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Texas Occupational Therapy 

Welcome to our Texas 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.

Texas Medicaid Coverage of PT and OT

Texas Occupational Therapy Forum

FAQs

Texas Occupational Therapy Continuing Education Requirements 

  • How many continuing education hours are required during a reporting period?
  • How long is the reporting period?
  • Can CE credits be carried over into the next reporting period?
  • Are there any specific requirements for continuing education?
  • What types of activities can be used for the continuing education requirements?
  • What type of approval is needed for the courses?
  • What type of courses or activities are not allowed?
  • What are the reporting requirements?
  • How long must continuing education records be retained?
  • Audit

Scope of Practice for Texas Occupational Therapists

  • How is the practice of Occupational Therapy defined in Texas?
  • What is included in the practice of occupational therapy?
  • What services are explicitly excluded?
  • Does Texas allow OTs to practice physical agent modalities?
  • Does Texas allow OTs to practice wound care?
  • Can OTs practice through telehealth?

Requirements for Practicing OT through Telehealth

  • How does the board define telehealth?
  • Can I use telehealth to treat patients outside of Texas?
  • What kind of technology is required?
  • Can telehealth be used to conduct an evaluation?
  • Devices that require on-site care

Referrals and Direct Access

  • Is a referral required to provide OT services?
  • Are there exceptions to the referral requirement?
  • Which providers can issue the referral?
  • Can a referral be issued verbally?

Occupational Therapist's Responsibilities and Delegation 

  • Which services can only be performed by a licensed occupational therapist?
  • What are the responsibilities of the OT when delegating?

Texas Occupational Therapy Assistants

  • 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 occupational therapist need to co-sign documentation created by the OTA?
  • What is the ratio between supervising OTs and OTAs?
  • What is the required designation for OT assistants?

Texas Occupational Therapy Aides

  • What can an aide do?
  • What is an aide expressly prohibited from doing?
  • What are the responsibilities of the OT when delegating to an aide?
  • What type of supervision is required?
  • What is the ratio between supervising OTs and aides?

Documentation Requirements and Responsibilities

  • What must be included in the client record?
  • What are the OT’s responsibilities when performing the evaluation?
  • What are the OT’s responsibilities when creating the Plan of Care?
  • What are the OT’s responsibilities when performing an intervention?
  • Who is responsible for the discharge or discontinuation of OT services?
  • What are the assistant’s documentation responsibilities?

Temporary License - New Graduate Practice

  • Who is eligible for a temporary license?
  • Supervision of an occupational therapy assistant with a temporary license
  • Supervision of an occupational therapist with a temporary license
  • How long does the temporary permit last?
  • What happens if the applicant fails the exam?

Provisional License 

  • Who is eligible for a provisional license?
  • What is required to be issued a provisional license?
  • Duration of the provisional license

Identification and Notification Requirements for Occupational Therapists

  • What is the required designation for occupational therapists?
  • Use of “Dr.”
  • Are there any specific requirements for posting notifications or licenses?
  • When do you need to notify the board when you change your information?

Licensure by Endorsement 

  • Who is eligible to receive reciprocity in Texas?
  • Am I eligible for license by endorsement if I already has a Texas license in the past?
  • What must I do to receive my license by endorsement?
  • What happens if I am having trouble getting the required information from NBCOT or my state’s board?

Inactive Status

  • What do I need to do to put my license on inactive status?
  • What can I do while on inactive status?
  • Does inactive status need to be renewed?
  • How long can I remain on inactive status?
  • How can I change inactive status to active?

Retired Status

  • What services can I perform while on retired status?
  • What does voluntary charity care mean?
  • What do I need to do to switch to retired status?
  • Does retired status need to be renewed?
  • How can I reinstate my license to active status?
  • Designation of OTs and OTAs on retired status

Unprofessional Conduct 

    • When am I obligated to report to the board?
    • Unprofessional conduct related to licensure
    • Incapacity
    • Unprofessional conduct in practice occupational therapy
    • Convictions and Arrests

Waste, Fraud, and Abuse

    • Is there a law/rule against fee-splitting?
    • Are there other state WFA laws that I should be aware of?

Board Fees

Texas Medicaid and Workers Comp Fee Schedules

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