The Board of Certification/Accreditation, International (BOC), founded in 1984, is an independent, not-for-profit agency dedicated to meeting the demands for quality patient care by offering highly valued credentials for practitioners and suppliers of comprehensive orthotic and prosthetic (O&P) care and durable medical equipment (DME) services.

Testimonial

"I can't tell you how helpful your organization has been to our companies through these very difficult and challenging times."
Scott Graves, President of Golden State Medical, Tenspede Medical, and Anchor Orthotics and Prosthetics, all BOC Accredited Facilities

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External Relations

Recognition – BOC Meets the Highest Industry Standards

BOC’s certification and accreditation programs are well-known for recognizing achievement in professional experience, education and quality business practices. BOC works closely with federal and local regulators to ensure national standards are met and maintained by our certificants and accredited facilities.

For more than 30 years, the Institute for Credentialing Excellence (ICE) — formerly known as the National Organization for Competency Assurance (NOCA) — has helped ensure the health and safety of the public through the accreditation of certification programs that attest to professional competence. Certification programs that earn National Commission for Cerifying Agencies (NCCA) accreditation – considered the gold standard of credentialing – demonstrate compliance with NCCA’s rigorous standards.

BOC is the only O&P certification organization with NCCA accreditation for all of its certification programs. BOC also has the only NCCA-accredited Certified Orthotic Fitter and Certified Mastectomy Fitter programs.

BOC certification and facility accreditation credentials are recognized by:

 

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Advocacy

advocacyFor more than 25 years, BOC has been a leader in the O&P industry, staying up to date with ongoing changes in a technology-rich field and encouraging practitioners to earn the credentials that demonstrate their skills, abilities and commitment to patient care. Daily interactions with practitioners, DMEPOS-accrediting organizations, third party payers, regulators, other healthcare professionals, and patients, enable us to fulfill this commitment.

As the nation’s economic and political landscape changes, and as the impacts of Congress’s healthcare reform legislation become clearer, it is realistic to expect that new challenges will affect our industry.

As part of our strategic plan, BOC continues to anticipate and prepare for these challenges. Part of the plan is to build alliances with organizations focused on our shared commitment to patient care. Working together, knowledge experts can stay abreast of issues in the political and legal environment so that we can help equip practitioners to meet the needs of their patients and other members of the healthcare team. Our efforts to date are detailed below:

  • BOC is committed to promoting O&P, inclusive of all of our certification programs, within the healthcare community. We are proud to collaborate with other industry groups and institutions as advocates of O&P to healthcare team members, governmental stakeholders, patients, and the public at large.

  • We work with insurance companies and CMS/Medicare to help our practitioners meet third party payer expectations.

  • We actively participate in state licensure discussions across the country. Like other major players in the O&P industry, we support licensure that incorporates certification as a requirement.

  • We salute the leading role initiated by the American Orthotic and Prosthetic Association in the effort to demand licensure on behalf of safety and security in our healthcare system, and we are proud to join with AOPA in testifying before state and federal legislators considering licensure issues. For information about current licensure laws and bills state-by-state, we encourage certificants to visit the AOPA Government Relations page.

  • AOPA has released a public service announcement (PSA), that visually portrays the message of lost mobility. Click here to go to LimbsAreEssential.org and view the PSA and on the right-hand side of the page click "Take Action" in order to send a letter to your state and federal legislators, urging them to join the fight to protect these vulnerable citizens with mobility impairments.

 

State Licensure

 

The BOC Board of Directors recently approved a model licensure act, available for use in creating state licensure bills.

FAQs

How does licensure affect me?

What’s BOC doing about licensure?

How can I get involved as a practitioner?

What states have licensure?

How does licensure affect me?

Licensure is being implemented on a state-by-state basis as legislatures become aware of the need to implement standards for O&P practitioners. Right now, certification is seen by some as a requirement for Medicare reimbursement, a requirement by an employer, or a quick and certain way to demonstrate a practitioner’s commitment to providing quality patient care. But in states without licensure, people who don’t meet those requirements can treat patients – putting practitioner reputations at risk. Certification – and licensure that demands it – is the surest way of protecting practitioners and their right to practice.

As state licensure discussions develop, legislators seek standards to implement. At BOC, we stand for licensure laws that incorporate current industry standards, which is how BOC certification prerequisites are set. Many states that have incorporated O&P licensure recognize that the requirements of certification ensure effective patient quality standards. However, there are states that do not incorporate certification standards into their licensure requirements and are developing their own standards. And in some cases, state licensure boards do not recognize certification, forcing practitioners to meet a new set of requirements, even if they have been certified for many years. Using certification as a licensure requirement would give patients a universal method of judging a practitioner’s qualifications – which means that patients and their families can understand practitioner qualifications even if they live in different states.

What’s BOC doing about licensure?

BOC is monitoring the progress of state developments regarding licensure, and we work to actively participate in the discussions. BOC’s educational and work requirements are critical elements of quality patient care. Our requirements are based on detailed analyses in each field of practice, and those analyses form the basis of our education and experience prerequisites to certification, and our examinations. We are confident that our programs require what is necessary to protect patients and to ensure that our practitioners can provide quality care, which is why BOC believes certification should be incorporated into licensure bills.

How can I get involved as a practitioner?

We work hard to make sure the voices of our practitioners are heard, but we cannot do it without you. Ultimately, it is your actions that will affect the decisions of your federal and state representatives.

Visit the National Association for the Advancement of Orthotics and Prosthetics (NAAOP) Legislative Action Center and access the policy tools section for information about issues and legislation, as well as to learn the basics of interacting with Capitol Hill. You can follow legislation that affects you and communicate directly with your elected officials in Congress by creating and sending messages directly from the website and printing letters to mail to your Congressmen.

The State Legislative Website Directory provides contact information for your state representatives if you are interested in contacting your state officials. You can also contact your state’s O&P association to get involved. Visit AOPA’s Government Relations contact page for information on your state.

What states have licensure?

View a full list of states with licensure here.

View a DMEPOS State Licensure Directory here.

Standard #1 of the Medicare DMEPOS Supplier Standards states that 'a supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements.’ To view, click on the state you are interested in and you will see a list of licenses. You can then select your specialty from the list and review the details that appear.  Please note that licensure requirements vary depending on location, so please be sure to check with your state and local governments for the licenses required for your type of business.