Help Center / Where can I find specific Guidelines for COTA Supervision?

The Florida Occupational Therapy Practice Act does not specifically address “COTA supervision” only the definition of “supervision” is defined by statute Chapter 468, Part III, 468.203(8). See copied below the Florida Statute excerpt with the definition of supervision as defined in the Florida OT licensure Practice Act. The statute allows and requires the licensed OTR the authority to determine what level of supervision is needed for each individual they agree to supervise, based on the individual’s skills, education, training, practice setting and management/administrative requirements, etc. An OTA must be under the supervision of a licensed OT that provides initial direction and follow-up on the implementation of a plan of treatment to provide occupational therapy services. NOTE: Some facilities, companies, etc., may have requirements based on billing purposes, facilities regulations, etc. It is advisable to review the American Occupational Therapy Association (AOTA) who has set forth practice Guidelines for COTA Supervision, roles, and responsibilities for the profession. You may contact AOTA directly at 301-652-2682 or at:

  • CHAPTER 468, PART III, 468.203 (8) “Supervision” means responsible supervision and control, with the licensed occupational therapist providing both initial direction in developing a plan of treatment and periodic inspection of the actual implementation of the plan. Such plan of treatment shall not be altered by the supervised individual without prior consultation with, and the approval of, the supervising occupational therapist. The supervising occupational therapist need not always be physically present or on the premises when the assistant is performing services; however, except in cases of emergency, supervision shall require the availability of the supervising occupational therapist for consultation with and direction of the supervised individual.