Notice for Respiratory Therapists about Polysomnographic Technologist Licensure in Maryland

On November 30, 2016, the Maryland Board of Physicians (the Board) approved a recommendation from the Polysomnography Professional Standards Committee that will assist respiratory therapists seeking licensure as a polysomnographic technologist in Maryland.

The Board voted to accept the Sleep Disorders Specialty (SDS) examination as an additional examination that an applicant may take as a prerequisite to licensure as a polysomnographic technologist. The SDS exam is administered by the National Board for Respiratory Care (NBRC).

According to the NBRC, the SDS examination program is designed specifically for a respiratory therapist with an NBRC respiratory care credential and experience or education in the field of sleep medicine. A Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT) who successfully completes the SDS examination will earn a CRT-SDS or RRT-SDS credential.

In approving the SDS exam, the Board also recognizes the CRT-SDS and RRT-SDS credentials.

For additional information, please contact the Board’s Allied Health Unit via e-mail at mdh.mbpalliedhealth@maryland.gov.

The applicant shall complete an applicationpdf supplied by the Board:

  1. Be of good moral character.
  2. Be at least 18 years old.
  3. Pay the application fee.
  4. Graduation from either of the following programs accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP):
    • A polysomnographic educational program;
    • A respiratory care educational programs with a polysomnography add-on track; or
    • An electroneuro diagnostic educational program with a polysomnography add-on track.
  5. Graduation from a sleep technologist educational program that is accredited by the American Academy of Sleep Medicine and completion of a clinical component of educational program as established by the Polysomnography Professional Standards Committee and approved by the Board.
  6. Certification as a Registered Polysomnographic Technologists administered by the Board of Registered Polysomnographic Technologists (BRPT) or other certification examination approved by the Board.
  7. Demonstrate oral and written competency in English as required by the Board.
  8. Meet any other requirements established by the Board.

Yes. Applicants who did not graduate from an educational program accredited by CAAHEP may obtain a license if the applicant meet each of the following:
  1. Graduation from a sleep technologist educational program accredited by the American Academy of Sleep Medicine (AASM);
  2. Clinical experience listed on the core clinical competency forms provided on the American Association of Sleep Technologist Core Competency website https://www.aastweb.org/core-competencies
    1. Polysomnography
    2. Scoring Sleep Stages and Clinical Events in Polysomnographic Technology
    3. Pap Titration in Sleep Technology
    4. Supplemental Low Flow Oxygen and Titration
    5. Monitoring Pulse Oximetry
    6. Maintenance, Cleaning and Safety Precautions in Polysomnography Technology
  3. A letter of attestation for completion of clinical hours and competencies from a physician who is either board-eligible or board-certified in sleep medicine by the ABSM or the ABMS.
  4. Proof of meeting 546* hours of core clinical competencies within the three years preceding the submission of application. Core competencies must be assessed by a credentialed RPSGT, a sleep technologist with a national certification approved by the Board; or a physician who is either board-eligible or board-certified in sleep medicine by the American Board of Sleep Medicine (ABSM) or the American BMS. Applicants may demonstrate proof of completing the 546 hours of clinical experience in the three years preceding the submission of the application as either:
    1. A student supervised by a sleep technologist credentialed as a Registered Polysomnographic Technologist or a sleep technologist with national certification approved by the Board at an American Academy of Sleep Medicine accredited sleep laboratory or sleep laboratory accredited by The Joint Commission; or
    2. A sleep technologist with a current, active, unrestricted license in another state or is otherwise recognized and has practiced as a sleep technologist in another state who has:
      • Full-time practice experience as a sleep technologist in another state at an American Academy of Sleep Medicine accredited sleep laboratory or sleep laboratory accredited by The Joint Commission for a minimum of 6 months in the 3 years preceding the application; and
      • Maintained an average of 10 continuing education units per year for the last 2 years.
Note: There are other requirements for licensure. Please review the polysomnographic technologist application for additional requirements.
On average, the licensure process generally takes approximately 2-4 weeks. However, the process may take longer depending on the individual applicant’s circumstance or if the individual does not provide the required documentation on a timely basis.
  1. Completion of a reinstatement application pdf approved by the Board.
  2. Payment of a reinstatement fee.
  3. Satisfactory evidence of compliance with the continuing education requirements.
  4. Verification from the Maryland Office of the Comptroller that the applicant has paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller or the Secretary of Labor, Licensing, and Regulation or that the applicant has provided for payment in a manner satisfactory to the unit responsible for collection. (Maryland Health Occupations Code Annotated, § 1-213).
The continuing education requirement does not apply to the first renewal after initial certification or reinstatement of certification.
Twenty (20) hours of sleep-related continuing education earned within the 2 years immediately preceding the submission of an application for renewal or reinstatement. The Board will recognize the sleep-related continuing education approved by one of the following organizations:
  1. American Medical Association
  2. American Association of Sleep Technologists
  3. American Academy of Sleep Medicine
  4. American Society of Electroneurdiagnostic Technologists, Inc.
  5. American Association for Respiratory Care; or
  6. American Nursing Association
Technologists are required to obtain and retain continuing education documentation for the succeeding six years for possible inspection by the Board. The required documentation should contain the:
  1. Program title;
  2. Sponsor's name;
  3. Polysomnographic technologist's name;
  4. Number of continuing education hours earned;
  5. Verification of successful completion by signature, stamp, or other official proof; and
  6. Date of the continuing education activity.
The continuing education requirement does not apply to first renewal after initial licensure or reinstatement.
Note: An RCP who was licensed by the Board to practice respiratory care on or before December 31, 2012, and whose duties include practicing polysomnography, will not need a license to practice polysomnography in Maryland.
A PSGT practicing as a polysomnographic technologist without a license after October 1, 2013, will be considered practicing without a license and may be fined up to $5,000 for practicing without a license by the Board of Physicians. If the technologist is subsequently licensed by the Board, this disciplinary action will remain on his/her record.
PSGTs must practice under the supervision of a licensed Maryland physician.
Yes. It does not matter where the PSGT resides. If the PSGT is practicing in Maryland, then the PSGT must have a Maryland license.
According to the American Academy of Sleep Medicine and the American Academy of Sleep Technologists, low flow oxygen is up to six liters of oxygen per minute.


Initial Licenses $200.00
Reinstatements $200.00
Renewals* $176.00
Duplicate Licenses $25.00
Name Changes $25.00
*Includes a $26 assessment fee to fund the Maryland Health Care Commission (MHCC) as required by law (MD Code Annotated Health Occ. §1-209).