Occupational Therapy License from Missouri to Indiana: Does It Transfer? (2026)
Can I use my Missouri occupational therapy license in Indiana?
Yes, for working in Indiana — both Missouri and Indiana are active members of the Occupational Therapy Licensure Compact (OT Compact). If Missouri is your primary state of residence and your Missouri 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.
Verify this exact pair in the checker
Same data, interactive — with share link and board links.
Verdict
Compact privilege — work there without a second license
Because Missouri and Indiana are both issuing privileges, you may not need an Indiana license at all, provided Missouri stays your home. An OT or OTA living in Missouri with an active, unencumbered Missouri license can practice in Indiana on a compact privilege. That changes if you relocate: living in Indiana makes it your home state, and the privilege gives way to an Indiana license from the Indiana Occupational Therapy Committee (Indiana Professional Licensing Agency).
What's different between Missouri 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
Missouri to Indiana (this page): Compact privilege — work there without a second license.
Indiana to Missouri (the reverse move): Compact privilege — work there without a second license.
The route is the same in both directions.
- Does coming from Missouri matter?
Coming from Missouri 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
Missouri and Indiana are both OT Compact member states.
A compact privilege lets you practice in Indiana while Missouri 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 Missouri lists $40 for the reverse move; neither may be the full cost.
- Processing time
Missouri lists 3–4 weeks for the reverse move; Indiana has no verified processing-time figure on file, so the two cannot be compared here.
- Exam rules on record
Indiana and Missouri 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.
- Missouri (the reverse move): The NBCOT certification exam is not retaken. On the reciprocity application (MO 375-1095, 10-2026), the applicant lists NBCOT OTR credentials and has the certifying entity send verification of credentials directly to the Board; copies of certificates or wallet cards are not accepted. The form does not require current NBCOT certification. Missouri also requires its open-book Jurisprudence Exam, returned with the application.
What changes, Missouri → Indiana
| Missouri (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 | $40 (OT reciprocity application fee from form MO 375-1095 (rev. 10-2026; $20 for an OTA or a limited permit). Paid by check or money order to the Missouri Board of Occupational Therapy. Fingerprint fees are paid to the vendor (IdentoGO), not the Board; the amount is not stated. Other states may charge fees for license verifications. NOT the OT Compact privilege fee: the Board says Missouri charges $40 for OTs ($20 for OTAs) plus a $75 administrative fee, while the Commission's table lists $30 / $10.) | $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 | 3–4 weeks (The Board's FAQ (last revised 2021) says licensure takes 'an average of 3-4 weeks' once the completed application, fee and Jurisprudence Exam are in and the NBCOT Verification of Certification and state verifications have been requested. An application with a 'yes' answer or past discipline goes to the Board's quarterly meetings (February, May, August and November).) | PLA publishes no OT processing timeframe; an application with missing requirements is abandoned after one year |
| Licensing authority | Missouri Board of Occupational Therapy (Division of Professional Registration) | 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 Missouri 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 Missouri and your Missouri 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 Missouri 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 Missouri 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)
- Missouri Board of Occupational Therapy — Applications ↗ (accessed 2026-10-29)
- Missouri Board of Occupational Therapy — Application for Licensure, Reciprocity (MO 375-1095, 10-2026) ↗ (accessed 2026-10-29)
- Missouri Board of Occupational Therapy — board home ↗ (accessed 2026-10-29)
- Missouri Board of Occupational Therapy — Fingerprinting (all applications require fingerprinting; IdentoGO code 6351) ↗ (accessed 2026-10-29)
- Missouri Board of Occupational Therapy — Frequently Asked Questions (processing time) ↗ (accessed 2026-10-29)
- Missouri Board of Occupational Therapy — Missouri OT/OTA Compact (active member since October 26, 2026; $40 OT privilege fee) ↗ (accessed 2026-10-29)
Reviewed by the License Reciprocity Editorial Team · verified against primary sources Missouri 2026-10-29, Indiana 2026-09-27
How we verify · All sources · Corrections log · spot an error? hello@licensereciprocity.com