2026 is off to a hot start for occupational therapists with the OT Compact officially gaining momentum and making travel therapy more accessible than ever. With select states now accepting applications and issuing compact privileges, qualified OTs have more freedom to move, explore, and say “yes” to opportunities across state lines. Here’s what you need to know about this exciting opportunity.
The Occupational Therapy Compact is an agreement between participating states that allows licensed occupational therapists to practice in multiple states through compact privileges, rather than applying for a full license in every new location. Instead of repeating the licensure processes for every state you want to work in, eligible OTs can apply for compact privileges that grant legal authorization to practice in other compact states—while still upholding high standards for patient care and professional accountability. For travel OTs, this means less time on paperwork and more time doing what you love: helping patients thrive while exploring new places.

As of January 2026, Ohio, Minnesota, and West Virginia are officially accepting applications and issuing compact privileges. This means if you’re a licensed occupational therapist in one of these states, you can apply for an OT Compact privilege and legally practice in other participating states—without starting a brand-new licensure process each time. Even better, more states are actively working toward joining the OT Compact. As the network expands, travel OTs can expect even more flexibility, faster transitions between assignments, and greater freedom to follow opportunities across state lines. Be sure to check the official Occupational Therapy Compact website for the latest updates on participating states and when new privileges become available.
While the OT Compact is a major win for occupational therapists, there are a few important details to know before diving in:
Once you understand these basics, the compact becomes a powerful tool for building a flexible, travel-forward career.
The OT Compact represents more than convenience—it represents possibility. It’s a step toward a future where occupational therapists can follow opportunity, curiosity, and calling without unnecessary barriers. If travel therapy has been on your vision board, now is a great time to explore what’s possible. With Ohio, West Virginia, and Minnesota already on board—and more states on the horizon—the road ahead is wide open.