A patient can register as a qualifying patient on this website when the Patient Registry opens during the first quarter of 2017. The Patient Registry is not yet open. Once you receive your patient number (obtained only through the Commission's website), the patient's registered physician can link to the patient by entering the patient's Commission-assigned number on the Commission's secure database, and then issue an online certification for medical cannabis. Patients can then obtain medical cannabis at any licensed Dispensary in Maryland by presenting their ID card or a valid government-issued ID. Patient ID cards can only be obtained through the Commission's Patient Registry, which will open in the first quarter of 2017.
No, a patient does not need an ID card from MMCC to participate in the program. The patient must be registred with MMCC in order for a physician to provide a written certification for the patient. The patient will need a government-issued ID card (e.g., driver's license or passport) for proof of identity when purchasing the medical cannabis at a licensed dispensary.
The Commission anticipates that medical cannabis will be available to patients from a licensed dispensary sometime during Summer 2017.
A Maryland patient can only obtain legal medical cannabis from Maryland-licensed dispensaries. The dispensaries can only obtain their cannabis from Maryland-licensed growers, and their extracts from Maryland-licensed processors.
No. Any licensed physician in good standing in Maryland can register with the Medical Cannabis Commission to issue certifications to qualify patients to obtain and use medical cannabis. Ask your primary care physician if she or he is registered, and discuss whether medical cannabis would benefit your medical condition. There is no need to pay any person or organization any fee other than the fee your physician charges for the doctor visit.
The Patient Registry will open during the first quarter of 2017. Once registered, a patient will go to a doctor who has registered with the Commission to obtain a "written certification".
A patient needs an in-person visit with a registered physician with whom the patient has a “bona fide physician-patient relationship”. If the patient meets the physician’s criteria for treatment with medical cannabis, the physician will issue a written certification. The physician records the written certification on the Commission’s database.
Maryland law defines this term. Essentially it is a treatment or counseling relationship between a physician and patient in which the physician reviews the patient's relevant medical records, completes an in-person assessment of the patient's medical history and current medical condition, creates and maintains medically standardized records, expects to monitor patient program, and takes any medically indicated action to follow up.
The patient can go to any licensed dispensary to pick up medical cannabis. Some dispensaries will deliver medical cannabis to the patient’s home. The dispensary must check the Commission secure database to confirm that the patient has a “written certification” and confirm the patient’s identity. The dispensary will record how much medical cannabis has been dispensed to the patient.
After the doctor has examined the patient and the patient’s records, the physician may issue the patient a written certification.
The Commission will not be posting a list on its website.
Federal law (HIPAA) requires that we - along with physicians and dispensaries - protect patient privacy and confidentiality. Our database will meet HIPAA standards and protect patient confidentiality.
Any condition that is severe, for which other medical treatments have been ineffective, and if the symptoms “reasonably can be expected to be relieved” by the medical use of Cannabis. In addition, if the patient has a chronic or debilitating disease or medical condition that causes severe loss of appetite, wasting, severe or chronic pain, severe nausea, seizures or severe or persistent muscle spasms, or glaucoma or Post Traumatic Stress Disorder (PTSD).
Yes, a patient ID card is optional. A patient ID card will cost $50.
A legal patient may travel to any location in the state of Maryland (other than federal government property when in possession of medical cannabis). Possession of cannabis is a violation of federal law and Maryland residents should carefully read the current state statutes regarding the use of medical cannabis and be aware that taking cannabis across State lines is a federal offense. Cannabis is also illegal on federal government property. The State of Maryland laws cannot authorize you to travel to other states, jurisdictions or countries with this medicine in your possession.
You can request an ID card when you receive your written certification or apply for one later.
There will be a process to apply for a replacement card. A replacement card will cost $100.
No more than 120 grams — or approximately four ounces, unless a physician makes a special determination that a patient needs more.
Yes, 36 grams of THC.
Yes, if the cannabis oil is produced by a Maryland-licensed processor.
Caregivers are only appointed by patients. If a patient selects you to be a caregiver, you must register through the Commission’s Caregiver Registry, which will open during the first quarter of 2017. Caregivers cannot care for more than five qualifying patients.
A patient may designate up to two persons as caregivers.
Caregivers must be 21 years old or older.
Yes, a caregiver may be a family member.
No, Maryland law does not allow this.
Children who meet their physician’s criteria for treatment can become legal patients in Maryland. However, children must have a parent or guardian serve as a caregiver.
Veterans can obtain medical cannabis in the same way as other patients, but not from the Veterans Affairs health system. Veterans need to make sure that using medical cannabis will not disqualify them from Veterans Affairs health system procedures they might need.
Providing any financial relief for patients will be a decision made by individual dispensaries.
The patient who changes their address should notify the Commission within 3 days.
A patient may obtain medical cannabis from a dispensary of their choice. The patient’s written certification will be recorded in the Commission’s database and can be confirmed by any licensed dispensary.
Patients do not have to disclose that they possess medical cannabis and do not have to consent to a search. However, if a search is conducted and medical cannabis is found, the patient should present their patient ID card or direct law enforcement to our database.
Medical cannabis will be available in forms which can be vaporized which is not smoking, or as extracts, lotions, ointments, tinctures, etc. Some extracts can be added to foods at home. Edible cannabis products will not be available from dispensaries in Maryland.
Health insurers are not required to cover the cost of medical cannabis. Private health insurers are free under Maryland law to develop policies that will cover medical cannabis.
There are no fees unless a qualifying patient requests an ID card. Patients do not have to pay the Commission to register. Dispensaries do not have to pay the Commission to check that a patient has been issued a written certification.
There are no reduced fees for seniors.
Any person who lives in Maryland can participate in the program. A person from out-of-state who is in the state for the purpose of receiving medical care can be issued a written certification and obtain medical cannabis.
Important: Effective December 14, 2017 the Commission extended the administrative hold on out-of-state patient applicants until further notice. As a result of this hold, out-of-state patient applications will not be reviewed at this time, and applicants who live outside the State may not access medical cannabis at Maryland licensed dispensaries. Please see Bulletin: 2018- 002 for additional information.
Not at this time.
That is a medical question that the Commission cannot answer. You need to discuss this question with your physician.
Maryland law does not prevent an employer from testing for use of cannabis (for any reason) or taking action against an employee who tests positive for use of cannabis (for any reason).
This is a question for your physician.
Patients often seek a second opinion from another physician. Patients may have a complex medical condition that is not responding well to conventional treatment or find the side effects and risks of a treatment are unacceptable. A patient may establish a bona fide physician patient relationship with any licensed Maryland physician who is in good standing, who is or plans to register with the Medical Cannabis Commission in order to be evaluated to determine if the patient will benefit from the use of medical cannabis.
Yes, the Commission's database system does link the Physician and Patient Registries through the written certifications. Each patient may only have one written certification and one certifying physician at a time. After 30 days, a patient may seek renewal of the written certification; the renewal certification supersedes the previous written certification. A certifying physician may terminate a written certification.
A physician must be registered as a certifying physician before providing a qualifying patient with a written certification.
Yes, a qualifying patient will receive a Commission-assigned patient number after registering through the Commission's Patient Registry, which will open in the first quarter of 2017. The patient's registered physician can then link to the patient by entering the patient's assigned number on the Commission's secure database, and issue an online certification for medical cannabis.
Edibles and additional medical conditions may be added at a later date, pending enactment of new legislation and regulations.
Yes, the Commission believes that these statements will reinforce the need for caution to protect against the misuse of medical cannabis obtained from Maryland dispensaries. The Commission reviewed the studies that have been published regarding cannabis use and pregnancy and determined that this warning is an accurate statement of the conclusions that can be made from the scientific evidence, and is sufficient to guide patients to be cautious.
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