State Approved Courses

Activity Director Training Course

Become a State Qualified Activity Director

Home study course format

Department of Health or

Department of Inspection and Appeals approved

Activity Director Certification Services offers state approved activity director training courses.  Are you in need of certification that meets the F-Tag #249 guideline and unable to be nationally certified? If you choose not to pursue Activity Director Certified (ADC) status, you can still meet F-Tag #249 regulations by completing a state approved course. While the MEPAP course applies to almost all state regulations to qualify an Activity Professional working in a long term care setting, Theresa has been approved by the following States to offer state level training courses:

  • Iowa – Minimum 75 hours
  • Iowa – Minimum 45 hours (Residential Care Facilities only)
  • Missouri – Minimum 36 hours
  • Montana – Minimum 40 hours
  • Nebraska – Minimum 42 hours
  • New Mexico – Minimum 40 hours
  • North Dakota – Minimum 90 hours
  • Oregon – Minimum 36 hours
  • South Dakota – Minimum 45 hours
  • Tennessee – Minimum 40 hours
  • Wisconsin – Minimum 90 hours

*Check back for additional state approved courses as they are added.


Regulatory Language: F-Tag #249

F-Tag #249 defines the various qualifications required for an activity professional. Anyone working in the capacity of an Activity Director in long term care must meet one of the following criteria:

The activities program must be directed by a qualified professional who:

1. Is a qualified therapeutic recreation specialist or an activities professional who

  • Is licensed or registered, if applicable, by the State in which practicing; and
  • Is eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after October 1, 1990;

2. Has 2 years of experience in a social or recreational program within the last 5 years, 1 of which was full-time in a patient activities program in a health care setting;

3. Is a qualified occupational therapist or occupational therapy assistant;

4. Has completed a training course approved by the State


To request more information on state approved activity training courses including fees and registration,click here.