MARYLAND BOARD OF NURSING (MBON) – MDH CHART SYSTEM UPDATE
The Maryland Board of Nursing (MBON) has transitioned to MDH CHART, its new online licensure and certification system. All healthcare professionals licensed or certified by the Maryland Board of Nursing—including RNs, LPNs, APRNs, CNAs, CMTs, Delegating Nurses, Assisted Living Managers, and other Board-regulated professionals—must create and maintain an individual MDH CHART account to apply, renew, and manage their licensure or certification online.
Create Your MDH CHART Account
If you currently hold a Maryland nursing license or certification but have never logged into MDH CHART, select "Registration" to create your account.
If you have already registered but cannot access your account, use the "Forgot Password" option.
If you experienced login issues previously, please try again before contacting the Board, as many technical issues have recently been resolved.
If you continue to experience problems, contact:
MBON.RegistrationHelp@maryland.gov
Applications
The Maryland Board of Nursing will continue accepting paper applications through July 15, 2026.
Paper applications may be
submitted by:
- Drop Box
- Front Desk
**However, MBON strongly encourages all applicants to submit applications through the MDH CHART online portal whenever possible.
Important Information for Delegating Nurses (RNs)
Every Delegating RN must create an individual MDH CHART account before entering a CMT class list.
Your MDH CHART account will be used for:
- Submitting CMT class lists
- Managing CMT applications
- Managing your RN licensure information
Delegating RNs cannot create or submit a class list until their RN profile has been uploaded into the MDH CHART system.
At this time, the Maryland Board of Nursing cannot provide a specific timeline for when all Delegating RN profiles will be uploaded.
How to Know Your Profile Is Ready?
Once your Delegating RN profile has been uploaded, you will see a Class List icon within your MDH CHART account.
When the Class List icon appears, you may begin entering and submitting class lists for your students and Certified Medication Technicians (CMTs)
Important Information for Certified Medication Technicians (CMTs)
All CMTs must also create an individual MDH CHART account.
Your account will be used to:
- Submit applications
- Renew your certification
- Update your address
- Update your name
- Manage your certification information
Please Note:
A CMT will not be able to access their application until the initial class list has been correctly completed and submitted by their Delegating RN.
Renewal Information
If your renewal is not completed before your expiration date, MBON provides a 30-day grace period.
During this grace period:
- Your license or certification remains active.
- MBON will not change your status to non-renewed unless renewal requirements remain incomplete after the 30-day grace period.
- Employers may continue to verify your status using the Maryland Board of Nursing License Lookup.
Please note that while MBON recognizes the grace period, individual employers may have their own policies regarding expired renewal dates.
Maryland Assisted Living Manager (ALM) Update
Effective July 1, 2026
Beginning July 1, 2026, Assisted Living Managers (ALMs) in Maryland must be licensed by the Maryland State Board of Long-Term Care Administrators before practicing in an assisted living program. Assisted living facilities are responsible for ensuring their designated ALM holds a valid license, as failure to employ a qualified ALM may result in sanctions and civil penalties. This represents one of the most significant regulatory changes for Maryland assisted living professionals since the original ALM training requirements were established, transitioning the role from a training-based credential to a state-licensed profession.
What Current Assisted Living Managers Should Do Now
- Verify which application category applies to you.
- Gather documentation of:
- Employment history as an ALM
- Training certificates
- Continuing education records
- Complete the CHRC process.
- Submit your online licensure application as soon as possible.
- Maintain documentation of your required 20 CE hours for renewal.
key Changes
Licensure Required
Criminal History Records Check (CHRC)
Two Application Categories
- Assisted Living Managers (ALMs) must obtain a Maryland ALM license.
- Applications are submitted through the Board's online portal.
- The online application portal opened on April 20, 2026.
Two Application Categories
Criminal History Records Check (CHRC)
Two Application Categories
- Applicant I: Practiced as an ALM in a licensed Maryland Assisted Living Program before July 1, 2026.
- Applicant II: Have not practiced as an ALM in a licensed Maryland Assisted Living Program before July 1, 2026.
Criminal History Records Check (CHRC)
Criminal History Records Check (CHRC)
Criminal History Records Check (CHRC)
- Required for licensure.
- Previous background checks completed for another Maryland healthcare license do not waive this requirement.
New Required Training for Maryland Healthcare Professionals
Effective April 1, 2026
WHAT’S CHANGING?
Maryland now requires both implicit bias AND structural racism training for healthcare license and certificate renewals.
1. Structural Racism Training (NEW)
- Required for ALL healthcare professionals
- Must complete an approved training program
- One-time requirement
2. Implicit Bias Training
- Already required since April 1, 2022
- Also a one-time requirement
When Do You Need to Complete It?
- Applies at your first license or certification renewal AFTER April 1, 2026
- You will attest (confirm) completion during renewal
Important Notes:
- Both trainings are only required once in your career
- If your course includes both topics, it may count for both requirements
- Training must be approved by the Maryland Department of Health program
- Some boards may allow continuing education (CE) credit
AIBS Care Tip:
Don’t wait until the last minute—complete your training early to avoid delays in your certification renewal.
NEW MARYLAND CNA DESIGNATIONS: CNA-I & CNA-II
Effective April 1, 2026
There will be two CNA designations:
1. Certified Nursing Assistant-I (CNA-I)
- CNAs certified as GNAs on March 31, 2026
- Certified Medicine Aides (CMAs)
- CNA-I designation granted by MBON on or after April 1, 2026
- Can practice in any healthcare setting.
2. Certified Nursing Assistant-II (CNA-II)
- CNAs who were certified but NOT GNAs as of March 31, 2026
- Cannot practice in nursing homes or skilled nursing facilities
Regulatory Updates
The following regulations have been updated to align with this law:
- COMAR 10.39.01 – Certification of Nursing Assistants
- COMAR 10.39.02 – Nursing Assistant Training Programs
Medicare & Medicaid Changes (2026–2027)
Policy Changes in Motion:
Healthcare policy changes are underway that may impact Medicare and Medicaid beneficiaries, caregivers, and healthcare providers. As new rules are implemented over the next several years, it is important to stay informed and monitor updates at both the federal and state levels.
Key Areas to Watch:
Key Areas to Watch:
Key Areas to Watch:
- Medicare prescription drug coverage and out-of-pocket cost changes
- Medicare Advantage plan updates and consumer protections
- Prior authorization requirements for certain services
- Medicaid eligibility and renewal processes
- State-specific Medicaid policy changes and implementation timelines
What You Can Do:
Key Areas to Watch:
Key Areas to Watch:
✔ Review notices from Medicare, Medicaid, and your health plan
✔ Keep your contact information up to date
✔ Understand your coverage and benefits before making plan changes
✔ Stay informed about federal and state healthcare policy updates
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