20,160 sections across 1,928 Iowa regulatory chapters.
R.481—804.7 License renewal
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804.7(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 f…
R.481—804.8 License reactivation. To apply for reactivation of an inactive license, a
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licensee shall: 804.8(1) Submit a reactivation application on a form provided by the board. 804.8(2) Pay the reactivation fee that is due as specified in 481—subrule 507.11(5). 804.8(3) Provide verification of current competence to practice occupational therapy by satisfying one …
R.481—804.9 License reinstatement. A licensee whose license has been revoked,
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suspended, or voluntarily surrendered must apply for and receive reinstatement of the license in accordance with rule 481—506.31(272C) and must apply for and be granted reactivation of the license in accordance with rule 481—804.8(17A,147,272C) prior to practicing occupational th…
R.481—805.1 Definitions. For the purpose of these rules, the following definitions shall apply:
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“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 sam…
R.481—805.2 Continuing education requirements
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805.2(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. E…
R.481—805.3 Standards
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805.3(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 subjec…
R.481—806.1 Code of ethics for occupational therapists and occupational therapy
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assistants. 806.1(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 treatm…
R.481—806.2 Recordkeeping
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806.2(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. 806.2(2) A licensee should store records in accordance wit…
R.481—806.3 Telehealth visits. A licensee may provide occupational therapy services to a patient
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utilizing a telehealth visit if the occupational therapy services are provided in accordance with all requirements of this chapter. 806.3(1) “Telehealth visit” means the provision of occupational therapy services by a licensee to a patient using technology where the licensee and …
R.481—806.4 Practice of occupational therapy limited permit holders
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806.4(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…
R.481—806.5 Supervision requirements
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806.5(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. 806.5(2) Occupational therapist supervisor responsibilities. T…
R.481—807.1 Definitions
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“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 481—Chapters 804 through 808. [ARC 7985C, IAB 5/15/24, …
R.481—807.2 Grounds for discipline. The board may impose any of the disciplinary sanctions
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provided in 481—Chapter 504 when the board determines that any of the acts or offenses listed in that chapter or in Iowa Code section 147.55 have occurred: 807.2(1) Professional incompetency. Professional incompetency includes but is not limited to: a. A substantial lack of knowl…
R.481—808.1 Board of physical and occupational therapy adoption of uniform and model
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rules. The board hereby adopts by reference the following: 808.1(1) to 808.1(9) Reserved. 808.1(10) Model rules for licensee review committee, 481—Chapter 505. This rule is intended to implement Iowa Code chapter 272C. [ARC 8148C, IAB 7/24/24, effective 8/28/24; Editorial change:…
R.481—82.1 Definitions
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“Client” means any person who has made an application for or is receiving state or federal public assistance from any state or federal agency. “Collateral contact” means a reliable source other than the client who is knowledgeable about information relative to pertinent public as…
R.481—82.2 Economic fraud bureau (EFB or bureau). Generally, the EFB conducts investigations
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of public assistance fraud, if a written agreement has been entered into between the department and an entity of the executive branch of the federal, state or local government, in order to maintain integrity and accountability in the administration of public assistance benefits. …
R.481—82.3 Investigation procedures
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82.3(1) Client contact. The bureau may but does not have to contact the client during the course of an investigation. If the bureau contacts the client and the client does not respond, the client’s nonresponse will be included in the bureau’s investigation findings. 82.3(2) Evide…
R.481—82.4 EBT trafficking investigations. In addition to the procedures outlined in rule
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481—82.3(10A), the following apply to EBT trafficking investigations. 82.4(1) Probable cause. Probable cause must be established before an EBT trafficking investigation may be conducted. 82.4(2) Referrals. Referrals to the division may come from HHS, retailers, law enforcement ag…
R.481—82.5 Findings. At the completion of an investigation, the bureau will transmit its findings
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in writing to the appropriate state or federal agency and make recommendations based on the evidence obtained or provided during the investigation. 82.5(1) Decisions about public assistance eligibility. The appropriate state or federal agency makes all decisions about public assi…
R.481—82.6 Confidentiality. The EFB will maintain confidentiality of investigative case information
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in accordance with Iowa Code sections 10A.105 and 22.7(5) and any other applicable state or federal law. [ARC 0011D, IAB 1/21/26, effective 2/25/26] These rules are intended to implement Iowa Code sections 10A.105, 10A.402, and 10A.403. [Filed ARC 0011D (Notice ARC 9749C, IAB 11/…
R.481—821.1 Definitions
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“Anniversary month” means the month the license was issued by the board. “Board” means the Iowa board of massage therapy. “Board-approved school” means a school for massage therapy education that provides at least 600 hours of supervised academic instruction; has been recognized …
R.481—821.10 License reinstatement. A licensee whose license has been revoked,
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suspended, or voluntarily surrendered must apply for and receive reinstatement of the license in accordance with rule 481—506.31(272C) and, if applicable, must apply for and be granted reactivation of the license in accordance with rule 481—821.9(17A,147,272C) prior to practicing…
R.481—821.2 Licensure by examination. A person who has completed the curriculum at a board-
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approved school may seek licensure in accordance with this rule. 821.2(1) Submit the following: a. A completed online application for licensure and pay the nonrefundable licensure fee specified in rule 481—507.8(147). Official copies of academic transcripts sent directly to the b…
R.481—821.3 Educational qualifications for foreign-trained massage therapists. Prospective
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applicants who completed their education outside of the United States may receive credit for their education, provided they comply with the following: 821.3(1) Provide an equivalency evaluation of their educational credentials by one of the following entities demonstrating the cu…
R.481—821.4 Licensure by endorsement
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821.4(1) A person who has been issued a license to practice massage therapy by another issuing jurisdiction may seek licensure in accordance with this rule. 821.4(2) Submit the following: a. A completed online application for licensure and pay nonrefundable licensure fee specifie…
R.481—821.5 Licensure by verification. A person who is licensed in another jurisdiction but who is
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unable to satisfy the requirements for licensure by endorsement may apply for licensure by verification, if eligible, in accordance with rule 481—501.1(272C). [ARC 8051C, IAB 6/12/24, effective 7/17/24; Editorial change: IAC Supplement 9/18/24]
R.481—821.6 Temporary license. A person who is licensed to practice massage therapy in another
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jurisdiction but who is unable to satisfy the requirements for licensure by endorsement, and who does not seek licensure by verification, may be issued a temporary license in accordance with this rule. 821.6(1) An applicant for temporary license shall submit the following: a. A c…
R.481—821.7 License display. The license certificate and proof of active licensure will be displayed
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in a conspicuous public place at the licensee’s primary site of practice. [ARC 8051C, IAB 6/12/24, effective 7/17/24; Editorial change: IAC Supplement 9/18/24]
R.481—821.8 License renewal
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821.8(1) The biennial license renewal period begins on the sixteenth day of the anniversary month and ends on the fifteenth day of the anniversary month two years later. The licensee is responsible for renewing the license prior to its expiration. 821.8(2) Continuing education do…
R.481—821.9 License reactivation
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821.9(1) A person whose license is inactive may apply to reactivate the license in accordance with this rule. 821.9(2) The licensee shall submit all of the following: a. A completed online application for licensure and pay the nonrefundable licensure fee specified in rule 481—507…
R.481—822.1 Definitions
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“Approved curriculum” means that the massage therapy education course of study meets the criteria specified in this chapter and has been approved by the board of massage therapy. “Board” means the board of massage therapy. “Clinical practicum” means hands-on massage therapy provi…
R.481—822.2 Application for approval of massage therapy education curriculum
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822.2(1) Applications for curriculum approval of in-state massage therapy schools will be submitted online with the accompanying fee. Curriculum approval is valid for up to two years with reapplication for approval due June 30 of each even-numbered year. The biennial renewal cycl…
R.481—822.3 Curriculum requirements. An approved curriculum will include but not be limited to
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the following content areas: 1. Massage theory and principles. 2. Massage professional practices. 3. The therapeutic relationship. 4. Anatomy, physiology, and pathology. 5. Assessment and documentation. 6. Massage and bodywork application. 7. Palpation and movement. 8. Adapting s…
R.481—822.4 Student clinical practicum standards
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822.4(1) The school must provide clinical practicum hours at the school’s primary location or an event sponsored by the school. 822.4(2) At all times when the student delivers physical contact with the public or other students, a clinical instructor/supervisor who is an Iowa-lice…
R.481—822.5 School records retention. Records documenting the student’s completion of the
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curriculum will be maintained for two years following the student’s graduation date. In the event of school closure, the board will be notified of the location of the records. [ARC 8052C, IAB 6/12/24, effective 7/17/24; Editorial change: IAC Supplement 9/18/24]
R.481—822.6 Massage school curriculum compliance
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822.6(1) A school will maintain curriculum records and make the records available to the board upon request. 822.6(2) A school whose curriculum is approved shall notify the board in writing within 30 days if there is a change of address, a school closing, or a curriculum revision…
R.481—822.7 Denial or withdrawal of approval
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822.7(1) The board will deny or withdraw approval of a school curriculum if the board determines the curriculum does not meet the requirements of this chapter. 822.7(2) The board will notify the school in writing if the board denies or withdraws curriculum approval. Following den…
R.481—823.1 Definitions
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“Active license” means a license that is current and has not expired. “Approved program/activity” means a continuing education program/activity meeting the standards set forth in these rules. “Audit” means the selection of licensees for verification of satisfactory completion of …
R.481—823.2 Continuing education requirements. Each biennium, each person who is licensed to
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practice as a massage therapist in this state shall be required to complete a minimum of 16 hours of continuing education. A biennium is a two-year period beginning with the date the license was granted. 823.2(1) The biennial continuing education compliance period runs concurrent…
R.481—823.3 Continuing education criteria
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823.3(1) General criteria. A continuing education activity that meets all of the following criteria is appropriate for continuing education credit if the continuing education activity: a. Constitutes an organized program of learning that contributes directly to the professional c…
R.481—824.1 Civil penalties
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824.1(1) Civil penalties may be imposed upon a person or business that employs an individual who is not licensed as a massage therapist. Civil penalties may be imposed upon a person or business that employs an individual who uses the initials “L.M.T.” or the words “licensed massa…
R.481—825.1 Board of massage therapy adoption of uniform and model rules. The board
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hereby adopts by reference the following: 825.1(1) to 825.1(9) Reserved. 825.1(10) Model rules for licensee review committee, 481—Chapter 505. This rule is intended to implement Iowa Code chapter 272C. [ARC 8148C, IAB 7/24/24, effective 8/28/24; Editorial change: IAC Supplement 9…
R.481—83.1 Definitions
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“Abuse” or “neglect” means the same as “abuse of patients or residents” and “neglect of patients or residents” as defined in 42 CFR §1007.1 committed against: 1. A patient or resident of a health care facility as defined by 42 CFR §1007.1. 2. A resident in a board and care facili…
R.481—83.2 Investigative authority. The unit’s investigative authority is found in Iowa Code chapter
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10A, 42 CFR §1007.11, and 45 CFR §164.512(d). [ARC 0012D, IAB 1/21/26, effective 2/25/26]
R.481—83.3 Access to records. The unit is authorized to request, review, and retain information and
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records necessary to investigate allegations within its state and federal authority. The unit is also a health oversight agency as defined by 45 CFR §164.501 and can receive protected health information pursuant to 45 CFR §164.512(d). [ARC 0012D, IAB 1/21/26, effective 2/25/26]
R.481—83.4 Subpoenas. In addition to any subpoena provisions set forth in 481—Chapter 1, the
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following apply: 83.4(1) The unit may serve subpoenas during the course of an open investigation upon an individual, entity, or the individual’s or entity’s registered agent by: a. Personal service. b. U.S. mail. c. Electronic transmission via facsimile or email. 83.4(2) The unit…
R.481—83.5 Confidentiality. The unit will maintain the confidentiality of all investigative case
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information in accordance with Iowa Code chapters 22 and 685, 42 CFR §1007.11(f), 42 CFR Part 2, and any other applicable state or federal law. [ARC 0012D, IAB 1/21/26, effective 2/25/26] These rules are intended to implement Iowa Code sections 10A.104(6), 10A.105, 10A.402(5), an…
R.481—84.1 Audit occurrence. The department, acting as an agent for the Iowa department of health
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and human services (HHS), audits financial records of intermediate care facilities, residential care facilities, and intermediate care facilities for the intellectually disabled on a rotating basis or upon request of HHS. Audits are intended to ensure compliance with the followin…
R.481—84.2 Confidentiality. All information compiled during an audit is confidential according to
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Iowa Code sections 10A.105 and 217.30. All inquiries to release information that is confidential under Iowa Code section 217.30 will be addressed to HHS. 84.2(1) Information may be added to an audit file by the subject of the audit when the subject notifies the Audits Unit, Depar…
R.481—841.1 Definitions. The following definitions will be applicable to the rules of the Iowa board of
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chiropractic: “Active license” means a license that is current and has not expired. “Board” means the Iowa board of chiropractic. “Council on Chiropractic Education” or “CCE” means the organization that establishes the Educational Standards of Chiropractic Colleges and Bylaws. “D…