiatry.
Established in 1985, the Practice Issues Committee meets monthly to study specific practice issues referred to it by the State Board of Nursing. The Committee's twelve members are assisted by consultants as needed.
REHABILITATION COMMITTEE no. 2
The Rehabilitation Committee was authorized in 1988 as a nonpunitive alternative to the disciplinary process of the State Board of Nursing (Chapter 508, Acts of 1988). Nurses whose job performance is impaired by drugs, alcohol, or mental illness may participate in the Rehabilitation Program upon recommendation of the Committee. In 1992, a second committee was established to handle the volume of nurses referred to the Program.
STATE BOARD OF EXAMINERS OF NURSING HOME ADMINISTRATORS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF OCCUPATIONAL THERAPY PRACTICE
Benjamin Rush Building
Spring Grove Hospital Center
55 Wade Ave.
Catonsville, MD 21228
STATE BOARD OF EXAMINERS IN OPTOMETRY
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF PHARMACY
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
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF PHYSICIAN QUALITY ASSURANCE
4201 Patterson Ave.
Baltimore, MD 21215 - 0095
LICENSURE ADVISORY COMMITTEE
The Licensure Advisory Committee was formed by the State Board of Physician Quality Assurance to advise the Board on licensure issues, such as postgraduate training, examinations, and renewal and reinstatement requirements.
In 1990, the Medical Radiation and Nuclear Medical Technology Advisory Committee began. The Committee reviews and makes recommendations to the State Board of Physician Quality Assurance on all applications for certification of nuclear medical technologists and medical radiation technologists. The Committee recommends to the Board the approval, modification, or disapproval of an application for certification. The Committee also recommends to the Board regulations governing nuclear medical technologists and medical radiation technologists and their practice.
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 in 1988 (Chapter 109, Acts of 1988).
The Practice of Medicine Advisory Committee was organized in 1992 by the State Board of Physician Quality Assurance to advise the Board on issues affecting medical licensure, such as telemedicine and delegation of medical acts.
Authorized in 1988, the Respiratory-Care Professional Standards Committee formed in 1990 (Chapter 127, Acts of 1988). The Committee advises the State Board of Physician Quality Assurance 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.STATE BOARD OF PODIATRIC MEDICAL EXAMINERS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
STATE BOARD OF SOCIAL WORK EXAMINERS
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
HEALTH CARE FINANCING
201 West Preston St.
Baltimore, MD 21201 - 2399
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 three offices: Health Services; Operations and Eligibility, Medical Care Programs; and Planning, Development, and Finance.
MARYLAND HEALTH CARE COMMISSION
4201 Patterson Ave.
Baltimore, MD 21215 - 2299
HOSPITAL & AMBULATORY SURGICAL-FACILITY REPORT-CARD STEERING COMMITTEE
In January 2000, the Hospital and Ambulatory Surgical-Facility Report-Card Steering Committee was created by the Maryland Health Care Commission. The Committee is devising a system by which to evaluate the performance of hospital and ambulatory surgical facilities. The system is to be implemented by July 2001 (Chapter 657, Acts of 1999).
In September 1999, the Maryland Health Care Commission formed the Nursing Home Report-Card Steering Committee. The Committee is developing a system to comparatively evaluate the quality of care in nursing homes. The system is to be implemented by July 2001 (Chapter 382, Acts of 1999).STATE HEALTH SERVICES COST REVIEW COMMISSION
4201 Patterson Ave.
Baltimore, MD 21215
OFFICE OF HEALTH SERVICES
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: Customer Support; and Provider Management.
Customer Support was created in January 2000. It oversees three divisions: Children's Services; HealthChoice Customer Relations; and Outreach and Assistance.
DIVISION OF CHILDREN'S SERVICES
The Division of Children's Services organized in May 1998.
The Division of Outreach and Assistance started in May 1998 as the Division of Outreach and Women's Services and received its current name in January 2000.
Formed in January 2000, Provider Management oversees four divisions: HealthChoice Management; Hospital and Physician Services; Managed Care Quality Assurance; and Pharmacy and Clinic Services.
DIVISION OF HEALTHCHOICE MANAGEMENT
In July 1987, the Division of HealthChoice Management began as the Division of Primary Care, became the Division of Managed Care in October 1997, and received its present name in January 2000. 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, free-standing clinics, nurse-midwives, nurse anesthestists, nurse practitioners, and health maintenance organizations.
The Division of Pharmacy and Clinic Services was established in July 1979 as the Division of Acute Care. It became the Division of Medical Services in October 1997 and received its current name in January 2000. The Division plans, prepares, and amends regulations, and interprets policy for the following parts of the Medical Assistance Program (Medicaid): Ambulatory Surgery; Free-standing Dialysis Centers; Hospitals; Medical Laboratories; Mental Health; Residential Treatment Centers; and Pharmacy.LONG-TERM CARE & COMMUNITY SUPPORT SERVICES ADMINISTRATION
The Long-Term Care and Community Support Services Administration began as Eligibility and Administration and adopted its present name in January 2000. It works through two directorates: Access, Quality, and Program Integrity; and Long-Term Care and Waiver Services.
Created in January 2000, Access, Quality, and Program Integrity oversees three divisions: Community Support Services; Elderly and Physically Disabled Services; and Nursing Services.
Under Long-Term Care and Waiver Services are three divisions: Community Long-Term Care Services; Institutional Long-Term Care Services; and Waiver Programs.
DIVISION OF COMMUNITY LONG-TERM CARE SERVICES
The Division of Community Long-Term Care Services 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.
In July 1979, the Division of Institutional Long-Term Care Services formed as the Division of Long-Term Care Services. It adopted its current name in January 2000. The Division administers Maryland Medicaid coverage and reimbursement for nursing home services, medical day care, and personal care.
The Division of Waiver Programs was one of two agencies derived from the former Division of Program Services in December 1994. The Division of Waiver Programs is concerned with Medical Assistance waivers. These are exceptions granted by the federal Health Care Financing Administration to certain federal regulations governing 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.
OFFICE OF OPERATIONS & ELIGIBILITY, MEDICAL CARE PROGRAMS
201 West Preston St.
Baltimore, MD 21201 - 2399
The Division of Administrative Services started in March 1990. The Division conducts personnel transactions, prepares budgets, promulgates Medicaid regulations, and formulates amendments to the Medicaid State Plan.
BENEFICIARY SERVICES ADMINISTRATION
Beneficiary Services Administration formed in December 1999 to consolidate program eligibility functions. It consists of Eligibility Operations and Eligibility Policy.
Under Eligibility Operations are the Beneficiary Services Division and three programs: Kidney Disease; Pharmacy Assistance; and Recipient Eligibility.
BENEFICIARY SERVICES DIVISION
Beneficiary Services was created in December 1999. It oversees the HealthChoice Program.
Kidney Disease Program. Formed in 1971, 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.
Pharmacy Assistance Program. Authorized in 1978, the Program helps pay for certain kinds of maintenance prescription drugs for chronic conditions; anti-infective drugs, including AZT; and insulin syringes and needles. Completely State-funded, the Program is designed for low-income families and individuals who are not eligible for Medicaid (Code Health - General Article, sec. 15-124).
Recipient Eligibility Programs began as the Division of Programs and Liaison. Renamed the Division of Eligibility Services in 1989, it reorganized under its present name in November 1993.
Eligibility Policy oversees: Eligibility Services; Local Operations and Eligibility Management and Training; the Maryland Children's Health Program; and Quality Control and Program Integrity.
SYSTEMS & OPERATIONS ADMINISTRATION
Under the Systems and Operations Administration are two deputy directorates: Program Operations, and Technical Operations.
Program Operations is responsible for five divisions: Adjustments and Payment Auditing; Claims Processing; Medical Assistance Recoveries; Provider Relations; and Provider Services.
DIVISION OF CLAIMS PROCESSING
The Division of Claims Processing was first named the Division of Invoice Processing and adopted its present name in 1989. 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. The Division maintains records of payments to the more than 45,000 health care providers enrolled in the Medical Assistance Program.
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 has been part of the Office of Health Services since January 2000.
Under Technical Operations are two divisions: Medicaid Information Systems; and Systems Liaison Services.
DIVISION OF MEDICAID INFORMATION SYSTEMS
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; Pharmacy Assistance Program; and Statewide Evaluation and Planning Services.
OFFICE OF PLANNING, DEVELOPMENT, & FINANCE
The Office of Planning, Development, and Finance began in 1984 as the Office of Policy Analysis and Program Evaluation. In 1987, it reorganized as the Policy Analysis Administration and, in 1988, as the Policy and Health Statistics Administration. In 1995, it was made part of Business and Regulatory Services. Renamed the Health Services Analysis and Evaluation Administration, it was placed under Health Care Policy, Finance, and Regulation in April 1997. It became the Planning, Development, and Finance Administration in December 1999 and received its present name in January 2000.
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).
OPERATIONS
201 West Preston St.
Baltimore, MD 21201 - 2399
BOARD OF REVIEW
The Board of Review of the Department of Health and Mental Hygiene was established in 1969 (Chapter 77, Acts of 1969). The Board decides appeals of departmental decisions as provided by law.
Formerly under Business and Regulatory Services, the Office of Appointments and Executive Nominations transferred to Operations in 1997. The Office recruits and screens candidates for health regulatory boards and commissions, task forces, and citizen advisory boards whose members are appointed by the Governor or the Secretary of Health and Mental Hygiene.
In 1994, the Office of Community Relations began under the Personnel Services Administration and was placed under Operations. 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 for minority business participation in State contracts.
The Office of Contract Policy, Management, and Procurement was established under Operations in December 2001. 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 provides legal advice on procurement issues and serves as the repository and clearinghouse for procurement and contract management information within the Department.
The Department's liaison with State and federal government is the Office of Governmental Affairs. The Office coordinates the preparation of legislation the Department wants introduced, and analyzes other legislation for its impact on the Department.
The Office of Planning and Capital Financing started as the Office of Planning and Policy Management and received its present name in 1994. The Office prepares the Department's annual Executive Plan, the Five-Year Capital Improvement Plan, the Master Facilities Plan, and twenty individual facility plans. The Office also is responsible for the Department's annual capital budget, real estate transactions, and bond bill submission. Internal policies and procedures are developed and promulgated through the Office. The Office also conducts special studies requested by the Secretary of Health and Mental Hygiene or the General Assembly.
A central clearinghouse for health regulations is provided by the Office of Regulations Coordination. Here, regulations are reviewed and revised. The Office provides technical assistance to administrative units of the Department.
The Volunteer Services Division develops and directs the Department's thirty-two volunteer services programs statewide. These programs offer citizens and community groups the opportunity to aid and enhance the lives of residents of Department hospital centers and of patients in the community. The Chief serves as liaison to the Department's Council of Auxiliaries, a private, nonprofit service organization.
BUDGET MANAGEMENT OFFICE
201 West Preston St.
Baltimore, MD 21201 - 2399
FISCAL SERVICES ADMINISTRATION
201 West Preston St.
Baltimore, MD 21201 - 2399
GENERAL SERVICES ADMINISTRATION
201 West Preston St.
Baltimore, MD 21201 - 2399
INFORMATION RESOURCES MANAGEMENT ADMINISTRATION
The Information Resources Management Administration originated by 1967 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.
PERSONNEL SERVICES ADMINISTRATION
201 West Preston St.
Baltimore, MD 21201 - 2399
VITAL STATISTICS ADMINISTRATION
201 West Preston St., Room 544
Baltimore, MD 21201 - 2399
DIVISION OF HEALTH STATISTICS
Functions of the Division of Health Statistics began in 1951 as part of the Division of Vital Records and Statistics, Department of Health. By 1959, the work of vital statistics was placed under the Division of Research and Planning. By 1961, it was found under the Office of Planning and Research and, by 1963, was part of the Division of Statistical Research and Records. In 1967, it formed separately as the Division of Biostatistics under the Bureau of Analysis and Records. In 1969, the Division became the Center for Health Statistics and, by 1973, was placed under the Office of General Administration. The Center reorganized as a division in 1988.
DIVISION OF VITAL RECORDS
Reisterstown Road Plaza
6550 Reisterstown Road
Baltimore, MD 21215 - 2299
PUBLIC HEALTH SERVICES
AIDS ADMINISTRATION
ALCOHOL & DRUG ABUSE ADMINISTRATION
COMMUNITY & PUBLIC HEALTH ADMINISTRATION
DEVELOPMENTAL DISABILITIES ADMINISTRATION
LABORATORIES ADMINISTRATION
MENTAL HYGIENE ADMINISTRATION
OFFICE OF CHIEF MEDICAL EXAMINER
STATE ANATOMY BOARD
Maryland Constitutional Offices & Agencies
Maryland Departments
Maryland Independent Agencies
Maryland Executive Commissions, Committees, Task Forces, & Advisory Boards
Maryland Universities & Colleges
Maryland Counties
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Maryland at a Glance
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e-mail: mdmanual@mdarchives.state.md.us