PURPOSE: This rule details the continuing competency requirements of a licensee to practice as an occupational therapist or an occupational therapy assistant.

1. (1) At the time of license renewal, the licensee shall verify completion of twentyfour (24) continuing competency credits
2. (CCC) on the renewal form. Failure to note verification of completion shall result in the license not being renewed. Falsification of verification may result in disciplinary action.
3. (2) Each licensee shall retain documentation of the CCCs verified on the renewal form for two (2) years following license renewal.
4. (3) At least fifty percent (50%) of the twenty-four (24) continuing competency credits must be directly related to the delivery of occupational therapy services and the remaining CCCs must be related to one’s practice area or setting.

5. (4) A licensee who is or becomes licensed during a renewal cycle shall be required to obtain CCCs at the rate computed by the following formula:

   1. (A) Formula: Number of months licensed during the renewal cycle divided by the total number of months in the reporting cycle then multiplied by the number of CCCs required for renewal during the reporting cycle resulting in a total number of CCCs required to complete for renewal this reporting cycle. When applicable, this total will then be rounded to the nearest whole number by applying the following rounding rule: round down to the nearest whole number if the digit to the right of the decimal is four (4) or less, round up to the nearest whole number if five
6. (5) or more. Example: An occupational therapist becomes licensed September 1, 2004, the reporting cycle is twenty-four (24) months, ending June 30, 2005, and the annual requirement is—twelve (12) hours per year.

10 months ÷ 24 months × 24 = 9.9 or round up to ten (10) hours (Licensee must have completed ten (10) CCCs to renew.) 20 CSR 2205-5

1. (5) Conversion of Continuing Education Units (CEU) to Continuing Competency Credits (CCC):

   1. (A) One (1) CEU equals ten (10) Continuing Competency Credits;
   2. (B) One (1) contact hour equals one (1) Continuing Competency Credit;
   3. (C) Fifty (50) Minutes equals one (1) Continuing Competency Credit;
   4. (D) One (1) Academic Credit Hour equals ten (10) Continuing Competency Credits.
2. (6) Acceptable types of continuing competency activities, corresponding degree of continuing competency credit and the required documentation are as follows: FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION Division 2205—Missouri Board of Occupational Therapy
3. (7) Workshops, seminars, lectures and professional conferences accepted by the certifying entity approved by the division shall automatically be accepted for license renewal.

4. (8) Audit of Continuing Competency Activities.

   1. (A) A licensee is subject to an audit of the continuing competency activity documentation after the time of license renewal.
   2. (B) The board may audit continuing competency activities as time and resources permit.
   3. (C) Upon request the licensee shall submit to the board for review the continuing competency credit documentation verifying successful completion of continuing competency requirements. Licensees shall assist the board in its audits by providing timely and complete responses to the board’s inquiries.
   4. (D) Failure to submit requested information to the board by the date requested or submission of inadequate or falsified records may result in disciplinary action.

AUTHORITY: sections 324.065 and 324.080, RSMo 2000 and 324.086, RSMo Supp. 2005.* This rule originally filed as 4 CSR 205-5.010. Original rule filed Aug. 4, 1998, effective Dec. 30, 1998. Amended: Filed Nov. 13, 2002, effective April 30, 2003. Amended: Filed Dec. 1, 2005, effective June 30, 2006. Moved to 20 CSR 2205-5.010, effective Aug. 28, 2006. *Original authority: 324.065, RSMo 1997; 324.080, RSMo 1997; and 324.086, RSMo 1997, amended 1999, 2001.