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US · guidance

CMS SOM App. B, Tag G1062

§484.115(f) Standard: Occupational therapist

activein force · 2026-07-22 – presentas-observed

A person who—

(1)(i) Is licensed or otherwise regulated, if applicable, as an occupational therapist

by the state in which practicing, unless licensure does not apply; or

(ii) Graduated after successful completion of an occupational therapist education

program accredited by the Accreditation Council for Occupational Therapy

Education (ACOTE) of the American Occupational Therapy Association, Inc.

(AOTA), or successor organizations of ACOTE; and

(iii) Is eligible to take, or has successfully completed the entry-level certification

examination for occupational therapists developed and administered by the

National Board for Certification in Occupational Therapy, Inc. (NBCOT).

(2) On or before December 31, 2009—

(i) Is licensed or otherwise regulated, if applicable, as an occupational therapist by

the state in which practicing; or

(ii) When licensure or other regulation does not apply—

(A) Graduated after successful completion of an occupational therapist

education program accredited by the accreditation Council for Occupational

Therapy Education (ACOTE) of the American Occupational Therapy

Association, Inc. (AOTA) or successor organizations of ACOTE; and

(B) Is eligible to take, or has successfully completed the entry-level

certification examination for occupational therapists developed and

administered by the National Board for Certification in Occupational

Therapy, Inc., (NBCOT).

(3) On or before January 1, 2008—

(i) Graduated after successful completion of an occupational therapy program

accredited jointly by the Committee on Allied Health Education and Accreditation

of the American Medical Association and the American Occupational Therapy

Association; or

(ii) Is eligible for the National Registration Examination of the American

Occupational Therapy Association or the National Board for Certification in

Occupational Therapy.

(4) On or before December 31, 1977—

(i) Had 2 years of appropriate experience as an occupational therapist; and

(ii) Had achieved a satisfactory grade on an occupational therapist proficiency

examination conducted, approved, or sponsored by the U.S. Public Health Service.

(5) If educated outside the United States, must meet both of the following:

(i) Graduated after successful completion of an occupational therapist education

program accredited as substantially equivalent to occupational therapist entry level

education in the United States by one of the following:

(A) The Accreditation Council for Occupational Therapy Education

(ACOTE).

(B) Successor organizations of ACOTE.

(C) The World Federation of Occupational Therapists.

(D) A credentialing body approved by the American Occupational Therapy

Association.

(E) Successfully completed the entry level certification examination for

occupational therapists developed and administered by the National Board

for Certification in Occupational Therapy, Inc. (NBCOT).

(ii) On or before December 31, 2009, is licensed or otherwise regulated, if applicable,

as an occupational therapist by the state in which practicing.

History

Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
f438e294ad56c27e53529b57329bb3f517f6a01725eaddea6988108ef49a71a0
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