Occupational Therapy License from Maryland to Indiana: Does It Transfer? (2026)
Can I use my Maryland occupational therapy license in Indiana?
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 an Indiana license once Indiana becomes your home state.
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Verdict
Compact privilege — work there without a second license
Maryland and Indiana both issue OT Compact privileges, so this move has two versions. Working in Indiana while you keep living in Maryland: buy an Indiana privilege through the commission ($75 plus Indiana's fee), meet any Indiana jurisprudence requirement, and keep your Maryland license active, because the privilege ends when it does. Moving to Indiana: Indiana becomes your home state and you need an Indiana license, by converting the privilege where the Indiana Occupational Therapy Committee (Indiana Professional Licensing Agency) offers that route or by endorsement.
What's different between Maryland and Indiana
Computed from both states' verified data rows, in both directions, and from the route every other origin gets into Indiana. Exam notes are our summary of each board's published rules, with sources below.
- Route, each way
Maryland to Indiana (this page): Compact privilege — work there without a second license.
Indiana to Maryland (the reverse move): Compact privilege — work there without a second license.
The route is the same in both directions.
- Does coming from Maryland matter?
Coming from Maryland matters here: only 10 of 50 origins (the other 49 states and DC) get this result for a move into Indiana.
The others get: licensure by endorsement (40).
- OT Compact membership
Maryland and Indiana are both OT Compact member states.
A compact privilege lets you practice in Indiana while Maryland is your home state; it is not a license, and a move to Indiana needs an Indiana license.
- Application fee
Indiana lists $100 for an out-of-state applicant and Maryland lists $200 for the reverse move; neither may be the full cost.
- Exam rules on record
Indiana and Maryland carry different exam notes (our summaries, below); any state law or jurisprudence exam is listed with each state's requirements.
- Indiana (this move): 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.
- Maryland (the reverse move): The NBCOT certification exam is not retaken. Maryland asks for verification of INITIAL NBCOT certification or examination; screenshots from NBCOT's verification site are accepted. Current NBCOT certification is not required. An applicant who is not currently NBCOT-certified submits a Continuing Competency Requirement Compliance Report showing 24 contact hours in the preceding 24 months. Every applicant must also complete the Maryland jurisprudence exam, an open-book exam on Health Occupations Article Title 10 and COMAR 10.46, answered on paper or online.
What changes, Maryland → Indiana
| Maryland (current) | Indiana (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement · OT Compact privilege (not a license) | Licensure by endorsement · OT Compact privilege (not a license) |
| Application fee | $200 (Application for initial licensure is $200 (COMAR 10.46.05.01B). It is non-refundable and includes a first temporary license. The fingerprinting vendor fee is extra; the Board does not state the amount. NOT the OT Compact privilege fee: Maryland's privilege costs $125 (COMAR 10.46.05.01M) plus the $75 Commission fee.) | $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.) |
| Processing time | The Board publishes no processing timeframe | PLA publishes no OT processing timeframe; an application with missing requirements is abandoned after one year |
| Licensing authority | Maryland State Board of Occupational Therapy Practice | Indiana Occupational Therapy Committee (Indiana Professional Licensing Agency) |
The destination column is what you must satisfy — Indiana sets the rules for this move.
Step by step
- Confirm your home-state license is active and unencumbered and that your home state is your primary state of residence.
- To work in Indiana: purchase an OT Compact privilege for Indiana through the compact commission and complete any Indiana jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Indiana: apply for an Indiana license with the Indiana Occupational Therapy Committee (Indiana Professional Licensing Agency); a privilege does not follow you when your home state changes.
Official links
Related guides
Frequently asked questions
Do I retake the NBCOT exam moving from Maryland to Indiana?
No. The NBCOT certification exam is not retaken.
Do I need an Indiana license or just a compact privilege?
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 an Indiana license from the Indiana Occupational Therapy Committee (Indiana Professional Licensing Agency).
What does it cost?
An Indiana compact privilege costs the $75 commission fee plus Indiana's privilege fee. An 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).
How long does it take?
A privilege depends on your FBI background check through the Maryland board and any Indiana jurisprudence step. An Indiana license by endorsement: PLA publishes no OT processing timeframe; an application with missing requirements is abandoned after one year.
Sources
Primary sources only — official boards and compact commissions. Data last verified Maryland 2026-10-29, Indiana 2026-09-27.
- Indiana PLA, Occupational Therapy Licensing Information and fee schedule (Internet Archive copy of 2025-12-15; in.gov refused connections from this environment on 2026-09-27) ↗ (accessed 2026-09-27)
- Indiana PLA, Occupational Therapy Home, announcement of March 5, 2026: 'Occupational Therapy Licensure Compact Implemented and Live in Indiana, Beginning Monday, March 9, 2026' (Internet Archive copy of 2026-06-12) ↗ (accessed 2026-09-27)
- OT Compact Commission, Before You Apply (Indiana accepting applications since March 9, 2026; $25 state fee; jurisprudence not required) ↗ (accessed 2026-09-27)
- Maryland Board of Occupational Therapy Practice — Forms (Necessary Forms for an Initial License) ↗ (accessed 2026-10-29)
- Maryland Board of Occupational Therapy Practice — Application for Licensure (2026 version) ↗ (accessed 2026-10-29)
- Maryland Board of Occupational Therapy Practice — Applicant's Checklist (2026 version) ↗ (accessed 2026-10-29)
- COMAR 10.46.05 Collection of Fees ↗ (accessed 2026-10-29)
Reviewed by the License Reciprocity Editorial Team · verified against primary sources Maryland 2026-10-29, Indiana 2026-09-27
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