Licensing

OT Compact States: Map and Status

By · Updated October 9, 2026 · Sources: OT Compact Commission (otcompact.gov)

36 states are members of the Occupational Therapy Licensure Compact, and 10 of them are issuing compact privileges: Minnesota, Ohio, West Virginia, Indiana, Virginia, Maryland, Tennessee, Wisconsin, Arkansas, Mississippi. The other 26 have joined but are not yet issuing. Status from the OT Compact Commission (page updated October 5, 2026; checked October 9, 2026).

Alabama: compact member, not yet issuing privileges AL Alaska: compact member, not yet issuing privileges AK Arizona: compact member, not yet issuing privileges AZ Arkansas: issuing compact privileges since October 5, 2026 AR California: not an OT Compact member CA Colorado: compact member, not yet issuing privileges CO Connecticut: not an OT Compact member CT Delaware: compact member, not yet issuing privileges DE District of Columbia: not an OT Compact member DC Florida: not an OT Compact member FL Georgia: compact member, not yet issuing privileges GA Hawaii: not an OT Compact member HI Idaho: not an OT Compact member ID Illinois: not an OT Compact member IL Indiana: issuing compact privileges since March 9, 2026 IN Iowa: compact member, not yet issuing privileges IA Kansas: compact member, not yet issuing privileges KS Kentucky: compact member, not yet issuing privileges KY Louisiana: compact member, not yet issuing privileges LA Maine: compact member, not yet issuing privileges ME Maryland: issuing compact privileges since April 15, 2026 MD Massachusetts: not an OT Compact member MA Michigan: compact member, not yet issuing privileges MI Minnesota: issuing compact privileges since January 12, 2026 MN Mississippi: issuing compact privileges since October 5, 2026 MS Missouri: compact member, not yet issuing privileges MO Montana: compact member, not yet issuing privileges MT Nebraska: compact member, not yet issuing privileges NE Nevada: not an OT Compact member NV New Hampshire: compact member, not yet issuing privileges NH New Jersey: not an OT Compact member NJ New Mexico: not an OT Compact member NM New York: not an OT Compact member NY North Carolina: compact member, not yet issuing privileges NC North Dakota: compact member, not yet issuing privileges ND Ohio: issuing compact privileges since January 12, 2026 OH Oklahoma: compact member, not yet issuing privileges OK Oregon: not an OT Compact member OR Pennsylvania: not an OT Compact member PA Puerto Rico: not an OT Compact member PR Rhode Island: compact member, not yet issuing privileges RI South Carolina: compact member, not yet issuing privileges SC South Dakota: compact member, not yet issuing privileges SD Tennessee: issuing compact privileges since May 20, 2026 TN Texas: not an OT Compact member TX Utah: compact member, not yet issuing privileges UT Vermont: compact member, not yet issuing privileges VT Virginia: issuing compact privileges since March 20, 2026 VA Washington: compact member, not yet issuing privileges WA West Virginia: issuing compact privileges since January 12, 2026 WV Wisconsin: issuing compact privileges since May 29, 2026 WI Wyoming: compact member, not yet issuing privileges WY
Issuing privileges (10)Member, not yet issuing (26)Not a member (16)

Each state links to its OT licensing page.

What the OT Compact does

The compact lets an occupational therapist or OTA licensed in their home state practice in other member states with a compact privilege, instead of getting a separate full license in each one. It covers in-person practice and telehealth. Your home state is, in the Commission’s words, “a state that is a member of the OT Compact AND where you live (primarily reside).”

A privilege only works between states that are both issuing. Until your home state starts issuing, you still need a regular license in each state where you work.

How to get a compact privilege

  1. Hold an unencumbered license in your home state, the member state where you primarily live.
  2. Complete a criminal background check through your home-state licensing board.
  3. Apply on CompactConnect (the Commission links to app.compactconnect.org). The Commission says licensees must create their own account, complete the application and pay themselves; employers cannot apply for you.
  4. Pay the fees: the $75 compact fee plus the destination state’s fee.
  5. Renew with your license. Privileges expire when your home-state license expires; you buy a new one each time you renew.

Member states, issuing dates and fees

StateStatusIssuing sinceState fee (OT / OTA)Compact feeJurisprudence exam
Minnesota Issuing January 12, 2026 $50 / $50 $75 Not required
Ohio Issuing January 12, 2026 $25 / $25 $75 State requirement (see board)
West Virginia Issuing January 12, 2026 $50 / $50 $75 Not required
Indiana Issuing March 9, 2026 $25 / $25 $75 Not required
Virginia Issuing March 20, 2026 $75 / $40 $75 Not required
Maryland Issuing April 15, 2026 $125 / $125 $75 State requirement (see board)
Tennessee Issuing May 20, 2026 $125 / $100 $75 Not required
Wisconsin Issuing May 29, 2026 $75 / $75 $75 State requirement (see board)
Arkansas Issuing October 5, 2026 $4 / $3 $75 Not required
Mississippi Issuing October 5, 2026 $200 / $150 $75 Not required
Alabama Not yet issuing — TBD / TBD $75 Not required
Alaska Not yet issuing — $200 / $130 $75 Not required
Arizona Not yet issuing — $0 / $0 $75 Not listed
Colorado Not yet issuing — TBD / TBD $75 Not required
Delaware Not yet issuing — $100 / $75 $75 Not required
Georgia Not yet issuing — $75 / $65 $75 Not required
Iowa Not yet issuing — TBD / TBD $75 Not required
Kansas Not yet issuing — TBD / TBD $75 Not listed
Kentucky Not yet issuing — $70 / $55 $75 State requirement (see board)
Louisiana Not yet issuing — TBD / TBD $75 Not listed
Maine Not yet issuing — TBD / TBD $75 Not required
Michigan Not yet issuing — / $75 Not required
Missouri Not yet issuing — $30 / $10 $75 State requirement (see board)
Montana Not yet issuing — $190 / $190 $75 Not required
Nebraska Not yet issuing — $45 / $45 $75 Not required
New Hampshire Not yet issuing — TBD / TBD $75 Not required
North Carolina Not yet issuing — TBD / TBD $75 State requirement (see board)
North Dakota Not yet issuing — TBD / TBD $75 State requirement (see board)
Oklahoma Not yet issuing — TBD / TBD $75 Not listed
Rhode Island Not yet issuing — $140 / $140 $75 Not required
South Carolina Not yet issuing — $0 / $0 $75 Info coming soon
South Dakota Not yet issuing — $50 / $50 $75 Not required
Utah Not yet issuing — $45 / $45 $75 Not required
Vermont Not yet issuing — $50 / $50 $75 Not required
Washington Not yet issuing — $150 / $150 $75 Not required
Wyoming Not yet issuing — TBD / TBD $75 Not required

Source: otcompact.gov/before-you-apply (updated October 5, 2026). “TBD” means the Commission had not listed a fee yet. Status changes as states connect to CompactConnect, so check the Commission before you apply.

States not in the OT Compact

16 jurisdictions were not listed as members: California, Connecticut, District of Columbia, Florida, Hawaii, Idaho, Illinois, Massachusetts, Nevada, New Jersey, New Mexico, New York, Oregon, Pennsylvania, Puerto Rico, Texas. OTs and OTAs need a full license from each of these states’ boards. See OT licensing by state.

Frequently asked questions

Which states are in the OT Compact?

As listed by the OT Compact Commission (page updated October 5, 2026): Alabama, Alaska, Arizona, Arkansas, Colorado, Delaware, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming. That is 36 member states.

Which states are issuing OT Compact privileges?

10 member states are issuing privileges: Minnesota (since January 12, 2026), Ohio (since January 12, 2026), West Virginia (since January 12, 2026), Indiana (since March 9, 2026), Virginia (since March 20, 2026), Maryland (since April 15, 2026), Tennessee (since May 20, 2026), Wisconsin (since May 29, 2026), Arkansas (since October 5, 2026), Mississippi (since October 5, 2026).

How much does an OT Compact privilege cost?

The Compact Commission lists a $75 compact fee per privilege, plus a fee set by each destination state. State fees vary widely; see the table on this page.

Who can get an OT Compact privilege?

An OT or OTA whose home state (the member state where they primarily live) has issued them an unencumbered license, and who has completed a criminal background check through their home-state licensing board. Both the home state and the destination state must be issuing privileges.

How long does an OT Compact privilege last?

According to the Commission, privileges expire when your home-state license expires, and you buy a new privilege each time you renew your home-state license.

Is Texas or California in the OT Compact?

Texas: not a member; California: not a member; New York: not a member; Florida: not a member (as of October 5, 2026).