Kentucky OT Jurisprudence cheat sheet

KRS 319A is the Occupational Therapy Practice Act; the Board's administrative regulations are codified in 201 KAR Chapter 28.

"Occupational therapy" means the use of purposeful activity or interventions to achieve functional outcomes, maximize independence, and prevent injury or disability.

The licensed OT evaluates, interprets evaluation results, develops and modifies the intervention plan, and is responsible for the service delivery and its outcomes.

The OTA implements the intervention plan and may contribute to the evaluation process, but does not interpret evaluation results or design the plan independently.

A person may not use the title "occupational therapist," "OT," "occupational therapy assistant," "OTA," or any similar designation without a Kentucky license.

Practice without a license is a violation subject to injunctive relief and civil penalties, in addition to any criminal exposure under KRS 319A.

The Act does not prohibit self-care by an individual or the practice of other licensed professions acting within their own lawful scope.

A license is required to practice in Kentucky regardless of licensure in another state; out-of-state licensees must obtain Kentucky licensure.

The Board regulates licensure, renewal, continuing education, and discipline for occupational therapists and occupational therapy assistants in Kentucky.

The Board is administratively attached to the Kentucky Public Protection Cabinet for administrative support, but exercises independent licensing and disciplinary authority.

Board members are appointed by the Governor and serve fixed terms; vacancies are filled by gubernatorial appointment.

The Board may conduct investigations, issue subpoenas, hold hearings, refuse or revoke licenses, impose probation, and assess civil penalties.

Board meetings are subject to the Kentucky Open Meetings Act, and disciplinary actions are subject to the Open Records Act with statutory confidentiality exceptions.

A licensee must notify the Board of a change of name or address within the time set by regulation so that notices of renewal and discipline reach the licensee.

Board orders are subject to judicial review on the record under KRS Chapter 13B, the state administrative hearing framework.

OT applicants must graduate from an accredited occupational therapy program; OTA applicants must graduate from an accredited occupational therapy assistant program.

Applicants must pass the NBCOT certification examination (or its successor) for the credential sought and meet the Board's supervised fieldwork requirement.

Initial licensure requires a completed application, official transcripts, examination results, fee, and disclosure of any criminal history or prior disciplinary action.

Licenses renew biennially; renewal requires completion of the continuing education hours set by Board regulation and payment of the renewal fee.

Continuing education must be documented with certificates or transcripts retained by the licensee and produced on Board audit.

Late renewal within the Board's grace period may be permitted with an additional fee; practicing on an expired license is unlicensed practice.

Reinstatement of a lapsed or revoked license may require a reinstatement application, fee, evidence of continuing competence, and, if ordered, reexamination or additional education.

A licensee who has not practiced for an extended period may be required by the Board to complete a refresher program or supervised practice before reinstatement.

The supervising OT is responsible for the OTA's assigned service delivery and must be licensed in Kentucky and readily available for consultation.

Supervision is individualized to the OTA's competence, the client's acuity, and the setting, and is documented in the plan of care.

The OTA may not perform evaluation, interpret evaluation data, or independently modify the intervention plan or goals.

The OT performs and documents the initial evaluation, establishes measurable goals, and reviews and updates the plan at the frequency required by regulation.

The OTA documents treatment sessions, progress toward goals, and communications with the supervising OT in the client record.

Documentation must be timely, accurate, dated, and signed by the person who provided the service, with the credential designation shown.

The supervising OT reviews and co-signs OTA documentation as required by the practice setting and Board regulation.

Supervision may include direct observation, co-treatment, chart review, and case conference; the method and frequency are recorded.

Practice must be within the licensee's education, training, and competence; new or unfamiliar procedures require additional training or referral.

The OT must obtain and document informed consent before evaluation and intervention, including the right to refuse or withdraw.

Client information is confidential; disclosure is permitted only with authorization, when required by law, or to prevent serious harm.

A licensee must not practice while impaired by alcohol, drugs, or a physical or mental condition that affects competent practice.

Delegation of tasks to unlicensed personnel is limited to tasks that do not require the judgment of a licensed OT or OTA.

Fees must be disclosed and must not be divided with a referral source in a manner that violates Kentucky fee-splitting rules.

Records must be maintained for the period required by Kentucky law and the setting, and released in accordance with the client's authorization or legal process.

A licensee has a duty to report suspected abuse, neglect, or exploitation of a child or vulnerable adult to the appropriate Kentucky authority.

Grounds for discipline include fraud in obtaining a license, unprofessional conduct, incompetence, impairment, and practicing beyond the scope of practice.

Additional grounds include conviction of certain crimes, violation of Board orders, failure to complete continuing education, and aiding unlicensed practice.

Available sanctions include reprimand, probation with conditions, suspension, revocation, civil penalty, and required remedial education.

The Board may impose an emergency suspension when continued practice poses an immediate danger to the public, followed by a hearing.

A licensee is entitled to notice of the charges and a hearing at which to present evidence, cross-examine witnesses, and be represented by counsel.

Hearings follow KRS Chapter 13B procedure; a hearing officer may conduct the proceeding and the Board issues the final order.

Disciplinary orders are reported to national data banks as required, and the licensee must comply with monitoring and reporting conditions.

A licensee must report to the Board within the required time any arrest, conviction, or disciplinary action taken by another jurisdiction.

Clients have the right to be informed of the nature of services, expected outcomes, alternatives, risks, and fees before consenting.

Consent must be voluntary and documented; a client may refuse or withdraw consent at any time without penalty to future care.

Minors and adults under guardianship require consent from a parent or legal guardian, with assent from the client where feasible.

Protected health information may be released only with a valid written authorization that identifies the recipient, purpose, and expiration.

Disclosures without authorization are limited to treatment, payment, operations, and specific legal mandates such as court order or public health reporting.

Kentucky law requires reporting of suspected child abuse or neglect and of abuse, neglect, or exploitation of adults with disabilities.

Reports must be made to the designated state authority within the statutory time frame; good-faith reporters are afforded immunity.

A licensee served with a subpoena for records must verify its validity and protect privileged or unauthorized information before release.

Unprofessional conduct includes falsifying records, billing for services not rendered, and signing documents for services provided by another.

Prohibited practices include practicing on a lapsed license, aiding unlicensed practice, and misrepresenting credentials or licensure status.

Advertising must be accurate and not misleading; a licensee may not claim board certification, specialty, or superiority without substantiation.

Use of a title or abbreviation implying licensure that the person does not hold is prohibited.

Testimonials and outcome claims in advertising must be truthful and may not create an unjustified expectation of results.

Soliciting clients in a manner that exploits a professional relationship or the client's dependency is prohibited.

A licensee may not engage in a dual or sexual relationship with a current client; sexual misconduct with a client is grounds for discipline.

Failure to cooperate with a Board investigation, including ignoring a subpoena or providing false information, is itself unprofessional conduct.

Kentucky licensure is required for practice in all settings, including hospitals, schools, home health, outpatient clinics, and telehealth delivered to a client located in Kentucky.

Telehealth practice requires the licensee to hold a Kentucky license, verify client identity and location, and maintain the same documentation standards.

Supervision of an OTA may be provided remotely if the OT is accessible for consultation and the method is documented in the plan of care.

Billing and documentation must support the services actually rendered and the skilled nature of the OT service.

A licensee practicing in a school setting must comply with both Board rules and Kentucky Department of Education requirements for related services.

Consultative services that do not constitute occupational therapy may be provided without a license only if no OT intervention is rendered.

Licensees who move to Kentucky must apply for licensure before practicing; licensure in another state does not confer Kentucky practice authority.

The Board may recognize continuing education completed in another jurisdiction if it meets Kentucky content and documentation requirements.

Each client record must identify the client, the evaluation, the plan of care, goals, interventions, progress, and discharge summary.

Entries must be dated, timed where required, legible, and authenticated by the author's signature and credential.

Corrections must be made by dated addendum or single-line strike-through; erasure or obliteration of prior entries is prohibited.

Records must be retained for the period required by Kentucky law and the setting, and longer if litigation or an investigation is pending.

Release of records requires a valid authorization or legal process, and a summary may be provided in lieu of the full record when permitted.

The OT is responsible for the accuracy of documentation regardless of who transcribes or enters it into the record.

Documentation must reflect the skilled nature of the service and the client's response, not just the activities performed.

Discharge documentation must summarize outcomes, the client's status, and recommendations for continued care.

Continuing education hours must be earned during the renewal period and must include the content areas specified by Board regulation.

Acceptable activities typically include Board-approved courses, professional conferences, and documented independent study as allowed by regulation.

Licensees must retain certificates of attendance and course descriptions for the audit period set by the Board.

A random audit may require the licensee to submit proof of completion; failure to produce proof may result in discipline.

Excess hours earned in one renewal period generally may not be carried forward unless the Board's regulation permits it.

Courses must be relevant to occupational therapy practice; unrelated coursework does not satisfy the requirement.

A licensee who is audited must respond within the time specified by the Board or face a show-cause proceeding.

Instructors and authors may receive continuing education credit for teaching or publishing, subject to Board limits.

Occupational therapy services may be provided without a physician referral unless the payer or setting requires one.

The OT must refer the client to another provider when the condition is outside the OT's scope or requires medical diagnosis or treatment.

The OT may not diagnose medical conditions, prescribe medication, or perform surgery.

Physical agent modalities and other advanced procedures require the training and competency documentation specified by Board regulation.

The OT collaborates with physicians, nurses, speech-language pathologists, physical therapists, and educators to coordinate care.

Screening may be performed to determine the need for evaluation, but screening is not a substitute for a full evaluation.

The OT must recognize when a client's change in status requires reassessment, modification of the plan, or discontinuation of services.

Consultation with the supervising OT is required when an OTA observes a significant change in the client's condition.

An OTA must be licensed in Kentucky and may practice only under the supervision of a licensed OT.

The supervising OT must be available for consultation and must review the OTA's services at the frequency set by regulation and the setting.

The OT may not supervise more assistants than can be safely and effectively supervised given the setting and client needs.

The OTA may not supervise another OTA or an aide in a manner that constitutes independent OT practice.

Aides and technicians may perform delegated tasks but may not perform skilled OT services or make clinical judgments.

The supervising OT must document the supervision provided, including dates, methods, and outcomes of the review.

If the supervising OT is unavailable, the OTA must not provide services requiring OT judgment until supervision is restored.

The OT remains accountable for the services delivered by the OTA under the OT's supervision.

A complaint may be filed by a client, employer, colleague, or the Board itself; the Board screens complaints for jurisdiction and merit.

The Board may conduct an investigation and request records or testimony; failure to cooperate is a separate violation.

A licensee must be given written notice of the charges and an opportunity to respond before a formal hearing.

The licensee may be represented by counsel, present evidence, and cross-examine adverse witnesses at the hearing.

The Board's final order must include findings of fact, conclusions of law, and the sanction imposed.

The licensee may appeal the final order to the appropriate Kentucky court within the statutory time limit.

Sanctions may be stayed or modified by the Board on a showing of compliance with conditions.

Public disciplinary records must be maintained and disclosed as required by Kentucky law.

The OT must avoid conflicts of interest and disclose any financial interest in a product or service recommended to a client.

Gifts and gratuities that could influence clinical judgment should be avoided or disclosed.

The OT must respect the client's autonomy, culture, values, and preferences in goal setting and intervention.

The OT must not abandon a client without reasonable notice and an appropriate transition or referral.

The OT must maintain professional boundaries and avoid dual relationships that impair objectivity.

The OT must report unethical conduct of colleagues through appropriate channels, including the Board when required.

The OT must ensure that students and supervisees practice within their training and under appropriate supervision.

Ethical dilemmas should be resolved using a documented decision-making process that considers the client's best interest.

Billing must reflect services actually provided and documented in the client record.

Upcoding, unbundling, and billing for services not rendered are prohibited and constitute unprofessional conduct.

The OT must not accept payment for referrals or divide fees in violation of Kentucky law.

Documentation must support medical necessity and the skilled nature of the service for reimbursement.

The OT must disclose fees to clients and provide information needed to understand charges.

Fraudulent billing may result in discipline by the Board in addition to civil or criminal liability.

The OT must correct billing errors promptly and cooperate with audits.

Records supporting billed services must be retained for the applicable audit period.

Suspected child abuse or neglect must be reported to the Kentucky Cabinet for Health and Family Services or law enforcement as required by statute.

Suspected abuse, neglect, or exploitation of an adult with a disability must be reported to the appropriate Kentucky authority.

Reports must be made within the statutory time frame and documented in the client record.

Good-faith reporters are immune from civil liability for the report.

Failure to report is a violation of law and may constitute unprofessional conduct.

The duty to report is personal and may not be delegated to a supervisor or employer.

The OT must report suspected impairment of a colleague when it poses a risk to clients.

Confidentiality does not bar a report required by mandatory reporting law.

Advertising must be truthful, not misleading, and free of unsubstantiated claims.

The licensee must not use a title or credential that the licensee does not hold.

Testimonials must be genuine and may not create unjustified expectations of outcome.

Solicitation of clients must not exploit a professional relationship or the client's vulnerability.

Advertising must not disparage other licensees or make comparative claims without substantiation.

The licensee must correct false or misleading advertising promptly after learning of it.

The licensee must not advertise services that the licensee is not licensed or competent to provide.

Use of the Board's name or seal in advertising in a way that implies endorsement is prohibited.

A licensee must not practice while impaired by alcohol, drugs, or a condition that affects competence.

The Board may require an evaluation and may enter into a monitoring agreement with conditions for continued practice.

Self-reporting of impairment may be considered a mitigating factor in discipline.

The licensee must comply with treatment recommendations and monitoring requirements.

Failure to comply with a monitoring agreement is a violation and may result in suspension.

The OT must report a colleague's impairment when it poses a risk to clients.

The Board may impose practice restrictions during an investigation of impairment.

Confidentiality of treatment records is protected to the extent allowed by law.

The Board has jurisdiction over licensees and applicants for licensure in Kentucky.

A complaint may be filed by any person and is screened for jurisdiction and merit.

The licensee must cooperate with an investigation, including providing records and testimony.

Failure to cooperate is a separate violation and may result in discipline.

The licensee must notify the Board of a change of address or name within the time set by regulation.

The licensee must report disciplinary action taken by another jurisdiction within the required time.

The licensee must report certain criminal convictions to the Board.

The Board may issue subpoenas and seek enforcement in court.

Evaluation includes obtaining a history, selecting and administering assessments, and interpreting results to identify strengths and needs.

The OT develops measurable goals and a plan of care based on the evaluation and the client's priorities.

Intervention includes therapeutic use of occupations, activities, and modalities to improve participation.

The OT monitors the client's response and modifies the plan as needed.

Discharge planning includes outcomes, recommendations, and transition to other services.

The OT may supervise fieldwork students in accordance with accreditation standards.

The OT must practice within the licensee's competence and obtain training for new procedures.

The OT must document the skilled nature of the service and the client's progress.

KRS Chapter 13B governs administrative hearings for professional licensing boards.

The Board's final orders are subject to judicial review on the record.

The Board must follow due process: notice, hearing, and an impartial decision-maker.

The Board may adopt regulations that have the force of law when properly promulgated.

The Board's regulations are found in 201 KAR Chapter 28.

The Board must comply with the Open Meetings Act and the Open Records Act.

The Board may impose civil penalties as authorized by statute.

The Board's decisions must be supported by substantial evidence in the record.

Informed consent requires disclosure of the nature of the service, expected benefits, risks, alternatives, and the right to refuse.

Consent must be obtained before the initiation of services and documented in the record.

The client may withdraw consent at any time, and the OT must respect the decision.

Consent for minors requires a parent or guardian, with the minor's assent where appropriate.

Consent for research or recording requires separate authorization.

The OT must answer the client's questions and provide information in an understandable manner.

The OT must document the consent discussion and the client's decision.

The OT must protect the client's privacy during services and in communications.

The supervising OT must document the supervision provided, including dates, methods, and outcomes.

The OTA's documentation must be reviewed and co-signed by the supervising OT as required by the setting and regulation.

Co-signature indicates review, not that the OT provided the service.

The OT must ensure that the OTA's documentation is accurate and complete.

The OTA must document services in a timely manner and identify the supervising OT.

The OT must document any change in the plan of care and communicate it to the OTA.

The OT must document the OTA's competence and any additional training provided.

Supervision records must be retained for the applicable period.

"Occupational therapist" means a person licensed under KRS 319A to practice occupational therapy.

"Occupational therapy assistant" means a person licensed to assist in the practice of occupational therapy under the supervision of an OT.

"Supervision" means the oversight of the OTA's services by a licensed OT who is available for consultation.

"Evaluation" means the process of obtaining and interpreting data to identify needs and strengths.

"Intervention" means the therapeutic activities and procedures used to achieve goals.

"Plan of care" means the documented goals and methods for the client's therapy.

"Telehealth" means the delivery of OT services through electronic communication.

"Unprofessional conduct" means conduct that violates the standards of the profession or the Board's rules.

Applicants must meet education, examination, and fieldwork requirements for the credential sought.

The NBCOT examination is the national certification examination used for licensure.

Applicants must submit official transcripts and examination results to the Board.

Applicants must disclose criminal history and prior disciplinary action.

Licensure by endorsement may be available for licensees from other jurisdictions with equivalent requirements.

The Board may require additional documentation or examination for endorsement applicants.

Fees must accompany the application and are generally nonrefundable.

The Board must act on applications within a reasonable time and provide notice of denial.

Licenses renew biennially on the schedule set by the Board.

Renewal requires completion of continuing education and payment of the fee.

A late renewal may be permitted within a grace period with an additional fee.

Practicing on an expired license is unlicensed practice.

Reinstatement may require a reinstatement application, fee, and evidence of continuing competence.

The Board may require reexamination or additional education for reinstatement.

A licensee who has not practiced for an extended period may be required to complete a refresher program.

The Board may impose conditions on reinstatement.

Continuing education hours must be earned during the renewal period.

The content must be relevant to occupational therapy practice.

Licensees must retain certificates and course descriptions for audit.

A random audit may require proof of completion.

Failure to produce proof may result in discipline.

Excess hours may not be carried forward unless permitted by regulation.

Teaching and publishing may qualify for credit subject to Board limits.

The Board may approve courses and providers.

Falsifying a client record or signing for another's service is unprofessional conduct.

Billing for services not rendered is unprofessional conduct.

Practicing while impaired is unprofessional conduct.

Aiding unlicensed practice is unprofessional conduct.

Misrepresenting credentials is unprofessional conduct.

Failure to cooperate with a Board investigation is unprofessional conduct.

Sexual misconduct with a client is unprofessional conduct.

Abandoning a client without notice is unprofessional conduct.

Client information is confidential and may be released only with authorization or as required by law.

Authorization must identify the recipient, purpose, and expiration.

Disclosures without authorization are limited to treatment, payment, operations, and legal mandates.

A subpoena must be validated before records are released.

Privileged information must be protected.

Records must be retained for the applicable period.

Corrections must be made by addendum, not obliteration.

The client may request access to the client's record as permitted by law.

The OT must collaborate with other providers to coordinate care.

The OT must refer the client when the condition is outside the OT's scope.

The OT must respect the client's autonomy and culture.

The OT must avoid conflicts of interest.

The OT must maintain professional boundaries.

The OT must report unethical conduct through appropriate channels.

The OT must ensure that supervisees practice within their training.

The OT must document ethical decision-making when dilemmas arise.

Telehealth services delivered to a client located in Kentucky require a Kentucky license.

The licensee must verify the client's identity and location at each session.

The licensee must maintain the same documentation standards as in-person care.

The licensee must ensure privacy and security of the electronic communication.

The licensee must obtain informed consent for telehealth services.

The licensee must have a plan for emergencies and referrals.

Supervision of an OTA may be provided remotely if documented.

The licensee must comply with applicable Kentucky telehealth laws and regulations.

The Board regulates OT and OTA licensure in Kentucky.

Members are appointed by the Governor and serve fixed terms.

The Board adopts regulations codified in 201 KAR Chapter 28.

The Board may investigate complaints and hold hearings.

The Board may impose sanctions including reprimand, probation, suspension, and revocation.

The Board must comply with the Open Meetings Act and Open Records Act.

The Board's orders are subject to judicial review.

The Board may assess civil penalties as authorized by statute.

Grounds include fraud in obtaining a license, unprofessional conduct, incompetence, and impairment.

Grounds include conviction of certain crimes and violation of Board orders.

Grounds include failure to complete continuing education and aiding unlicensed practice.

Sanctions include reprimand, probation, suspension, revocation, and civil penalty.

The Board may impose remedial education or monitoring.

Emergency suspension may be imposed when there is immediate danger.

The licensee is entitled to notice and a hearing.

The Board's final order must include findings of fact and conclusions of law.

The licensee must receive written notice of the charges.

The licensee may be represented by counsel.

The licensee may present evidence and cross-examine witnesses.

Hearings follow KRS Chapter 13B procedure.

A hearing officer may conduct the proceeding.

The Board issues the final order.

The licensee may appeal to the appropriate court within the statutory time limit.

The Board's decision must be supported by substantial evidence.

Suspected child abuse or neglect must be reported to the Kentucky Cabinet for Health and Family Services or law enforcement.

Suspected abuse, neglect, or exploitation of an adult with a disability must be reported to the appropriate authority.

Reports must be made within the statutory time frame.

Good-faith reporters are immune from civil liability.

Failure to report is a violation of law and may be unprofessional conduct.

The duty to report is personal and may not be delegated.

The OT must report suspected impairment of a colleague when it poses a risk to clients.

Confidentiality does not bar a required report.

Advertising must be truthful and not misleading.

The licensee must not use a title or credential not held.

Testimonials must be genuine and not create unjustified expectations.

Solicitation must not exploit a professional relationship.

Comparative claims must be substantiated.

False advertising must be corrected promptly.

The licensee must not advertise services the licensee is not competent to provide.

Use of the Board's name or seal implying endorsement is prohibited.

Each record must identify the client, evaluation, plan of care, goals, interventions, progress, and discharge summary.

Entries must be dated, legible, and authenticated by the author's signature and credential.

Corrections must be made by dated addendum or single-line strike-through.

Records must be retained for the applicable period.

Release requires authorization or legal process.

The OT is responsible for the accuracy of documentation.

Documentation must reflect the skilled nature of the service.

Discharge documentation must summarize outcomes and recommendations.

OT services may be provided without a physician referral unless the payer or setting requires one.

The OT must refer when the condition is outside the OT's scope.

The OT may not diagnose medical conditions or prescribe medication.

Advanced procedures require training and competency documentation.

The OT collaborates with other providers.

Screening is not a substitute for a full evaluation.

The OT must reassess when the client's status changes.

The OTA must consult the supervising OT when a change is observed.

An OTA must be licensed in Kentucky and practice under OT supervision.

The supervising OT must be available for consultation.

The OT may not supervise more assistants than can be safely supervised.

The OTA may not supervise another OTA in a manner that constitutes independent practice.

Aides may perform delegated tasks but not skilled OT services.

The OT must document supervision.

The OTA must not provide services requiring OT judgment when supervision is unavailable.

The OT remains accountable for the OTA's services.

A complaint may be filed by any person and is screened for jurisdiction and merit.

The Board may investigate and request records or testimony.

Failure to cooperate is a separate violation.

The licensee must receive written notice of charges and an opportunity to respond.

The licensee may be represented by counsel and present evidence.

The Board's final order must include findings and conclusions.

The licensee may appeal within the statutory time limit.

Public disciplinary records must be maintained and disclosed as required.

The OT must avoid conflicts of interest and disclose financial interests.

Gifts that could influence judgment should be avoided or disclosed.

The OT must respect the client's autonomy, culture, and values.

The OT must not abandon a client without notice and transition.

The OT must maintain professional boundaries and avoid dual relationships.

The OT must report unethical conduct through appropriate channels.

The OT must ensure supervisees practice within their training.

Ethical dilemmas should be resolved with a documented process.

Billing must reflect services actually provided and documented.

Upcoding and unbundling are prohibited.

The OT must not accept payment for referrals or divide fees unlawfully.

Documentation must support medical necessity.

The OT must disclose fees to clients.

Fraudulent billing may result in Board discipline and civil or criminal liability.

Billing errors must be corrected promptly.

Records supporting billed services must be retained.

A licensee must not practice while impaired.

The Board may require an evaluation and monitoring agreement.

Self-reporting may be a mitigating factor.

The licensee must comply with treatment and monitoring requirements.

Failure to comply may result in suspension.

The OT must report a colleague's impairment when it poses a risk.

The Board may impose practice restrictions during investigation.

Treatment records are confidential to the extent allowed by law.

The Board has jurisdiction over licensees and applicants.

A complaint may be filed by any person.

The licensee must cooperate with investigations.

Failure to cooperate is a separate violation.

The licensee must notify the Board of address or name changes.

The licensee must report disciplinary action by another jurisdiction.

The licensee must report certain criminal convictions.

The Board may issue subpoenas and seek enforcement in court.

Evaluation includes history, assessment selection, administration, and interpretation.

The OT develops measurable goals and a plan of care.

Intervention uses occupations, activities, and modalities to improve participation.

The OT monitors response and modifies the plan.

Discharge planning includes outcomes and recommendations.

The OT may supervise fieldwork students per accreditation standards.

The OT must practice within competence.

The OT must document the skilled nature of the service.

KRS Chapter 13B governs administrative hearings.

Board orders are subject to judicial review on the record.

Due process requires notice, hearing, and an impartial decision-maker.

Board regulations have the force of law when properly promulgated.

Regulations are codified in 201 KAR Chapter 28.

The Board must comply with the Open Meetings Act and Open Records Act.

The Board may impose civil penalties as authorized.

Decisions must be supported by substantial evidence.

Informed consent requires disclosure of nature, benefits, risks, alternatives, and right to refuse.

Consent must be obtained before services and documented.

The client may withdraw consent at any time.

Consent for minors requires a parent or guardian.

Research or recording requires separate authorization.

The OT must answer questions and provide understandable information.

The OT must document the consent discussion.

The OT must protect privacy during services and communications.

The supervising OT must document supervision dates, methods, and outcomes.

The OTA's documentation must be reviewed and co-signed as required.

Co-signature indicates review, not that the OT provided the service.

The OT must ensure the OTA's documentation is accurate and complete.

The OTA must document services timely and identify the supervising OT.

The OT must document changes in the plan and communicate them to the OTA.

The OT must document the OTA's competence and training.

Supervision records must be retained for the applicable period.

"Occupational therapist" means a person licensed under KRS 319A.

"Occupational therapy assistant" means a person licensed to assist under OT supervision.

"Supervision" means oversight by a licensed OT available for consultation.

"Evaluation" means obtaining and interpreting data to identify needs and strengths.

"Intervention" means therapeutic activities and procedures used to achieve goals.

"Plan of care" means documented goals and methods.

"Telehealth" means delivery of OT services through electronic communication.

"Unprofessional conduct" means conduct violating professional standards or Board rules.