Licensing and Credentialing Service
This document provides a brief overview of the qualifying exams and the
licensing and credentialing procedures for healthcare professionals who wish to
practice in the United StatesAll healthcare professionals qualified
outside
the United States must be licensed in the state where they desire to
practice. To be clear, before
beginning employment in any US state, most
healthcare experts must be licensed by that state. There are different types of
healthcare professionals in the US, including physical therapists, occupational
therapists, and nurses. Each discipline has its own examination, agency who
handles it, and application process.
Physical Therapists:
The agency who handles the exam for physical therapists is The Federation of
State Boards of Physical Therapy (FSBPT). The exam is known as the NPTE
(National Physical Therapy Examination). The FSBPT also handles the exam for
physical therapist assistants. Each US state has somewhat different
requirements. We refer to you PT state agencies for a list of all licensing
boards.
Occupational Therapists:
The National Board for Certification in Occupational Therapy, Inc. (NBCOT) is
the agency who handles the exam for Occupational Therapists (OTR) and Certified
Occupational Therapy Assistant (COTA). The NBCOT test is given internationally.
For a list of state regulatory agencies; go here:
OT state agencies
Nurses:
For nurses, the licensing procedures involve passing the NCLEX (National Council
Licensure Examination). Most states in the US require a CGFNS (Council on
Graduates of Foreign Nursing Schools) Certification from foreign registered
nurses before they can take the NCLEX-RN.
For obtaining information on registration for the exam, the nursing graduates
need to contact the relevant state board of nursing. This Application-based exam
is prepared by the National Council of State Boards of Nursing (NCSBN). The
NCLEX is a computer based exam and is not given overseas.
Those physical therapists and registered nurses who get licensure for a
particular US state are eligible to apply for the Schedule A Occupations.
As an applicant, it is always better for you to become fully-licensed as soon as
possible in your trip to the USA. Often in tandem with your employer, we at
immspec.com will help find creative methods for preparing and
taking the above-mentioned exams. Guidance is given to the professional on all
aspects of completing the licensure application.
NOTE: Some US state boards may require all communication to be directly with the
candidate. In such situation, we will work closely with the applicant to assure
all proper steps are taken for a timely and accurate application submission.
The distinct feature of licensing and credentialing is the variation in state
regulations from state to state. Consequently, we maintain an extensive database
of variables for each state. This requires constant research and updating to
remain current. In addition to knowing what to send and where to send it, this
allows us to advise candidates and clients on where best to apply if there are
options of multiple states. (See the links above for state agencies.)
Our real service is not unlike immigration procedures; in that we help you
complete forms accurately, timely, and send them to the right organization with
the right fee attached. In summary we help in:
- Application/Registration.
- Verification of licensure from elsewhere as needed.
- Completing the actual application form from information provided by the
applicant.
- Helping to obtain fingerprinting, if required.
- Helping with credentialing from various locations as needed.
- Forwarding the application to the candidate for signature when required.
- Submitting the application to the state board with all proper supporting
documentation and fees.
- Responding to any requests by the state board for additional information
or documentation.
- Maintaining follow up with the state board until the application has been
accepted and an authorization to test is issued, or a temporary permit/license
is issued, when available.
- Coordinating appropriate review materials or courses.
- Coordinating exam dates and locations (For example, some disciplines may
take the exam in a US territory such as Saipan or Guam, or be scheduled to
take the exam in the US shortly after arrival.)
- Helping with transportation to and from the exam.
- Coordinating the issuance of the actual license.
- Scheduling for another exam if needed, along with appropriate review.
In most cases, the health care professionals will begin their application
process before entering the country. A few states allow the applicants to
practice under supervision for a period of time while waiting to take the exam
and/or while results are pending. While the applicant waits for visa approval
and approval to enter the US, they are strongly encouraged to study diligently.
We maintain resources for various review options; the applicant is then guided
to those options and strongly encouraged to take advantage of them.