US · guidance
CMS SOM App. M, Tag L790
§418.114(b)(6) - Occupational therapy assistant
A person who—
(i) Meets all of the following:
(A) Is licensed or otherwise regulated, if applicable, as an occupational
therapy assistant by the State in which practicing, unless licensure does
apply.
(B) Graduated after successful completion of an occupational therapy
assistant education program accredited by the Accreditation Council for
Occupational Therapy Education, (ACOTE) of the American
Occupational Therapy Association, Inc. (AOTA) or its successor
organizations.
(C) Is eligible to take or successfully completed the entry-level certification
examination for occupational therapy assistants 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 as an occupational therapy assistant, if
applicable, by the State in which practicing; or any qualifications defined
by the State in which practicing, unless licensure does not apply; or
(B) Must meet both of the following:
(1) Completed certification requirements to practice as an
occupational therapy assistant established by a credentialing
organization approved by the American Occupational Therapy
Association.
(2) After January 1, 2010, meets the requirements in paragraph
(b)(6)(i) of this section.
(iii) After December 31, 1977 and on or before December 31, 2007—
(A) Completed certification requirements to practice as an occupational
therapy assistant established by a credentialing organization approved by
the American Occupational Therapy Association; or
(B) Completed the requirements to practice as an occupational therapy
assistant applicable in the State in which practicing.
(iv) On or before December 31, 1977—
(A) Had 2 years of appropriate experience as an occupational therapy
assistant; and
(B) Had achieved a satisfactory grade on an occupational therapy assistant
proficiency examination conducted, approved, or sponsored by the U.S.
Public Health Service.
(v) If educated outside the United States, on or after January 1, 2008—
(A) Graduated after successful completion of an occupational therapy
assistant education program that is accredited as substantially equivalent
to occupational therapist assistant entry level education in the United
States by—
(1) The Accreditation Council for Occupational Therapy Education
(ACOTE).
(2) Its successor organizations.
(3) The World Federation of Occupational Therapists.
(4) By a credentialing body approved by the American Occupational
Therapy Association; and
(5) Successfully completed the entry level certification examination
for occupational therapy assistants developed and administered by
the National Board for Certification in Occupational Therapy, Inc.
(NBCOT).
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
112d593592c65fdd6f08b2b050a2defb4967a603adba6b225782115c8954b4cc
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.