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 Mississippi
- At least 13 of the 20 CE hours must be live; only seven may be home study or recorded.
- A license lapsed for two consecutive years cannot be reinstated; a new application is required.
- Mississippi began issuing OT Compact privileges on October 5, 2026, with no jurisprudence requirement.
Can I practice in Mississippi on an OT Compact privilege?
Mississippi is issuing OT Compact privileges (since October 5, 2026). An OT or OTA whose home state is also issuing can apply for a privilege to practice here through CompactConnect, and must complete the application personally.
- Issuing compact privileges
Can an OT licensed in another state get a Mississippi license by endorsement?
Licensure by endorsement is open to OTs and OTAs currently licensed in good standing elsewhere under equivalent requirements, with no NBCOT discipline. New residents licensed at least one year in another state can also use Mississippi's universal occupational license.
- Endorsement route available
Citation: 15 Miss. Admin. Code Pt. 19, R. 60-8.4.2, 60-8.4.7
Which exams does Mississippi require for a license?
Applicants must pass an examination approved by the Department. The licensure rules list no state jurisprudence exam.
- No state jurisprudence exam
Does Mississippi offer a temporary or limited OT license?
A 90-day limited permit is for applicants who have not yet taken or received results of the exam, renewable once. Limited-permit OTs need direct contact with a Mississippi OT at least every two weeks, OTAs weekly, and permit holders practice only in Mississippi.
- Temporary or limited license available
Citation: 15 Miss. Admin. Code Pt. 19, R. 60-8.4.4, 60-8.4.5
What OTAs need to know in Mississippi
The OT and OTA meet face to face at the work site at least every seventh treatment day or every 21 calendar days, whichever comes first, and the OT must be reachable by phone daily whenever the OTA treats. The OT documents each supervisory visit.
How often does a Mississippi OT license renew?
Licenses renew every two years for the period ending April 30 of even-numbered years. Renewal needs 20 contact hours: at least 13 live (six on clinical OT practice), up to seven non-live, and two hours of ethics.
- Renews every 2 years
- 20 CE hours per cycle
Licensing in Mississippi?
If your home state issues privileges too, a compact privilege may be the fastest route; you file it yourself, and we prepare you and sit with you while you do. 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.