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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.

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Texas Occupational Therapy FAQs

We've combined the Texas laws, board rules, and statements to create a clear guide on the rules that must be followed by OTs and OTAs.  Members have full access to the material and can email us questions regarding any Texas occupational therapy compliance issue, so please consider joining today if you need assistance. 

Definitions

Scope of Practice
    • How is the practice of Occupational Therapy defined in Texas?
    • What is included in the practice of occupational therapy?
    • What services are explicitly excluded?
    • Are there any specifically regulated services? 
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?
    • What are the methods a referral can be delivered? 

Therapist's Responsibilities 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 OT and assistive personnel? 
Assistants
    • Which services are OTAs allowed to practice?
    • Are there specific services that OTAs are prohibited from practicing?
    • What type of supervision is required?
    • What are the assistant's documentation responsibilities?
    • What is the required designation for OT assistants?
Aides
    • What tasks can an aide perform?
    • What is an aide expressly prohibited from doing?
    • What are the responsibilities of the OT when delegating to an aide?
    • What level of supervision is required?
Identification and Notification
    • 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?

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
Documentation Requirements
    • 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?
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

    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?

      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
        • Fee-Splitting



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