reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 201 - Practice of Physical Therapists and Physical Therapist Assistants › Rule 645-201.2 - Recordkeeping

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A licensee
				shall maintain sufficient, timely, and accurate documentation in patient
				records. A licensee's records shall reflect the services provided, facilitate
				the delivery of services, and ensure continuity of services in the
				future.
(2) A licensee who provides
				clinical services shall store records in accordance with state and federal
				statutes and regulations governing record retention and with the guidelines of
				the licensee's employer or agency, if applicable. If no other legal provisions
				govern record retention, a licensee shall store all patient records for a
				minimum of five years after the date of the patient's discharge, or, in the
				case of a minor, three years after the patient reaches the age of majority
				under state law or five years after the date of discharge, whichever is
				longer.
(3) Electronic
				recordkeeping. The requirements of this rule apply to electronic records as
				well as to records kept by any other means. When electronic records are kept,
				the licensee shall ensure that a duplicate hard-copy record or a backup,
				unalterable electronic record is maintained.
(4) Correction of records.
a.
Hard-copy records.
Notations shall be legible, written in ink, and contain no erasures or
				whiteouts. If incorrect information is placed in the record, it must be crossed
				out with a single nondeleting line and be initialed by the licensee.
b.
Electronic records.
If a
				record is stored in an electronic format, the record may be amended with a
				signed addendum attached to the record.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 201 - Practice of Physical Therapists and Physical Therapist Assistants › Rule 645-201.3 - Telehealth Visits

Current through Register Vol. 47, No. 3, July 24, 2024
A licensee may provide physical therapy services to a patient
				  utilizing a telehealth visit if the physical therapy services are provided in
				  accordance with all requirements of this chapter.
(1) Telehealth visit" means the provision of
				physical therapy services by a licensee to a patient using technology where the
				licensee and the patient are not at the same physical location for the physical
				therapy session.
(2) A licensee
				engaged in a telehealth visit shall utilize technology that is secure and
				HIPAA-compliant pursuant to the Health Insurance Portability and Accountability
				Act of 1996, PL 104"191, August 21, 1996, 110 Stat. 1936, and any amendments as
				of December 8, 2023, and that includes, at a minimum, audio or video equipment
				or both, that allows two-way real-time interactive communication between the
				licensee and the patient. A licensee may use non-real-time technologies to
				prepare for a physical therapy session or to communicate with a patient between
				physical therapy sessions.
(3) A
				licensee engaged in a telehealth visit shall be held to the same standard of
				care as a licensee who provides in-person physical therapy. A licensee shall
				not utilize a telehealth visit if the standard of care for the particular
				physical therapy services cannot be met using technology.
(4) Any physical therapist or physical
				therapist assistant who provides a physical therapy telehealth visit to a
				patient located in Iowa shall be licensed in Iowa or have a compact privilege
				issued by the physical therapy compact commission.
(5) Prior to the first telehealth visit, a
				licensee shall obtain informed consent from the patient specific to the
				physical therapy services that will be provided in a telehealth visit. At a
				minimum, the informed consent shall specifically inform the patient of the
				following:
a. The risks and limitations of the
				use of technology to provide physical therapy services;
b. The potential for unauthorized access to
				protected health information; and
c. The potential for disruption of technology
				during a telehealth visit.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 201 - Practice of Physical Therapists and Physical Therapist Assistants › Rule 645-201.4 - Delegation by a Supervising Physical Therapist

Current through Register Vol. 47, No. 3, July 24, 2024
A supervising physical therapist may delegate the performance
				  of physical therapy services to a physical therapist assistant only if done in
				  accordance with the statutes and rules governing the practice of physical
				  therapy. A physical therapist assistant may assist in the practice of physical
				  therapy only to the extent allowed by the supervising physical therapist. The
				  supervisory requirements stated in this rule are minimal. It is the
				  professional responsibility and duty of the supervising physical therapist to
				  provide the physical therapist assistant with more supervision if deemed
				  necessary in the supervising physical therapist's professional judgment.
(1)
Supervision
				requirements.
A supervising physical therapist who delegates the
				performance of physical therapy services to a physical therapist assistant
				shall provide supervision to the physical therapist assistant at all times when
				the physical therapist assistant is providing delegated physical therapy
				services. Supervision means that the physical therapist shall be readily
				available on site or telephonically any time the physical therapist assistant
				is providing physical therapy services so that the physical therapist assistant
				may contact the physical therapist for advice, assistance, or
				instruction.
(2)
Functions
				that cannot be delegated.
The following are functions that only a
				physical therapist may provide and that cannot be delegated to a physical
				therapist assistant:
a. Interpretation of
				referrals;
b. Initial physical
				therapy evaluation and reevaluations;
c. Identification, determination, or
				modification of patient problems, goals, and plans of care;
d. Final discharge evaluation and
				establishment of a discharge plan;
e. Delegation of and instruction in the
				physical therapy services to be rendered by a physical therapist assistant or
				unlicensed assistive personnel, including but not limited to specific tasks or
				procedures, precautions, special problems, and contraindicated procedures;
				and
f. Timely review of
				documentation, reexamination of the patient, and revision of the plan of care
				when indicated.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 202 - Discipline for Physical Therapists and Physical Therapist Assistants › Rule 645-202.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Board"
means the board of physical and
				  occupational therapy.
"Discipline"
means any sanction the board
				  may impose upon licensees.
"Licensee"
means a person licensed to
				  practice in Iowa pursuant to Iowa Code chapter 148A and 645-Chapters 200 to
				  203.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 202 - Discipline for Physical Therapists and Physical Therapist Assistants › Rule 645-202.2 - Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board may impose any of the disciplinary sanctions
				  provided in 645-Chapter 13 when the board determines that any of the acts or
				  offenses listed in such rule or in Iowa Code section
				  147.55 have occurred:
(1) Professional incompetency. Professional
				incompetency includes but is not limited to:
a. A substantial lack of knowledge or ability
				to discharge professional obligations within the scope of practice.
b. A substantial deviation from the standards
				of learning or skill ordinarily possessed and applied by other physical
				therapists or physical therapist assistants in the state of Iowa acting in the
				same or similar circumstances.
c. A
				failure to exercise the degree of care that is ordinarily exercised by the
				average physical therapist or physical therapist assistant acting in the same
				or similar circumstances.
d.
				Failure to conform to the minimal standard of acceptable and prevailing
				practice of the licensed physical therapist or licensed physical therapist
				assistant in this state.
e. Mental
				or physical inability reasonably related to and adversely affecting the
				licensee's ability to practice in a safe and competent manner.
f. Being adjudged mentally incompetent by a
				court of competent jurisdiction.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 202 - Discipline for Physical Therapists and Physical Therapist Assistants › Rule 645-202.3 - Method of Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board has the authority to impose the following
				  disciplinary sanctions:
1. Revocation
				of license.
2. Suspension of
				license until further order of the board or for a specific period.
3. Prohibit permanently, until further order
				of the board, or for a specific period the licensee's engaging in specified
				procedures, methods, or acts.
4.
				Probation.
5. Require additional
				education or training.
6. Require a
				reexamination.
7. Order a physical
				or mental evaluation, or order alcohol and drug screening within a time
				specified by the board.
8. Impose
				civil penalties not to exceed $1000.
9. Issue a citation and warning.
10. Such other sanctions allowed by law as
				may be appropriate.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 202 - Discipline for Physical Therapists and Physical Therapist Assistants › Rule 645-202.4 - Discretion of Board

Current through Register Vol. 47, No. 3, July 24, 2024
The following factors may be considered by the board in
				  determining the nature and severity of the disciplinary sanction to be
				  imposed:
1. The relative serious
				nature of the violation as it relates to ensuring a high standard of
				professional care for the citizens of this state;
2. The facts of the particular
				violation;
3. Any extenuating facts
				or other countervailing considerations;
4. The number of prior violations or
				complaints;
5. The seriousness of
				prior violations or complaints;
6.
				Whether remedial action has been taken; and
7. Such other factors as may reflect upon the
				competency, ethical standards, and professional conduct of the
				licensee.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 203 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-203.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions
				  shall apply:
"Active license"
means a license that is
				  current and has not expired.
"Audit"
means the selection of licensees for
				  verification of continuing education requirements.
"Board"
means the board of physical and
				  occupational therapy.
"Continuing education"
means the same as
				  defined in Iowa Code section
				  272C.1.
"Hour of continuing education"
means at
				  least 50 minutes spent by a licensee completing an approved continuing
				  education activity through live, virtual, online or prerecorded means where the
				  instructor provides proof of completion by the licensee as set forth in these
				  rules.
"Inactive license"
means a license that has
				  expired because it was not renewed by the end of the grace period. The category
				  of "inactive license" may include licenses formerly known as lapsed, inactive,
				  delinquent, closed, or retired.
"Independent study"
means a
				  subject/program/activity that a person pursues autonomously and that meets
				  standards for approval criteria in the rules and includes a posttest.
"License"
means license to practice.
"Licensee"
means any person licensed to
				  practice as a physical therapist or physical therapist assistant in the state
				  of Iowa.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 203 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-203.2 - Continuing Education Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The biennial
				continuing education compliance period shall extend for a two-year period that
				begins on the sixteenth day of the birth month and ends two years later on the
				fifteenth day of the birth month.
a.
				Requirements for physical therapist licensees. Each biennium, each person who
				is licensed to practice as a physical therapist in this state will be required
				to complete a minimum of 40 hours of continuing education approved by the
				board.
b. Requirements for physical
				therapist assistant licensees. Each biennium, each person who is licensed to
				practice as a physical therapist assistant in this state will be required to
				complete a minimum of 20 hours of continuing education approved by the
				board.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 203 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-203.3 - Standards

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
General
				criteria.
Appropriate continuing education activity for purposes of
				license renewal will support each of the following:
a. Constitutes an organized program of
				learning that contributes directly to the professional competency of the
				licensee;
b. Pertains to subject
				matters that integrally relate to the practice of the profession;
c. Is conducted by individuals who have
				specialized education, training and experience by reason of which said
				individuals should be considered qualified concerning the subject matter of the
				program. At the time of audit, the board may request the qualifications of
				presenters;
d. Fulfills stated
				program goals, objectives, or both; and
e. Provides proof of attendance to licensees
				including:
(1) Date, location, course title,
				presenter(s);
(2) Number of program
				contact hours; and
(3) Certificate
				of completion or evidence of successful completion of the course provided by
				the course sponsor.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.2 - Initial Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
The following criteria shall apply to licensure. The
				  applicant shall:
(1) Submit a complete
				online application and pay the nonrefundable fee specified in rule
				645-5.11(147,148B).
(2) Submit an
				official copy of academic transcripts directly from the school to the board. No
				application will be considered by the board until official copies of academic
				transcripts have been received.
(3)
				Direct the examination service to submit examination scores directly to the
				board.
(4) Provide verification of
				license(s) from every jurisdiction in which the applicant has been licensed,
				sent directly from the jurisdiction(s) to the board office. Web-based
				verification may be substituted for verification direct from the jurisdiction's
				board office if it provides:
a. Licensee's
				name;
b. Date of initial
				licensure;
c. Current licensure
				status; and
d. Any disciplinary
				action taken against the license.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.3 - Licensure by Endorsement

Current through Register Vol. 47, No. 3, July 24, 2024
An occupational therapist or occupational therapy assistant
				  applicant who holds a license in another state shall complete requirements in
				  rule 645-206.2 (147) and have
				  completed one of the following: :
(1)
				Completed board-approved continuing education during the immediately preceding
				two-year period: 30 hours for an occupational therapist and 15 hours for an
				occupational therapy assistant; or
(2) Practiced for a minimum of 2,080 hours
				during the immediately preceding two-year period; or
(3) Served the equivalent of one year as a
				full-time faculty member teaching in an accredited school of occupational
				therapy for at least one of the immediately preceding two years; or
(4) Successfully passing the examination
				within a period of two years from the date of examination to the time
				application is completed for licensure.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.4 - Limited Permit to Practice Pending Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
A limited permit holder who is applying for licensure in Iowa
				  by taking the licensure examination for the first time and has never been
				  licensed as an occupational therapist or occupational therapy assistant in any
				  state, the District of Columbia, or another country must have completed the
				  educational and experience requirements for licensure as an occupational
				  therapist or occupational therapy assistant. The limited permit holder
				  shall:
1. Make arrangements to take
				the examination and have the official results of the examination sent directly
				from the examination service to the board;
2. Apply for licensure on forms provided by
				the board. The applicant must include on the application form the name of the
				Iowa-licensed occupational therapist(s) who will provide supervision of the
				limited permit holder until the limited permit holder is licensed;
3. Practice only under the supervision of an
				Iowa-licensed OT for a period not to exceed six months from the date the
				application was received in the board office;
4. Submit to the board the name of the OT
				providing supervision within seven days after a change in supervision occurs;
				and
5. If the applicant fails the
				national examination, cease practicing immediately.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.5 - Examination Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
The following criteria shall apply to the written
				  examination(s):
(1) The applicant for
				licensure as an occupational therapist shall have received a passing score on
				the licensure examination for occupational therapists. It is the responsibility
				of the applicant to make arrangements to take the examination and have the
				official results submitted directly from the examination service to the board
				of physical and occupational therapy.
(2) The applicant for licensure as an
				occupational therapy assistant shall have received a passing score on the
				licensure examination for occupational therapy assistants. It is the
				responsibility of the applicant to make arrangements to take the examination
				and have the official results submitted directly from the examination service
				to the board of physical and occupational therapy.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.6 - Educational Qualifications

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The applicant
				must present proof of meeting the following requirements for licensure as an
				occupational therapist or occupational therapy assistant:
a.
Occupational therapist.
The applicant for licensure as an occupational therapist shall have completed
				the requirements for a degree in occupational therapy in an occupational
				therapy program accredited by the Accreditation Council for Occupational
				Therapy Education of the American Occupational Therapy Association. The
				transcript shall show completion of a supervised fieldwork
				experience.
b.
Occupational
				therapy assistant.
The applicant for licensure as an occupational
				therapy assistant shall be a graduate of an educational program approved by the
				Accreditation Council for Occupational Therapy Education of the American
				Occupational Therapy Association. The transcript shall show completion of a
				supervised fieldwork experience.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.7 - License Renewal

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The biennial
				license renewal period for a license to practice as an occupational therapist
				or occupational therapy assistant shall begin on the sixteenth day of the birth
				month and end on the fifteenth day of the birth month two years later. The
				licensee is responsible for renewing the license prior to its expiration.
				Failure of the licensee to receive notice from the board does not relieve the
				licensee of the responsibility for renewing the license.
(2) An individual who was issued a license
				within six months of the license renewal date will not be required to renew the
				license until the subsequent renewal two years later.
(3) A licensee seeking renewal shall:
a. Meet the continuing education requirements
				of rule 645-207.2 (272C) and the
				mandatory reporting requirements of rule 645-206.9(17A,147,272C). A licensee
				whose license was reactivated during the current renewal compliance period may
				use continuing education earned during the compliance period for the first
				renewal following reactivation; and
b. Submit the completed renewal application
				and renewal fee before the license expiration date.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.8 - License Reactivation

Current through Register Vol. 47, No. 3, July 24, 2024
To apply for reactivation of an inactive license, a licensee
				  shall:
(1) Submit a reactivation
				application on a form provided by the board.
(2) Pay the reactivation fee that is due as
				specified in 645-subrule 5.11(5).
(3) Provide verification of current
				competence to practice occupational therapy by satisfying one of the following
				criteria:
a. If the license has been on
				inactive status for five years or less, an applicant must provide the
				following:
(1) Verification of the license
				from the jurisdiction in which the applicant has most recently been practicing
				during the time period the Iowa license was inactive, sent directly from the
				jurisdiction to the board office. Web-based verification may be substituted for
				verification from a jurisdiction's board office if the verification includes:
1. Licensee's name;
2. Date of initial licensure;
3. Current licensure status; and
4. Any disciplinary action taken against the
				license; and
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.9 - License Reinstatement

Current through Register Vol. 47, No. 3, July 24, 2024
A licensee whose license has been revoked, suspended, or
				  voluntarily surrendered must apply for and receive reinstatement of the license
				  in accordance with rule
				  645-11.31 (272C) and must apply
				  for and be granted reactivation of the license in accordance with rule
				  645-206.8 (17A,147,272C) prior
				  to practicing occupational therapy in this state.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.10 - License Renewal

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The biennial
				license renewal period for a license to practice as an occupational therapist
				or occupational therapy assistant shall begin on the sixteenth day of the birth
				month and end on the fifteenth day of the birth month two years later. The
				licensee is responsible for renewing the license prior to its expiration.
				Failure of the licensee to receive notice from the board does not relieve the
				licensee of the responsibility for renewing the license.
(2) An individual who was issued a license
				within six months of the license renewal date will not be required to renew the
				license until the subsequent renewal two years later.
(3) A licensee seeking renewal shall:
a. Meet the continuing education requirements
				of rule 645-207.2 (272C) and the
				mandatory reporting requirements of subrule 206.12(4). A licensee whose license
				was reactivated during the current renewal compliance period may use continuing
				education earned during the compliance period for the first renewal following
				reactivation; and
b. Submit the
				completed renewal application and renewal fee before the license expiration
				date.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.11 - License Reactivation

Current through Register Vol. 47, No. 3, July 24, 2024
To apply for reactivation of an inactive license, a licensee
				  shall:
(1) Submit a reactivation
				application on a form provided by the board.
(2) Pay the reactivation fee that is due as
				specified in 645-subrule 5.11(5).
(3) Provide verification of current
				competence to practice occupational therapy by satisfying one of the following
				criteria:
a. If the license has been on
				inactive status for five years or less, an applicant must provide the
				following:
(1) Verification of the license
				from the jurisdiction in which the applicant has most recently been practicing
				during the time period the Iowa license was inactive, sent directly from the
				jurisdiction to the board office. The applicant must also disclose any public
				or pending complaints against the applicant in any other jurisdiction.
				Web-based verification may be substituted for verification from a
				jurisdiction's board office if the verification includes:
1. Licensee's name;
2. Date of initial licensure;
3. Current licensure status; and
4. Any disciplinary action taken against the
				license; and
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.12 - License Reinstatement

Current through Register Vol. 47, No. 3, July 24, 2024
A licensee whose license has been revoked, suspended, or
				  voluntarily surrendered must apply for and receive reinstatement of the license
				  in accordance with
				  645-1131. (272C)
				  and must apply for and be granted reactivation of the license in accordance
				  with 206.18(17A,147,272C) prior to practicing occupational therapy in this
				  state.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 207 - Continuing Education for Occupational Therapists and Occupational Therapy Assistants › Rule 645-207.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions
				  shall apply:
"Active license"
means a license that is
				  current and has not expired.
"Audit"
means the selection of licensees for
				  verification of compliance with continuing education requirements.
"Board"
means the board of physical and
				  occupational therapy.
"Continuing education"
means the same as
				  defined in Iowa Code section
				  272C.1.
"Hour of continuing education"
means at
				  least 50 minutes spent by a licensee completing an approved continuing
				  education activity through live, virtual, online or prerecorded means where the
				  instructor provides proof of completion by the licensee as set forth in these
				  rules.
"Inactive license"
means a license that has
				  expired because it was not renewed by the end of the grace period. The category
				  of "inactive license" may include licenses formerly known as lapsed, inactive,
				  delinquent, closed, or retired.
"Independent study"
means a
				  subject/program/activity that a person pursues autonomously and that meets
				  standards for approval criteria in the rules and includes a posttest.
"License"
means license to practice.
"Licensee"
means any person licensed to
				  practice as an occupational therapist or occupational therapy assistant in the
				  state of Iowa.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 207 - Continuing Education for Occupational Therapists and Occupational Therapy Assistants › Rule 645-207.2 - Continuing Education Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The biennial
				continuing education compliance period shall extend for a two-year period that
				begins on the sixteenth day of the licensee's birth month and ends two years
				later on the fifteenth day of the birth month.
a. Requirements for occupational therapist
				licensees. Each biennium, each person who is licensed to practice as an
				occupational therapist in this state will have the responsibility to finance
				the cost and be required to complete a minimum of 30 hours of continuing
				education approved by the board.
b.
				Requirements for occupational therapy assistant licensees. Each biennium, each
				person who is licensed to practice as an occupational therapy assistant in this
				state will be required to complete a minimum of 15 hours of continuing
				education approved by the board.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 207 - Continuing Education for Occupational Therapists and Occupational Therapy Assistants › Rule 645-207.3 - Standards

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
General
				criteria.
Appropriate continuing education activity for purposes of
				license renewal will support each of the following:
a. Constitutes an organized program of
				learning that contributes directly to the professional competency of the
				licensee;
b. Pertains to subject
				matters that integrally relate to the practice of the profession;
c. Is conducted by individuals who have
				specialized education, training and experience by reason of which said
				individuals should be considered qualified concerning the subject matter of the
				program. At the time of audit, the board may request the qualifications of
				presenters;
d. Fulfills stated
				program goals, objectives, or both; and
e. Provides proof of attendance to licensees
				in attendance including:
(1) Date, location,
				course title, presenter(s);
(2)
				Number of program contact hours; and
(3) Certificate of completion or evidence of
				successful completion of the course provided by the course sponsor.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 208 - Practice of Occupational Therapists and Occupational Therapy Assistants › Rule 645-208.1 - Code of Ethics for Occupational Therapists and Occupational Therapy Assistants

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Occupational
				therapy. The practice of occupational therapy minimally consists of:
a. Interpreting referrals;
b. Evaluating patients;
c. Identifying and documenting patient
				problems and goals;
d. Establishing
				and documenting a plan of care;
e.
				Providing treatment;
f. Determining
				the appropriate portions of the treatment program to be delegated to assistive
				personnel;
g. Supervising
				individuals as described in rule 645-208.5(272C);
h. Providing timely patient
				reevaluation;
i. Maintaining timely
				and adequate patient records consistent with the standards found in rule
				645-208.2(147).
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 208 - Practice of Occupational Therapists and Occupational Therapy Assistants › Rule 645-208.2 - Recordkeeping

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A licensee
				should maintain sufficient, timely, and accurate documentation in patient
				records to reflect the services provided, facilitate the delivery of services,
				and ensure continuity of services in the future.
(2) A licensee should store records in
				accordance with state and federal statutes and regulations governing record
				retention and with the guidelines of the licensee's employer or agency, if
				applicable. If no other legal provisions govern record retention, a licensee
				should store patient records for a minimum of five years after the date of the
				patient's discharge, or in the case of a minor, three years after the patient
				reaches the age of majority under state law or five years after the date of
				discharge, whichever is longer.
(3)
				Electronic recordkeeping. The requirements of this rule apply to electronic
				records as well as to records kept by any other means. When electronic records
				are kept, the licensee shall ensure that a duplicate hard-copy record or a
				backup, unalterable electronic record is maintained.
(4) Correction of records.
a.
Hard-copy records.
Notations should be legible, written in ink, and contain no erasures or
				whiteouts. If incorrect information is placed in the record, it must be crossed
				out with a single nondeleting line and be initialed by the licensee.
b.
Electronic records.
If a
				record is stored in an electronic format, the record may be amended with a
				signed addendum attached to the record.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 208 - Practice of Occupational Therapists and Occupational Therapy Assistants › Rule 645-208.3 - Telehealth Visits

Current through Register Vol. 47, No. 3, July 24, 2024
A licensee may provide occupational therapy services to a
				  patient utilizing a telehealth visit if the occupational therapy services are
				  provided in accordance with all requirements of this chapter.
(1) Telehealth visit" means the provision of
				occupational therapy services by a licensee to a patient using technology where
				the licensee and the patient are not at the same physical location for the
				occupational therapy session.
(2) A
				licensee engaged in a telehealth visit shall utilize technology that is secure
				and HIPAA-compliant, pursuant to the Health Insurance Portability and
				Accountability Act of 1996, PL 104"191, August 21, 1996, 110 Stat. 1936, and
				any amendments as of December 8, 2023, and that includes, at a minimum, audio
				or video equipment or both, that allows two-way real-time interactive
				communication between the licensee and the patient. A licensee may use
				non-real-time technologies to prepare for an occupational therapy session or to
				communicate with a patient between occupational therapy sessions.
(3) A licensee engaged in a telehealth visit
				shall be held to the same standard of care as a licensee who provides in-person
				occupational therapy. A licensee shall not utilize a telehealth visit if the
				standard of care for the particular occupational therapy services cannot be met
				using technology.
(4) Any
				occupational therapist or occupational therapy assistant who provides an
				occupational therapy telehealth visit to a patient located in Iowa shall be
				licensed in Iowa.
(5) Prior to the
				first telehealth visit, a licensee shall obtain informed consent from the
				patient specific to the occupational therapy services that will be provided in
				a telehealth visit. At a minimum, the informed consent shall specifically
				inform the patient of the following:
a. The
				risks and limitations of the use of technology to provide occupational therapy
				services;
b. The potential for
				unauthorized access to protected health information; and
c. The potential for disruption of technology
				during a telehealth visit.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 208 - Practice of Occupational Therapists and Occupational Therapy Assistants › Rule 645-208.4 - Practice of Occupational Therapy Limited Permit Holders

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Occupational
				therapist limited permit holders may:
a.
				Evaluate clients, plan treatment programs, and provide periodic reevaluations
				only under supervision of a licensed OT who shall bear full responsibility for
				care provided under the OT's supervision; and
b. Perform the duties of the occupational
				therapist under the supervision of an Iowa-licensed occupational therapist,
				except for providing supervision to an occupational therapy
				assistant.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 208 - Practice of Occupational Therapists and Occupational Therapy Assistants › Rule 645-208.5 - Supervision Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Care rendered
				by unlicensed assistive personnel shall not be documented or charged as
				occupational therapy unless direct on-site supervision is provided by an OT or
				in-sight supervision is provided by an OTA.
(2) Occupational therapist supervisor
				responsibilities. The supervisor shall:
a.
				Provide supervision to a licensed OTA, OT limited permit holder and OTA limited
				permit holder any time occupational therapy services are rendered. Supervision
				may be provided on site or through the use of telecommunication or other
				technology.
b. Ensure that every
				licensed OTA, OT limited permit holder and OTA limited permit holder being
				supervised is aware of who the supervisor is and how the supervisor can be
				contacted any time occupational therapy services are rendered.
c. Assume responsibility for all delegated
				tasks and shall not delegate a service that exceeds the expertise of the OTA or
				OTA limited permit holder.
d.
				Provide evaluation and development of a treatment plan for use by the
				OTA.
e. Ensure that the OTA, OT
				limited permit holder and OTA limited permit holder under the OT's supervision
				have current licenses to practice.
f. Ensure that the signature of an OTA on an
				occupational therapy treatment record indicates that the occupational therapy
				services were provided in accordance with the rules and regulations for
				practicing as an OTA.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 209 - Discipline for Occupational Therapists and Occupational Therapy Assistants › Rule 645-209.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Board"
means the board of physical and
				  occupational therapy.
"Discipline"
means any sanction the board
				  may impose upon licensees.
"Licensee"
means a person licensed to
				  practice in Iowa pursuant to Iowa Code chapter 148A and 645-Chapters 206 to
				  209.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 209 - Discipline for Occupational Therapists and Occupational Therapy Assistants › Rule 645-209.2 - Grounds for Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board may impose any of the disciplinary sanctions
				  provided in 645-Chapter 13 when the board determines that any of the acts or
				  offenses listed in that chapter or in Iowa Code section
				  147.55 have occurred:
(1) Professional incompetency. Professional
				incompetency includes but is not limited to:
a. A substantial lack of knowledge or ability
				to discharge professional obligations within the scope of practice.
b. A substantial deviation from the standards
				of learning or skill ordinarily possessed and applied by other occupational
				therapists or occupational therapy assistants in the state of Iowa acting in
				the same or similar circumstances.
c. A failure to exercise the degree of care
				that is ordinarily exercised by the average occupational therapist or
				occupational therapy assistant acting in the same or similar
				circumstances.
d. Failure to
				conform to the minimal standard of acceptable and prevailing practice of the
				licensed occupational therapist or licensed occupational therapy assistant in
				this state.
e. Mental or physical
				inability reasonably related to and adversely affecting the licensee's ability
				to practice in a safe and competent manner.
f. Being adjudged mentally incompetent by a
				court of competent jurisdiction.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 209 - Discipline for Occupational Therapists and Occupational Therapy Assistants › Rule 645-209.3 - Method of Discipline

Current through Register Vol. 47, No. 3, July 24, 2024
The board has the authority to impose the following
				  disciplinary sanctions:
1. Revocation
				of license.
2. Suspension of
				license until further order of the board or for a specific period.
3. Prohibit permanently, until further order
				of the board, or for a specific period the licensee's engaging in specified
				procedures, methods, or acts.
4.
				Probation.
5. Require additional
				education or training.
6. Require a
				reexamination.
7. Order a physical
				or mental evaluation, or order alcohol and drug screening within a time
				specified by the board.
8. Impose
				civil penalties not to exceed $1000.
9. Issue a citation and warning.
10. Such other sanctions allowed by law as
				may be appropriate.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 209 - Discipline for Occupational Therapists and Occupational Therapy Assistants › Rule 645-209.4 - Discretion of Board

Current through Register Vol. 47, No. 3, July 24, 2024
The following factors may be considered by the board in
				  determining the nature and severity of the disciplinary sanction to be
				  imposed:
1. The relative serious
				nature of the violation as it relates to ensuring a high standard of
				professional care for the citizens of this state;
2. The facts of the particular
				violation;
3. Any extenuating facts
				or other countervailing considerations;
4. The number of prior violations or
				complaints;
5. The seriousness of
				prior violations or complaints;
6.
				Whether remedial action has been taken; and
7. Such other factors as may reflect upon the
				competency, ethical standards, and professional conduct of the
				licensee.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 210 - Adoption of Uniform and Model Rules › Rule 645-210.1 - Board of Physical and Occupational Therapy Adoption of Uniform and Model Rules

Current through Register Vol. 47, No. 3, July 24, 2024
The board hereby adopts by reference the following:
(1) to (9) Reserved.
(10) Model rules for licensee review
				committee, 481-Chapter 505.
This rule is intended to implement Iowa Code chapter
				  272C.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Podiatrists › Chapter 220 - Licensure of Podiatrists › Rule 645-220.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Active license"
means a license that is
				  current and has not expired.
"Board"
means the board of podiatry.
"Grace period"
means the 30-day period
				  following expiration of a license when the license is still considered to be
				  active.
"Inactive license"
means a license that has
				  expired because it was not renewed by the end of the grace period.
"Licensee"
means any person licensed to
				  practice as a podiatrist in the state of Iowa.
"License expiration date"
means June 30 of
				  even-numbered years.
"Licensure by endorsement"
means the
				  issuance of an Iowa license to practice podiatry to an applicant who is or has
				  been licensed in another state.
"NBPME"
means National Board of Podiatric
				  Medical Examiners.
"Reactivate"
or
"reactivation"
means the process as outlined in rule
				  645-220.15 (17A,147,272C) by
				  which an inactive license is restored to active status.
"Reciprocal license"
means the issuance of
				  an Iowa license to practice podiatry to an applicant who is currently licensed
				  in another state that has a mutual agreement with the Iowa board of podiatry to
				  license persons who have the same or similar qualifications to those required
				  in Iowa.
"Reinstatement"
means the process as
				  outlined in rule 645-11.31 (272C) by which a
				  licensee who has had a license suspended or revoked or who has voluntarily
				  surrendered a license may apply to have the license reinstated, with or without
				  conditions. Once the license is reinstated, the licensee may apply for active
				  status.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Podiatrists › Chapter 220 - Licensure of Podiatrists › Rule 645-220.2 - Requirements for Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The applicant
				will submit a completed online application for licensure and pay the
				nonrefundable licensure fee specified in rule
				645-5.15
				(147,148F,149).
(2) No application
				will be considered complete until official copies of academic transcripts are
				received, verifying graduation from a college of podiatric medicine approved by
				the Council on Podiatric Medical Education (CPME) of the American Podiatric
				Medical Association. Transcripts must be sent directly from the college to the
				board.
(3) Licensees who were
				issued their licenses within six months prior to the renewal date do not need
				to renew their licenses until the renewal date two years later.
(4) Incomplete applications that have been on
				file in the board office for more than two years will be:
a. Considered invalid and destroyed;
				or
b. Retained upon written request
				of the applicant. The applicant is responsible for requesting that the file be
				retained.
Iowa Administrative Code › Agency 645 - Professional Licensure Division › Podiatrists › Chapter 220 - Licensure of Podiatrists › Rule 645-220.3 - Written Examinations

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
				examinations required by the board shall be Part I, Part II, and Part III of
				the NBPME.
(2) The applicant has
				responsibility for:
a. Making arrangements to
				take the examinations; and
b.
				Arranging to have the examination score reports sent directly to the board from
				the NBPME.