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What is O&P licensure?

O&P licensure is the method by which states test O&P practitioners' competence in their profession and determine who is qualified to practice in their state.

In some states where licensure has been passed, there have been unintended consequences that have adversely affected the level of, and access to, care. For instance, a highly qualified and experienced practitioner desiring to relocate to a licensure state could be unable to obtain a license due to the expiration of the provision for grandfathering. The BOC Model Licensure Bill was created as a framework for implementing O&P licensure in order to help prevent these unintended consequences.


What states have licensure?

View the current list of states with O&P licensure here.

The Medicare DMEPOS Supplier Standards state that "a supplier must be in compliance with all applicable Federal and State licensure and regulatory requirements." Go to the DMEPOS State Licensure Directory and click on the state in which you are interested. Select your product/service from the list and review the details that appear. 


Get involved!

BOC is monitoring the progress of state developments regarding licensure, and we work to actively participate in the discussions. However, the most powerful and knowledgeable advocate for beneficial licensure is you, the resident, practitioner, and business owner.  You can become involved in your state to make sure patients state-wide receive the highest quality care by following the O&P board in your state, joining your state's O&P association, and informing BOC of any legislation introduced that might impact the profession.

Questions? Contact Zack Chait, BOC's Regulatory & Legislative Analyst, at