October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

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Free tools · Licensure

OT Compact states, 2026

10 states are open as of October 10, 2026. Occupational therapists (OTs) and occupational therapy assistants (OTAs).

Checked October 10, 2026 · Source: OT Compact, compact map

Map

One tile per state, colored by the status the commission lists, as of October 10, 2026.

Open10Signed on, not open yet27Bill pending3No compact law11

Who it covers and how it works

CoversOccupational therapists (OTs) and occupational therapy assistants (OTAs).
How it worksAn OT or OTA with a license in an open home state applies to the compact for a privilege in each other open state where they want to work. A privilege rests on the home-state license.
Home stateFor the OT Compact, your home state is your primary state of residence.

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