DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
DIRECTOR’S OFFICE
OCCUPATIONAL THERAPISTS – GENERAL RULES
Filed with the secretary of state on April 26, 2023
These rules become effective immediately after filing with the secretary of state
unless adopted under section 33, 44, or 45a(9) of the administrative procedures act of
1969, 1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these
sections become effective 7 days after filing with the secretary of state.
(By authority conferred on the director of the department of licensing and regulatory
affairs by sections 16141, 16145, 16148, 16174, 16175, 16178, 16186, 16186a, 16204,
16205, 16215, 16287, 18307, 18309, and 18313 of the public health code, 1978 PA 368,
MCL 333.16141, 333.16145, 333.16148, 333.16174, 333.16175, 333.16178, 333.16186,
333.16186a, 333.16204, 333.16205, 333.16215, 333.16287, 333.18307, 333.18309, and
333.18313, and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-
4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)
R 338.1211, R 338.1215, R 338.1221, R 338.1223, R 338.1224, R 338.1225, R 338.1226,
R 338.1227, R 338.1229, R 338.1229a, R 338.1231, R 338.1233, R 338.1234a, R
338.1235, R 338.1236, R 338.1251, and R 338.1252 of the Michigan Administrative
Code are amended, R 338.1241 and R 338.1243 are added, and R 338.1222, R
338.1223a, R 338.1232, and R 338.1233a are rescinded, as follows:
PART 1. GENERAL PROVISIONS
R 338.1211 Definitions.
Rule 11. (1) As used in these rules:
(a) “ACOTE” means Accreditation Council for Occupational Therapy Education.
(b) “AOTA” means American Occupational Therapy Association.
(c) "Board" means the board of occupational therapists.
(d) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.
(e) "Department" means the department of licensing and regulatory affairs.
(f) “Direct supervision” means that the occupational therapist is physically present or
present via telemedicine with the individual being supervised or immediately available
for direction and onsite supervision when the limited assessment, task, intervention, or
interaction with the client is performed.
(g) “General supervision” means that the occupational therapist is not required to be
physically present on site or present during a telemedicine visit but is continuously
available when the limited assessment, task, intervention, or interaction with the client is
performed. Continuously available includes availability by telecommunication or another
electronic device.
December 13, 2022