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US · guidance

CMS SOM App. M, Tag L789

§418.114(b)(5) - Occupational therapist

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

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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