Occupational Therapy License from Maryland to Indiana: Does It Transfer? (2026)

Yes, for working in Indiana — both Maryland and Indiana are active members of the Occupational Therapy Licensure Compact (OT Compact). If Maryland is your primary state of residence and your Maryland license is active and unencumbered, you can buy a compact privilege to practice in Indiana without a second license. A privilege is not a license transfer: if you are moving your residence to Indiana, you will need a Indiana license once Indiana becomes your home state.

No. The NBCOT certification exam is not retaken. On the 'Application by Reciprocity' checklist (for OTs licensed in another state), PLA requires state license verifications and a criminal background check; unlike the examination checklist, it does not list an NBCOT score report or transcript. The pages reviewed do not say whether NBCOT certification must be current. No Indiana jurisprudence exam is required, and the Commission lists Indiana as 'not required' for compact jurisprudence.

A privilege is enough if you keep living in Maryland and your Maryland license stays active and unencumbered. If you move your residence to Indiana, you need a Indiana license from the Indiana Occupational Therapy Committee (Indiana Professional Licensing Agency).

A Indiana compact privilege costs the $75 commission fee plus Indiana's privilege fee. A Indiana license by endorsement, for a relocation: $100 (nonrefundable application fee paid by card with the online application (same fee for OTA), per the PLA licensing page and Committee fee schedule (Dec 2025 archive copy). A temporary permit is $50 more. NOT the OT Compact privilege fee: an Indiana privilege costs a $25 state fee plus the $75 Commission fee.).

A privilege depends on your FBI background check through the Maryland board and any Indiana jurisprudence step. A Indiana license by endorsement: PLA publishes no OT processing timeframe; an application with missing requirements is abandoned after one year.