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If you are interested in joining the mailing list for the Occupational Therapy Compact (OTC), including learning when the privilege to practice applications open, please provide your email address using this link:

What you need to know about the status of the OT Compact.

Updated September 2025. Please carefully read this information, as your questions are likely answered here.

• The OTC is not yet issuing compact privileges to practice in any member state. Use the form above to receive an email when applications open.
• The application “go live” date for practitioners to apply for privileges to practice is still to be determined.
• Each OTC state will open applications at their own pace. The timeline for each state is not set by the OTC administrators. The OTC administrators are working closely with the states to support them through this process.
• You cannot practice in an OTC state under the OT Compact, even if that state has enacted OTC legislation until applications open AND your application is approved.
• You will need to apply through the OTC to receive your privileges to practice in OTC states.
• The application will be linked on this webpage when the process opens for each state. You will come here to apply; you will not apply for OTC privileges to practice through state licensing boards.
• Until you receive your OTC privilege to practice, you need a license to practice in any state you wish to provide OT services. Follow that state licensing board’s traditional licensing process to obtain your license to practice.
• Scroll down this page to read more about CompactConnect, the data system in development.
• Follow the OTC on LinkedIn: www.linkedin.com/in/occupational-therapy-compact

What is the Occupational Therapy Compact (OTC)?

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 OT Compact is enacted in some states, meaning those states have passed legislation to be part of the compact (check out the “Maps” page tabs to see which states have joined the OTC). However, the OT Compact is not yet operationalized, meaning the process to apply for and receive compact privileges is still developing.

CompactConnect – A comprehensive data system in development

CompactConnect is a national data system that provides data transfer abilities between states. States are in the process of uploading their licensees’ data into CompactConnect. The OTC will utilize the data system to facilitate issuing privileges to practice to OT practitioners. The OTC application process will occur through CompactConnect. For more information about the process to develop the comprehensive data system, please visit the external page: www.compactconnect.org.

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