DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR’S OFFICE

OCCUPATIONAL THERAPISTS – GENERAL RULES

Filed with the secretary of state on May 3, 2021

These rules take effect immediately upon filing with the secretary of state unless

adopted under section 33, 44, or 45a(6) 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 department of licensing and regulatory affairs by sections

16145, 16148, 16204, 18307, 18309, and 18313 of the public health code, 1978 PA 368,

MCL 333.16145, 333.16148, 333.16204, 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 338.1212, R 338.1222, R 338.1223, R 338.1223a, R 338.1225,

R 338.1226, R 338.1227, R 338.1228, R 338.1229, R 338.1229a, R 338.1232,

R 338.1233, R 338.1233a, R 338.1234, R 338.1235, R 338.1236, R 338.1237,

R 338.1251, and R 338.1252 of the Michigan Administrative Code are amended,

R 338.1234a is added, and R 338.1213 is rescinded, as follows:

PART 1. DEFINITIONS

R 338.1211 Definitions.

Rule 11. (1) As used in these rules:

(a) "Board" means the board of occupational therapists.

(b) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.

(c) "Department" means the department of licensing and regulatory affairs.

(2) Unless otherwise defined in these rules, the terms defined in the code have the same

meaning when used in these rules.

PART 2. GENERAL PROVISIONS

R 338.1212 Grounds for disciplinary action.

Rule 12. The conduct included in section 16221 of the code, MCL 333.16221, is

prohibited conduct, and may be grounds for disciplinary action against a licensee,

registrant, or an applicant.

R 338.1213 Rescinded.

November 12, 2020

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PART 3. OCCUPATIONAL THERAPISTS

R 338.1222 Educational program standards; occupational therapist; adoption by

reference.

Rule 22. (1) The board approves and adopts by reference in these rules the standards for

accrediting occupational therapist educational programs in the documents entitled "2018

Accreditation Council for Occupational Therapy Education (ACOTE) Standards and

Interpretive Guide," adopted by the Accreditation Council for Occupational Therapy

Education (ACOTE), which were effective July 31, 2020. Copies of these standards are

available at no cost from the ACOTE website at https://acoteonline.org/wp-

content/uploads/2020/07/2018-ACOTE-Standards.pdf. Copies of the standards are also

available for inspection and distribution at 10 cents per page from the Michigan Board of

Occupational Therapists, Bureau of Professional Licensing, Department of Licensing and

Regulatory Affairs, 611 W. Ottawa, P.O. Box 30670, Lansing, Michigan 48909.

(2) Any educational program for occupational therapists that is accredited by the

ACOTE qualifies as an occupational therapist educational program approved by the

board.

(3) The board approves and adopts by reference in these rules the standards in the

document entitled "Minimum Standards for the Education of Occupational Therapists,

Revised 2016” published by the World Federation of Occupational Therapists (WFOT).

Copies of these standards are available at 10 cents per page on the (WFOT) website at

http://www.wfot.org . The standards are also available for inspection at cost from the

department at the address listed in subrule (1) of this rule.

(4) Any educational program for occupational therapists that is approved by the WFOT

qualifies as an occupational therapist educational program approved by the board.

(5) Any bachelor’s level educational program for occupational therapists that was

operating before December 31, 2006, and accredited by the ACOTE or approved by the

WFOT qualifies as an occupational therapist educational program approved by the board.

R 338.1223 Application for occupational therapist license; requirements.

Rule 23. An applicant for an occupational therapist license shall submit the required fee

and a completed application on a form provided by the department. In addition to

meeting the requirements of the code and these rules, an applicant must meet all of the

following requirements:

(a) Graduate from an occupational therapist education program that is accredited by the

ACOTE or approved by the WFOT, or their predecessor organizations, and meets the

standards adopted by the board under R 338.1222 or meets the requirements of R

338.1225.

(b) Within 3 years preceding the application for licensure and not more than 2 years

after the application for licensure, the applicant shall pass the occupational therapist

licensure examination adopted in R 338.1224.

(c) Within 3 years preceding the application for licensure and not more than 2 years

after the application for licensure, the applicant shall pass the examination on laws and

rules related to the practice of occupational therapy in this state that is developed and

administered by the department or an entity approved by the department.

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R 338.1223a Application for license; occupational therapist with lapsed registration;

requirements.

Rule 23a. (1) An applicant for an occupational therapist license whose registration as an

occupational therapist in this state lapsed on or before January 13, 2009, shall submit the

required fee and a completed application on a form, provided by the department, before

June 11, 2015. An applicant shall meet all of the following requirements:

(a) Maintain certification as an occupational therapist by the National Board for

Certification in Occupational Therapy (NBCOT) after the registration lapsed.

(b) Pass the examination on laws and rules related to the practice of occupational

therapy in this state which is developed and administered by the department or an entity

approved by the department.

(c) Complete a supervised practice experience that meets the requirements of R

338.1228. The duration of the experience must be as follows:

(i) If the applicant’s registration has lapsed for at least 3 years but less than 7 years,

the applicant shall complete not less than 200 hours of supervised practice experience.

(ii) If the applicant’s registration has lapsed for 7 years or more but less than 15 years,

the applicant shall complete not less than 400 hours of supervised practice experience.

(iii) If the applicant’s registration has lapsed for 15 years or more, the applicant shall

complete not less than 600 hours of supervised practice experience.

(2) An applicant’s license or registration must be verified, on a form supplied by the

department, by the licensing agency of any state in which the applicant holds a current

license or registration or ever held a license or registration as an occupational therapist. If

applicable, verification must include the record of any disciplinary action taken or

pending against the applicant.

(3) An applicant for licensure who was registered in this state as an occupational

therapist before January 1, 2009, whose registration had lapsed, and who did not apply

for licensure prior to June 11, 2015, shall complete the requirements of R 338.1223.

(4) For purposes of meeting the requirements of subrule (1)(c) of this rule, the

department may grant an applicant a limited license to complete the supervised practice

experience.

(5) A limited license granted under subrule (4) of this rule is valid for 1 year and may be

renewed 1 time.

R 338.1225 Graduate of non-accredited postsecondary institution; occupational therapist;

equivalency of education; NBCOT examination.

Rule 25. An applicant for an occupational therapist license who graduated from a non-

accredited postsecondary institution shall submit the required fee and a completed

application on a form provided by the department. In addition to meeting the

requirements of the code and these rules, an applicant shall meet all of the following

requirements:

(a) Establish to the board that the applicant completed an occupational therapist

educational program that is substantially equivalent to an occupational therapist program

that is accredited by the ACOTE or approved by the WFOT as provided in R 338.1222.

(b) Have documentation sent directly to the department from the NBCOT verifying the

applicant passed the NBCOT certification examination for occupational therapists

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adopted in R 338.1224 within 3 years preceding the application for licensure and not

more than 2 years after the application for licensure.

(c) Effective January 1, 2021, within 3 years preceding the application for licensure and

not more than 2 years after the application for licensure, the applicant shall pass the

examination on laws and rules related to the practice of occupational therapy in this state

that is developed and administered by the department or an entity approved by the

department.

R 338.1226 Licensure by endorsement; occupational therapist; requirements.

Rule 26. (1) An applicant for an occupational therapist license by endorsement shall

submit the required fee and a completed application on a form provided by the

department. In addition to meeting the requirements of the code and these rules, an

applicant meets the requirements of section 16186 of the code, MCL 333.16186, if the

applicant satisfies the requirements of this rule, as applicable.

(2) If an applicant is actively registered or licensed as an occupational therapist in

another state of the United States for 5 years or more and is in good standing within 30

days prior to filing an application for an occupational therapist license in this state, then

the applicant shall comply with both of the following:

(a) Have previously taken and passed the NBCOT certification examination for

occupational therapists with a score adopted by the board under R 338.1224(1) or the

predecessor examination that was administered by the American Occupational Therapy

Association (AOTA).

(b) Within 3 years preceding the application for endorsement and not more than 2

years after the application for endorsement, the applicant must pass the examination on

state laws and rules related to the practice of occupational therapy that is developed and

administered by the department or an entity approved by the department with a minimum

converted score of 75.

(3) If an applicant is actively registered or licensed as an occupational therapist in

another state of the United States for less than 5 years and is in good standing within 30

days prior to filing an application for an occupational therapist license in this state, then

the applicant shall comply with all of the following:

(a) Graduate from an occupational therapist education program that is accredited by the

ACOTE, or approved by the WFOT, or their predecessor organizations, and meets the

standards adopted by the board in R 338.1222.

(b) Meet the requirements of subrule (2)(a) and (b) of this rule.

(4) In addition to meeting the requirements of subrule (1) and either subrule (2) or (3) of

this rule, an applicant’s license or registration must be verified, on a form supplied by the

department, by the licensing agency of any state in which the applicant holds a current

license or registration or ever held a license or registration as an occupational therapist. If

applicable, verification shall include the record of any disciplinary action taken or

pending against the applicant.

R 338.1227 Requirements for relicensure; occupational therapist.

Rule 27. (1) An applicant whose license has lapsed for less than 3 years preceding the

date of application for relicensure may be relicensed under section 16201(3) of the code,

MCL 333.16201, if the applicant meets all of the following requirements:

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(a) Submits the required fee and a completed application on a form provided by the

department.

(b) Establishes that he or she is of good moral character.

(c) Submits proof of having completed the continuing education required in R

338.1252 within the 3-year period immediately preceding the date of the application for

relicensure. However, if the continuing education hours submitted with the application

are deficient, the applicant has 2 years from the date of the application to complete the

deficient hours. The application must be held and the license must not be issued until the

continuing education requirements have been met.

(2) An applicant for relicensure whose license has lapsed for 3 years or more preceding

the date of application may be relicensed under section 16201(4) of the code, MCL

333.16201, if the applicant meets all of the following requirements:

(a) Submits the required fee and a completed application on a form provided by the

department.

(b) Establishes that he or she is of good moral character.

(c) Submits fingerprints as set forth in section 16174(3) of the code, MCL 333.16174.

(d) Submits proof of having completed the continuing education required in R

338.1252 within the 3-year period immediately preceding the date of the application for

relicensure. However, if the continuing education hours submitted with the application

are deficient, the applicant has 2 years from the date of the application to complete the

deficient hours. The application must be held and the license must not be issued until the

continuing education requirements have been met.

(e) Within 3 years preceding the application for relicensure and not more than 2 years

after the application for relicensure, passes the examination on laws and rules related to

the practice of occupational therapy in this state that is developed and administered by the

department or an entity approved by the department.

(f) Either of the following:

(i) Within 3 years preceding the application for relicensure and not more than 2 years

after the application for relicensure, takes and passes the NBCOT certification

examination for occupational therapists, with a score adopted by the board under R

338.1224(1), and completes supervised practice experience pursuant to subrule (3) of this

rule.

(ii) Presents evidence to the department that he or she was actively registered or

licensed as an occupational therapist in another state during the 3-year period and in good

standing within 30 days, prior to filing the application for relicensure.

(3) An applicant who meets the requirements of subrule (2)(f)(i) of this rule shall

complete a supervised practice experience that meets the requirements of R 338.1228.

The applicant must have a limited license from the department while he or she

participates in the supervised practice experience. The duration of the experience must be

as follows:

(a) If the applicant’s license has lapsed for at least 3 years but less than 7 years, the

applicant shall complete not less than 200 hours of supervised practice experience.

(b) If the applicant’s license has lapsed for 7 years or more but less than 15 years, the

applicant shall complete not less than 400 hours of supervised practice experience.

(c) If the applicant’s license has lapsed for more than 15 years, the applicant shall

complete not less than 600 hours of supervised practice experience.

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(4) In addition to meeting the requirements of either subrule (1) or subrules (2) and (3)

of this rule, pursuant to section 16174 of the code, MCL 333.16174, an applicant’s

license or registration must be verified, on a form supplied by the department, by the

licensing agency of any state in which the applicant holds a current license or registration

or ever held a license or registration as an occupational therapist. Verification includes,

but is not limited to, showing proof of any disciplinary action taken or pending against

the applicant.

(5) For purposes of meeting the requirements of subrule (3) of this rule, the department

may grant an applicant a limited license to complete the supervised practice experience.

(6) A limited license granted under subrule (5) of this rule is valid for 1 year and may be

renewed 1 time.

R 338.1228 Supervised practice experience; occupational therapist; requirements.

Rule 28. (1) The supervised practice experience required for relicensure under R

338.1227 must comply with both of the following:

(a) The supervised practice experience must be obtained under the supervision of a

licensed occupational therapist having 3 or more years clinical experience and no past or

pending disciplinary actions.

(b) The supervising occupational therapist shall provide the board with verification of

the applicant's completion of the supervised practice experience on a form provided by

the department.

(2) The supervised practice experience must consist of, at a minimum, professional and

clinical instruction in all of the following areas:

(a) Referral process.

(b) Screening process.

(c) Evaluations.

(d) Intervention plans.

(e) Intervention strategies.

(f) Discontinuation; referral for other services.

R 338.1229 Delegation of limited assessments, tasks or interventions to an occupational

therapy assistant; supervision of an occupational therapy assistant; requirements.

Rule 29. (1) An occupational therapist who delegates the performance of selected

limited assessments, tasks or interventions to an occupational therapy assistant as

permitted under section 16215 of the code, MCL 333.16215, shall supervise the

occupational therapy assistant consistent with section 16109(2) of the code, MCL

333.16109, and satisfy the requirements of this rule. As used in this rule, “limited

assessment” means those parts of an evaluation that an occupational therapy assistant is

qualified by education and training to perform while under the supervision of an

occupational therapist.

(2) An occupational therapist who delegates limited assessments, tasks, or interventions

to an occupational therapy assistant shall ensure the qualifications of the occupational

therapy assistant under the occupational therapist’s supervision, including verification of

the occupational therapy assistant’s training, education, and licensure.

(3) An occupational therapist who delegates limited assessments, tasks, or interventions

to an occupational therapy assistant shall determine and provide the appropriate level of

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supervision required for the occupational therapy assistant’s performance of the delegated

limited assessment, task, or intervention. The appropriate level of supervision must be

determined based on the occupational therapy assistant’s education, training, and

experience and includes 1 of the following:

(a) “General supervision” means that the occupational therapist is not required to be

physically present on site but shall be continuously available at the time the limited

assessment, task, or intervention is performed. Continuously available includes

availability by telecommunication or other electronic device.

(b) “Direct supervision” means that the occupational therapist is physically present

with the occupational therapy assistant or immediately available for direction and onsite

supervision at the time the limited assessment, task, or intervention is performed, and that

the occupational therapist has direct contact in the physical presence of the patient or

client during each visit.

(4) An occupational therapist who delegates limited assessments, tasks, or interventions

under this rule shall also comply with all of the following:

(a) Initiate and direct the evaluation of the patient or client before delegating limited

assessments.

(b) Complete the evaluation before delegating tasks or interventions to be performed

by an occupational therapy assistant.

(c) Supervise an occupational therapy assistant to whom limited assessments, tasks, or

interventions have been delegated.

(d) Provide predetermined procedures and protocols for limited assessments, tasks, or

interventions that have been delegated.

(e) Monitor an occupational therapy assistant’s practice and provision of assigned

limited assessments, tasks, or interventions.

(f) Maintain a record of the names of the occupational therapy assistants to whom

limited assessments, tasks, or interventions have been delegated pursuant to section

16215 of the code, MCL 333.16215.

(g) Meet using live, synchronous contact at least once per month with the occupational

therapy assistant to whom limited assessments, tasks, or interventions have been

delegated to evaluate the assistant’s performance, review client or patient records, and

educate the occupational therapy assistant on the limited assessments, tasks, or

interventions that have been delegated to facilitate professional growth and development.

The occupational therapist shall maintain documentation of the meeting that has been

signed by both the occupational therapist and the occupational therapy assistant.

Compliance with this subdivision shall not be used as a substitute for the ongoing

supervision required under this subrule and subrule (3) of this rule.

(5) An occupational therapist shall not delegate the performance of either of the

following to an occupational therapy assistant:

(a) The sole development of a treatment plan.

(b) The sole evaluation and interpretation of evaluation results.

(6) An occupational therapist shall not supervise more than 4 occupational therapy

assistants who are providing services to patients at the same time.

R 338.1229a Delegation of tasks to an unlicensed individual; direct supervision of an

unlicensed individual; requirements.

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Rule 29a. (1) An occupational therapist who delegates the performance of selected tasks

to an unlicensed individual as permitted under section 16215 of the code, MCL

333.16215, shall supervise the unlicensed individual consistent with section 16109(2) of

the code, MCL 333.16109, and satisfy the requirements of this rule. As used in this rule,

“unlicensed individual” means an individual who does not hold an occupational therapist

license, an occupational therapy assistant license, or any other health professional license

and who may be able to perform the tasks identified in this rule.

(2) An occupational therapist who delegates tasks to an unlicensed individual shall

provide direct supervision of the unlicensed individual. As used in this subrule, “direct

supervision” means that the occupational therapist is physically present with the

unlicensed individual or immediately available for direction and onsite supervision when

patients or clients are present at the time the task is performed, and that the occupational

therapist has direct contact with the patient or client during each visit.

(3) An occupational therapist who delegates tasks under subrule (2) of this rule shall

also comply with all of the following:

(a) Ensure the qualifications of the unlicensed individual under the occupational

therapist’s direct supervision, including verification of the unlicensed individual’s

training and education.

(b) Examine and evaluate the patient or client before delegating tasks to be performed

by an unlicensed individual.

(c) Supervise an unlicensed individual to whom tasks have been delegated.

(d) Provide predetermined procedures and protocols for tasks that have been delegated.

(e) Under section 16213 of the code, MCL 333.16213, maintain a record of the names

of the unlicensed individuals to whom tasks have been delegated.

(f) Monitor an unlicensed individual’s practice and provision of assigned tasks.

(4) An occupational therapist shall not supervise more than 3 unlicensed individuals

who are providing services to patients or clients at the same time.

(5) An occupational therapist shall not delegate the performance of an occupational

therapy intervention to an unlicensed individual.

(6) Under section 16171 of the code, MCL 333.16171, the requirements of subrules (2),

(3)(b), and (5) of this rule do not apply to a student enrolled in an ACOTE accredited or

WFOT approved occupational therapist educational program or an ACOTE accredited

occupational therapy assistant educational program approved by the board.

PART 4. OCCUPATIONAL THERAPY ASSISTANTS

R 338.1232 Educational program standards; occupational therapy assistant; adoption by

reference.

Rule 32. (1) The board approves and adopts by reference in these rules the standards for

accrediting occupational therapy assistant educational programs in the document entitled

“2018 Accreditation Council for Occupational Therapy Education (ACOTE) Standards

and Interpretive Guide," adopted by the ACOTE, which were effective July 31, 2020.

Copies of these standards are available at no cost from the ACOTE website at

https://acoteonline.org/wp-content/uploads/2020/07/2018-ACOTE-Standards.pdf . Copies

of the standards are also available for inspection and distribution at 10 cents per page

from the Michigan Board of Occupational Therapists, Bureau of Professional Licensing,

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Department of Licensing and Regulatory Affairs, 611 W. Ottawa, P.O. Box 30670,

Lansing, Michigan 48909.

(2) Any educational program for occupational therapy assistants that is accredited by the

ACOTE qualifies as an occupational therapy assistant educational program approved by

the board.

R 338.1233 Application for occupational therapy assistant license; requirements.

Rule 33. An applicant for an occupational therapy assistant license shall submit the

required fee and a completed application on a form provided by the department. In

addition to meeting the requirements of the code and these rules, an applicant shall meet

all of the following requirements:

(a) Graduate from an accredited occupational therapy assistant educational program that

meets the standards adopted by the board under R 338.1232.

(b) Within 3 years preceding the application for licensure and not more than 2 years

after the application for licensure, the applicant shall pass an occupational therapy

assistant licensure examination that is approved by the board.

(c) Within 3 years preceding the application for licensure and not more than 2 years

after the application for licensure, the applicant shall pass the examination on laws and

rules related to the practice of occupational therapy in this state that is developed and

administered by the department or an entity approved by the department.

R 338.1233a Application for license; occupational therapy assistant with lapsed

registration; requirements.

Rule 33a. (1) An applicant for an occupational therapy assistant license whose

registration as an occupational therapy assistant in this state lapsed on or before January

13, 2009, shall submit the required fee and a completed application on a form, provided

by the department, before June 11, 2015. An applicant shall meet all of the following

requirements:

(a) Maintain certification as an occupational therapy assistant by the NBCOT after the

registration lapsed.

(b) Pass the examination on laws and rules related to the practice of occupational

therapy in this state that is developed and administered by the department or an entity

approved by the department.

(c) Complete a supervised practice experience that meets the requirements of R 338.

1237. The duration of the experience must be as follows:

(i) If the applicant’s registration has lapsed for 3 years but less than 7 years, the

applicant shall complete not less than 200 hours of supervised practice experience.

(ii) If the applicant’s registration has lapsed for 7 years or more but less than 15 years,

the applicant shall complete not less than 400 hours of supervised practice experience.

(iii) If the applicant’s registration has lapsed for 15 years or more, the applicant shall

complete not less than 600 hours of supervised practice experience.

(2) An applicant’s license or registration must be verified, on a form supplied by the

department, by the licensing agency of any state in which the applicant holds a current

license or registration or ever held a license or registration as an occupational therapy

assistant. Verification includes, but is not limited to, showing proof of any disciplinary

action taken or pending against the applicant.

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(3) An applicant for licensure who was registered in this state as an occupational therapy

assistant prior to January 13, 2009, whose registration had lapsed, and who did not apply

for licensure prior to June 11, 2015, shall complete the requirements of R 338.1233.

(4) For purposes of meeting the requirements of subrule (1)(c) of this rule, the

department may grant an applicant a limited license to complete the supervised practice

experience.

(5) A limited license granted under subrule (4) of this rule is valid for 1 year and may be

renewed 1 time.

R 338.1234 Examinations; occupational therapy assistant; adoption and approval;

passing scores.

Rule 34. (1) Under R 338.1233(b), the board approves and adopts the certification

examination for occupational therapy assistants that was developed, administered, and

scored by the NBCOT as the licensure examination for occupational therapy assistants in

this state. The board adopts the passing score recommended by the NBCOT for the

certification examination.

(2) The board approves the examination on laws and rules related to the practice of

occupational therapy in this state that is developed and administered by the department or

an entity approved by the department. The passing score on the laws and rules

examination is a converted score of not less than 75.

(3) An applicant who fails to achieve a passing score on the examination required in

subrule (2) of this rule may retake the examination without limitation.

R 338.1234a Graduate of non-accredited postsecondary institution; occupational therapy

assistant; equivalency of education; NBCOT examination.

Rule 34a. (1) An applicant for an occupational therapy assistant license who graduated

from a non-accredited postsecondary institution shall submit the required fee and a

completed application on a form provided by the department. In addition to meeting the

requirements of the code and these rules, an applicant shall meet all of the following

requirements:

(a) Establish to the board that the applicant completed an occupational therapy

assistant educational program that is substantially equivalent to an occupational therapist

assistant program that is accredited by the ACOTE as provided in R 338.1232.

(b) Have documentation sent directly to the department from the NBCOT verifying the

applicant passed the NBCOT certification examination for occupational therapy

assistants adopted in R 338.1234 within 3 years preceding the application for licensure

and not more than 2 years after the application for licensure.

(c) Within 3 years preceding the application for licensure and not more than 2 years

after the application for licensure, the applicant shall pass the examination on laws and

rules related to the practice of occupational therapy in this state that is developed and

administered by the department or an entity approved by the department.

(2) This rule is effective on January 1, 2021.

R 338.1235 Licensure by endorsement of occupational therapy assistant; requirements.

Rule 35. (1) An applicant for an occupational therapy assistant license by endorsement

shall submit the required fee and a completed application on a form provided by the

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department. In addition to meeting the requirements of the code and these rules, an

applicant meets the requirements of section 16186 of the code, MCL 333.16186, if the

applicant satisfies the requirements of this rule, as applicable.

(2) If an applicant is actively registered or licensed in another state of the United States

for 5 years or more and is in good standing as an occupational therapy assistant within 30

days prior to filing an application for a an occupational therapy assistant license in this

state, then the applicant shall comply with both of the following:

(a) Have previously taken and passed the NBCOT certification examination for

occupational therapy assistants with a score adopted by the board under R 338.1234(1).

(b) Within 3 years preceding the application for endorsement and not more than 2

years after the application for endorsement, the applicant shall pass the examination on

state laws and rules related to the practice of occupational therapy that is developed and

administered by the department or an entity approved by the department. The passing

score on the laws and rules examination is a converted score of not less than 75.

(3) If an applicant is actively registered or licensed as an occupational therapist assistant

in another state of the United States for less than 5 years and is in good standing within

30 days prior to filing an application for an occupational therapy assistant license in this

state, then the applicant shall comply with all of the following:

(a) Graduate from an occupational therapy assistant education program that is

accredited by the ACOTE, or its predecessor organization that meets the standards

adopted by the board in

R 338.1232.

(b) Meet the requirements of subrule (2) of this rule.

(4) In addition to meeting the requirements of subrule (1) and either subrule (2) or (3) of

this rule, an applicant’s license or registration must be verified, on a form supplied by the

department, by the licensing agency of any state in which the applicant holds a current

license or registration or ever held a license or registration as an occupational therapy

assistant. Verification includes, but is not limited to, showing proof of any disciplinary

action taken or pending against the applicant.

R 338.1236 Requirements for relicensure; occupational therapy assistant.

Rule 36. (1) An applicant whose license has lapsed for less than 3 years preceding the

date of application for relicensure may be relicensed under section 16201(3) of the code,

MCL 333.16201(3), if the applicant meets all of the following requirements:

(a) Submits the required fee and a completed application on a form provided by the

department.

(b) Establishes that he or she is of good moral character.

(c) Submits proof of having completed the continuing education required in R

338.1252 within the 3-year period immediately preceding the date of the application for

relicensure. However, if the continuing education hours submitted with the application

are deficient, the applicant has 2 years from the date of the application to complete the

deficient hours. The application must be held and the license must not be issued until the

continuing education requirements have been met.

(2) An applicant for relicensure whose license has lapsed for 3 years or more preceding

the date of application may be relicensed under section 16201(4) of the code, MCL

333.16201, if the applicant meets all of the following requirements:

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(a) Submits the required fee and a completed application on a form provided by the

department.

(b) Establishes that he or she is of good moral character.

(c) Submits fingerprints as set forth in section 16174(3) of the code, MCL 333.16174.

(d) Submits proof of having completed the continuing education required in R

338.1252 within the 3-year period immediately preceding the date of the application for

relicensure. However, if the continuing education hours submitted with the application

are deficient, the applicant has 2 years from the date of the application to complete the

deficient hours. The application must be held and the license must not be issued until the

continuing education requirements have been met.

(e) Within 3 years preceding the application for relicensure and not more than 2 years

after the application for licensure, passes the examination on laws and rules related to the

practice of occupational therapy in this state that is developed and administered by the

department or an entity approved by the department.

(f) Either of the following:

(i) Within 3 years preceding the application for relicensure and not more than 2 years

after the application for licensure, takes and passes the NBCOT certification examination

for occupational therapy assistants with a score adopted by the board under R

338.1234(1) and completes supervised practice experience pursuant to subrule (3) of this

rule.

(ii) Presents evidence to the department that he or she was actively registered or

licensed as an occupational therapy assistant in another state during the 3-year period and

was in good standing within 30 days prior to filing the application for relicensure.

(3) An applicant who meets the requirements of subdivision (2)(f)(i) of this rule shall

complete a supervised practice experience that meets the requirements of R 338.1237.

The duration of the experience must be as follows:

(a) If the applicant’s license has lapsed for at least 3 years but less than 7 years, the

applicant shall complete not less than 200 hours of supervised practice experience.

(b) If the applicant’s license has lapsed for 7 years or more but 15 years or less, the

applicant shall complete not less than 400 hours of supervised practice experience.

(c) If the applicant’s license has lapsed for more than 15 years, the applicant shall

complete not less than 600 hours of supervised practice experience.

(4) In addition to meeting the requirements of either subrule (1) or subrules (2) and (3)

of this rule, pursuant to section 16174 of the code, MCL 333.16174, an applicant’s

license or registration must be verified, on a form supplied by the department, by the

licensing agency of any state in which the applicant holds a current license or registration

or ever held a license or registration as an occupational therapy assistant. Verification

includes, but is not limited to, showing proof of any disciplinary action taken or pending

against the applicant.

(5) For purposes of meeting the requirements of subrule (3) of this rule, the department

may grant an applicant a limited license to complete the supervised practice experience.

(6) A limited license granted under subrule (5) of this rule is valid for 1 year and may be

renewed 1 time.

R 338.1237 Supervised practice experience; occupational therapy assistant;

requirements.

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Rule 37. (1) The supervised practice experience required for relicensure under R

338.1236 shall comply with all of the following:

(a) The supervised practice experience must be obtained under the supervision of a

licensed occupational therapist having 3 or more years clinical experience and no past or

pending disciplinary actions.

(b) The supervising occupational therapist shall provide the board with verification of

the applicant's completion of the supervised practice experience on a form provided by

the department.

(2) The supervised practice experience must consist of, at a minimum, professional and

clinical instruction in all of the following areas:

(a) Referral process.

(b) Screening process.

(c) Evaluations.

(d) Intervention plans.

(e) Intervention strategies.

(f) Discontinuation; referral for other services.

(3) Only experience obtained in an approved supervised practice situation by an

individual who holds a limited license counts toward the experience requirement.

PART 5. CONTINUING EDUCATION

R 338.1251 License renewal; occupational therapist; occupational therapy assistant;

requirements.

Rule 51. (1) This part applies to applications for renewal of licensure that are filed for

the renewal cycle beginning 1 year or more after the effective date of these rules.

(2) An applicant for license renewal who has been licensed for the 2-year licensing

period immediately preceding the expiration date of the license shall accumulate not less

than 20 continuing education contact hours that are approved by the board pursuant to R

338.1252 during the 2-year licensing period immediately preceding an application for

renewal.

(3) Submission of an application for renewal constitutes the applicant’s certification of

compliance with the requirements of this rule.

(4) A licensee shall retain documentation of meeting the requirements of this rule for a

period of 4 years from the date of applying for license renewal. Failure to comply with

this rule is a violation of section 16221(h) of the code, MCL 333.16221.

(5) The board may require an applicant or licensee to submit evidence to demonstrate

compliance with this rule.

(6) A request for a waiver under section 16205 of the code, MCL 333.16205 must be

received by the department before the expiration date of the license.

(7) The requirements of this part do not apply to an applicant during an initial licensure

cycle.

R 338.1252 Acceptable continuing education; occupational therapist; occupational

therapy assistant; requirements.

Rule 52. (1) The 20 hours of continuing education required pursuant to R 338.1251 for

the renewal of a license must comply with the following:

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(a) Not more than 10 credit hours may be earned during a 24-hour period for on-line or

electronic media, such as videos, internet web-based seminars, video conferences, on-line

continuing education programs, and on-line journal articles that are asynchronous and not

interactive.

(b) An applicant may not earn credit for a continuing education program or activity

that is identical or substantially similar to a program or activity the applicant has already

earned credit for during that renewal period.

(c) Pursuant to section 16204 of the code, MCL 333.16204, at least 1 hour of

continuing education must be earned in the area of pain and symptom management.

Continuing education hours in pain and symptom management may include, but are not

limited to, courses in behavior management, psychology of pain, pharmacology, behavior

modification, stress management, clinical applications, and drug interventions as they

relate to the practice of occupational therapy.

(2) One-half of the required continuing education contact hours must be completed by

live, synchronous, and interactive courses and programs. The remaining continuing

education contact hours may be completed in any other format.

(3) The following are acceptable continuing education activities:

ACCEPTABLE CONTINUING EDUCATION ACTIVITIES

(a) Completion of an approved continuing

education program or activity related to

the practice of occupational therapy. A

continuing education program or activity

The number of hours approved by

the sponsor or the approving

organization.

is approved if it is approved or offered for If the activity was not approved for

continuing education credit by any of the

following:

NBCOT.

International Association for Continuing

Education and Training (IACET)

authorized providers.

Another state or provincial board of

occupational therapy.

a set number of hours, then 1 hour

of continuing education for each 60

minutes of participation may be

earned.

Credit in this category may be

earned without limitation.

Michigan Occupational Therapy

Association (MIOTA).

An occupational therapy education

program approved by the board in R

338.1222.

Employer-provided work place training.

Third party presentation that contributes to

professional growth, development, and

competency of occupational therapy

practitioners.

If audited, an applicant shall submit a

copy of a letter or certificate of completion

showing the applicant’s name, number of

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credits earned, sponsor name or the name

of the organization that approved the

program or activity for continuing

education credit, and the date on which the

program was held or activity completed.

(b) Completion of academic courses related to Five hours of continuing education

the practice of occupational therapy

offered in an occupational therapy

education program approved by the board

pursuant to R 338.1222.

may be earned for each semester

credit hour earned.

Three hours of continuing education

may be earned for each quarter

credit hour earned.

If audited, an applicant shall submit an

official transcript that reflects completion

of the academic course and number of

semester or quarter credit hours earned.

Credit in this category may be

earned without limitation.

(c) Initial publication of a chapter or an article A maximum of 10 hours may be

related to the practice of occupational

therapy in either of the following:

A peer-reviewed textbook.

A professional health care textbook.

A peer-reviewed journal or periodical.

Practice area related article in lay

publication (community newspaper and

newsletter).

earned in each renewal period.

10 hours of continuing education

can may be earned for a publishing

a peer-reviewed textbook,

professional healthcare textbook or

a peer-reviewed journal or

periodical.

Non-peer reviewed professional

publication (such as OT Practice, SIS

Quarterly and Advance).

2 hours of continuing education

may be earned for publishing a

practice related article in a lay

publication.

If audited, an applicant shall submit a

copy of the publication that identifies the

applicant as the author of the publication

or a publication acceptance letter.

5 hours of continuing education

may be earned for publishing a non-

peer reviewed professional

publication.

(d) Independent reading of peer reviewed

articles or viewing or listening to media

related to the practice of occupational

therapy that does not include a self-

assessment component.

One hour for each 60 minutes of

participation.

A maximum of 5 hours may be

earned in each renewal period.

If audited, an applicant shall submit an

affidavit attesting to the number of hours

the applicant spent participating in these

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activities that includes a description of the

activity.

(e) Initial presentation of an academic or

Three hours may be earned for each

continuing education program that is not a 60 minutes of presentation.

part of the applicant’s regular job

description.

A maximum of 10 hours may be

earned in each renewal period.

If audited, an applicant shall submit a

copy of the curriculum and a letter from

the program sponsor verifying the length

and date of the presentation.

(f) Fieldwork supervision that is not part of

the applicant’s primary job description.

Level I: One hour for all

supervision activities may be earned

per student.

If audited, an applicant shall submit a

copy of a letter of verification or

certificate from school including dates of

fieldwork and name of fieldwork student.

Level II: One hour may be earned

for each week of supervision per

student supervised.

A maximum of 12 hours may be

earned in each renewal period.

A maximum of 10 hours of

continuing education may be earned

for this activity in each renewal

period.

(g) Participating on a state or national board,

or board of a local chapter or association

or committee, or volunteering related to

the field of occupational therapy. A state

or national board, or board of a local

chapter or association is considered

acceptable by the board if it enhances the

participant’s knowledge and

Attendance at a meeting equals 1

credit hour of continuing education.

understanding of the field of occupational Attendance at a volunteering

therapy.

activity equals 1 credit hour of

continuing education.

If audited, an applicant shall submit

documentation verifying the licensee’s

participation in at least 50% of the

regularly scheduled meetings of the board.

(h) Primary or co-primary investigator in

research activities or outcome studies, or

A maximum of 10 hours of

continuing education may be earned

externally funded service training projects in each renewal period.

associated with grants or post-graduation

studies related to the field of occupational

therapy.

(i) Completion of competency assessment or A maximum of 10 hours may be

knowledge skills assessment activities, or earned in each renewal period.

both, either online or in person by an

approved provider or employer.

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If audited, an applicant shall submit

documentation to include a certificate of

completion or similar document including

name, activity, date, sponsoring

organization, location and time attended.