| State | License Name | Req Out of State | Online Verification | Req Pharmacies | Notes |
| AK | No License Required | No | - | No | |
| AL | Therapeutic Shoe Fitter License | Yes | Y | No |
F: Licensure requirement effective March 1, 2014. A licensed Orthotist, Prosthetist/Orthotist or Pedorthist may also provide these items. (Added: 12/12/2013)
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| AR | No License Required | No | - | No | |
| AS | No License Required | No | - | No | |
| AZ | No License Required | No | - | No | |
| CA | No License Required | No | - | No | |
| CO | No License Required | No | - | No | |
| CT | Wholesaler of Drugs, Medical Devices and Cosmetics Registration | Yes | Y | No | |
| DC | No License Required | No | - | No | |
| DE | No License Required | No | - | No | |
| FL | No License Required | No | - | No |
A: The Orthotics, Prosthetics, and Pedorthics license requirement does not apply to a person who is licensed under chapter 458 (Medical Doctors), chapter 459 (Osteopathic Medicine), chapter 460 (Chiropractic Medicine), or chapter 461(Podiatric Medicine). D: Suppliers who have any patient contact are considered to be “fitting” an orthotic and are required to be licensed. (e.g. Orthotist, Orthotist/Prosthetist, Orthotic Fitter). Suppliers who do not have patient contact, i.e. mail order only, do not require a license. |
| GA | No License Required | No | - | No | |
| GU | No License Required | No | - | No | |
| HI | No License Required | No | - | No | |
| IA | No License Required | No | - | No | |
| ID | No License Required | No | - | No | |
| IL | Orthotist/Pedorthist License | Yes | Y | No |
D: If supplying orthotic, prosthetic, or pedorthic items, the items must be dispensed under the supervision of a licensed Orthotist, Prosthetist, or Pedorthist. A Pedorthist License is acceptable as long as the orthosis is below the ankle (and foot). A physician, physical therapist, occupational therapist, or advanced practice nurse are also acceptable for supplying orthotic, prosthetic or pedorthic items. |
| IN | No License Required | No | - | No | |
| KS | No License Required | No | - | No | |
| KY | Home Medical Equipment License | Yes | Y | No |
C: Exemptions to the HME license include: Unless home medical equipment and services are provided through a separate legal entity, nothing in KRS 315.510 to 315.524 or any administrative regulations promulgated thereunder shall be construed as preventing or restricting the practices, services, or activities of the following: (a) A person licensed or registered in this state under any other law who is engaging in the profession or occupation for which he or she is licensed or registered; (b) Health care practitioners who lawfully prescribe or order home medical equipment and services, or who use home medical equipment and services to treat their patients; (d) Hospitals that provide home medical equipment and services only as an integral part of patient care; (f) Pharmacies that are engaged in the sale, lease, or rental of home medical equipment and services [Pharmacies that provide home medical equipment to patients as a separate business entity from the pharmacy must have home medical equipment license]; [pharmacies located outside of KY must hold a KY out-of-state pharmacy permit] (g) An employee of a person licensed under KRS 315.510 to 315.524; (j) Government agencies, including fire districts which provide emergency medical services. (k) An out-of-state manufacturer or provider of a sole source type of equipment that is not available through a provider in Kentucky or one of its reciprocal states. |
| LA | No License Required | No | - | No | |
| MA | No License Required | No | - | No | |
| MD | Residential Service Agency License | D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. (8LMM280126) | Y | Yes |
C: “Residential service agency” means: (i) Any individual, partnership, firm, association, corporation, or other business entity of any kind that is engaged in a nongovernmental business of employing or contracting with individuals to provide at least one home health care service for compensation to an unrelated sick or disabled
individual in the residence of that individual; or (ii) An agency that employs or contracts with individuals directly for hire as home health care providers. A branch office of the agency may operate under the same license that is issued to the agency (One license issued to multiple locations); however, each location must be listed on the branch letter provided with the RSA license from the Office of Health Care Quality (OHCQ). Effective July 1, 2018, the Residential Service Agency License is a non-expiring license. D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. |
| ME | No License Required | No | - | No | |
| MI | No License Required | No | - | No | |
| MN | No License Required | No | - | No | |
| MO | No License Required | No | - | No | |
| MP | No License Required | No | - | No | |
| MS | No License Required | No | - | No | |
| MT | No License Required | No | - | No | |
| NC | No License Required | No | - | No | |
| ND | Durable Medical Equipment Retailer License | Yes | Y | No |
A: Effective August 1, 2013 suppliers (in-state and out-of-state) providing any devices pursuant to a prescription, directly to a consumer, must either hold a pharmacy license, or the new Durable Medical Equipment Retailer license or Medical Gas Retailer license if selling or delivering medical gas and related oxygen equipment, and employ or contract with a North Dakota licensed individual specifically authorized by their practice to prescribe or dispense those devices (i.e. Physicians, Physician Assistants, Pharmacists, Licensed Nurses (LPN and RN), Physical Therapists, Respiratory Therapists). Additionally, suppliers providing custom orthotics, prosthetics, and diabetic footwear must employ or contract with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items.
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| NE | No License Required | No | - | No | |
| NH | No License Required | No | - | No | |
| NJ | No License Required | No | - | No | |
| NM | No License Required | No | - | No | |
| NV | Medical Devices, Equipment & Gases License | Yes | Y | No |
D: The Medical Devices, Equipment & Gases License is required of any business engaged as a medical products provider that wishes to sell, lease or otherwise provide medical devices, equipment, supplies, and gases to a consumer in this state. Additionally, suppliers providing custom orthotics or prosthetics must be approved by the Board and submit evidence that the supplier has employed or contracted with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items. The license requirement does not apply to NV licensed Pharmacies, Hospitals, or Health Professionals (i.e. Physicians, Dentists, Podiatrists, Physical Therapists, Occupational Therapist, Registered Nurses or Respiratory Therapists) who sell, lease or otherwise provide medical devices, and gases within the scope of their license or registration in a health care facility other than the facility of the medical equipment provider to a consumer for use by that consumer pursuant to the order of a practitioner. |
| NY | No License Required | No | - | No | |
| OH | Pedorthist License | Yes | Y | No |
G: Licensed Orthotists or Prosthetists may also provide diabetic shoes and inserts (custom and non-custom). Per Ohio Code 4779.02, exemptions to practice orthotics, prosthetics, or pedorthics include the following professionals: Individuals who hold a current, valid license, certificate, or registration issued under Chapter 4723 (Nurses), 4730 (Physician Assistants), 4731 (Physicians; Limited Practitioners), 4734 (Chiropractors), 4755 (Physical Therapists; Occupational Therapists; Athletic Trainers), or 4729 (Pharmacists) and are practicing within their scope of practice under statutes and rules regulating each individual’s profession. (Effective: 06/06/2001; Rev: 07/25/2018) |
| OK | Durable Medical Equipment (DME) Supplier License | G: Any supplier that provides durable medical equipment to a consumer in this state shall possess a Durable Medical Equipment Supplier License issued by the State Board of Pharmacy pursuant to the Oklahoma Durable Medical Equipment Licensing Act. The Oklahoma Durable Medical Equipment Licensing Act shall not apply to: 1. Pharmacies and pharmacists; 2. Hospitals; 3. Ambulatory surgical centers; 4. Health care facilities owned or operated by the state or federal government; 5. Skilled nursing facilities; 6. Assisted living facilities; 7. Prosthetic or orthotic practitioners (within their scope of practice); 8. Health care practitioners who are licensed to practice health care in this state and who provide Durable Medical Equipment within the scope of their health care practice; 9. Manufacturers or wholesale distributors that do not sell or rent Durable Medical Equipment directly to consumers; 10. Suppliers of insulin infusion pumps and related supplies or services; or 11. Suppliers of medical devices approved by the U.S. Food and Drug Administration that are used in the treatment of cancerous tumors. (CRBLFF6502) | Y | No |
G: Any supplier that provides durable medical equipment to a consumer in this state shall possess a Durable Medical Equipment Supplier License issued by the State Board of Pharmacy pursuant to the Oklahoma Durable Medical Equipment Licensing Act. The Oklahoma Durable Medical Equipment Licensing Act shall not apply to: 1. Pharmacies and pharmacists; 2. Hospitals; 3. Ambulatory surgical centers; 4. Health care facilities owned or operated by the state or federal government; 5. Skilled nursing facilities; 6. Assisted living facilities; 7. Prosthetic or orthotic practitioners (within their scope of practice); 8. Health care practitioners who are licensed to practice health care in this state and who provide Durable Medical Equipment within the scope of their health care practice; 9. Manufacturers or wholesale distributors that do not sell or rent Durable Medical Equipment directly to consumers; 10. Suppliers of insulin infusion pumps and related supplies or services; or 11. Suppliers of medical devices approved by the U.S. Food and Drug Administration that are used in the treatment of cancerous tumors. H: Per Title 59, Section 375.4 (A)(1), the applicant Maintains a physical office or place of business within this state; (A)(1)(b) For a Medicare or Medicaid enrolled out-of-state supplier, maintains a physical office or place of business within one hundred (100) miles of a resident of this state being served by the supplier; (B)(1), the Board may issue a license to a Medicare or Medicaid enrolled out of state supplier who has at least one accredited facility within one hundred miles of the patient of this state being served by the supplier. Each individual physical office or place of business owned or operated by the supplier must be licensed separately. |
| OR | No License Required | No | - | No | |
| PA | Orthotic Fitter License | No | Y | No |
F: An Orthotist License is acceptable for Prefabricated (Custom Fitted) items as well as Diabetic Shoes and Inserts (regular and custom). A Pedorthist is acceptable for orthoses (custom fabricated or fitted) below the knee only. Edited 11/07/16 |
| PA | Drug & Device Registration, Category of Devices | No | Y | No |
A: The Drug & Device Registration is required for medical device retailers located in Pennsylvania that are physically receiving, storing and handling, shipping medical devices/equipment, DME, or surgical supplies at the Pennsylvania storefront, warehouse, etc. The Drug & Device Registration does not apply to in state licensed healthcare facilities, pharmacies, and physicians/practitioners dispensing devices directly to their own patients within their respective scope of practice or license; out of state medical device retailers nor practitioners (i.e., physicians) /pharmacies supplying their own patients.
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| PR | No License Required | No | - | No | |
| RI | No License Required | No | - | No | |
| SC | No License Required | No | - | No | |
| SD | No License Required | No | - | No | |
| TN | No License Required | No | - | No | |
| TX | Orthotist License - Practitioner | Yes | Y | No |
C: Custom-made or custom-fitted items must be provided by a “Licensed Prosthetist” or “Licensed Orthotist/Prosthetist” in a State licensed “Accredited Facility. The Texas O&P statute exempts certain license holders: (1) a podiatrist practicing under Chapter 202; (2) a chiropractor practicing under Chapter 201; (3) an occupational therapist practicing under Chapter 454; or (4) a physical therapist practicing under Chapter 453. A Board for Certification (BOC) Pedorthist’s scope of practice is limited to below the ankle. A pharmacist licensed by the Texas State Board of Pharmacy or a person who is working under the direct supervision of a pharmacist may practice orthotics. E: The Texas O&P Board issued a statement that any individual who custom fits a diabetic or other shoe through means of moldable inserts or other methods, regardless of where the final shoe is manufactured, is practicing orthotics per Sections 605.002 (3), (4), (12), and (14).and must either be licensed under the Texas Orthotics and Prosthetics Act or exempt. Exemptions include only physical therapists, occupational therapists, chiropractors, podiatrists, pharmacists, and certified pedorthists who provide devices that affect the anatomical ankle and below. With the exception of certified pedorthists, the listed professionals may operate and provide orthotic devices under the auspices of their own Acts as defined in state law. |
| UT | No License Required | No | - | No | |
| VA | No License Required | No | - | No | |
| VI | No License Required | No | - | No | |
| VT | No License Required | No | - | No | |
| WA | No License Required | No | - | No | |
| WI | No License Required | No | - | No | |
| WV | No License Required | No | - | No | |
| WY | No License Required | No | - | No |