US · guidance
CMS SOM App. M, Tag L789
§418.114(b)(5) - Occupational therapist
A person who—
(i)
(A) Is licensed or otherwise regulated, if applicable, as an occupational
therapist by the State in which practicing, unless licensure does not
apply;
(B) 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
(C) 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).
(ii) On or before December 31, 2009—
(A) Is licensed or otherwise regulated, if applicable, as an occupational
therapist by the State in which practicing; or
(B) When licensure or other regulation does not apply—
(1) 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
(2) 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).
(iii) On or before January 1, 2008—
(A) 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
(B) Is eligible for the National Registration Examination of the American
Occupational Therapy Association or the National Board for
Certification in Occupational Therapy.
(iv) On or before December 31, 1977—
(A) Had 2 years of appropriate experience as an occupational therapist;
and
(B) Had achieved a satisfactory grade on an occupational therapist
proficiency examination conducted, approved, or sponsored by the
U.S. Public Health Service.
(v) If educated outside the United States—
(A) Must meet both of the following:
(1) Graduated after successful completion of an occupational therapist
education program accredited as substantially equivalent to
occupational therapist assistant entry level education in the United
States by one of the following:
(i) The Accreditation Council for Occupational Therapy
Education (ACOTE).
(ii) Successor organizations of ACOTE.
(iii) The World Federation of Occupational Therapists.
(iv) A credentialing body approved by the American
Occupational Therapy Association.
(v) 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, is licensed or otherwise regulated, if
applicable, as an occupational therapist by the State in which
practicing.
History
Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
a255aaa764b22fafc1be86a9f5984cc9271f8e0bd6e3b562e70eda79af0c6446
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