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Certified Occupational Therapist Assistant Licensure in Missouri

  • Timeline 4-6 weeks
  • Initial Costs $56
  • Renewal Costs $10
  • CE Requirements 24 Units
  • Compact No

How to apply

To secure your Travel Certified Occupational Therapist Assistant license in Missouri, you'll be working with the Missouri Board of Occupational Therapy. You will submit your application through the MO PRO portal. Before you start, I recommend initiating your background check and requesting your transcripts to get the ball rolling.

Step-by-Step Guide

  1. Get Your Documents Moving: You can't send these yourself—they must come directly from the source. Head over to your university registrar to request official transcripts and log into NBCOT to request your verification of certification be sent to the Missouri Board. If you hold licenses in other states, request verification from those boards as well.
  2. Complete the Background Check: Missouri uses IdentoGO (MACHS) for fingerprinting. You'll need to register on the MACHS website using the 4-digit registration number 6351. If you are out of state, you will likely need to request a fingerprint card from the Board, get printed locally, and then mail them to the specific IdentoGO address provided in the instructions.
  3. Pass the Jurisprudence Exam: Don't stress—this is an open-book exam! It covers the Missouri Practice Act and Rules. You will typically download this exam from the Board's website or application packet, complete it, and submit it with your application.
  4. Submit Your Application: Create an account on the MO PRO portal to fill out your application. You'll upload any required personal documents here and pay the application fee. Once you hit submit, you can track your status online.

What You'll Need & Key Details

  • Documents to Have Ready: A 2x2 passport-style photo, your Social Security Number, and your driver's license.
  • Items to Request: Official Transcripts, NBCOT Verification of Certification, and Verification of Licensure from all states where you have practiced.
  • Exams: You must complete the Missouri Jurisprudence Exam (open book) with a score of 80% or higher.

Here is the breakdown of what you can expect to spend to get licensed in Missouri:

  • Application Fee: $15
  • Background Check / Fingerprinting: $41 (approximate)
  • Jurisprudence Exam: $0
  • Verifications: $0
  • Total Estimated Initial Cost: $56

Note: Fees are subject to change by the Board, but this gives you a solid estimate to plan your budget!

When to Renew: Missouri COTA renewal happens biennially and is due by June 30th of odd-numbered years.

Cost: The renewal fee is approximately $10.

Note: Be sure to complete your 24 Continuing Competency Credits (CCC) within the two-year cycle to avoid audit issues.

24 Continuing Competency Credits (CCC) required every two years.

Deadline: June 30th of odd-numbered years.

Live vs. Online: Great news for Travel Certified Occupational Therapist Assistant CEUs: Missouri allows all 24 credits to be completed through online or home-study courses, provided they meet the board's criteria for professional development.

Provider Restrictions: Courses must be relevant to the practice of occupational therapy. Missouri recognizes AOTA-approved providers and state/national therapy associations, making MedBridge a convenient and accepted option for travelers.

Mandatory Topics

  • No specific mandatory topics—choose what interests you!


Excluded Topics: Business management, marketing, investment, personal financial planning, and basic CPR or first aid courses do not count toward your CCC total.

New Licensee Rule: If you are licensed for the first time within 12 months of the renewal date, you are exempt from the continuing competency requirements for that first renewal cycle.

Reporting: Missouri is audit-based. You do not need to submit your certificates during renewal, but you must maintain documentation of your credits for at least 4 years in case of a random audit.

Need to reach out with questions or send in documents? Here are the direct details for the Missouri State Board of Occupational Therapy:


Ready to start? Click here to go directly to the Application Portal.

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How to Apply

To secure your Travel Certified Occupational Therapist Assistant license in Missouri, you'll be working with the Missouri Board of Occupational Therapy. You will submit your application through the MO PRO portal. Before you start, I recommend initiating your background check and requesting your transcripts to get the ball rolling.

Step-by-Step Guide

  1. Get Your Documents Moving: You can't send these yourself—they must come directly from the source. Head over to your university registrar to request official transcripts and log into NBCOT to request your verification of certification be sent to the Missouri Board. If you hold licenses in other states, request verification from those boards as well.
  2. Complete the Background Check: Missouri uses IdentoGO (MACHS) for fingerprinting. You'll need to register on the MACHS website using the 4-digit registration number 6351. If you are out of state, you will likely need to request a fingerprint card from the Board, get printed locally, and then mail them to the specific IdentoGO address provided in the instructions.
  3. Pass the Jurisprudence Exam: Don't stress—this is an open-book exam! It covers the Missouri Practice Act and Rules. You will typically download this exam from the Board's website or application packet, complete it, and submit it with your application.
  4. Submit Your Application: Create an account on the MO PRO portal to fill out your application. You'll upload any required personal documents here and pay the application fee. Once you hit submit, you can track your status online.

What You'll Need & Key Details

  • Documents to Have Ready: A 2x2 passport-style photo, your Social Security Number, and your driver's license.
  • Items to Request: Official Transcripts, NBCOT Verification of Certification, and Verification of Licensure from all states where you have practiced.
  • Exams: You must complete the Missouri Jurisprudence Exam (open book) with a score of 80% or higher.

Here is the breakdown of what you can expect to spend to get licensed in Missouri:

  • Application Fee: $15
  • Background Check / Fingerprinting: $41 (approximate)
  • Jurisprudence Exam: $0
  • Verifications: $0
  • Total Estimated Initial Cost: $56

Note: Fees are subject to change by the Board, but this gives you a solid estimate to plan your budget!

When to Renew: Missouri COTA renewal happens biennially and is due by June 30th of odd-numbered years.

Cost: The renewal fee is approximately $10.

Note: Be sure to complete your 24 Continuing Competency Credits (CCC) within the two-year cycle to avoid audit issues.

24 Continuing Competency Credits (CCC) required every two years.

Deadline: June 30th of odd-numbered years.

Live vs. Online: Great news for Travel Certified Occupational Therapist Assistant CEUs: Missouri allows all 24 credits to be completed through online or home-study courses, provided they meet the board's criteria for professional development.

Provider Restrictions: Courses must be relevant to the practice of occupational therapy. Missouri recognizes AOTA-approved providers and state/national therapy associations, making MedBridge a convenient and accepted option for travelers.

Mandatory Topics

  • No specific mandatory topics—choose what interests you!


Excluded Topics: Business management, marketing, investment, personal financial planning, and basic CPR or first aid courses do not count toward your CCC total.

New Licensee Rule: If you are licensed for the first time within 12 months of the renewal date, you are exempt from the continuing competency requirements for that first renewal cycle.

Reporting: Missouri is audit-based. You do not need to submit your certificates during renewal, but you must maintain documentation of your credits for at least 4 years in case of a random audit.

Need to reach out with questions or send in documents? Here are the direct details for the Missouri State Board of Occupational Therapy:


Ready to start? Click here to go directly to the Application Portal.

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