(a) An occupational therapy assistant shall provide
occupational therapy services only under the supervision of an occupational
therapist(s).
(b) Supervision of an occupational therapy assistant
in all settings includes:
  (1) Supervision Form: For each employer, the occupational
therapy assistant must submit the Occupational Therapy Assistant Supervision
form with the employer information and name and license number of
one of the occupational therapists working for the employer who will
be providing supervision.
  (2) Supervision Log and Supervision Hours:
    (A) The occupational therapy assistant must complete
supervision hours each month, which must be recorded on the Supervision
Log. The Supervision Log is kept by the occupational therapy assistant
and signed by the occupational therapist(s) when supervision is given.
The occupational therapist(s) or employer may request a copy of the
Supervision Log.
    (B) All of the occupational therapists, whether working
full time, part time, or PRN (i.e., working on an as-needed basis),
who delegate to the occupational therapy assistant must participate
in the supervision hours, whether on a shared or rotational basis.
    (C) For each employer, the occupational therapy assistant
must complete a separate Supervision Log and must complete the specified
supervision hours, in addition to all other requirements. Supervision
hours for different employers may not be combined.
    (D) For those months when the licensee does not work
as an occupational therapy assistant, he or she shall write N/A in
the Supervision Log.
    (E) Supervision Logs are subject to audit by the Board.
    (F) Occupational therapy assistants must complete these
types of supervision per month according to the following table:
      (i) Frequent Communication Supervision: frequent communication
between the supervising occupational therapist(s) and occupational
therapy assistant including, but not limited to, communication by
electronic/communications technology methods, written report, and
conference, including review of progress of clients assigned, plus
      (ii) Interactive Supervision: interactive supervision
during which the occupational therapist, who is physically present
with the occupational therapy assistant, directly observes the occupational
therapy assistant providing services to one or more clients.
Attached Graphic
  (3) The occupational therapy assistant must include
the name of a supervising OT in each intervention note. This may not
necessarily be the occupational therapist who wrote the plan of care,
but an occupational therapist who is readily available to answer questions
about the client's intervention at the time of the provision of services.
If this requirement is not met, the occupational therapy assistant
may not provide services.


Source Note: The provisions of this §373.3 adopted to be effective July 22, 2001, 26 TexReg 5443; amended to be effective July 22, 2002, 27 TexReg 6546; amended to be effective October 27, 2003, 28 TexReg 9292; amended to be effective February 27, 2005, 30 TexReg 911; amended to be effective February 25, 2008, 33 TexReg 1605; amended to be effective August 26, 2008, 33 TexReg 7001; amended to be effective June 18, 2009, 34 TexReg 3983; amended to be effective January 9, 2012, 37 TexReg 69; amended to be effective October 6, 2013, 38 TexReg 6931; amended to be effective October 1, 2015, 40 TexReg 5803