Upcoming Webinars

Site Updates


The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Log in

Log in

Hawaii Occupational Therapy Scope of Practice

How is occupational therapy defined in Hawaii?

The practice of occupational therapy is the therapeutic use of everyday life activities with individuals or groups for the purpose of participation in roles and situations in home, school, workplace, community, and other settings.

What is included in the practice of occupational therapy?

Evaluation of factors affecting activities of daily living, instrumental activities of daily living, rest and sleep, education, work, play, leisure, and social participation, including:

    • Client factors, including body functions, such as neuromusculoskeletal, sensory perceptual, visual, mental, cognitive, and pain factors; body structures, such as cardiovascular, digestive, nervous, integumentary, genitourinary systems, and structures related to movement, values, beliefs, and spirituality;
    • Habits, routines, roles, rituals, and behavior patterns;
    • Occupational and social environments, cultural, personal, temporal, and virtual contexts and activity demands that affect performance; and
    • Performance skills, including motor and praxis, sensory-perceptual, emotional regulation, cognitive, communication, and social skills.

Methods or approaches selected to direct the process of interventions, including:

    • Establishment, remediation, or restoration of a skill or ability that has not yet developed, is impaired, or is in decline;
    • Compensation, modification, or adaptation of activity or environment to enhance performance or prevent injuries, disorders, or other conditions;
    • Retention and enhancement of skills or abilities without which performance in everyday life activities would decline;
    • Promotion of health and wellness, including the use of self-management strategies, to enable or enhance performance in everyday life activities; and
    • Prevention of barriers to performance and participation, including injury and disability prevention.

Interventions and procedures to promote or enhance safety and performance in activities of daily living, instrumental activities of daily living, rest and sleep, education, work, play, leisure, and social participation, including:

    • Therapeutic use of occupations, exercises, and activities;
    • Training in self-care, self-management, health management and maintenance, home management, community reintegration, work reintegration, school activities, and work performance;
    • Development, remediation, or compensation of neuromusculoskeletal, sensory-perceptual, visual, mental, and cognitive functions; pain tolerance and management; and behavioral skills;
    • Therapeutic use of self, including one's personality, insights, perceptions, and judgments, as part of the therapeutic process;
    • Education and training of individuals, including family members, caregivers, groups, populations, and others;
    • Care coordination, case management, and transition services;
    • Consultative services to groups, programs, organizations, or communities;
    • Modification of environments, such as home, work, school, or community, and adaptation of processes, including the application of ergonomic principles;
    • Assessment, design, fabrication, application, fitting, and training in seating and positioning; assistive technology; adaptive devices; orthotic devices; and training in the use of prosthetic devices;
    • Assessment, recommendation, and training in techniques to enhance functional mobility, including management of wheelchairs and other mobility devices
    • Low vision rehabilitation;
    • Driver rehabilitation and community mobility;
    • Management of feeding, eating, and swallowing to enable eating and feeding performance;
    • Application of physical agent modalities and use of a range of specific therapeutic procedures, such as wound care management, interventions to enhance sensory-perceptual and cognitive processing, and manual therapy, to enhance performance skills; and
    • Facilitating the occupational performance of groups, populations, or organizations through the modification of environments and the adaptation of processes.

What is specifically excluded from the practice?


Are there any special trainings or requirements?



HRS §457G-1.5

About Us

Therapy Comply is a healthcare compliance firm that seeks to bring high quality web-based compliance guidance and one-on-one consulting services to small and medium size physical, occupational, and speech therapy practices.

Learn More 

Join Us

Join today as either a monthly or a yearly member and enjoy full access to the site and a significant discount to our live and recorded webinars.  Members also have access to compliance and billing support.

Join Today 

Find Us

Powered by Wild Apricot Membership Software