Individuals who complete an apprenticeship after December 31, 2021 may still be able to test as a state candidate, but this will be contingent on approval from a state board of acupuncture. NCCAOM has found that many state acupuncture boards do not accept the apprenticeship route for licensing. Contractual agreements between NCCAOM and state acupuncture boards are available. It will be at the state acupuncture board’s discretion to allow an apprentice to take the exams for licensure purposes only. These state licensing applicants; however, will not be eligible to achieve certification as a Diplomate with the NCCAOM.