<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.46.04.04" title_num="10" subtitle_num="46" chapter_num="04" heading="Licensure and Contact Hour Requirements.">
  <paragraph num="A.">
    <text>Time Frame.</text>
    <paragraph num="(1)">
      <text>Licensure Time Frame.</text>
      <paragraph num="(a)">
        <text>The Board shall stagger the terms of licenses.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A license is valid for a 2-year term and expires as follows:</text>
        <paragraph num="(i)">
          <text>Licensees originally licensed in even-numbered years are issued a license that expires on June 30 of even-numbered years; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Licensees originally licensed in odd-numbered years are issued a license that expires on June 30 of odd-numbered years.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Continuing Competency Time Frame. Continuing competency requirements shall be completed within the applicable licensure time frame.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The licensee may not carry over contact hours from one continuing competency time frame to another without written consent from the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Requirements Regarding Contact Hours.</text>
    <paragraph num="(1)">
      <text>The occupational therapist or occupational therapy assistant shall certify a minimum of 24 contact hours of competency activities obtained within the 2-year period preceding the application for licensure, reactivation, or reinstatement.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The 24 contact hours referred to in §B(1) of this regulation shall consist of:</text>
      <paragraph num="(a)">
        <text>A minimum of 16 contact hours related to occupational therapy principles and procedures; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A maximum of 8 contact hours through occupational therapy role-related activities.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The occupational therapist or occupational therapy assistant shall provide the necessary documentation to the Board upon request.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Exceptions.</text>
    <paragraph num="(1)">
      <text>Maintenance of Current Certification with the National Board of Certification in Occupational Therapy (NBCOT).</text>
      <paragraph num="(a)">
        <text>The Board recognizes the maintenance of current NBCOT certification as fulfilling the requirements of §B(1) and (2) of this regulation.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documentation. The licensee shall provide verification of maintenance of current NBCOT certification.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Licensed Less Than 1 Year. An occupational therapist or occupational therapist assistant who has had a license less than 1 year before renewal is exempt from continuing competency requirements for the first renewal period.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Requesting Licensure with 3 or More Years Lapse in Practice.</text>
      <paragraph num="(a)">
        <text>When an applicant applies for licensure, renewal, reactivation, or reinstatement, and meets all requirements for licensure, renewal, reactivation, or reinstatement, but has not graduated from an accredited occupational therapy program or practiced occupational therapy within the past 3 years or more, the Board shall require verification of the applicant's efforts toward maintaining and updating occupational therapy clinical competency.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If an individual has been out of practice for between 3 and 8 years, the individual shall:</text>
        <paragraph num="(i)">
          <text>Complete a Board-approved self-assessment;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Complete a Board-approved professional development plan;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Attend a minimum of 24 contact hours related to occupational therapy principles and procedures within the 24 months preceding application for licensure, renewal, reactivation, or reinstatement;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Provide verification of a minimum of 30 hours of observation of service delivery, receipt of mentoring, or a combination of both with an actively licensed occupational therapist within the 24 months preceding application for licensure, renewal, reactivation, or reinstatement; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Document completion of established goals and activities in occupational therapy with an actively licensed occupational therapist within the 24 months preceding application for licensure renewal, reactivation, or reinstatement.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>If an individual has been out of practice for longer than 8 years, the individual shall:</text>
        <paragraph num="(i)">
          <text>Complete the requirements in §C(2)(b) of this regulation; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Provide verification of 6 additional contact hours related to occupational therapy principles and procedures.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Before the deadline to complete continuing competency, a licensee may request an extension to the specified time frame for completing continuing competency requirements by submitting:</text>
      <paragraph num="(a)">
        <text>A letter of request;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Documentation substantiating the basis of the request, for example, medical documentation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A plan for completing the requirement.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>