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The Occupational Therapy Licensure Compact (OT Compact) is an interstate compact, or formal agreement among states, that facilitates interstate practice of occupational therapy.
Under the OT Compact, Occupational Therapists (OTs) and Occupational Therapy Assistants (OTAs) who are licensed in good standing in a Compact member state will be eligible to practice in other Compact member states via a “compact privilege,” which is equivalent to a license. The OTCC is not yet issuing compact privileges to practice. Throughout 2024, the Commission is working with developers to create the necessary database to receive applications, provide interstate data communications, and issue privileges to practice. It is anticipated that the OTCC will begin issuing compact privileges to practice in 2025. The OT Compact is enacted in some states, meaning those states have passed legislation to be part of the compact. However, the OT Compact is not yet operationalized, meaning the process to apply for and receive compact privileges is in the works and will be available in 2025.