Mo. Code Regs. Ann. tit. 20, § 2205-5.010 – Continuing Competency Requirements

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

(1) At the time of license renewal, the licensee shall verify completion of twenty-four (24) Continuing Competency Credits (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.
(2) Each licensee shall retain documentation of the CCCs verified on the renewal form for two (2) years following license renewal.
(3) A licensee who is or becomes licensed during a renewal cycle shall 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 (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.).
(4) 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) Con- 20 CSR 2205-5

tinuing Competency Credit; and

(D) One (1) Academic Credit Hour equals ten (10) Continuing Competency Credits.

(5) Acceptable types of continuing competency activities, corresponding degree of continuing competency credit, and the required documentation are as follows: FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION

Teaching OT related academic course per semester (must not be one’s primary role). Time spent on preparation cannot be

Attending workshops, seminars, lectures, on-line courses, and professional conferences related to occupational therapy

Professional study group, minimum of 3 participants. Minimum Continuing Competency

1 Credit Hour equals 3 CCC

1 Hour equals 1 CCC

3 Hours equals 1 CCC Maximum Continuing Competency

24 CCC

24 CCC Syllabus of course, course outline verification from program, or certificate verifying teaching.

CEU, contact hours, certificates of attendance, letter from sponsor.

Group attendance records which should include the date and times the group met; study group goals, analysis of goal attainment, and

			learning.
Independent learning with assessment	1 Hour equals	12 CCC	CEUs, contact hours, completion
element (online courses, CE articles, self-	2 CCC		certificate which should include
study series, etc.).			the date course was completed.
Independent learning without assessment	1 Hour equals	12 CCC	Certificate of completion which
element (audited coursework, multimedia	1 CCC		should include the date course was
course, etc.).			completed.
Completion of competency assessment	1 Unit equals	12 CCC	Certificate of completion.
tools (i.e., NBCOT Navigator, AOTA	1 CCC
assessment tools, etc.).

services.
Attending employer-provided continuing	1 Hour equals	24 CCC	Attendance records, certificates
education. Does not include new staff	1 CCC		which should include title of
orientation and/or annual mandatory			offering, date given, and length of
workplace trainings (e.g., annual policy			presentation.
review and corporate compliance, CPR).
Reading a peer-reviewed, role-related	1 Article equals	12 CCC	Annotated bibliography and
professional article and writing a report	.5 CCC		analysis of how articles impacted
describing the implications for improving			improving skills in one’s role.
skills in one’s specific role.
Successful completion of formal academic	1 Credit Hour	24 CCC	Official transcript from accredited
coursework. Courses indirectly or directly	equals 10 CCC		college, course description, and
related to occupational therapy services.			statement how it’s related to OT
			services.

included.
Guest lecturer as a primary or co-presenter	1 Hour equals	24 CCC	Syllabus of course, course outline
for students enrolled in occupational	1 CCC		Verification from program or
therapy programs or related professionals.			certificate verifying teaching.
Providing professional in-service training	1 Hour equals	12 CCC	Attendance records, goals, and
and/or instruction for occupational	1 CCC		objectives of in-service training.
therapists, occupational therapy assistants,			Verification letter from supervisor
or related professionals. 1-time			on their letterhead verifying
presentation per topic. Time spent on			presenter’s name and the date,
preparation cannot be included.			time, and length of the
			presentation.
ATTENDINGWORKSHOPS/COURSES/INDEPENDENTLEARNING

Continuing Competency Activity	Credit	Credits	Audit Documentation
PRESENTING
Making presentations for local	1 Hour equals	12 CCC	Certificate verifying presentation
organizations/associations/groups on OT	1 CCC		or verification letter from
related topics (e.g., energy conservation,			organization on their letterhead to
back care, and prevention of injury).			include date, time, and length of
1-time presentation per topic. Time spent			presentation.
on preparation cannot be included.
Making professional presentations at state	1 Hour equals	24 CCC	Certificate verifying presentation
or national workshops, seminars, and	2 CCC		or letter from organization on their
conferences. 1-time presentation per topic.			letterhead to include date, time,
Time spent on preparation cannot be			and length of presentation.
included.

Mentoring a colleague to improve the skills of the protégé (mentor).

Extensive scholarly research activities or extensive outcome studies.

Entry-level or post–doctoral advanced experience direct supervision. Must not be one’s primary role.

(6) Workshops, seminars, lectures, and professional conferences accepted by the certifying entity approved by the board shall automatically be accepted for license renewal.
(7) 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 com- 20 Hours equals 3 CCC
  10 CCC
  1 unit per week of supervision per student supervised

petency 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.

(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.

(8) Upon application and for good cause shown, the board may excuse or extend the time for completion of some or all of the required continuing competency credits.
1. (A) An application shall be in writing and 12 CCC

24 CCC

18 CCC 20 CSR 2205-5

Goals and objectives, analysis of mentee performance which should include the dates and hours

Grant funding number, abstract/executive summary, and/or copies of the completed

Documentation required, name of student(s), letter or certificate of verification from school, dates of fieldwork.

delivered to the board’s office.

1. The board may require additional

information or an interview with the board or its designee. Failure to timely respond or appear shall be grounds to deny the application.

2. If the application requests excuse of

the credits, a statement of how competency is being maintained shall be part of the application.

3. If the application requests an exten-

sion of time, it shall include proposed activities.

(B) If an extension of time is granted, the

			research/studies.
FIELDWORKSUPERVISION
Level II fieldwork day-to-day direct	1 unit per week	18 CCC	Documentation required, name of
supervision OT or OTA. Must not be	of supervision		student(s), letter of verification or
one’s primary role.	per student		certificate from school, dates of
	supervised		fieldwork.
Level I fieldwork direct supervision. Must	1 unit per student	12 CCC	Documentation required, name of
not be one’s primary role.	for a complete		student(s), letter of verification or
	field work		certificate from school, dates of
	rotation per		fieldwork.
	student as defined
	by OT/OTA
	program

			mentored.
Reflective occupational therapy practice in	20 Hours equals	12 CCC	Mentor verification of skills,
collaboration with an advanced colleague	3 CCC		evaluation of mentor, and
to improve one’s skill level.			experience analysis of learning.
Volunteer services to organizations,	10 Hours equals	12 CCC	Verification letter from
populations, individuals that advance the	2 CCC		organization which should include
reliance on the use of one’s OT skills and			the dates and hours volunteered.
experiences.			Report describing outcomes of
			volunteer service provided.

)
PUBLISHING
Publication of article in non-peer-reviewed	1 Article equals	24 CCC	Copy of publication.
publication (e.g., OT Practice, SIS	5 CCC
Quarterly, Advance, etc.).
Publication of chapter(s) in occupational or	1 Chapter equals	24 CCC	Copy of chapter(s) and table of
related professional textbook.	10 CCC		contents, letter from editor.
Publication of article in peer-reviewed	1 Article equals	24 CCC	Copy of published article, letter
professional publication (e.g., journals,	10 CCC		from editor.
book chapter, research paper).
PROFESSIONALSERVICES

FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION Division 2205—Missouri Board of Occupational Therapy

continuing competency credits earned during the extension shall not be counted in the subsequent renewal period.

AUTHORITY: sections 324.065, 324.080, and 324.086, RSMo 2016.* 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. Amended: Filed July 9, 2008, effective Jan. 30, 2009. Rescinded and readopted: Filed July 28, 2010, effective Jan. 30, 2011. Amended: Filed Nov. 9, 2017, effective May 30, 2018. *Original authority: 324.065, RSMo 1997, amended 2009; 324.080, RSMo 1997, amended 2009; and 324.086, RSMo 1997, amended 2009.