FAQS

 

Questions

Licensing

  1. How long will it take to get a license?
  2. How much does it cost to get a license and what are the various fees?
  3. How do I get verification of my license?
  4. How do I apply for a license?
  5. Can Foreign trained therapists, who have not taken and passed the NBCOT exam, be licensed in the state?
  6. Who completes the Certificate of Moral Character forms?
  7. What if the state that I worked in did not require licensure at the time that I worked there?
  8. When does my license expire?
  9. How will I obtain my User ID and Password to take the Jurisprudence Exam required for my application for Licensure?
  10. I have not practiced occupational therapy for more than 24 months.  Is the licensure process different for me?
  11. My NC license has ben expired for more than 24 months.  Can I renew my license or do I have to re-apply?

Renewal and Continuing Competence

  1. How do I renew my license?
  2. Do I have to renew my license using the online renewal procedure?
  3. Do we need to continue to be certified by NBCOT in order to renew our license?
  4. What is the difference between “continuing education” and “continuing competence activities”?
  5. What is a continuing competence “point”?
  6. How many “points” do I need to renew my license?
  7. What can I do to complete my continuing competence requirements?
  8. Do I need to send in the documentation for my continuing competence activity?
  9. If my facility requires that I take CPR, HIPPA, HIV or Infection Control classes each year, can I use them toward my continuing competence requirement?
  10. What are the requirements for the Ethics continuing competence activity (CCA)?
  11. How do I store my continuing competence activity online?
  12. What if I have a question about whether or not a CCA is acceptable?

License Verification

  1. How do I verify a license number?
  2. What is the verification process?

Links to Other Related Boards

  1. How do I contact the National Board for the Certification of Occupational Therapy (NBCOT)?
  2. How do I contact the American Occupational Therapy Association (AOTA)?
  3. How do I contact the North Carolina State Occupational Therapy Association (NCOTA)?

Forms

  1. How do I change my name on my license?
  2. Where can I find a sample mentorship agreement?
  3. Where can I find the Group Study Form?

Supervision Questions

  1. Does an OTA have to have a supervisor to work PRN?
  2. How often do I have to have face to face supervisory visits with an experienced OTA?
  3. Do I have to notify the Board every time I change supervisors or supervisees if I work PRN?
  4. I’m an occupational therapy assistant who has several supervisors.  Which one should I use when completing the online Renewal Application?
  5. How often do I have to have face to face supervisory visits with a new graduate OTA?
  6. Does the OT have to meet with the client before delegating assessments to the OTA to administer as evaluation tools?

  7. How often does the supervising OT need to make home visits to supervise an OTA providing home health care?

General Information

  1. Do I have to update my online profile every time I move or change employers?
  2. Now that I’m licensed, what letter do I put after my signature?
  3. I’ve maintained my National Certification but correspondence from the NC Board does not indicate that I am Nationally Certified.
  4. Can physical agent modalities be used by Occupational Therapists.
  5. Can an OTA fabricate splints on a "splint only" Dr. order?
  6. Is a OTA allowed to complete discharge summaries?
  7. Is a physician's order required for an OT to treat a patient?
  8. Can an OTA perform screenings?
  9. How do I report a possible infraction of the NC Occupational Therapy Practice Act or Rules of the Board?
  10. Can an OT or OTA provide wound care?
  11. Can I put my license on "Inactive" status?
  12. Why does the Board ask the same questions each year about education, practice setting, practice specialty and race?
  13. How can I get a duplicate copy of my license certificate or renewal card?

Licensing

1. How long will it take to get a license?

Application requests are normally processed within a week of receipt by the Board office. Licenses are usually issued on Fridays within one(1) to two (2) weeks after the application and all required documentation is received and processed by the Board office.  Click the License Verification tab of the website after 5:00 p.m. on Fridays to verify licenses issued that day.

2. How much does it cost to get a license and what are the various fees?

Annual License Renewal Fee

$50

Application Packet

$10

Duplicate License Certificate

$15

Duplicate Renewal Card

$5

Initial License Fee

$100

Late Renewal Fee

$50

License Verification Fee

$20

Mailing List

$100

Practice Act Booklet

$15

 

3. How do I get verification of my license?

You may go to the License Verification tab of this website (free of charge) or submit a written verification request to the Board office along with a $20 fee.  The fee must be in the form of a certified check or money order if your NC license is not current at the time of the request.

NO LICENSE VERIFICATIONS ARE DONE BY PHONE OR FAX

4. How do I apply for a license?

Please refer to Application Process link.

5. Can Foreign trained therapists, who have not taken and passed the NBCOT exam, be licensed in the state?

No, foreign trained therapist who have not taken and passed the NBCOT exam are not eligible for licensure in North Carolina.

6. Who completes the Certificate of Moral Character forms?

The forms should be completed by two different occupational therapists or occupational therapy assistants who are currently licensed as an OT or OTA or have, at one time, been certified by the National Board for Certification in Occupational Therapy (NBCOT).

7. What if the state that I worked in did not require licensure at the time that I worked there?

The applicant does not need to request a license verification if the state did not have licensure, at that time.

8. When does my license expire?

Licenses expire on June 30th every year.  If your license is issued between January 1st and March 31st, it will expire on June 30th of the same year it is issued.  If it is issued between April 1st and December 31st, it will expire on June 30th of the following year.

9.  How will I obtain my User ID and Password to take the Jurisprudence Exam required for my application for licensure? 

The application instructions sent by email when you request the application online contains all of the information you will need to take the Jurisprudence Exam.

10.  I have not practiced occupational therapy for more than 24 months. Is the licensure process different for me?

The licensure process is not different but Rule .0201(b) states that an applicant re-entering the field after more than 24 months shall complete 90 days of general supervision and shall provide to the Board a written plan for the supervision within 10 days of accepting employment and monthly documentation confirming that the supervision is being provided.

11.  My NC license has been expired for more than 24 months. Can I renew my license or do I have to re-apply?

You need to re-apply just as if you’d never held a NC license before. Please see the Application Process tab on this website.

 

 

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Renewal and Continuing Competence

1.  How do I renew my license?

Please refer to the Renewals tab of the website for detailed instructions.

2. Do I have to renew my license using the online renewal procedure?

Online renewal are mandatory.

3. Do we need to continue to be certified by NBCOT in order to renew our license?

No. You do not need to maintain your certification with the National Board for Certification in Occupational Therapy (NBCOT) in order to be licensed in NC.  However, the National Board for Certification in Occupational Therapy (NBCOT) owns the trademarks OTR and COTA.  If you wish to use those letters, you must maintain certification with National Board for Certification in Occupational Therapy (NBCOT) or you will be violating trademark laws.

4. What is the difference between “continuing education” and “continuing competence activities”?

Continuing education is a structured educational experience beyond entry-level academic degree work that is intended to provide advanced or enhanced knowledge in a particular area.  Continuing education is only one of several types of continuing competence activities.  Section .0805 of the Rules of the North Carolina Occupational Therapy Board lists the activities that qualify as continuing competence activities.

5. What is a continuing competence "point"?

One contact hour of continuing competence equals 60 minutes in a learning activity, excluding meals and breaks.  Each contact hour equals one (1) point.

6. How many "points" do I need to renew my license?

OTs and OTAs are both required to complete fifteen (15) continuing competence activity points annually.

7. What can I do to complete my continuing competence requirements?

All continuing competence courses and activities must relate to roles and responsibilities in occupational therapy and must enhance the therapist’s continuing competence.  Qualified activities are set out in Rules .0803(a) and .0805 and contain many opportunities for completing continuing competence requirements.

8. Do I need to send in the documentation for my continuing competence activity?

Licensees have to submit proof of completion of continuing competence activities and shall keep such proof for at least two (2) years and may be subject to random audits by the Board.

9. If my facility requires that I take CPR, HIPPA , HIV or Infection Control classes each year, can I use them toward my continuing competence requirement?

No. Rule .0802(d) states that continuing competence activities may not include new employee orientation or annual training required by the employer.

10. What are the requirements for the Ethics continuing competence activity (CCA)?

Rule .0802(b) states for each renewal period, each licensee shall document completion of at least one contact hour (one point) of an ethics course related to the practice of occupational therapy. The one point may be included in the total of the required point total for the renewal period.

The ethics course must meet the requirements for continuing competence activity found in Rules Section .0800 (Rules .0801 - .0808). Additionally, whoever presents the course must meet the requirements of Rule .0803(b). It may not be an in-service offered by a co-employee who attended an ethics course.

Enter your ethics activity in the CCA category Ethics regardless of what category of CCA it belongs. This allows the computer to recognize it as your ethics requirement.

11. How do I store my continuing competence activity online?.

You are now able to store your continuing competence activity online by clicking on the Continuing Competence tab and following the detailed instructions.

12. What if I have a question about whether or not a CCA is acceptable?

Rule .0804 states that CCA must be related to roles and responsibilities in OT and must serve to protect the public by enhancing the licensee's continuing competence.

Courses that are sponsored or approved by the North Carolina Occupational Therapy Association (NCOTA), American Occupational Therapy Association (AOTA), or National Board for Certification in Occupational Therapy (NBCOT) are considered to be pre-approved by the NC Board.  There is a pre-approval process that CE providers may complete in order to have their courses pre-approved by the NCBOT but it is not mandatory that they do so.

Read Section .0800 of the Rules of the North Carolina Board of Occupational Therapy for more information about continuing competence activities.

 

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License Verification

1. How do I verify a license number?

Please refer to the License Verification link.

2. What is the verification process?

Please refer to License Verification link

 

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Links to Other Related Boards

1. How do I contact the National Board for the Certification of Occupational Therapy (NBCOT)?

www.nbcot.org

2. How do I contact the American Occupational Therapy Association?

www.aota.org

3. How do I contact the North Carolina Occupational Therapy Association (NCOTA)?

www.ncota.org

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Forms

1. How do I change my name on my License?

Name change requests are required to be submitted to the Board office by mail or email, along with a photocopy of proof of your name change, i.e.: marriage license, divorce papers, or court documents relating to legal change of birth name. Please use the Name Change Only Notification Form located under the Information Update tab on the website.

2. Where can I find a sample mentorship agreement?

Please refer to Continuing Competence tab on the website.

3. Where can I find the Group Study Form?

Please refer to Continuing Competence tab on the website

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Supervision Questions

1. Does an OTA have to have a supervisor to work PRN?

Yes, an OTA must always have an OT supervisor. 

2. How often do I have to have face to face supervisory visits with an experienced OTA?

The amount of supervision will depend on the experience and service competency demonstrated by the OTA.  Supervision needs to be an interactive process between the OT and the OTA.  Refer to the Practice Act and Rules of the Board and the Supervision tab on the website.

3. Do I have to notify the Board every time I change supervisor if I work PRN?

Yes.  Refer to Rule .0901 of the Rules of the Board.

4. I’m an occupational therapy assistant who has several supervisors.  Which one should I use when completing the online Renewal Application?

All supervising OTs who have determined that you are competent to provide treatment in your particular work setting and who determines that you are receiving the appropriate supervision.

5. How often do I have to have face to face supervisory visits with a new graduate OTA?

Refer to Section .0900 of the Rules relating to supervision and roles of the OTA.  Rule .0903 states that entry-level OTAs require close supervision.  Close supervision is defined in Section .0103(21) as "daily, direct contact at the service delivery site (where treatment is provided)." 

6. Does the OT have to meet with the client before delegating assessments to the OTA to administer as evaluation tools?

Rule .0905(1)(a)(ix) of The Rules of the North Carolina Board of Occupational Therapy states that the OT must initiate the evaluation.  In occupational therapy practice, the term initiate is understood to mean making the first, in person, face-to-face contact with the client. 

In the initial contact with the client, the OT: (1) determines the need for service, (2) defines the problems within the domain of occupational therapy that need to be addressed, (3) determines the client’s goals and priorities, (4) establishes intervention priorities, (5) determines specific further assessment needs, and (6) determines specific assessment tasks that can be delegated to the OTA. 

After the initial contact with the client by the OT, the OTA may implement specifically delegated assessments for which service competency has been established, demonstrated and documented. 

The OT is then responsible for completing the evaluation, interpreting the information provided by the OTA who completed the assessments, establishing intervention priorities, and developing the intervention plan.

7. How often does the supervising  OT need to make home visits to supervise an OTA providing home health care?

“General supervision” requires at least monthly direct contact, with supervision available as needed by other methods.  “Close supervision” requires daily, direct contact at a service delivery site.  Direct contact can be face-to-face or through video teleconferencing.  The supervision does not need to be continuous during the day, but at least one time a day.  Supervision is an interactive process, with the OT and the OTA sharing responsibility to see that the supervision is adequate.  Home care is a difficult environment because many times there is no one present except the home care patient and the OTA.  This is not an environment that easily lends itself to OTAs with less than one year of experience.

 

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General Information

1. Do I have to update my online profile every time I move or change employers?

Yes. Pursuant to Section .0401 of the Rules, it is the licensee’s responsibility to notify the Board of each change of name, residence, trade name, business address or mailing address within ten days of such change. You may now do this online by going to the Information Update tab of the website and following the detailed instructions. Do not mail written updates to the Board office after you update your online profile.

2. Now that I’m licensed, what letter do I put after my signature?

See the Practice Act (N.C.G.S.90-2570.78 (3)) which lists the abbreviations you may use once you are licensed. Remember that the National Board for Certification in Occupational Therapy (NBCOT) owns the trademarks OTR and COTA.  If you wish to use those letters, you must maintain certification with National Board for Certification in Occupational Therapy (NBCOT) or you will be violating trademark laws.  The NC Board does not require that you maintain your certification and does not use the C for OTAs or the R for OTs in its records.  You may continue to use such designations if you maintain your national certification.

3. I’ve maintained my National Certification but correspondence from the NC Board does not indicate that I am Nationally Certified.

The Board does not require that you maintain your certification with the National Board for Certification in Occupational Therapy and does not use the C for OTAs or the R for OTs in its records.  You may use such designations if you maintain your national certification.

4. Can pysical agent Modalities be used by Occupational Therapists?

The Occupational Therapy Practice Act does not specifically mention physical agent modalities (PAMs).  Therefore, they are not specifically allowed or disallowed in OT practice.  It is the opinion of the NC Board that an OT may use PAMs in the course of their occupational therapy practice, so long as they are trained and competent to do so AND their competency has been demonstrated and documented, provided they are billing for OT services.  It is also the opinion of the Board that an OTA may use PAMs in the course of their occupational therapy practice, so long as they AND their supervising OT are trained and competent to do so AND their competency has been demonstrated and documented, provided they are billing for OT services.  The burden is on the occupational therapy practitioners to prove that they are competent to provide the treatment.

5. Can an OTA fabricate splints on a "splint" only Dr. order?

Yes, under the supervision of an Occupational Therapist.

6. Is a OTA allowed to complete discharge summaries?

The OT is responsible for the overall completion of the discharge summary. The OT should write the discharge summary or should provide or review the information the OTA uses to write the discharge summary for the OT. The OT should sign the discharge summary. The OTA may report data for the discharge summary and may formulate discharge and/or follow-up plans under the supervision of the OT.

7. Is a physician's order required for an OT to treat a patient/client?

An order is not a requirement of the NCBOT but may be required by some facilities, billing services, or third party payers.

8. Can an OTA perform screenings?

Whether or not an OTA can do "screens" depends on the information sought to be gathered in the "screen".  An OTA can state or write observations but cannot make an evaluation or determine a need for occupational therapy services.  This must be determined and requested by an OT.

9. How do I report a possible infraction of the NC Occupational Therapy Practice Act or Rules of the Board?

Go to the How to File a Complaint tab at the Board’s website and follow the instructions.

10. Can an OT or OTA provide wound care? 

  1. An OT may provide wound care, including sharp wound debridement, so long as it is in the course of OT treatment and the OT is trained and competent to provide wound care, including sharp wound debridement, and such competency has been demonstrated and documented.
  2. An OTA may provide wound care, excluding sharp wound debridement, so long as it is in the course of OTA treatment and the OTA and the supervising OT are trained and competent to provide wound care, excluding sharp wound debridement, and such competency has been demonstrated and documented by both the supervising OT and the treating OTA
  3. In all instances, the burden of proof is on the therapist (OT or OTA) to prove competency to provide wound care.

11. Can I put my license in "Inactive" status?

There is no “Inactive” status.  Your license is either current or expired.  If you choose to renew your license within 24 months of the expiration date, you will still be required to complete the continuing competency requirements and pay the renewal fees for the period of time your license was not current, along with any applicable late fee.

Persons whose license has expired for more than 24 months, and who desire to reinstate their license, must make a new application for licensure and meet all requirements then existing.

12. Why does the Board ask the same questions each year about education, practice setting, practice specialty and race?

In 2006 the Board agreed to participate annually with the Cecil G. Sheps Center for Health Services Research at UNC Chapel Hill in collecting data for their annual publication on NC Health Professions. Each year the Center publishes a book with data from approximately 20 health care professions. This data is used by the legislature, policy makers, educators, the press and others in identifying emerging health workforce issues, monitoring trends in health professional supply and distribution and providing policy makers with objective, timely data for informed health workforce policy debates. You may get more information on this program at http://www.shepscenter.unc.edu.

13.  How can I get a duplicate copy of my license certificate or renewal card?

There is a $15 fee for a duplicate license and a $5 fee for a duplicate renewal card. A duplicate license or card can be requested under the Information Update tab on the Board’s website.  You can also print your card for free under the Renewals tab.

 

 

 

 

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