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Kentucky Occupational Therapy FAQs

Welcome to our Kentucky Occupational Therapy FAQs.  We've combined the state laws, board rules, and statements to create a clear guide on the rules that must be followed by OTs and OTAs. This page is under construction, please contact us if you have any questions about the practice of occupational therapy in Kentucky.


Scope of Practice

    • How is the practice of Occupational Therapy defined in Kentucky?
    • What services are included in the scope of practice?
    • Services specifically excluded from the scope of practice
    • Are there any specific procedures or modalities regulated by the board?

Physical Agent Modalities

    • Definitions
    • Application
    • Training and Instruction
    • Supervised Treatment Sessions
    • Assistants

Low-Vision and Visual-Therapy Services

    • Definitions
    • Provision of Low-vision and Visual-therapy
    • Referrals


Referrals - Direct Access

    • Is a referral required to provide OT services?
    • When does an OT have to refer a patient to a physician?

Supervision and Delegation

    • What are the different levels of supervision? 
    • Which services can only be performed by a licensed OT?
    • What are the responsibilities of the OT when delegating?
    • What is the ratio between the supervising PT and assistive personnel? 


    • Which services are OTAs allowed to practice?
    • Are there specific services that OTAs are prohibited from practicing?
    • What type of supervision is required?
    • Does the supervising OT need to co-sign documentation created by the OTA?


    • What can an aide do?
    • What is an aide expressly prohibited from doing?
    • What type of supervision is required?

Continuing Education 

    • How many continuing education hours are required during a reporting period?
    • Can CE credits be carried over into the next reporting period?
    • Are there any specific courses that must be taken?
    • What types of activities can be used for the continuing education requirements?
    • What type of approval is needed for the courses?
    • What are the reporting requirements?
    • Waivers and audits 

OT/OTA Students and New Graduates

    • What are the supervision requirements for students?
    • Required designation for a student
    • Who is eligible for a temporary license?
    • What type of supervision is required for a temporary license holder?
    • How long does the temporary license last?
    • Can the license be renewed?

Out-of-State OTs

    • Can I practice in Kentucky if I am licensed in another state?
    • What is the process for getting reciprocity in Kentucky?


    • What must be included in the patient record?
    • What are the OTs documentation responsibilities?
    • When is a reevaluation/reassessment required?
    • Is a discharge summary required for every patient?

Identification and Notifications

    • How can I use “Dr” in my title?
    • Are there any specific requirements for posting notifications or licenses?
    • When does an OT have to notify the board of any information changes?

Unprofessional Conduct 

    • When am I obligated to report to the board?
    • What is consider unprofessional conduct?

Kentucky Occupational Therapy Board Fees

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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.

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