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<regulation prefix="Regulation" num=".01" citation="COMAR 10.46.01.01" title_num="10" subtitle_num="46" chapter_num="01" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Aide” means any individual who is not licensed by the Board to perform occupational therapy or limited occupational therapy and who provides supportive services to the occupational therapist or occupational therapy assistant under direct supervision.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“AOTA” means the American Occupational Therapy Association, formerly the American Occupational Therapy Certification Board (AOTCB).</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Board” means the State Board of Occupational Therapy Practice.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Case resolution conference (CRC)” means a voluntary, informal, and confidential proceeding to explore the possibility of a consent order resolution of a disciplinary matter.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Client” means a consumer, patient, or recipient of occupational therapy services.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Competence” means an individual's capacity for performance in occupational therapy principles and procedures.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Competency.</text>
      <paragraph num="(a)">
        <text>“Competency” means the demonstration of the pertinent knowledge of and performance skills in occupational therapy principles and procedures within the practice of occupational therapy and limited occupational therapy.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Competency” includes satisfactory completion of educational programs or experiences, specialty certification, continuing education, or all of these.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>“Direct supervision” means supervision provided on a face-to-face basis by a supervisor who is a licensed occupational therapist or occupational therapy assistant, during the performance of delegated client-related tasks.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Elective nonrenewal” means choosing to render one's license inactive.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Evaluation” means the ongoing process of:</text>
      <paragraph num="(a)">
        <text>Data collection by a licensed occupational therapist or an occupational therapy assistant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Interpretation of the data by a licensed occupational therapist for purposes including, but not limited to:</text>
        <paragraph num="(i)">
          <text>The need for treatment; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Plans for discharge.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Expired license” means an individual’s authority to practice occupational therapy or limited occupational therapy which has not been renewed through the process of renewal or elective nonrenewal and is invalid.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Licensed” means formally authorized by the Board to practice occupational therapy or limited occupational therapy.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Licensee” means an individual who is a licensed occupational therapist or a licensed occupational therapy assistant.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>Limited Occupational Therapy.</text>
      <paragraph num="(a)">
        <text>“Limited occupational therapy” means the therapeutic use of purposeful and meaningful goal-directed activities in collaboration with an occupational therapy assistant and an occupational therapist during the treatment of individuals that:</text>
        <paragraph num="(i)">
          <text>Have a disease or disorder, impairment, activity limitation, or participation restriction that interferes with their ability to function independently in daily life roles; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Benefit from the prevention of impairments and activity limitations.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Limited occupational therapy” means that the collaboration of the occupational therapy assistant occurs under the periodic supervision of a licensed occupational therapist.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>“Limited occupational therapy” means that the occupational therapy assistant is authorized to:</text>
        <paragraph num="(i)">
          <text>Conduct an initial screening;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Collect data for an evaluation that applies the principles and procedures of occupational therapy; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Participate in a treatment program that applies the principles and procedures of occupational therapy.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>“Limited occupational therapy” does not include:</text>
        <paragraph num="(i)">
          <text>Initiation or interpretation of evaluation data; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Initiation of a treatment program before the client has been evaluated and a licensed occupational therapist has rendered a treatment plan.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(15)">
      <text>“NBCOT” means the National Board for Certification in Occupational Therapy, formerly the American Occupational Therapy Certification Board (AOTCB).</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Occupational therapist” means, unless the context requires otherwise, an occupational therapist that is licensed by the Board to practice occupational therapy.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Occupational therapy” means the therapeutic use of purposeful and meaningful goal-directed activities to evaluate, consult, and treat individuals that:</text>
      <paragraph num="(a)">
        <text>Have a disease or disorder, impairment, activity limitation, or participation restriction that interferes with their ability to function independently in daily life roles; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Benefit from the prevention of impairments and activity limitations.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Occupational therapy assistant” means, unless the context requires otherwise, an occupational therapy assistant who is licensed by the Board to practice limited occupational therapy.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“On-site supervision” means supervision provided by a supervisor who is:</text>
      <paragraph num="(a)">
        <text>A licensed occupational therapist or occupational therapy assistant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Immediately available on the premises to provide direct supervision, if needed, when client-related procedures are performed or as otherwise necessary.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(20)">
      <text>Periodic Supervision.</text>
      <paragraph num="(a)">
        <text>“Periodic supervision” means supervision provided by a supervisor who is a licensed occupational therapist on a face-to-face basis, for each client who is being treated by the licensed occupational therapy assistant supervisee, occurring the earlier of at least:</text>
        <paragraph num="(i)">
          <text>Once every 10 therapy visits; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Once every 30 calendar days.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Periodic supervision” includes:</text>
        <paragraph num="(i)">
          <text>Chart review; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Meetings to discuss client treatment plans, client response to treatment, or observation of treatment, as indicated to ensure the competent and safe provision of occupational therapy services.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(21)">
      <text>“Reevaluation” means:</text>
      <paragraph num="(a)">
        <text>The data collection by a licensed occupational therapist or an occupational therapy assistant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Interpretation of the reevaluation data by a licensed occupational therapist after the initial evaluation, for the purpose of determining:</text>
        <paragraph num="(i)">
          <text>A client's response to treatment;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Changes in the client's status;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The need for treatment modification; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Plans for discharge.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(22)">
      <text>“Reactivation” means revalidating a license previously rendered invalid by the process of elective nonrenewal.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Reinstatement” means revalidating a license previously rendered invalid.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Renewal” means validating an active license for an additional term.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>Screening.</text>
      <paragraph num="(a)">
        <text>“Screening” means a cursory determination by an occupational therapist or occupational therapy assistant of the need for more comprehensive evaluation and treatment.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Screening” does not mean a substitute for the evaluation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(26)">
      <text>“Supervision” means the provision of clinical aid, direction, and instruction, by either a licensed occupational therapist or an occupational therapy assistant, to ensure the competent delivery of occupational therapy services.</text>
    </paragraph>
    <paragraph num="(27)">
      <text>“Supervisor” means an occupational therapist or occupational therapy assistant, excluding temporary licensees, who is licensed by the Board and has the responsibility of clinically supervising the provision of occupational therapy treatment services.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Temporary occupational therapy assistant licensee” means an individual licensed by the Board on a temporary basis, who:</text>
      <paragraph num="(a)">
        <text>Except for completing the required certification examination, has met all other licensure requirements of this chapter; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is licensed to practice under the on-site supervision of a licensed occupational therapist or occupational therapy assistant.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(29)">
      <text>“Temporary occupational therapist licensee” means an individual licensed by the Board on a temporary basis, who:</text>
      <paragraph num="(a)">
        <text>Except for completing the required certification examination, has met all other licensure requirements of this chapter; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is licensed to practice under the on-site supervision of a licensed occupational therapist.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(30)">
      <text>“Treatment program” means a therapeutic intervention plan designed by a licensed occupational therapist that outlines the selected approaches and types of intervention to be used to enable the client to reach identified targeted outcomes or treatment goals.</text>
    </paragraph>
    <paragraph num="(31)">
      <text>“Verification” means proof of licensure, certification, registration, or continuing education:</text>
      <paragraph num="(a)">
        <text>Confirmable by the Board based on documentation provided by the applicant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Obtained from a verification service provider approved by the issuing entity and accepted by the Board at its discretion; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Obtained from the entity by which the applicant is licensed, certified, registered, or educated.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>