Occupational Therapy License from Minnesota to Maryland: Does It Transfer? (2026)
Can I use my Minnesota occupational therapy license in Maryland?
Yes, for working in Maryland — both Minnesota and Maryland are active members of the Occupational Therapy Licensure Compact (OT Compact). If Minnesota is your primary state of residence and your Minnesota license is active and unencumbered, you can buy a compact privilege to practice in Maryland without a second license. A privilege is not a license transfer: if you are moving your residence to Maryland, you will need a Maryland license once Maryland becomes your home state.
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Verdict
Compact privilege — work there without a second license
Because Minnesota and Maryland are both issuing privileges, you may not need a Maryland license at all, provided Minnesota stays your home. An OT or OTA living in Minnesota with an active, unencumbered Minnesota license can practice in Maryland on a compact privilege. That changes if you relocate: living in Maryland makes it your home state, and the privilege gives way to a Maryland license from the Maryland State Board of Occupational Therapy Practice.
What's different between Minnesota and Maryland
Computed from both states' verified data rows, in both directions, and from the route every other origin gets into Maryland. Exam notes are our summary of each board's published rules, with sources below.
- Route, each way
Minnesota to Maryland (this page): Compact privilege — work there without a second license.
Maryland to Minnesota (the reverse move): Compact privilege — work there without a second license.
The route is the same in both directions.
- Does coming from Minnesota matter?
Coming from Minnesota matters here: only 10 of 50 origins (the other 49 states and DC) get this result for a move into Maryland.
The others get: licensure by endorsement (40).
- OT Compact membership
Minnesota and Maryland are both OT Compact member states.
A compact privilege lets you practice in Maryland while Minnesota is your home state; it is not a license, and a move to Maryland needs a Maryland license.
- Application fee
Maryland lists $200 for an out-of-state applicant and Minnesota lists $185 for the reverse move; neither may be the full cost.
- Processing time
Minnesota lists 4–7 weeks for the reverse move; Maryland has no verified processing-time figure on file, so the two cannot be compared here.
- Exam rules on record
Maryland and Minnesota carry different exam notes (our summaries, below); any state law or jurisprudence exam is listed with each state's requirements.
- Maryland (this 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.
- Minnesota (the reverse move): The NBCOT certification exam is not retaken. Minnesota has two endorsement-type routes. 'Equivalency' (Minn. Stat. §148.6412) is for applicants who hold CURRENT NBCOT certification; they send an NBCOT Verification of Certification, which the Board notes is not the same document as exam results. 'Reciprocity' (§148.6415) is for applicants WITHOUT current NBCOT certification who hold a current, unrestricted OT credential in another state; they send license verification plus the statute or rules that governed their initial license, so the Board can confirm equivalent standards. Minnesota has no state jurisprudence exam for licensure, and the Commission lists Minnesota as 'Not required'.
What changes, Minnesota → Maryland
| Minnesota (current) | Maryland (destination) | |
|---|---|---|
| OT Compact status | Licensure by endorsement · OT Compact privilege (not a license) | Licensure by endorsement · OT Compact privilege (not a license) |
| Application fee | $185 (Initial OT licensure fee ($105 for an OTA). Add the $32 criminal background check fee. A temporary license, available while the application is pending to OTs licensed elsewhere or NBCOT-certified, costs $75. Minn. Stat. §148.6445 sets these amounts as maximums, and the Board's published fee page (read via an Internet Archive copy captured 2025-09-17) matched the statutory $185. NOT the compact privilege fee: the Commission lists Minnesota's privilege fee as $50, plus the $75 Commission fee. §148.6445 subd. 5a sets a $150 cap.) | $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.) |
| Processing time | 4–7 weeks (Board-implied. The Board says the criminal background check takes 3 to 5 weeks after the fingerprint packet reaches the CBC office, and then 'allow five (5) to ten (10) business days' for review once ALL documents are received. You may practice as soon as your name appears on the Board's License Look Up.) | The Board publishes no processing timeframe |
| Licensing authority | Minnesota Board of Occupational Therapy Practice | Maryland State Board of Occupational Therapy Practice |
The destination column is what you must satisfy — Maryland 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 Maryland: purchase an OT Compact privilege for Maryland through the compact commission and complete any Maryland jurisprudence requirement.
- Keep your home-state license active — every privilege lapses with it.
- If you are moving your primary residence to Maryland: apply for a Maryland license with the Maryland State Board of Occupational Therapy Practice; 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 Minnesota to Maryland?
No. The NBCOT certification exam is not retaken.
Do I need a Maryland license or just a compact privilege?
A privilege is enough if you keep living in Minnesota and your Minnesota license stays active and unencumbered. If you move your residence to Maryland, you need a Maryland license from the Maryland State Board of Occupational Therapy Practice.
What does it cost?
A Maryland compact privilege costs the $75 commission fee plus Maryland's privilege fee. A Maryland license by endorsement, for a relocation: $200 (Application for initial licensure is $200 (COMAR 10.46.05.01B).
How long does it take?
A privilege depends on your FBI background check through the Minnesota board and any Maryland jurisprudence step. A Maryland license by endorsement: The Board publishes no processing timeframe.
Sources
Primary sources only — official boards and compact commissions. Data last verified Minnesota 2026-09-27, Maryland 2026-10-29.
- 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)
- OT Compact Commission — Before You Apply (Maryland accepting applications since April 15, 2026; $125 privilege fee; jurisprudence required) ↗ (accessed 2026-10-29)
- Minnesota Board of OT Practice — Application: Another State or NBCOT Certified (Equivalency or Reciprocity) (Internet Archive copy of the official page, captured 2026-05-15) ↗ (accessed 2026-09-27)
- Minnesota Board of OT Practice — License Information (Internet Archive copy captured 2026-03-07) ↗ (accessed 2026-09-27)
- Minnesota Board of OT Practice — Fees (Internet Archive copy captured 2025-09-17) ↗ (accessed 2026-09-27)
- Minn. Stat. §148.6412 Licensure by equivalency ↗ (accessed 2026-09-27)
- Minn. Stat. §148.6415 Licensure by reciprocity ↗ (accessed 2026-09-27)
- Minn. Stat. §148.6420 Application requirements ↗ (accessed 2026-09-27)
- Minn. Stat. §148.6445 Fees ↗ (accessed 2026-09-27)
- Minn. Stat. §214.075 Health-related licensing boards; criminal background checks ↗ (accessed 2026-09-27)
Reviewed by the License Reciprocity Editorial Team · verified against primary sources Minnesota 2026-09-27, Maryland 2026-10-29
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