Can someone else apply for my OT Compact privilege?

No. The Commission says employing agencies, third-party affiliates and other representatives may not legally complete the application on a licensee’s behalf, and that licensees should create their own accounts, complete the application and pay themselves. A service can check your eligibility, prepare you and sit with you while you file.

My state enacted the OT Compact. Can I practice in other member states now?

Only if both your home state and the state you want are issuing privileges. Most member states have enacted the law but are still setting up. Enacted is not the same as issuing.

Are California, New York, Texas and Florida in the OT Compact?

No. Practicing in any of them takes that state’s own license, by endorsement where it offers one or a full application.

Can OTAs use the compact?

Yes. The compact covers occupational therapists and occupational therapy assistants, each with its own state privilege fee where the state charges one.

What does an OT Compact privilege cost?

The Commission charges a fee for each privilege, and each state adds its own, which differs for OTs and OTAs. Some states also require a jurisprudence exam. Our readiness and concierge fees are separate and listed on the pricing page.

The OT Compact: Which States Issue Privileges, and How to Get One

The Occupational Therapy Licensure Compact lets an OT or OTA licensed in their home state practice in another member state on a privilege to practice, instead of earning a second full license. It is not a multistate license: you apply for each state separately, and every privilege depends on the license you hold where you live.

The catch is timing. 37 states have enacted it, but a state can only issue or honor privileges once its own setup is finished, and in October 2026 that was true of 10. California, New York, Texas and Florida have not joined, so a full license is still the route there.

States issuing privileges

Enacted, not issuing yet

Members that are still setting up. An OT licensed here cannot use the compact yet, and nobody can practice here on a privilege until the state starts issuing.

Alabama, Alaska, Arizona, Colorado, Delaware, Georgia, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Washington, Wyoming

Not in the compact

A full license is the only route in California, Connecticut, District of Columbia, Florida, Hawaii, Idaho, Illinois, Massachusetts, Nevada, New Jersey, New Mexico, New York, Oregon, Texas.

Compact privilege or full license?

	Compact privilege	Full license
What you get	A privilege to practice in one member state, tied to your home-state license	A full license from that state
Where	Only member states that are issuing privileges	Any state
Who files	You, personally, through CompactConnect	You or a representative, with the state board
Cost	The Commission fee plus the state’s privilege fee	The board’s application and background-check fees
Renewal	Expires with your home license; repurchased at each home renewal	Its own cycle and its own CE rules
If you move	Your home state changes, and privileges follow it	The license stays valid

Who is eligible?

You hold an unencumbered OT or OTA license in your home state, the state where you primarily live.
Your home state and the state you want are both issuing privileges.
You complete the FBI background check through your home-state board.
You pass any jurisprudence exam the state you want requires.

You file it yourself. The Commission requires the licensee to create the account, complete the application and pay. What we do is everything around it: the eligibility audit, the background check, jurisprudence preparation, and a guided session while you apply. Readiness review and concierge prices.

Questions

Can someone else apply for my OT Compact privilege?: No. The Commission says employing agencies, third-party affiliates and other representatives may not legally complete the application on a licensee’s behalf, and that licensees should create their own accounts, complete the application and pay themselves. A service can check your eligibility, prepare you and sit with you while you file.
My state enacted the OT Compact. Can I practice in other member states now?: Only if both your home state and the state you want are issuing privileges. Most member states have enacted the law but are still setting up. Enacted is not the same as issuing.
Are California, New York, Texas and Florida in the OT Compact?: No. Practicing in any of them takes that state’s own license, by endorsement where it offers one or a full application.
Can OTAs use the compact?: Yes. The compact covers occupational therapists and occupational therapy assistants, each with its own state privilege fee where the state charges one.
What does an OT Compact privilege cost?: The Commission charges a fee for each privilege, and each state adds its own, which differs for OTs and OTAs. Some states also require a jurisprudence exam. Our readiness and concierge fees are separate and listed on the pricing page.

Sources: OT Compact Commission member map, Before You Apply, Practitioner FAQ. Not affiliated with the Commission, NBCOT or AOTA.

The OT Compact