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Michigan Occupational Therapy Aides

What is the definition of an aide?

“Unlicensed individual” means an individual who does not hold an occupational therapist license, an occupational therapy assistant license, or any other health professional license and who may be able to perform the tasks identified in this rule.

What is an aide expressly prohibited from doing?

An occupational therapist shall not delegate the performance of an occupational therapy intervention to an unlicensed individual.

What are the responsibilities of the OT when delegating to an aide?

An occupational therapist who delegates tasks shall also comply with all of the following:

    • Ensure the qualifications of the unlicensed individual under the occupational therapist’s direct supervision, including verification of the unlicensed individual’s training and education.
    • Examine and evaluate the patient or client before delegating tasks to be performed by an unlicensed individual.
    • Supervise an unlicensed individual to whom tasks have been delegated.
    • Provide predetermined procedures and protocols for tasks that have been delegated.
    • Maintain a record of the names of the unlicensed individuals to whom tasks have been delegated.
    • Monitor an unlicensed individual’s practice and provision of assigned tasks.

What type of supervision is required?

An occupational therapist who delegates tasks to an unlicensed individual shall provide direct supervision of the unlicensed individual. “Direct supervision” means that the occupational therapist is physically present with the unlicensed individual or immediately available for direction and onsite supervision when patients or clients are present at the time the task is performed, and that the occupational therapist has direct contact with the patient or client during each visit.

What is the ratio between supervising OTs and aides?

An occupational therapist shall not supervise more than three (3) unlicensed individuals who are providing services to patients or clients at the same time.


Mich. Admin. Code R. 338. 1229a

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