Verified October 8, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What OTs miss in Michigan
- Michigan requires its own laws and rules exam even for experienced OTs moving in.
- One-time training in identifying human trafficking victims is required for licensure.
- An OT may supervise no more than three unlicensed aides treating patients at the same time.
Can I practice in Michigan on an OT Compact privilege?
Michigan has enacted the OT Compact but is not issuing privileges yet. Until it does, practicing here takes a Michigan license, and a Michigan license does not yet give you a privilege anywhere else.
- Enacted, not issuing yet
Can an OT licensed in another state get a Michigan license by endorsement?
OTs licensed in another state apply by endorsement. With five or more years of licensure elsewhere, they need a past NBCOT pass and Michigan's laws and rules exam; with under five years, they also show ACOTE or WFOT education. Every license held must be disclosed and verified.
- Endorsement route available
Citation: Mich. Admin. Code R. 338.1226
Which exams does Michigan require for a license?
The NBCOT certification exam is the licensure exam. Every applicant, including endorsement applicants, must also pass Michigan's laws and rules exam with a converted score of at least 75, within three years before or two years after applying.
- NBCOT exam
- State jurisprudence exam
Does Michigan require fingerprints?
- Fingerprint background check
What OTAs need to know in Michigan
The OT verifies the OTA's training and license, completes the evaluation before delegating, sets either general or direct supervision based on the OTA's education, training and experience, provides written protocols, and keeps a record of OTAs delegated to.
How often does a Michigan OT license renew?
Renewal every two years requires 20 contact hours, at least half live and interactive, including one hour on pain and symptom management. Licensees also need one-time human trafficking training and implicit bias training.
- Renews every 2 years
- 20 CE hours per cycle
Licensing in Michigan?
For a license, we send your NBCOT score and verifications, file the application and carry the board correspondence. License by endorsement is $599 for an OT and $499 for an OTA.