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DEPARTMENT OF HEALTH & MENTAL HYGIENE

FUNCTIONS

[photo, Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland]

OFFICE OF SECRETARY

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

With Senate advice and consent, the Governor appoints the Secretary of Health and Mental Hygiene (Code Health-General Article, sec. 2-102). The Secretary is responsible for the health interests of all Marylanders; sets health care policy; administers laws relating to health issues; and adopts and revises a State health improvement plan. While overseeing the Department, the Secretary also directs and coordinates numerous boards, commissions, and citizen advisory groups.

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, Maryland, December 2000. Photo by Diane F. Evartt.

The Secretary chairs the State Children's Environmental Health and Protection Advisory Council; the Maryland State Drug and Alcohol Abuse Council; Governor's Interagency Heroin and Opioid Coordinating Council; Governor's Overdose Prevention Council; Board of Trustees, Maryland Health Benefit Exchange; co-chairs the Maryland Health Care Reform Coordinating Council; and serves as vice-chair for the Maryland Health Quality and Cost Council. The Secretary also serves on the Governor's Executive Council; the Children's Cabinet; the Smart Growth Subcabinet; the Advisory Board on After-School and Summer Opportunity Programs; the Interagency Committee on Aging Services; the Maryland Agricultural Education and Rural Development Assistance Board; the Governor's Intergovernmental Commission for Agriculture; the Advisory Council for Alternative Response; the Appalachian States Low-Level Radioactive Waste Commission; the Asbestos Oversight Committee; the State Child Fatality Review Team; the Governor's Commission for Effective Community Inclusion of Individuals with Intellectual and Developmental Disabilities; the Interagency Disabilities Board; the State Early Childhood Advisory Council; the State Emergency Medical Services Board; the Commission on Environmental Justice and Sustainable Communities; the Governor's Family Violence Council; the Interagency Food Desert Advisory Committee; the Maryland Green Purchasing Committee; the Health and Human Services Referral Board; the Board of Directors, Maryland Health Insurance Plan; the Governor's Commission on Hispanic Affairs; the Interagency Council on Homelessness; the State Coordinating Committee for Human Services Transportation; the Maryland Integrated Map Executive Committee; the Natalie M. LaPrade Medical Marijuana Commission; the Interdepartmental Advisory Committee for Minority Affairs; the Oversight Committee on Quality of Care in Nursing Homes and Assisted-Living Facilities; the Council on Open Data; the Pesticide Advisory Committee; the Maryland Pesticide Reporting and Information Work Group; the Advisory Board on Prescription Drug Monitoring; the Council for the Procurement of Health, Educational and Social Services; the Rural Maryland Council; the Maryland School-Based Health Center Policy Advisory Council; the Sexual Offender Advisory Board; the Maryland Commission on Suicide Prevention; the Maryland Veterans Trust; and the Governor's Warrior to Worker Council.

Reporting to the Secretary, five deputy secretaries each have a specific area of responsibility: Behavioral Health; Developmental Disabilities; Health Care Financing; Operations; and Public Health Services.

The Office of Secretary oversees nine offices: Appointments and Executive Nominations; Communications; Constituent Services; Diversity and Inclusion; Equal Opportunity Programs; Governmental Affairs; Health Care Quality; the Inspector General; and Minority Health and Health Disparities. The Office also is aided by the State Child Fatality Review Team; the Committee on Personally Preparing and Dispensing Drugs and Devices by Registered Nurses in Local Health Departments; the Long-Term Care Reform Work Group; the Morbidity, Mortality, and Quality Review Committee; and the Advisory Board on Prescription-Drug Monitoring.

OFFICE OF APPOINTMENTS & EXECUTIVE NOMINATIONS

Formerly under Business and Regulatory Services, the Office of Appointments and Executive Nominations was placed under Operations in 1997. It transferred to the Office of Public Relations and Governmental Affairs in 2005 and back to Operations in December 2008. In 2013, the Office moved under the Office of Secretary.

The Office of Appointments and Executive Nominations 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.

OFFICE OF COMMUNICATIONS

Under Operations, the Office of Communications originated as the Office of Public Relations and transferred to the Office of Secretary in 1999. In August 2005, it moved under the Office of Public Relations and Governmental Affairs, in December 2008 was placed under the Office of Secretary, and in February 2009 reformed under its present name.

The Office directs public affairs of the Department and coordinates them with Departmental officials, local health officers, and the Governor's Office. The Office of Communications also arranges special events and disseminates employee information.

OFFICE OF DIVERSITY & INCLUSION

The Office of Diversity and Inclusion was created in April 2008.

OFFICE OF EQUAL OPPORTUNITY PROGRAMS

In 1994, the Office of Equal Opportunity Programs began under the Personnel Services Administration as the Office of Community Relations. It later was placed under Operations, and reorganized under its present name in August 2006. The Office of Equal Opportunity Programs, from April 2008 to 2012, was made part of the Office of Diversity and Inclusion. In 2012, it was placed directly under the Office of Secretary.

The Office monitors Department programs and health care providers to assure that they comply with civil rights laws, mandates, and regulations. For the same purpose, the Office monitors personnel management, services, and procurement procedures of the Department. The Office also develops and monitors programs for equal opportunities for employment, including affirmative action, on-site review, outreach recruitment, and complaint processing. In addition, the Office develops and monitors programs for equal access to health care and for minority business participation in State contracts.

OFFICE OF GOVERNMENTAL AFFAIRS

Formerly under Operations, the Office of Governmental Affairs was placed under the Office of Secretary in July 2011.

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.

OFFICE OF HEALTH CARE QUALITY

Bland Bryant Building, Maple Street, Spring Grove Hospital Center, Catonsville, MD 21228

The Office of Health Care Quality started 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, it was renamed 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. The Office received its present name in September 1999, then moved under Regulatory Programs in August 2005, and under the Office of Secretary in November 2009.

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 Policy and Administration and two divisions: Federal Programs, and State Programs.

POLICY & ADMINISTRATION
For the Office of Health Care Quality, Policy and Administration develops policy, operational procedures, regulations, budgets, and legislation. Administration also oversees the Health Maintenance Organization (HMO) and Hospital Licensure Program.

FEDERAL PROGRAMS DIVISION
The Federal Programs Division originated as the Long-Term Care Program within the Licensing and Certification Administration 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.

This division is responsible for licensure of adult medical daycare, ambulatory care facilities, laboratories, and nursing homes.

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.

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.

STATE PROGRAMS DIVISION
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.

State Programs oversees licensure of assisted-living facilities, developmental disabilities facilities, and mental health programs. This office also certifies substance abuse programs. It 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.

OFFICE OF INSPECTOR GENERAL

The Office of Inspector General was established in October 2006 (Chapter 70, Acts of 2006; Code Health-General Article, secs. 2-501 through 2-505).

The Office oversees two divisions: Audits, and Program Integrity.

AUDITS DIVISION
The Audits Division investigates allegations of fraud, waste, and abuse in Medicaid, Medicare, and other departmental programs, as well as violations of the Department's Code of Conduct. Training in corporate compliance policies also is provided by the Division. The Division conducts internal and external audits, and Medicaid internal audits, as well as overseeing the Institutional Review Board.

PROGRAM INTEGRITY DIVISION
The Program Integrity Division investigates potential recipient fraud in Medicaid and other programs, and reviews provider records.

OFFICE OF MINORITY HEALTH & HEALTH DISPARITIES

Herbert R. O'Conor State Office Building, 201 West Preston St., Room 500, Baltimore, MD 21201

In October 2004, the Office of Minority Health and Health Disparities was established within the Office of Secretary (Chapters 319 & 443, Acts of 2004; Code Health-General Article, Subtitle 10). The Office advocates for improvements in minority health care. Also, the Office oversees the Cigarette Restitution Fund Program.

For the Secretary of Health and Mental Hygiene, the Office assists in developing priorities for State health programs, services, and resources to address disparities. It also recommends changes in State laws and regulations to expedite delivery of health services to minorities.

With public and private organizations and institutions, the Office works to find funding, administer grants, establish programs, and conduct research to reduce and eliminate racial or ethnic health care disparities in Maryland. Emphasizing habits of health care and preventive health measures, the Office also works to educate the public and reach underserved minorities.

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.

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.

REGULATORY PROGRAMS

Regulatory Programs organized in August 2005. It oversees Health Professionals Boards and Commissions, including the State Board of Nursing and the State Board of Physicians; the Maryland Community Health Resources Commission; the Maryland Health Care Commission; and the State Health Services Cost Review Commission.

HEALTH PROFESSIONALS BOARDS & COMMISSIONS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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 nineteen licensing and regulatory boards:

STATE ACUPUNCTURE BOARD

4201 Patterson Ave., Room 320, Baltimore, MD 21215 - 2299

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. Further, the Board registers auricular detoxification specialists and certifies persons performing acupuncture on animals. The Board provides information about the licensure procedure, fees, continuing education requirements, and new trends in acupuncture and Oriental medicine to both applicants for licenses and the public. Consumers may make inquiries to the Board regarding licensed acupuncturists and also file complaints.

Seven members constitute the Board. They are appointed to four-year terms by the Governor. Authorization for the Board extends to July 1, 2025 (Code Health Occupations Article, secs. 1A-101 through 1A-502).

STATE BOARD OF EXAMINERS FOR AUDIOLOGISTS, HEARING AID DISPENSERS, & SPEECH-LANGUAGE PATHOLOGISTS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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.

Thirteen members constitute the Board. They are 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, 2026 (Chapter 93, Acts of 2014; Code Health Occupations Article, secs. 2-101 through 2-502).

STATE BOARD FOR CERTIFICATION OF RESIDENTIAL CHILD-CARE PROGRAM PROFESSIONALS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

In October 2004, the State Board for Certification of Residential Child-Care Program Administrators was established (Chapter 438, Acts of 2004). In October 2008, it was restructured as the State Board for Certification of Residential Child-Care Program Professionals (Chapter 218, Acts of 2008).

Since October 2007, administrators of residential child-care programs have been required to be certified by the Board. By October 1, 2015, residential and child youth care practitioners also are required to be certified by the Board (Chapter 583, Acts of 2010).

Residential child-care programs provide 24-hour per day care within a structured set of services and activities designed to achieve specific objectives for the children, including provision of food, clothing, shelter, education, social services, health, mental health, recreation, or any combination of these.

The Board's twelve members are appointed to four-year terms. The Governor appoints six members with Senate advice and consent, and the Secretary of Health and Mental Hygiene appoints two. One each is appointed by the Secretary of Human Resources, the Secretary of Juvenile Services, the State Superintendent of Schools, and the Children's Cabinet.

Authorization for the Board extends to July 1, 2024 (Code Health Occupations Article, sec. 20-501).

STATE BOARD OF CHIROPRACTIC & MASSAGE THERAPY EXAMINERS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

In 1920, the State Board of Chiropractic Examiners formed (Chapter 666, Acts of 1920). In October 2008, it was restructured under its present name (Chapters 242 & 243, Acts of 2008).

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 or massage therapy 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 eleven 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, 2022 (Chapter 133, Acts of 2010; Code Health Occupations Article, secs. 3-201 through 3-602).

STATE BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

The State Board of Professional Counselors and Therapists originated in 1985 as the State Board of Examiners of Professional Counselors (Chapter 734, Acts of 1985). The Board adopted its present name in October 2000 (Chapter 358, Acts of 2000), and was reorganized in October 2008 (Chapter 505, Acts of 2008). The Board licenses professional counselors and therapists, and regulates their services within the State.

In 1998, the General Assembly provided for licensure of three categories of counselors offering clinical counseling: licensed clinical professional counselor; licensed clinical marriage and family therapist; and licensed clinical alcohol and drug counselor (Chapter 132, Acts of 1998). In 2008, three more categories were added: graduate alcohol and drug counselor; graduate marriage and family therapist; and graduate professional counselor (Chapter 505, Acts of 2008). These new categories allow an individual to practice counseling under the supervision of a licensed counselor or therapist if they have completed all other requirements for licensure but still need the 2,000 hours of supervised experience.

By January 1, 2015, the Board also is charged with licensing behavior analysts (Chapter 328, Acts of 2014).

With the advice of the Secretary of Health and Mental Hygiene, the Governor appoints the Board's thirteen members to four-year terms. Authorization for the Board continues until July 1, 2019 (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).

STATE BOARD OF DENTAL EXAMINERS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

Established in 1884, the State Board of Dental Examiners regulates the practice of dentistry by testing the qualifications of candidates for licenses in dentistry and in dental hygiene (Chapter 150, Acts of 1884).

All applicants for license to practice dentistry must be graduates of accredited dental colleges authorized to grant degrees in dental surgery by the laws of one of the United States or a province of Canada. For a license to practice dental hygiene, all applicants must be graduates of a school for dental hygienists that requires at least two years of study and is approved by the State Board of Dental Examiners. Examinations, held twice a year, are both written and practical. Every two years, dentists and dental hygienists must renew their licenses to practice.

Dental radiation technologists also are certified by the Board. An individual may not practice dental radiation technology in Maryland unless certified by the Board.

The Governor appoints the Board's sixteen members for four-year terms with the advice of the Secretary of Health 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, 2021 (Code Health Occupations Article, secs. 4-101 through 4-702).

STATE BOARD OF DIETETIC PRACTICE

4201 Patterson Ave., Baltimore, MD 21215 - 2299

To protect the public by setting standards for the practice of dietetics in Maryland, the State Board of Dietetic Practice was authorized in 1985 (Chapter 773, Acts of 1985). The Board licenses dietitians and nutritionists in Maryland, sets standards for the practice of dietetics, and develops and enforces regulations. Licenses to practice dietetics must be renewed with the Board every two years.

The Board has nine members appointed to four-year terms by the Governor. Authorization for the Board continues until July 1, 2025 (Code Health Occupations Article, secs. 5-101 through 5-502).

STATE BOARD OF ENVIRONMENTAL HEALTH SPECIALISTS

4201 Patterson Ave., Room 318, Baltimore, MD 21215 - 2299

The State Board of Environmental Health Specialists originated in 1969 as the Board of Sanitarian Registration within the Department of Health and Mental Hygiene (Chapter 434, Acts of 1969). In 1984, the Board was renamed the State Board of Environmental Sanitarian Registration (Chapter 560, Acts of 1984). It transferred to the Department of the Environment in 1987 (Chapter 306, Acts of 1987). In 1989, the Board reformed as the State Board of Environmental Sanitarians (Chapter 151, Acts of 1989). Placed under the Water Management Administration in 1992, the Board was made part of the Office of Operational Services and Administration in 1997. In July 2012, the Board transferred to the Department of Health and Mental Hygiene as the State Board of Environmental Health Specialists (Chapter 667, Acts of 2012).

The State Board of Environmental Health Specialists licenses qualified applicants as registered environmental health specialists. The Board also issues certificates of eligibility to applicants awaiting examination. Environmental health specialists are concerned with environmental effects on public health. They promote environmental health and maintain it by securing compliance with public health laws and regulations. They inspect and investigate the manufacture, preparation, handling, distribution, or sale of food and milk; water supply and treatment; wastewater treatment and disposal; solid waste management and disposal; vector control; insect and rodent control; air quality; noise control; product safety; recreational sanitation; and institutional and residential sanitation.

Upon recommendation of the Secretary of Health and Mental Hygiene and with Senate advice and consent, the Governor appoints the Board's nine members to four-year terms. Authorization for the Board continues until July 1, 2017 (Code Health Occupations Article, secs. 21-201 through 21-206).

STATE COMMISSION ON KIDNEY DISEASE

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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).

STATE BOARD OF MORTICIANS & FUNERAL DIRECTORS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

The State Board of Morticians and Funeral Directors 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 became the State Board of Morticians in 1981 (Chapter 8, Acts of 1981). The Board received its present name in October 2007 (Chapters 185 & 186, Acts of 2007), and reorganized in 2008 (Chapter 583, Acts of 2008).

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 eleven members to four-year terms. Authorization for the Board continues until July 1, 2017 (Code Health Occupations Article, secs. 7-101 through 7-602).

STATE BOARD OF NURSING

4140 Patterson Ave., Baltimore, MD 21215 - 2254

The State Board of Nursing began as the State Board of Examiners of Nurses in 1904 (Chapter 172, Acts of 1904). It adopted its present name in 1987 (Chapter 109, Acts of 1987).

To assure safe, competent nursing care for the public, the State Board of Nursing regulates the practice of registered nurses, licensed practical nurses, nurse practitioners, nurse midwives, nurse anesthetists, nurse psychotherapists, nursing assistants, and direct-entry midwives. The Board administers licensure examinations and issues licenses to those who successfully complete requirements and examinations. The Board evaluates, monitors, and approves nursing education programs; enforces the standards and defines the scope of nursing; approves refresher programs; and assesses and evaluates trends in nursing. Through its investigative unit, the Board also investigates any complaint alleging violation of the Nurse Practice Act by a nurse, conducts hearings, and takes disciplinary action as required. Such action may include emergency suspension, revocation of license, denial of licensure, probation, or fine.

With the National Council of State Boards of Nursing, the Board cooperates in the preparation of the examination used for licensure. The Board also works with health care facilities, educational institutions, professional organizations, the Maryland Higher Education Commission, the State Board of Education, the Department of Aging, county health departments, local school systems, and Department agencies.

Upon recommendation of the Secretary of Health and Mental Hygiene, the Governor appoints the Board's thirteen members for four-year terms. Two members are consumers appointed with Senate advice and consent. Authorization for the Board continues until July 1, 2023 (Chapter 621, Acts of 2012; Code Health Occupations Article, secs. 8-101 through 8-802).

STATE BOARD OF EXAMINERS OF NURSING HOME ADMINISTRATORS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

Authorized 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.

Fourteen members constitute the Board. They are appointed to four-year terms by the Governor upon recommendation of the Secretary of Health and Mental Hygiene. A representative of the Office of Health Care Quality serves ex officio. The Governor names the chair and vice-chair. The Board appoints the executive director, who is confirmed by the Secretary (Chapter 24, Acts of 2011; Chapter 59, Acts of 2015; Code Health Occupations Article, secs. 9-101 through 9-502).

STATE BOARD OF OCCUPATIONAL THERAPY PRACTICE

Benjamin Rush Building, Maple Street, Spring Grove Hospital Center, Catonsville, MD 21228

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.

With the advice of the Secretary of Health and Mental Hygiene, the Governor appoints the Board's seven members to four-year terms. The Board selects the Executive Director. Authorization for the Board continues until July 1, 2025 (Code Health Occupations Article, secs. 10-201 through 10-502).

STATE BOARD OF EXAMINERS IN OPTOMETRY

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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, 2023 (Chapter 236, Acts of 2010; Code Health Occupations Article, secs. 11-101 through 11-602).

STATE BOARD OF PHARMACY

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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.

Annually, the State Board of Pharmacy meets with the State Board of Physicians and the State Board of Nursing to determine what vaccines may be administered by pharmacists and to develop and review regulations for administering such vaccines (Chapter 304, Acts of 2009).

The Board's twelve members include ten licensed pharmacists and two consumers. All are appointed 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, 2023 (Code Health Occupations Article, secs. 12-101 through 12-802).

STATE BOARD OF PHYSICAL THERAPY EXAMINERS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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, 2022 (Code Health Occupations Article, secs. 13-101 through 13-502).

STATE BOARD OF PHYSICIANS

4201 Patterson Ave., Baltimore, MD 21215 - 0095

In Maryland, authority to license physicians was granted first to the Medical and Chirurgical Faculty of the State of Maryland in their charter of 1798 (Chapter 105, Acts of 1798). From 1798 to 1838, the Faculty examined candidates, issued licenses upon payment of a fee, and prosecuted unlicensed doctors. The petitions of botanic medical practitioners influenced the legislature to pass a law in 1838 allowing any person to collect fees for medical services performed, which effectively ended the licensing of doctors for fifty years in Maryland (Chapter 281, Acts of 1838).

In 1888, the State Board of Health began to license all physicians (Chapter 429, Acts of 1888). By 1892, two boards of medical examiners carried on this function. One represented the Medical and Chirurgical Faculty and the other the State Homeopathic Society (Chapter 296, Acts of 1892). The General Assembly in 1957 abolished the Homeopathic Board and set up the State Board of Medical Examiners to regulate the practice of medicine. In 1968, responsibility for disciplining licensed physicians was assigned to the Commission on Medical Discipline of Maryland (Chapter 469, Acts of 1968). Functions of both the State Board of Medical Examiners and the Commission on Medical Discipline of Maryland combined in 1988 under the State Board of Physician Quality Assurance (Chapter 109, Acts of 1988). The Board reformed in 2003 as the State Board of Physicians (Chapter 252, Acts of 2003).

The State Board of Physicians tests and licenses physicians to practice medicine in Maryland. The Board determines the eligibility of physicians to represent themselves as specialists. For certain causes, the Board may revoke the license of any physician. The Board also registers residents and x-ray assistants. In addition, the Board certifies or licenses seven categories of allied health practitioners, including physician assistants, respiratory care practitioners, medical radiation technologists, nuclear medical technologists, polysomniographic technologists, radiation therapists, and radiologist assistants. With the State Board of Nursing, the Board reviews written agreements between physicians and nurse practitioners and nurse midwives.

To determine eligibility for initial medical licensure, the Board administers the United States Medical Licensing Examination. The Board also administers the Special Purpose Examination of the Federation of State Medical Boards to some applicants and licensees to determine if they have remained competent practitioners after an absence from practicing medicine.

For certain cases, the Board may take disciplinary action, including revocation, suspension, reprimand, or probation, and may fine a licensee. Where there is an imminent threat to the public, the Board may issue an emergency suspension of a license. In an effort to prevent misconduct, the Board operates a speaker's bureau, and conducts educational programs and training sessions on certain high-risk behavioral areas. Quarterly, the Board issues a newsletter with a lead article of topical interest to the medical community as well as information about Board acts or sanctions.

The Board works closely with state and local law-enforcement agencies, as well as federal agencies, such as the Federal Bureau of Investigation and the U.S. Office of Inspector General. Since 1977, the Board has participated in the network of state disciplinary information bank of the Federation of State Medical Boards. Since 1990, the Board has served as a conduit of disciplinary information between Maryland hospitals and the National Practitioners Data Bank.

Two disciplinary panels, each consisting of eleven Board members, work to resolve allegations which would require disciplinary action against a licensed physician or an allied health professional (Chapter 401, Acts of 2013).

Composed of twenty-two members, the Board is appointed by the Governor with Senate advice and consent to four-year terms. The Governor names the chair to a two-year term. Authorization for the Board continues until July 1, 2018 (Code Health Occupations Article, secs. 14-101 through 15-502; Chapter 681, Acts of 2012; Chapter 401, Acts of 2013).

STATE BOARD OF PODIATRIC MEDICAL EXAMINERS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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, 2022 (Chapter 419, Acts of 2011; Code Health Occupations Article, secs. 16-101 through 16-602).

STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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, 2023 (Chapter 574, Acts of 2011; Code Health Occupations Article, secs.18-101 through 18-502).

STATE BOARD OF SOCIAL WORK EXAMINERS

4201 Patterson Ave., Room 315, Baltimore, MD 21215

In 1975, the State Board of Social Work Examiners formed (Chapter 453, Acts of 1975). The Board issues licenses to social work associates, graduate social workers, certified social workers, and certified social workers-clinical. Under certain conditions the Board may take disciplinary measures to reprimand, suspend, revoke, or refuse to renew the license of a licensee.

The Board's twelve members are appointed by the Governor to four-year terms. Two are consumers appointed on recommendation of the Secretary of Health and Mental Hygiene with Senate advice and consent. The Board appoints the Executive Director. Authorization for the Board continues until July 1, 2024 (Code Health Occupations Article, secs. 19-201 through 19-502).

MARYLAND COMMUNITY HEALTH RESOURCES COMMISSION

45 Calvert St., Room 336, Annapolis, MD 21401

The Maryland Community Health Resources Commission was established in July 2005 (Chapter 280, Acts of 2005). To improve access to health-care for those who are under insured and those without any insurance, the Commission will award operating and information technology grants to community clinics which meet Commission-determined criteria as community health resources. Using such clinics as the basis for community health care, the Commission will help communities establish integrated health services.

To four-year terms, the Commission's eleven members are appointed by the Governor with Senate advice and consent. The Governor designates the chair. With the Governor's approval, the Commission appoints an executive director.

Authorization for the Commission extends through June 30, 2025 (Chapters 624 & 625, Acts of 2008; Chapter 368, Acts of 2014; Code Health-General Article, secs. 19-2101 through 19-2111).

MARYLAND HEALTH CARE COMMISSION

4201 Patterson Ave., Baltimore, MD 21215 - 2299

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.

In July 2006, the Commission organized its work under five centers: Health Care Financing and Health Policy; Health Information Technology; Hospital Services; Information Services and Analysis; and Long-Term and Community-Based Services. In July 2013, the Commission restructured with four centers: Analysis and Information Systems; Health Care Facilities Planning and Development; Health Information Technology and Innovative Care Delivery; and Quality and Reporting.

In September 2008, the Center for Health Care Financing and Health Policy began enrolling participants in the Health Insurance Partnership, which assists small businesses in providing health insurance to their employees (Chapter 7, Acts of 2007 Special Session).

Since October 2013, the Commission has been charged with establishing five palliative care pilot programs in hospitals with at least fifty beds. From data collected through these pilot programs, the Commission will make recommendations on standards and regulations for expanding palliative care services in hospitals statewide (Code Health-General Article, sec. 19-308.9).

With Senate advice and consent, the Governor appoints the Commission's fifteen members to four-year terms. The Governor also names the chair. The Executive Director is appointed by the Commission with the Governor's approval (Code Health-General Article, secs. 19-101 through 19-227).

The Commission is aided by the Health Care Provider-Carrier Work Group, and the Telemedicine Task Force.

STATE HEALTH SERVICES COST REVIEW COMMISSION

4201 Patterson Ave., Baltimore, MD 21215

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.

In January 2015, the Commission reorganized its functions under four centers: Clinical and Financial Information; Engagement and Alignment; Population-Based Methodologies; and Revenue and Compliance.

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).

BEHAVIORAL HEALTH

Herbert R. O'Conor State Office Building, 201 West Preston St., 5th floor, Baltimore, MD 21202 - 2399

Organized in July 2008 as Behavioral Health and Disabilities, Behavioral Health adopted its present name in October 2014 (Chapter 539, Acts of 2014).

Behavioral Health is headed by a Deputy Secretary responsible originally for three administrations: Alcohol and Drug Abuse; Developmental Disabilities; and Mental Hygiene. In July 2014, the Alcohol and Drug Abuse Administration merged with the Mental Hygiene Administration to form the Behavioral Health Administration (Chapter 460, Acts of 2014). In October 2014, the Developmental Disabilities Administration separated from Behavioral Health (Chapter 539, Acts of 2014).

Aiding Behavioral Health are the Community Services Reimbursement Rate Commission, and the Mortality and Quality Review Committee.

DEVELOPMENTAL DISABILITIES ADMINISTRATION

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

The Developmental Disabilities Administration started in 1966 as the Division of Mental Retardation within the Bureau of Preventive Medical Services of the Office of Medical Care Services. In 1970, the Division reformed into a Directorate of Mental Retardation from which the Mental Retardation Administration was created in 1971. The Administration reorganized in 1982 as the Mental Retardation and Developmental Disabilities Administration (Chapter 430, Acts of 1982). In 1986, the Administration received its present name (Chapter 637, Acts of 1986). It was placed under Behavioral Health and Disabilities in July 2008. In October 2014, the Administration separated from Behavioral Health and Disabilities, to come under the direction of the Deputy Secretary for Developmental Disabilities (Chapter 539, Acts of 2014).

For persons with developmental disabilities and their families, the Developmental Disabilities Administration plans, develops, and directs a statewide system of services. Among the services are programs for individuals with intellectual disabilites, cerebral palsy, spina bifida, epilepsy, and severe communicative disorders. The Administration coordinates its work with other government, voluntary and private health, education and welfare agencies.

Residential facilities are operated by the Administration which also funds community-based services, such as purchased care, group homes and apartments, small residential centers, and daytime programs for developmentally disabled persons. In addition, the Administration funds Children's Summer Programs, Family and Individual Support Services, and Supported Employment Programs. Regional offices initiate, coordinate, and evaluate local programs (Code Health-General Article, secs. 7-101 through 7-1201).

The Administration operates two facilities: Holly Center, and Potomac Center. A citizens advisory board for each facility also serves the Administration. Reporting directly to the Deputy Secretary is the Sykesville Secure Evaluation and Therapeutic Treatment (SETT) Unit, and the Autism Work Group.

SYKESVILLE SECURE EVALUATION & THERAPEUTIC TREATMENT UNIT
Muncie Building, Springfield Hospital Center, Sykesville, MD 21784

When Rosewood Center closed in July 2009, those residents at Rosewood committed there by the courts as developmentally disabled adults either incompetent to stand trial or found not criminally responsible for their crimes were transferred to the Sykesville Secure Evaluation and Therapeutic Treatment Unit. The Unit is a secure commitment program with a capacity for up to twenty individuals.

CENTRAL MARYLAND REGION

The Regional Director for the Central Maryland Region oversees administration of community-based services.

EASTERN SHORE REGION

The Regional Director for the Eastern Shore Region oversees administration of community-based services and Holly Center.

HOLLY CENTER
P. O. Box 2358
Snow Hill Road (Route 12), Salisbury, MD 21801 - 2358

In 1968, the Holly Center began as the Regional Mental Retardation Center - Eastern Shore (Chapter 435, Acts of 1968). It was renamed the Holly Center in 1973.

Since June 2011, the Center has had a licensed capacity of 150 inpatient residents. Residential and training services are offered to individuals with intellectual disabilites and their families residing in the nine counties of the Eastern Shore. Education, training, and habilitation services and programs are provided both in the Center and the community (Code Health-General Article, sec. 7-305). Further, the Center coordinates and assists day programs and group homes for individuals with intellectual disabilities.

SOUTHERN MARYLAND REGION

The Regional Director for the Southern Maryland Region oversees administration of community-based services.

WESTERN MARYLAND REGION

Administration of community-based services, and Potomac Center are overseen by the Regional Director for the Western Maryland Region.

POTOMAC CENTER
1380 Marshall St., Hagerstown, MD 21740

The Potomac Center originated in 1978 as Western Maryland I - Mental Retardation Center. It became the Potomac Center in 1981. The Center serves as a State residential center for individuals with intellectual disabilities (Code Health-General Article, sec. 7-501). It provides habilitative services to expedite the return of individuals to a less restrictive environment. Persons with borderline to profound intellectual disabilities are served by the Center. In FY2013, the Center served a daily average of 50 people.

With the Alcohol and Drug Administration and the Mental Hygiene Administration, the Potomac Center initiated the Transitions Program in 2009. This program provides a therapeutic environment to treat individuals with both mental illness and intellectual disabilities, and possibly compounded by substance abuse.

BEHAVIORAL HEALTH ADMINISTRATION

HEALTH CARE FINANCING

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

In 1975, Health Care Financing began as the Office of Regulatory Services. By 1981, responsibilities of the Office were assigned to the Assistant Secretary for Health Regulation and Policy Analysis and, by 1985, to the Assistant Secretary for Health Regulation. In 1987, Policy, Financing, and Regulation was created and, in 1988, renamed Health Care Policy, Finance, and Regulation. The deputy secretariat reorganized as Health Care Financing in December 1999.

Health Care Financing administers Maryland's five medical care programs: Family Planning; Kidney Disease; Maryland Children's Health Program; Maryland Pharmacy Program; and Medical Assistance (Medicaid & HealthChoice).

The principal health regulatory functions of the Department are overseen by Health Care Financing which also provides leadership and guidance for the Department's financing and regulatory programs. This entails oversight of regulatory functions of the Maryland Health Care Commission and the State Health Services Cost Review Commission.

For the Secretary of Health and Mental Hygiene, the Deputy Secretary for Health Care Financing develops recommendations to modify and shape the role of the Department. The Deputy Secretary helps define health problems, evaluates Department programs, and develops data on federal and other external trends so as to advise the Secretary on program emphasis and Department direction.

Under Health Care Financing are three offices: Eligibility Services; Health Services; and Systems, Operations, and Pharmacy. Health Care Financing also is assisted by the Maryland Medicaid Advisory Committee and two administrations: Finance; and Planning.

MEDICAL ASSISTANCE PROGRAM (MEDICAID)
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: Eligibility Services; Health Services; and Systems, Operations, and Pharmacy.

For approximately 90 percent of recipients, health care expenses of the Medical Assistance Program (Medicaid) are federally matched on a 50/50 basis. For the remaining 10 percent, services are funded totally by State and local funds (Code Health-General Article, secs. 15-101 through 15-128).

OFFICE OF ELIGIBILITY SERVICES

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

The Office of Eligibility Services originated as part of the Office of Operations, Eligibility, and Pharmacy (under Health Care Financing). It was established as a separate Office of Eligibility in July 2007. In September 2007, it became the Office of Eligibility Services.

Through statewide outreach efforts, the Office of Eligibility Services ensures that eligible Marylanders receive the Medical Assistance benefits for which they are eligible. The Office provides benefit information, enrollment assistance, and problem resolution. Further, the Office develops and implements eligibility policy, and provides training to staff in local health departments.

Under the Office are Eligibility Determination and Eligibility Policy. Two divisions, Beneficiary Enrollment and Call Center, and Recipient Eligibility Programs, report directly to the Executive Director.

DIVISION OF BENEFICIARY ENROLLMENT & CALL CENTER
In December 1999, the Division of Beneficiary Enrollment and Call Center was created as the Beneficiary Services Division, and reorganized under its present name in 2003. It oversees the HealthChoice Program.

HealthChoice Program. This program was initiated in December 1991 as the Maryland Access to Care (MAC) Program. It reorganized as Maryland Access to Care (MAC) Recipient Services and Medical Assistance Provider Relations in November 1993 and further reformed as HealthChoice in July 1998.

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.

DIVISION OF RECIPIENT ELIGIBILITY PROGRAMS
The Division of Recipient Eligibility Programs began as the Division of Programs and Liaison. Renamed the Division of Eligibility Services in 1989, it reorganized as Recipient Eligibility Programs in November 1993, and reformed as the Division of Recipient Eligibility Programs in November 2005.

Systems and procedures are the responsibility of the Division to update the Recipient Eligibility Master File; produce and issue Medical Care Program identification cards; and resolve eligibility problems. It also oversees the Buy-In Programs for Medicare.

Buy-In Programs for Medicare (Parts A & B). Under the these programs, the State, through the Medical Assistance Program (Medicaid), pays federal premiums for people certified by the local department of social services as unable to cover hospital insurance (Part A) or medical insurance (Part B).

ELIGIBILITY DETERMINATION

Eligibility Determination formerly was known as the Medical Assistance Waiver Unit of the Family Investment Administration within the Department of Human Resources. As the Division of Eligibility Waiver Services, it transferred to the Department of Health and Mental Hygiene in March 2002.

Home and Community-Based Waiver programs are administered by Eligibility Determination. Waivers allow persons to receive Medical Assistance benefits in a community setting, at home, or in assisted-living facilities. Waivers include: the Waiver for Older Adults; Living at Home Maryland Community Choices Waiver; Waiver for Children with Autism Spectrum Disorder; Model Waiver for Disabled Children; Waiver for Individuals with Developmental Disabilities; and the Home and Community-Based Services Model Waiver for Adults with Traumatic Brain Injury.

For children in residential treatment centers and institutions providing mental health services, Eligibility Determination also determines and maintains Medical Assistance eligibility.

ELIGIBILITY POLICY

Under Eligibility Policy is the Eligibility Policy and Training Division. The Maryland Children's Health Program also is overseen by Eligibility Policy.

MARYLAND CHILDREN'S HEALTH PROGRAM
The Maryland Children's Health Program began in 1998 as the Children and Families Health Care Program (Chapter 110, Acts of 1998). Effective July 1, 2001, it adopted its current name (Chapters 15 and 16, Acts of 2000).

The Program provides complete health coverage for children and pregnant women who are not eligible for Medicaid, are uninsured, and whose family income is near the federal poverty level. To all uninsured children (through age 18) whose family income is up to 300% of the federal poverty level, and to pregnant women with incomes up to 250% of the federal poverty level, the Program provides health care coverage through the HealthChoice managed care program (Code Health-General Article, secs. 15-301 through 15-305).

Since October 1, 2013, persons may apply for benefits through the Maryland Health Connection, the State's health insurance marketplace.

OFFICE OF HEALTH SERVICES

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

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 of Health Services. 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 Services. The Long-Term Care and Community Support Services Administration was renamed the Long-Term Services and Supports Administration in January 2014.

HEALTHCHOICE & ACUTE CARE ADMINISTRATION

Formed in January 2000, the HealthChoice and Acute Care Administration consists of two directorates: Acute Care; and Managed Care.

ACUTE CARE
Acute Care organized in November 2005. It oversees three divisions: Children's Services; Dental, Clinics and Laboratory Services; and Hospital Services.

MANAGED CARE
In January 2000, Managed Care formed as Provider Management and adopted its present name in November 2005.

Managed Care oversees four divisions: Community Liaison and Care Coordination; HealthChoice Complaint Resolution; HealthChoice Provider Network Management; and HealthChoice Quality Assurance.

LONG-TERM SERVICES & SUPPORTS ADMINISTRATION

The Long-Term Services and Supports Administration began as Eligibility and Administration under the Medical Care Services Administration. Under the Office of Health Services, it became the the Long-Term Care and Community Support Services Administration in January 2000, and adopted its present name in January 2000.

The Administration works through three directorates: Community Integration Programs; Nursing and Waiver Services; and Nursing Homes and Community Long-Term Care.

COMMUNITY INTEGRATION PROGRAMS
Community Integration Programs started in January 2000 as Access, Quality, and Program Integrity and restructured as Nursing and Community Programs in July 2004. In January 2011, it further reorganized as Community Integration Programs. It oversees two divisions: Community Support Services; and Living at Home Waiver.

NURSING & WAIVER SERVICES
Nursing and Waiver Services originated as Long-Term Care and Waiver Services and adopted its present name in January 2011. It oversees three divisions: Evaluation and Service Review; Nursing Services; and Quality and Compliance Review.

NURSING HOMES & COMMUNITY LONG-TERM CARE
Formed in November 2005 as Long-Term Care Financing, Nursing Homes and Community Long-Term Care adopted its present name in January 2011. It is responsible for two divisions: Long-Term Care Services; and Medical Day Care and Agency Waiver Coordination.

OFFICE OF SYSTEMS, OPERATIONS, & PHARMACY

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

The Office of Systems, Operations, and Pharmacy originated in 1975 as the Medical Care Operations Administration. It reorganized as the Program Systems and Operations Administration in November 1993, and reclaimed its original name in July 1997. In December 1999, it became the Medical Care Operations and Eligibility Administration and, in January 2000, the Office of Operations and Eligibility, Medical Care Programs. Renamed the Office of Operations, Eligibility, and Pharmacy in 2004, it adopted its current name in July 2007, when the eligibility functions became a separate office.

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). From 1999 to July 2007, the Office was responsible for eligibility determination and policy.

The Office includes the Kidney Disease Program, the Maryland Pharmacy Program, and the Systems and Operations Administration.

ADMINISTRATIVE SERVICES
Administrative Services started in March 1990. The Division conducts personnel transactions, prepares budgets, promulgates Medicaid regulations, and formulates amendments to the Medicaid State Plan.

KIDNEY DISEASE PROGRAM
Formed in 1971, the Kidney Disease 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. Formerly under the Office of Eligibility Services, the Program transferred to the Office of Systems, Operations, and Pharmacy in August 2008.

MARYLAND PHARMACY PROGRAM

The Maryland Pharmacy Program started in 1978 as the Pharmacy Assistance Program. It adopted its current name on July 1, 2003 when the Pharmacy Discount Program joined the Program. Although the Pharmacy Discount Program was repealed effective Jan. 1, 2006 (Chapters 281 & 282, Acts of 2005), the Maryland Pharmacy Program continues.

The Pharmacy Assistance 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).

SYSTEMS & OPERATIONS ADMINISTRATION

Under the Systems and Operations Administration are two deputy directorates: Program Operations, and Technical Systems.

PROGRAM OPERATIONS
Program Operations is responsible for six divisions: Adjustments and Payment Auditing; Claims Processing; Long-Term Care Problem Resolution; Medical Assistance Recoveries; Provider Relations; and Provider Services.

TECHNICAL SYSTEMS
Under Technical Systems are two divisions: Medicaid Information Systems; and Systems and Liaison Services.

OPERATIONS

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

Operations supports the Department through expenditure control, personnel management, data processing and information technology, general services, grants administration, and capital construction.

Under Operations are two administrations: Budget Revenue; and Fiscal Services. Operations also is responsible for five offices: Capital Planning, Budgeting, and Engineering Services; Human Resources; Information Technology; Procurement and Support Services; and Regulation and Policy Coordination. In addition, Operations is assisted by the Volunteer Services Division.

OFFICE OF CAPITAL PLANNING, BUDGETING, & ENGINEERING SERVICES
The Office of Capital Planning, Budgeting, and Engineering Services started as the Office of Planning and Policy Management, became the Office of Planning and Capital Financing in 1994, and adopted its present name in August 2006.

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.

OFFICE OF HUMAN RESOURCES
Herbert R. O'Conor State Office Building, 201 West Preston St., 1st floor, Baltimore, MD 21201 - 2399

The Office of Human Resources was first the Office of Personnel Management and became the Personnel Services Administration in 1988. On May 1, 2004, the Administration reformed as the Office of Human Resources. For the Department, the Office provides personnel services and training.

Under the Office are units for Personnel Information Systems, Risk Management and five divisions: Administration; Employee Relations; Employment; Recruitment and Selection; and Training Services.

OFFICE OF INFORMATION TECHNOLOGY
By 1967, the Office Information Technology originated as the Division of Data Processing under the Bureau of Analysis and Records. By 1973, the Division was placed under the Office of General Administration. As Data Systems, the unit reorganized by 1977 as part of the Office of Service Operations. As the Division of Data Processing in 1981, it came under the Fiscal and Support Operations Administration. By 1983, the Division became part of the Information Systems Administration, renamed the Information Services Administration in 1985. As Information Services, the division joined the Program Systems and Operations Administration in November 1993. By July 1997, Information Services reorganized as the Information Resources Management Administration. In January 2011, the Administration restructured as the Office of Information Technology

The Office devises information-processing strategies and implements the policy, procedures, and controls required for automation programs. The Office also provides security, systems analysis, programming and data communications, and training and computer operation services for the Department's information systems throughout the State. These systems inlcude the Electronic Vital Records System (EVRS); the Hospital Management Information System (HMIS); the National Electronic Disease Surveillance System (NEDSS); and the Medicaid Management Information System II (MMIS II). The Department's wide area network connects to local health departments, hospitals, and health clinics with over 9,000 user connections across the State.

Under the Office are four divisions: Administrative Operations; Applications; Computer Operations; and Infrastructure and Network.

OFFICE OF PROCUREMENT & SUPPORT SERVICES
The Office of Procurement and Support Services was established as the Office of Contract Policy, Management, and Procurement under Operations in December 2001 and adopted its present name in April 2006.

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.

OFFICE OF REGULATION & POLICY COORDINATION
The Office of Regulation and Policy Coordination began as the Office of Regulations Coordination and adopted its present name in August 2006.

A central clearinghouse for health regulations is provided by the Office. Here, regulations are drafted, amended, reviewed, and revised. The Office establishes internal policy and procedures, and provides technical assistance to administrative units of the Department.

VOLUNTEER SERVICES DIVISION
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 patients in the community. The Chief serves as liaison to the Department's Council of Auxiliaries, a private, nonprofit service organization.

BUDGET REVENUE ADMINISTRATION

Herbert R. O'Conor State Office Building, 201 West Preston St., Baltimore, MD 21201 - 2399

The Budget Revenue Administration began as the Financial Planning Administration and became the Budget Management Office in 1997. In March 2004, it moved from Operations to the Chief Financial Officer within the Office of Secretary. As the Financial Management Administration, it moved to Operations in June 2007, and reorganized under its present name in November 2008.

The Administration monitors and controls all Department financial affairs, including liaison with the Department of Budget and Management and the General Assembly. It also oversees budget preparation and review, expenditure management, funding enhancement, rate setting, cost analysis, and fiscal policy.

Administration functions are carried out by the Budget Management Office, and the Cost Accounting and Reimbursements Division.

PUBLIC HEALTH SERVICES

FAMILY HEALTH ADMINISTRATION

INFECTIOUS DISEASE & ENVIRONMENTAL HEALTH ADMINISTRATION

LABORATORIES ADMINISTRATION

OFFICE OF CHIEF MEDICAL EXAMINER

OFFICE OF PREPAREDNESS & RESPONSE

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