Missouri OT License Renewal: CCCs, Fees & Deadlines (2026)

ByAllied License Guide Editorial Team

This page covers renewal requirements for Missouri occupational therapist licenses. Data is based on direct review of the Missouri Board of Occupational Therapy website, the Board’s FAQ document, and 20 CSR 2205-5.010 (Continuing Competency Requirements) — accessed directly from the Missouri Secretary of State’s website 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 Missouri Board of Occupational Therapy.

Who this guide is for:
  • Missouri-licensed OTs preparing for biennial license renewal by June 30 of odd-numbered years
  • OTs whose Missouri license has lapsed and who need to understand reinstatement options
  • Travel OTs with a Missouri home state license who want to understand compact renewal implications

Missouri OT License Renewal — At a Glance

Renewal Cycle Biennial — licenses expire June 30 of odd-numbered years
Renewal Fee $30 per 20 CSR 2205-1.050
Late Renewal Penalty $30 per 20 CSR 2205-1.050
License Expiration June 30 of odd-numbered years — fixed date for all Missouri OT licensees
Grace Period None identified — lapsed license triggers late renewal requirements with $30 penalty
CE Requirement 24 Continuing Competency Credits (CCCs) per biennial cycle per 20 CSR 2205-5.010; 1 CCC = 1 contact hour; prorated for new licensees
Mandatory CE Topics None identified in 20 CSR 2205-5.010
Approved CE Workshops/conferences accepted by a Board-approved certifying entity automatically accepted; no pre-approval required; full qualifying activity table in 20 CSR 2205-5.010(5)
Renewal Method Online via MOPRO; contact Board for alternative renewal methods
Payment Methods Check or money order payable to Missouri Board of OT; online payment via MOPRO
Renewal Portal MOPRO (mopro.mo.gov)
Board Contact ot@pr.mo.gov | (573) 751-0877 | 3605 Missouri Boulevard, P.O. Box 1335, Jefferson City, MO 65102

Missouri OT licenses expire on June 30 of odd-numbered years — a fixed date that applies to all Missouri OT licensees simultaneously. The next renewal deadline is June 30, 2027. Renewal is completed online through the MOPRO system. The renewal fee is $30 per 20 CSR 2205-1.050 — one of the lowest renewal fees in the country. Contact the Board to confirm whether alternative renewal methods are available.

At renewal, licensees must verify completion of 24 Continuing Competency Credits (CCCs) on the renewal form. Missouri does not require submission of CE certificates with the renewal — licensees attest to completion and retain documentation for 2 years following renewal. The Board may conduct audits and may request documentation at any time after renewal.

Missouri’s continuing competency framework uses the term “Continuing Competency Credits” (CCCs) rather than “CE hours,” though 1 CCC = 1 contact hour per 20 CSR 2205-5.010(4). The rule also states that “workshops, seminars, lectures, and professional conferences accepted by the certifying entity approved by the board shall automatically be accepted for license renewal” per 20 CSR 2205-5.010(6), meaning qualifying activities from approved certifying entities require no prior Board approval.

Missouri OT Continuing Competency Requirements

24 CCCs Per Biennial Cycle

Per 20 CSR 2205-5.010(1), each Missouri OT licensee must verify completion of 24 Continuing Competency Credits (CCCs) at the time of license renewal. The renewal cycle ends June 30 of odd-numbered years.

Proration for new licensees: A licensee who is first licensed during a renewal cycle must obtain CCCs calculated by: (months licensed during the cycle ÷ total months in the cycle) × 24 CCCs, rounded to the nearest whole number per 20 CSR 2205-5.010(3). For example, an OT first licensed September 1, 2025 for a cycle ending June 30, 2027 (24 months total) would need: 10 months ÷ 24 months × 24 = 10 CCCs for the first renewal.

CCC Conversion Table

Per 20 CSR 2205-5.010(4):

  • 1 CEU = 10 CCCs
  • 1 contact hour = 1 CCC
  • 50 minutes = 1 CCC
  • 1 academic credit hour = 10 CCCs

Qualifying Activity Types and Maximum CCCs

Missouri defines qualifying activities in a detailed table under 20 CSR 2205-5.010(5). The following is a summary of key categories with their maximum CCC values per renewal cycle as established in the regulation. Review the full regulation text for minimum CCC values, documentation requirements, and any additional activity types not listed here:

  • Attending workshops, seminars, lectures, online courses with assessment, and professional conferences: No maximum stated; 1 hour = 1 CCC; CEU/contact hour certificates required
  • Employer-provided CE (excluding orientation and mandatory training): No maximum stated; attendance records and certificates required
  • Independent learning without assessment: No maximum stated; certificate of completion required
  • Reading peer-reviewed article and writing analysis report: 1 article = 1 CCC; annotated bibliography required
  • Formal academic coursework: 1 credit hour = 10 CCCs; official transcript required
  • Professional study group (minimum 3 participants): 2 hours = 1 CCC; group attendance records required
  • Presenting at local organizations on OT-related topics: Maximum 12 CCCs per cycle; 1 hour = 1 CCC; certificate or verification letter required
  • Professional presentations at state or national workshops/conferences: Maximum 24 CCCs per cycle; 1 hour = 1 CCC; certificate or verification letter required
  • Teaching OT-related academic course: Maximum 24 CCCs per cycle; 1 credit hour = 1 CCC; syllabus/verification required
  • Guest lecturer for OT students or related professionals: Maximum 24 CCCs per cycle; 1 hour = 1 CCC
  • Providing professional in-service training: Maximum 24 CCCs per cycle; 1 hour = 1 CCC; attendance records required
  • Level II fieldwork supervision: Maximum 18 CCCs per cycle; 1 unit per week per student; school verification required
  • Level I fieldwork supervision: Maximum per program definition; school verification required
  • Entry-level or post-doctoral advanced experience supervision: Maximum 18 CCCs per cycle; school verification required
  • Mentoring a colleague: Maximum 12 CCCs per cycle; 2 hours = 1 CCC; goals and verification required
  • Reflective practice with advanced colleague: Maximum 12 CCCs per cycle; 2 hours = 1 CCC; mentor verification required
  • Volunteer services advancing OT skills: Maximum 12 CCCs per cycle; 2 hours = 1 CCC; verification letter required
  • Extensive scholarly research activities: Maximum not stated; grant/abstract/research documentation required
  • Publication of article in non-peer-reviewed OT publication: 1 article = 3 CCCs; copy of publication required
  • Publication of book chapter: 1 chapter = 10 CCCs; copy and table of contents required
  • Publication of peer-reviewed article: 1 article = 10 CCCs; copy of published article required
  • Completion of competency assessment tools (e.g., NBCOT Navigator, AOTA assessment tools): 1 unit = 1 CCC; certificate of completion required

Automatic Acceptance

Per 20 CSR 2205-5.010(6), workshops, seminars, lectures, and professional conferences accepted by a certifying entity approved by the Board are automatically accepted for license renewal. The Board states that pre-approvals for courses are not necessary — licensees self-determine whether an activity qualifies based on the activity table in the regulation.

CE Documentation and Audit

Per 20 CSR 2205-5.010(2), licensees must retain documentation of all CCCs for two (2) years following license renewal. The Board may audit continuing competency activities and request documentation at any time. Failure to provide documentation or submission of falsified records may result in disciplinary action per 20 CSR 2205-5.010(7). For good cause shown, the Board may excuse or extend CE requirements upon written application.

How to Renew Your Missouri OT License

  1. Log into MOPRO to renew online.
  2. Complete the renewal form and verify completion of 24 CCCs (or your prorated amount).
  3. Pay the $30 renewal fee by check, money order, or online via MOPRO.
  4. Retain all CE documentation for 2 years after renewal in case of audit.

The Board sends renewal forms to licensees’ addresses on file. Ensure the Board has your current address. Contact the Board at (573) 751-0877 or ot@pr.mo.gov if you do not receive your renewal form before the June 30 deadline.

Lapsed License

If a Missouri OT license lapses, a late renewal penalty of $30 applies in addition to the standard $30 renewal fee (total $60) per 20 CSR 2205-1.050. Missouri regulations provide for reinstatement of lapsed credentials under certain conditions — the specific requirements depend on the length of lapse. Contact the Board directly at (573) 751-0877 or ot@pr.mo.gov to determine current reinstatement requirements before submitting a late renewal application.

Looking for CE courses approved for Missouri OT renewal? Missouri does not require pre-approval of CE courses. Workshops, seminars, lectures, and professional conferences accepted by a certifying entity approved by the Board are automatically accepted per 20 CSR 2205-5.010(6). For other activities, licensees self-determine eligibility based on the activity table in 20 CSR 2205-5.010(5). Review the full activity table to ensure your planned activities qualify and that you have appropriate documentation.

OT Compact and Missouri License Renewal

Missouri is an OT Compact member state. For Missouri-licensed OTs holding compact privileges in other member states, maintaining an active, unencumbered Missouri home state license is essential — allowing your Missouri license to lapse will affect your compact privileges in other states. Compact privilege maintenance also depends on OT Compact Commission requirements.

For OTs practicing in Missouri under compact privileges from another home state, renewal obligations are governed by your home state’s requirements. Contact the Board at ot@pr.mo.gov or visit otcompact.gov to verify current compact renewal procedures.

Practical Renewal Notes
  • June 30 odd-year deadline — all Missouri OTs renew together. The next renewal deadline is June 30, 2027. Keep your address current with the Board so renewal notices reach you.
  • $30 renewal fee is among the lowest in the nation. Missouri has maintained low OT licensing fees per 20 CSR 2205-1.050. Late renewal doubles the cost to $60 total.
  • Attest to CCCs at renewal — no certificates submitted. You verify CCC completion on the renewal form. Retain all documentation for 2 years after renewal in case of audit.
  • No CE pre-approval needed. The Board states pre-approvals are not necessary. Self-assess whether each activity qualifies using the 20 CSR 2205-5.010(5) activity table.
  • Proration applies if you’re a new licensee. If you received your Missouri license after June 30, 2025, your CCC requirement for the 2027 renewal is prorated — not the full 24.

Relevant Statutes and Rules

Related Pages

Frequently Asked Questions

How often does a Missouri OT license need to be renewed?

Missouri OT licenses renew biennially and expire on June 30 of odd-numbered years — a fixed date for all Missouri OT licensees simultaneously. The next renewal deadline is June 30, 2027. Source: Missouri Board of Occupational Therapy; Board FAQ

What is the renewal fee for a Missouri OT license?

The standard biennial renewal fee is $30 per 20 CSR 2205-1.050. A $30 late renewal penalty applies to late renewals, bringing the total to $60. These are among the lowest OT renewal fees in the country. Source: 20 CSR 2205-1.050 — Fees

How many CE hours are required for Missouri OT renewal?

Missouri requires 24 Continuing Competency Credits (CCCs) per biennial renewal cycle per 20 CSR 2205-5.010. One CCC equals one contact hour (50 minutes). New licensees who were first licensed during the current cycle have a prorated requirement based on months licensed. No pre-approval of courses is required. Activities accepted by a Board-approved certifying entity automatically qualify. Source: 20 CSR 2205-5.010 — Continuing Competency Requirements

Do I need to submit CE certificates when renewing my Missouri OT license?

No. Missouri OT renewal requires only attestation of CCC completion on the renewal form — certificates are not submitted at renewal. However, per 20 CSR 2205-5.010(2), all CCC documentation must be retained for two years following renewal and provided to the Board upon request during an audit. Source: 20 CSR 2205-5.010(2)

What happens if my Missouri OT license lapses?

If a Missouri OT license lapses, a late renewal penalty of $30 applies in addition to the standard $30 renewal fee (total $60). For licenses lapsed for an extended period, contact the Board at (573) 751-0877 or ot@pr.mo.gov for guidance on reinstatement requirements before submitting a late renewal. Source: Missouri Board of Occupational Therapy; 20 CSR 2205-1.050

Disclaimer: This page is intended for informational purposes only and does not constitute legal or professional advice. Licensing requirements change; always verify current requirements directly with the Missouri Board of Occupational Therapy before submitting a renewal. AlliedLicenseGuide.com is not affiliated with the Missouri Board or any state licensing agency.

Page History

  • 2026-06-10 — Page created. Data sourced from Missouri Board of Occupational Therapy website (pr.mo.gov), Board FAQ document, 20 CSR 2205-1.050 (fees), and 20 CSR 2205-5.010 (continuing competency rules, effective 2/29/2020) reviewed directly June 2026. Renewal fee ($30/$60 with late) confirmed from 20 CSR 2205-1.050. CE activity table extracted from 20 CSR 2205-5.010(5).

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