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US · guidance

CMS SOM App. M, Tag L790

§418.114(b)(6) - Occupational therapy assistant

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

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
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