Maryland OT and OTA license renewal and continuing competency
Maryland regulation COMAR 10.46.04.04 states: “The occupational therapist or occupational therapy assistant shall certify a minimum of 24 contact hours of competency activities obtained within the 2-year period preceding the application for licensure, reactivation, or reinstatement.”
Quoted from official pages checked November 12, 2026. Confirm current requirements, fees, and dates on those sites. This page is not legal advice and does not guarantee eligibility, certification, or licensure.
Sources read on November 12, 2026: Code of Maryland Regulations 10.46.04.04, Licensure and Contact Hour Requirements, 10.46.04.03, Maintaining Records of Contact Hours, and 10.46.04.07, Audit of Continuing Competency, on the Library of Maryland Regulations (Division of State Documents) site, for the Maryland Board of Occupational Therapy Practice.
Content
The 24 hours include “A minimum of 16 contact hours related to occupational therapy principles and procedures” and “A maximum of 8 contact hours through occupational therapy role-related activities.”
Cycle and carryover
“A license is valid for a 2-year term”, with expiration in even- or odd-numbered years depending on when the license was first issued (paraphrased). “The licensee may not carry over contact hours from one continuing competency time frame to another without written consent from the Board.”
NBCOT and first renewal
“The Board recognizes the maintenance of current NBCOT certification as fulfilling the requirements” for the contact hours. A licensee licensed less than one year before renewal is exempt for the first renewal period (paraphrased).
Records and audits
A licensee keeps supporting documents “for a period of 4 years after the date of renewal for inspection by the Board.” The Board audits the documentation of randomly selected licensees (paraphrased).
What this page does not do
It covers the state occupational therapy license only, and only what the official page or pages named above say. It does not cover NBCOT certification renewal, does not list fees, and does not replace the board’s own instructions. Rules change; check the board before you renew.