Maryland OT License Renewal: CCR Requirements, Fees & NBCOT Waiver (2026)
This page covers renewal requirements for Maryland occupational therapist licenses. Data is based on direct review of Maryland Board of Occupational Therapy Practice official pages, the Board’s 2026 CCR Reference Guide (PDF), and COMAR 10.46.04 conducted in June 2026. This page is editorially reviewed by an ARDMS-credentialed sonographer as part of AlliedLicenseGuide.com’s allied health licensing database. View the primary source at the Maryland Board of Occupational Therapy Practice Renewal page.
- Maryland-licensed OTs preparing for biennial license renewal
- OTs whose Maryland license has lapsed and who need to understand reactivation or reinstatement options
- Travel OTs with a Maryland home state license who want to understand compact renewal implications
Maryland OT License Renewal — At a Glance
| Renewal Cycle | Biennial (every 2 years); licenses expire June 30 |
| Renewal Fee | $270 |
| Late Renewal Fee | $100 |
| License Expiration | June 30 of either odd or even years depending on original licensure year |
| Grace Period | Conflicting information in reviewed sources — verify directly with Board before relying on any grace period |
| Renewal Window | Renewal cycle begins May 1 and ends June 30 |
| CE Requirement | 24 contact hours per biennial period (min. 16 OT principles/procedures; max. 8 role-related) — waived if NBCOT certification is current |
| Mandatory CE Topics | None identified |
| Approved CE Providers | Board-approved courses (searchable via Board’s verification portal); or activities meeting COMAR 10.46.04 standards |
| Renewal Method | Online (credit card) or paper mail (check/money order) |
| Lapsed License | Elective nonrenewal ($245 reactivation fee); reinstatement ($450); no specific null-and-void cutoff identified |
| Renewal Page | Maryland Board of Occupational Therapy Practice — Renewal |
| Board Contact | mdotboard.user@maryland.gov | 410-402-8556 | 55 Wade Avenue, Tuerk Building, 2nd Floor, Baltimore, MD 21228 |
Maryland OT licenses renew on a biennial cycle and expire on June 30 of either odd or even years, depending on the year the license was originally issued. The Board’s renewal page confirms the renewal window opens May 1 and closes June 30. Renewal can be completed online with a credit card or by downloading and mailing a paper renewal form with a check or money order.
Maryland’s continuing competency framework has a notable feature that sets it apart from most states: the entire 24-hour CE requirement is waived for licensees who maintain current NBCOT certification. OTs who keep their NBCOT credential active do not need to separately document continuing competency activities for Maryland renewal. Those whose NBCOT certification has lapsed must fulfill the 24-hour continuing competency requirement under COMAR 10.46.04.
For OTs who do complete continuing competency activities, Maryland uses a detailed CCR (Continuing Competency Requirement) framework organized into participatory, presentation, and additional activity categories. The Board maintains an approved course search portal and publishes a comprehensive CCR Reference Guide (2026 version) and CCR Compliance Report tracking form available on the Board’s CCR page.
Renewal Requirements
Option 1 — Maintain Current NBCOT Certification (CCR Waived)
If your NBCOT certification is current and active at the time of renewal, Maryland’s continuing competency requirement is fully waived. You attest to current NBCOT certification on your renewal application. This is explicitly stated at the top of the Board’s CCR Reference Guide: “WAIVED IF NBCOT CERTIFICATION IS CURRENT.”
Option 2 — Complete Continuing Competency Requirements
If your NBCOT certification is not current, you must document 24 contact hours of continuing competency activities during the two-year renewal period. The 24-hour total is structured as follows:
- Minimum 16 contact hours in OT Principles and Procedures (8 minimum per annual cycle)
- Maximum 8 contact hours in Role-Related Activities (4 maximum per annual cycle)
The Board’s CCR Reference Guide structures these requirements around an annual cycle framework — 8 minimum OT Principles/Procedures hours and up to 4 Role-Related hours per year, yielding the 24-hour biennial total. When planning your CE activities, verify your specific two-year period requirements in your license renewal documentation or by contacting the Board.
Approved Activity Types and Category Limits
Maryland uses a numbered activity system under COMAR 10.46.04. The Board’s 2026 CCR Reference Guide identifies 23 qualifying activity types across three categories. Key categories and per-cycle limits include:
- Workshops, seminars, conferences (Activity 1): Up to 12 hours OT Principles/Procedures and 4 hours Role-Related per annual cycle
- University/college coursework (Activity 2): 4 contact hours per credit hour earned; up to 12 OT P&P and 4 Role-Related per cycle
- Internet/online courses (Activity 7): Up to 8 hours OT P&P and 4 Role-Related per annual cycle
- Informal self-study (Activity 8): Up to 6 hours OT P&P and 4 Role-Related per annual cycle
- Fieldwork supervision (Activity 15): 2 hours per Level I student; 8 hours per Level II student; up to 8 OT P&P per cycle
- Jurisprudence exam completion (Activity 21): 1 contact hour (counts in both OT P&P and Role-Related categories)
For the complete list of all 23 qualifying activity types, documentation requirements, and per-cycle limits, consult the Board’s CCR Reference Guide (2026 version) and the CCR Compliance Report tracking form.
Course Pre-Approval and Audit
The Board maintains a searchable list of pre-approved CE courses. You can check if a course has been approved by the Board through the Board’s license verification portal. Courses not on the pre-approved list may still qualify if they meet COMAR 10.46.04 standards, but require more documentation at audit.
A licensee is subject to audit of continuing competency documentation as a condition of renewal. Documentation must be retained and must be submitted by a specified deadline if selected for audit. The Board may take formal disciplinary action for failure to cooperate with an audit or for submitting a false statement regarding continuing competency.
How to Renew Your Maryland OT License
The renewal cycle opens May 1 and closes June 30. To renew:
- Renew online at the Board’s renewal page, paying by credit card; or download the paper renewal form and mail it with a check or money order.
- At renewal, attest to either: (a) current NBCOT certification (CCR waived), or (b) completion of 24 contact hours of qualifying continuing competency activities.
- If attesting to CCR completion, ensure your CCR Compliance Report and supporting documentation are complete and retained per Board requirements.
- Pay the $270 renewal fee.
Lapsed Licenses — Reactivation and Reinstatement
Maryland does not identify a specific null-and-void cutoff after which a license is permanently forfeited. Instead, COMAR 10.46.05.01 establishes two pathways for returning a lapsed license to active status:
Reactivation after Elective Nonrenewal: $245 fee. This applies when a licensee has allowed their license to lapse voluntarily.
Reinstatement: $450 fee. This applies in other lapse scenarios and may involve additional competency requirements, particularly for applicants with a practice lapse of 3 or more years under COMAR 10.46.04.
Contact the Board at 410-402-8556 or mdotboard.user@maryland.gov if your license has lapsed to determine which pathway applies and what additional documentation may be required.
OT Compact and Maryland License Renewal
Maryland is an OT Compact member state. For Maryland-licensed OTs who hold compact privileges in other member states, maintaining an active and unencumbered Maryland home state license is foundational to retaining those compact privileges. Allowing your Maryland license to lapse will affect your ability to practice in other compact member states under compact authority.
For OTs from other compact member states practicing in Maryland under compact privileges, renewal obligations are governed by your home state’s requirements. However, compact privilege maintenance also depends on compact commission rules. Contact the Maryland Board or visit otcompact.org to verify current compact renewal procedures.
- NBCOT currency eliminates CE burden. If your NBCOT certification is active, Maryland’s entire 24-hour continuing competency requirement is waived. Keeping NBCOT current is the simplest path to Maryland renewal compliance.
- Grace period is unconfirmed — renew by June 30. Sources reviewed contain conflicting information about whether a grace period exists after June 30. Do not rely on any grace period; renew before the June 30 deadline to avoid late fees and any practice interruption.
- Renewal window is narrow. The official renewal cycle opens May 1 and closes June 30 — only two months. Watch for this window each renewal year.
- Carry-over hours may be available. COMAR 10.46.04 notes that contact hours may be eligible for carry-over to the next renewal cycle under certain conditions. Review the regulation or contact the Board for specifics.
- Retain CCR documentation. If completing continuing competency activities, retain all supporting documentation per Board requirements in case of audit. The Board’s CCR Compliance Report form is available on the CCR page.
Relevant Statutes and Regulations
- COMAR 10.46.04 — Continuing Competency Requirement
- COMAR 10.46.05 — Collection of Fees
- Maryland Board CCR Reference Guide (2026 version)
- CCR Compliance Report Tracking Form (2026 version)
Related Pages
- Maryland OT Initial Licensing Requirements
- Virginia OT License Renewal
- Pennsylvania OT License Renewal
- Occupational Therapist Licensing by State — Complete Guide
Frequently Asked Questions
How often does a Maryland OT license need to be renewed?
Maryland OT licenses renew on a biennial cycle and expire on June 30 of either odd or even years depending on when the license was originally issued. The renewal cycle opens May 1 and closes June 30 each renewal year. Source: Maryland Board of Occupational Therapy Practice — Renewal Procedures
What is the renewal fee for a Maryland OT license?
The standard biennial renewal fee is $270. A late renewal fee of $100 applies if renewal is submitted after the June 30 deadline. Reactivation after elective nonrenewal costs $245, and reinstatement is $450. All fees are non-refundable. Source: COMAR 10.46.05 — Collection of Fees
Are CE hours required for Maryland OT renewal?
Maryland requires 24 contact hours of continuing competency activities per biennial renewal period — but this requirement is waived entirely for licensees whose NBCOT certification is current at the time of renewal. OTs who maintain active NBCOT certification simply attest to that at renewal with no separate CE documentation required. OTs whose NBCOT certification has lapsed must complete the 24-hour CCR requirement under COMAR 10.46.04, with a minimum of 16 hours in OT Principles/Procedures and a maximum of 8 hours in Role-Related activities. Source: COMAR 10.46.04; Board CCR Reference Guide 2026
Does Maryland pre-approve CE courses for OT renewal?
Yes, the Board maintains a searchable list of pre-approved courses through its license verification portal. You can check whether a specific course has been pre-approved. Courses not on the pre-approved list may still qualify under COMAR 10.46.04 standards, but require additional documentation if audited. Source: Maryland Board of Occupational Therapy Practice — CCR Page
What happens if my Maryland OT license lapses?
An expired Maryland OT license is invalid and the licensee may not practice or use protected titles. Maryland provides two pathways to return to active status: reactivation after elective nonrenewal ($245) and reinstatement ($450). Licensees with a practice lapse of 3 or more years are subject to additional competency requirements under COMAR 10.46.04. Contact the Board directly to determine which pathway applies to your situation. Source: COMAR 10.46.05 — Collection of Fees
Is there a grace period after June 30 for Maryland OT renewal?
The sources reviewed for this page contain conflicting information on this point — one source references a 30-day late renewal window, while another states that completed renewals after June 30 will not be accepted. The Board’s official renewal page does not address a grace period. To be safe, renew before June 30 and do not rely on any grace period. If you have missed the June 30 deadline, contact the Board at 410-402-8556 or mdotboard.user@maryland.gov immediately for guidance. Source: Maryland Board of Occupational Therapy Practice — Renewal Procedures
Page History
- 2026-06-09 — Page created. Data sourced from Maryland Board of Occupational Therapy Practice official pages, Board’s 2026 CCR Reference Guide PDF, COMAR 10.46.04 and 10.46.05 — reviewed June 2026. Grace period discrepancy flagged for Kenneth review.