Missouri OT and OTA license renewal and continuing competency
Missouri rule 20 CSR 2205-5.010 states: “At the time of license renewal, the licensee shall verify completion of twenty-four (24) Continuing Competency Credits (CCC) on the renewal form.”
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.
Source read on November 12, 2026: Missouri Code of State Regulations 20 CSR 2205-5, Continuing Competency Requirements (PDF) from the Missouri Secretary of State, for the Missouri Board of Occupational Therapy.
Records
“Each licensee shall retain documentation of the CCCs verified on the renewal form for two (2) years following license renewal.”
First renewal
A person licensed partway through a renewal cycle earns credits at a prorated rate: months licensed in the cycle, divided by the months in the reporting cycle, times the credits required, rounded to a whole number (paraphrased). The rule’s own worked example uses a twenty-four month reporting cycle (paraphrased).
Conversions
“One (1) CEU equals ten (10) Continuing Competency Credits”, and “One (1) contact hour equals one (1) Continuing Competency Credit”.
Approved activities
“Workshops, seminars, lectures, and professional conferences accepted by the certifying entity approved by the board shall automatically be accepted for license renewal.” The rule also provides for audits, and the board may excuse or extend the time for some or all credits for good cause (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.