Board of Occupational Therapy
Chapter 3. Section 4
(a) In order to provide occupational therapy services via telehealth to a client in Wyoming, the OT providing services to a client must have a valid and current license issued by the Board. Wyoming licensed OT using telehealth technology with a client in another state may also be required to be licensed in the state in which the client receives those services and must adhere to those state licensure laws.
(b) When providing occupational therapy services via telehealth, an OT shall determine whether an in-person evaluation is necessary and make every attempt to ensure that a OT is available if an on-site visit is required.
(c) The OT is responsible for determining whether any aspect of the provision of services may be conducted via telehealth or must be conducted in person. An OT shall consider at a minimum:
(i) the complexity of the client's condition;
(ii) his or her own knowledge skills and abilities;
(iii) the client's context and environment;
(iv) the nature and complexity of the intervention;
(v) the pragmatic requirements of the practice setting; and
(vi) the capacity and quality of the technological interface.
(d) OT shall obtain informed consent of the delivery of service via telehealth from the client prior to initiation of occupational therapy services via telehealth and maintain documentation in the client's health record.
(e) An OT or OTA providing occupational therapy services via telehealth must:
(i) Exercise the same standard of care when providing occupational therapy services via telehealth as with any other mode of delivery of occupational therapy services.
Board Office Updates
The State of Wyoming has adjusted its work policies to protect the health and safety of our staff and licensees. Effective immediately and until further notice, board staff will be working remotely.
Although the office will remain open, due to limited staffing we encourage you to e-mail board staff with inquiries. While we are constantly monitoring phone traffic, e-mail is the most efficient way to reach us:
If you need to speak with a staff member, please call the office and leave a voicemail message. We will return your call as quickly as possible.
We continue to accept and process applications as usual, though processing times may be slightly delayed.
POLICY ON MAINTAINING CONTINUITY OF CARE
DURING DECLARED STATES OF EMERGENCY
April 29, 2020
The Board has received questions from occupational therapists licensed in other states regarding whether they may continue providing treatment to their clients in Wyoming who, for various reasons related to the COVID-19 outbreak, can no longer travel to them to receive care. As a policy matter, the Board strongly favors maintaining the continuity of care between an occupational therapist and a client, even if the occupational therapist is not licensed in Wyoming. Therefore, the Board hereby declares that it will not seek injunctive relief against an occupational therapist licensed in another state who continues to provide services to established clients, including through telehealth technology, during a declared state of emergency which prevents clients from traveling to their therapist.
This policy does not authorize all unlicensed practice of occupational therapy in Wyoming. In particular, occupational therapists in other states who wish to provide services to clients in Wyoming must observe the following guidelines.
1) The occupational therapist must have an established therapist-client relationship with the client in question. The therapist must have provided services to the client at least one time prior to providing services to the client in Wyoming. If the Board receives information that an occupational therapist licensed in another state has attempted to initiate a therapist-client relationship with a Wyoming citizen, the Board may seek an injunction against the occupational therapist.
2) The occupational therapist must comply with Wyoming law and Chapter 3 and 7 of the Board’s rules regarding the treatment of clients and holding client information confidential. If the Board receives information that an occupational therapist licensed in another state has violated Chapter 3 or 7 of its rules, the Board may seek an injunction against the occupational therapist.
This policy shall remain in effect until July 1, 2020, or when the Governor of the State of Wyoming lifts the declared state of emergency related to the spread of COVID-19, whichever comes first. The Board may re-adopt this policy as necessary.
The mission of the Wyoming Board of Occupational Therapy is to develop, impose and enforce standards which must be met by individuals in order to receive a license as an occupational therapist or occupational therapy assistant to insure public protection; receive, investigate, and take appropriate action with respect to complaints; and promulgation of rules and regulations.
Occupational therapy is skilled treatment that helps individuals achieve independence in all facets of their lives. Occupational therapy gives people the "skills for the job of living" that are needed for independent and satisfying lives. Services typically include:
- Customized treatment programs aimed at improving abilities to carry out the activities of daily living
- Comprehensive evaluation of home and job environments and recommendations on necessary adaptation
- Assessments and treatment for performance skills
- Recommendations and training in the use of adaptive equipment
- Guidance to family members and caregivers
Occupational therapy practitioners are skilled professionals whose education includes the study of human growth and development with specific emphasis on the social, emotional, and physiological ffects of illness and injury. The occupational therapist enters the field with a masters, or doctoral degree. The occupational therapy assistant generally earns an associate degree. Practitioners must complete supervised clinical internships in a variety of health care settings, and pass a national examination.