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 twentyfour (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) 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.
(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
(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
(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; and
4. (D) One (1) Academic Credit Hour equals ten (10) Continuing Competency Credits.
(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
Continuing Competency Activity

PRESENTING Making presentations for local organizations/associations/groups on OT related topics (e.g., energy conservation,

Professional study group, minimum of 3 participants

Publication of article in peer-reviewed professional publication (e.g., journals, book Minimum Continuing Competency Credit

1 Hour equals 1 CCC

3 Hours equals 1 CCC

1 Article equals 10 CCC Maximum Continuing Competency Credits

12 CCC

24 CCC

24 CCC Audit Documentation

Date and location of presentation, copy of presentation or program listing; contact person for

Group attendance records; study group goals, analysis of goal

Copy of text, letter from editor

chapter, research paper)
PROFESSIONALSERVICES
Mentoring a colleague to improve the skills	20 Hours equals	12 CCC	Goals and objectives, analysis of
of the protégé (Mentor)	3 CCC		mentee performance
Outcomes of Self-Assessment and	2 CCC for Self-	2 CCC	Acceptable documents include the
Professional Development Plan	Assessment and		completed NBCOT Self-Assessment
	Professional		and Professional Development Plan
	Dev. Plan		describing how goals were met and
			impacted competence/skills
Reflective occupational therapy practice in	20 Hours equals	12 CCC	Mentor verification of skills,
collaboration with an advanced colleague to	3 CCC		evaluation of Mentor, and
improve one’s skill level			experience analysis of learning

			attainment and learning
Independent learning with assessment element	1 Hour equals	12 CCC	CEUs, contact hours
(online courses, CE articles, self-study series,	1 CCC
etc.)
Independent learning without assessment	10 CCC	24 CCC	Certificate of completion
element (audited coursework, multimedia
course, etc.)
PUBLISHING
Publication of article in non-peer-reviewed	1 Article equals	24 CCC	Copy of publication
publication (e.g., OT Practice, SIS Quarterly,	5 CCC
Advance, etc.)
Publication of chapter(s) in occupational or	1 Chapter	24 CCC	Copy of text, letter from editor
related professional textbook	equals 10 CCC

ATTENDINGWORKSHOPS/COURSES/INDEPENDENTLEARNING
Attending workshops, seminars, lectures, on-	1 Hour equals	24 CCC	CEU, contact hours, certificates of
line courses, and professional conferences	1 CCC		attendance, letter from sponsor
accepted by the certifying entity approved by
the division
Attending employer-provided continuing	1 Hour equals	24 CCC	Attendance records, certificates
education	1 CCC
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	equals 10 CCC		college

back care, and prevention of injury)			organization
Making professional presentations at state or	1 Hour equals	24 CCC	Copy of presentation or program
national workshops, seminars, and	2 CCC		listing
conferences
Guest lecturer, teaching OT related academic	1 Credit Hour	24 CCC	Syllabus of course, course outline
course per semester (must not be one’s	equals 3 CCC		Verification letter from Dept. Chair
primary role)
Providing professional in-service training	1 Hour equals	12 CCC	Attendance records goals and
and/or instruction for occupational therapists,	1 CCC		objectives of in-service training
occupational therapy assistants, and related			Verification letter from supervisor
professionals

Volunteer services to organizations, populations, individuals that advance the reliance on the use of one’s OT skills and

(7) Workshops, seminars, lectures, and professional conferences accepted by the certifying entity approved by the board shall automatically be accepted for license renewal.
(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.
(9) 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 delivered to the board’s office.
  1. 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 20 CSR 2205-5
10 Hours equals 12 CCC Verification letter from 2 CCC organization Report describing outcomes of

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

experiences			volunteer service provided
Extensive scholarly research activities or	10 CCC	24 CCC	Grant funding number,
extensive outcome studies			abstract/executive summary, and/or
			copies of the completed
			research/studies
FIELDWORKSUPERVISION
Level II fieldwork day-to-day direct	2 CCC per	24 CCC	Documentation required, name of
supervision OT or OTA	rotation (8–12		student(s), letter of verification
	weeks)		from school, dates of fieldwork
Entry-level or post–doctoral advanced	2 CCC per	24 CCC	Documentation required, name of
fieldwork direct supervision (must not be	rotation (8-12		student(s), letter of verification
one’s primary role)	weeks)		from school, dates of fieldwork

AUTHORITY: sections 324.065, 324.080, and 324.086, RSMo Supp. 2010.* 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. *Original authority: 324.065, RSMo 1997, amended 2009; 324.080, RSMo 1997, amended 2009; and 324.086, RSMo 1997, amended 2009.