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Maryland CPOM Laws

Is Maryland A Corporate Practice of Medicine (CPOM) State?: Yes


Maryland’s Corporate Practice of Medicine (CPOM) laws establish critical boundaries for healthcare practices, ensuring that physicians maintain authority over clinical decisions without interference from corporate entities. While Maryland does not enforce a blanket prohibition on corporate ownership of medical practices, the principles of CPOM are embedded in the state’s regulations and professional standards, protecting the integrity of the physician-patient relationship.

Maryland CPOM Laws

Unlike some states with stricter CPOM laws, Maryland’s approach offers a more flexible regulatory environment. However, this flexibility does not mean the absence of oversight. Maryland CPOM requires that licensed physicians retain ultimate control over all clinical aspects of a practice, including patient care decisions, treatment plans, and other medical judgments. Corporate entities or non-physicians involved in healthcare must structure their operations to comply with these principles, ensuring that business considerations do not compromise medical ethics.

To operate within the bounds of Maryland’s CPOM laws, many practices and healthcare organizations utilize Management Service Organizations (MSOs). MSOs enable non-physician entities to manage administrative responsibilities such as billing, staffing, marketing, and facility operations. By keeping the clinical aspects of the practice firmly under the direction of licensed physicians, this model aligns with state requirements while allowing for efficient business operations. For practices considering this route, careful legal and structural planning is essential to avoid potential conflicts with state regulations.

Telemedicine and digital health services, which have grown rapidly in recent years, add complexity to compliance with Maryland’s CPOM laws. Companies entering this space must ensure that their business models adhere to CPOM principles. For instance, telehealth organizations operating in Maryland often collaborate with physician-owned entities or establish clear agreements delineating clinical responsibilities. This ensures that medical decisions remain in the hands of licensed physicians, even as technological innovation expands the reach of healthcare services.

For healthcare providers and organizations navigating Maryland’s CPOM framework, expert guidance can be invaluable. Old Mission Medicine offers tailored support to help practices stay compliant with Maryland’s CPOM laws. From structuring MSO arrangements to ensuring adherence to state regulations for telemedicine, Old Mission Medicine provides solutions that prioritize both operational efficiency and patient care. Reach out today to learn how Old Mission Medicine can help your practice thrive within the unique regulatory landscape of Maryland.