DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR'S OFFICE

AUDIOLOGY - GENERAL RULES

(By authority conferred on the director of the department of licensing and regulatory

affairs by sections 16145, 16148, and 16811 of the public health code, 1978 PA 368,

MCL 333.16145, 333.16148, and 333.16811, and Executive Reorganization Order Nos.

1991-9, 1996-2, 2003-1 and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)

PART 1. GENERAL PROVISIONS

R 338.1 Definitions.

Rule 1. (1) As used in these rules:

(a) "Board" means the Michigan board of audiology created under section 16805

of the code, MCL 333.16805.

(b) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to

333.25211.

(c) "Department" means the department of licensing and regulatory affairs.

(2) A term defined in the code has the same meaning when used in these rules.

History: 2005 AACS; 2019 AACS; 2021 AACS.

R 338.1a Training standards for identifying victims of human trafficking;

requirements.

Rule 1a. (1) Under section 16148 of the code, MCL 333.16148, an individual

seeking licensure or who is licensed shall complete training in identifying victims of

human trafficking that satisfies the following standards:

(a) Training content must cover all the following:

(i) Understanding the types and venues of human trafficking in this state or the

United States.

(ii) Identifying victims of human trafficking in health care settings.

(iii) Identifying the warning signs of human trafficking in health care settings for

adults and minors.

(iv) Resources for reporting the suspected victims of human trafficking.

(b) Acceptable providers or methods of training include any of the following:

(i) Training offered by a nationally recognized or state-recognized, health-related

organization.

(ii) Training offered by, or in conjunction with, a state or federal agency.

(iii) Training obtained in an educational program that has been approved for

initial licensure, or by a college or university.

(iv) Reading an article related to the identification of victims of human

trafficking that satisfies the requirements of subdivision (a) of this subrule and is

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published in a peer review journal, health care journal, or professional or scientific

journal.

(c) Acceptable modalities of training include any of the following:

(i) Teleconference or webinar.

(ii) Online presentation.

(iii) Live presentation.

(iv) Printed or electronic media.

(2) The department may select and audit a sample of individuals and request

documentation of proof of completion of training. If audited by the department, an

individual shall provide acceptable proof of completion of training, that includes either of

the following:

(a) Proof of completion certificate issued by the training provider that includes the

date, provider name, name of training, and individual’s name.

(b) A self-certification statement by an individual. The certification statement

must include the individual’s name and either of the following:

(i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date,

training provider name, and name of training.

(ii) For training completed under subrule (1)(b)(iv) of this rule, the title and

author of the article, publication name of the peer review journal, health care journal, or

professional or scientific journal, and the date, volume, and issue of publication, as

applicable.

(3) Under section 16148 of the code, MCL 333.16148, the requirements specified in

subrule (1) of this rule apply for license renewals beginning with the 2017 renewal cycle

and for initial licenses issued after April 22, 2021.

History: 2016 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.2 Application for audiologist license; requirements.

Rule 2. (1) An applicant for an audiologist license shall satisfy the requirements of

the code and the administrative rules promulgated under the code, as well as all the

following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Possess a master's or doctoral degree in audiology from an accredited

educational program under R 338.8(1) or (2) and (3) or (4).

(c) Successfully completed a minimum of 9 months of supervised clinical

experience in audiology as shown by 1 of the following requirements:

(i) For an applicant who has a doctor of audiology (Au.D.) degree, submission of

an official transcript that shows the awarding of an Au.D. from an accredited educational

institution under R 338.8(1) or (2) and (3) or (4).

(ii) For an applicant who has either a doctoral or master's degree in audiology,

submission of a certification of clinical experience form that shows that the applicant

completed the required supervised clinical experience.

(d) Successfully completed an examination in audiology under R 338.7.

(2) If an applicant for an audiologist license provides either a Certificate of Clinical

Competence in Audiology (CCC-A) from the American Speech-Language-Hearing

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Association (ASHA) or an American Board of Audiology Certified credential from the

American Board of Audiology (ABA) that has been held up to September 1, 1995, then it

is presumed that the applicant satisfies the requirements of subrule (1)(b), (c), and (d) of

this rule.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.3 Licensure by endorsement; audiologist.

Rule 3. (1) An applicant for an audiologist license by endorsement shall satisfy the

requirements of the code and the administrative rules promulgated under the code, as well

as all the following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Hold a current and full audiologist license in another state or in a province of

Canada.

(c) Complete the educational requirements for an audiologist license in another

state or a province of Canada to obtain licensure as an audiologist in another state or a

province of Canada.

(d) Receive passing scores on either of the following examinations for an

audiologist license in another state or in a province of Canada to obtain licensure as an

audiologist in another state or in a province of Canada:

(i) One of the examinations adopted under R 338.7.

(ii) The Canadian Entry-to-Practice Exam for Audiology (CETP Exam).

(e) If the applicant has held an audiologist license for less than 18 months, the

applicant completes, in the United States, 9 months of supervised clinical experience

under a licensed audiologist, and the supervised clinical experience satisfies R 338.5.

(2) An applicant who is or has been licensed, registered, or certified in a health

profession or specialty by any other state, the United States military, the federal

government, or another country shall disclose that fact on the application form. The

applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174,

which includes verification from the issuing entity showing that disciplinary proceedings

are not pending against the applicant and sanctions are not in force at the time of

application. If licensure is granted and it is determined that sanctions have been imposed,

the disciplinary subcommittee may impose appropriate sanctions under section 16174(5)

of the code, MCL 333.16174.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.4 Supervised clinical experience; limited license requirements.

Rules 4. (1) An applicant for an audiologist limited license who has earned a

master's or doctoral degree in audiology but who still must complete the required 9

months of supervised clinical experience in audiology shall satisfy the requirements of

the code and the administrative rules promulgated under the code, as well as all the

following requirements:

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(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Graduate from an accredited educational program in audiology under R

338.8(1) or (2) and (3) or (4).

(c) Be accepted for training in a clinical situation under the supervision of an

individual who is licensed in audiology in this state.

(2) The applicant shall document on a form provided by the department the

completion of 9 months of clinical supervised experience (1,080 clock hours) or the

equivalent of 9 months of experience after having graduated from an accredited master's

degree program in audiology under R 338.8(1) or (2) and (3) or (4). Both of the

following requirements apply:

(a) The experience is subject to R 338.5.

(b) Only experience obtained in an approved supervised clinical situation by an

individual who holds a limited license counts toward the experience requirement.

(3) If an applicant transfers to a different supervised clinical situation, then the

applicant shall provide information about the supervised clinical situation on an updated

form provided by the department under subrule (2) of this rule.

History: 2005 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.5 Clinical experience requirements.

Rule 5. (1) The 9 months of supervised clinical experience required for licensure in

R 338.2(1)(c) and R 338.4(2) must satisfy the following requirements:

(a) The experience must be obtained under the supervision of a licensed

audiologist.

(b) Except as otherwise provided in subrule (2) of this rule, experience must be

full time, which means at least 30 hours per week, and be obtained within 24 consecutive

months.

(2) The supervised clinical experience required under subrule (1) of this rule may be

fulfilled on a part-time basis and must satisfy the following requirements:

(a) The experience must be obtained under the supervision of a licensed

audiologist.

(b) The experience must be part time, which means at least 15 hours per week, and

be obtained within 36 consecutive months.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.6 Foreign trained applicants; licensure requirements.

Rule 6. An applicant for an audiologist license who graduated from a postsecondary

institution outside of the United States or Canada shall satisfy all the following

requirements:

(a) That the applicant has completed an educational degree program in audiology

that is substantially equivalent to the educational requirements in R 338.2(1)(b). The

department accepts as proof of an applicant's completion of the educational requirements

a credential evaluation completed by a credential evaluation organization that is a current

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member organization of the National Association of Credential Evaluation Services

(NACES).

(b) That the applicant may practice as an audiologist without limitation in a

country currently recognized by the United States. An applicant who is or has been

licensed, registered, or certified in a health profession or specialty by any other state, the

United States military, the federal government, or another country shall disclose that fact

on the application form. The applicant shall satisfy the requirements of section 16174(2)

of the code, MCL 333.16174, which includes verification from the issuing entity showing

that disciplinary proceedings are not pending against the applicant and sanctions are not

in force at the time of application. If licensure is granted and it is determined that

sanctions have been imposed, the disciplinary subcommittee may impose appropriate

sanctions under section 16174(5) of the code, MCL 333.16174.

(c) That the applicant has completed, in the United States, 9 months of supervised

clinical experience under a licensed audiologist, and the supervised clinical experience

satisfies R 338.5.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.7 Examination; adoption; passing scores.

Rule 7. Examinations approved and adopted are the National Teachers Examination

(NTE) in Audiology and the Praxis Series II Examination in Audiology that are

administered by the Educational Testing Service (ETS) or its successor organization.

Applicants must achieve a passing score on the National Teachers Examination (NTE) in

Audiology or the Praxis Series II Examination in Audiology or any successor

examination.

History: 2005 AACS; 2013 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.8 Educational standards; adoption by reference.

Rule 8. (1) The standards for accrediting audiology educational programs

developed and adopted by the Council on Academic Accreditation in Audiology and

Speech-Language Pathology (CAA), American Speech-Language-Hearing Association,

2200 Research Boulevard, #310, Rockville, Maryland 20850, in the publication entitled

"Standards for Accreditation of Graduate Education Programs in Audiology and Speech-

Language Pathology," effective August 1, 2017, which are available at no cost on the

council’s website at https://caa.asha.org are approved and adopted by reference. Any

audiology educational program accredited by the CAA is approved.

(2) The standards for accrediting doctor of audiology programs developed and

adopted by the Accreditation Commission for Audiology Education (ACAE), 11480

Commerce Park Dr., Ste. 220, Reston, Virginia 20191, in the publication entitled

"Accreditation Standards for the Doctor of Audiology (Au.D.) Program,” adopted March

2016, which are available at no cost on the commission's website at

https://acaeaccred.org are approved and adopted by reference.

educational program accredited by the ACAE is approved.

Any audiology

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(3) The standards for recognition of accrediting organizations developed and

adopted by the Council for Higher Education Accreditation (CHEA), One Dupont Circle

NW, Suite 510, Washington, D.C. 20036, in the publication entitled “Recognition of

Accrediting Organizations Policy and Procedures,” effective September 24, 2018, which

are available at no cost on the council’s website at https://www.chea.org are approved

and adopted by reference. Any higher education institution accredited by the accrediting

body of the region in which the institution is located and the accrediting body satisfies the

recognition standards of CHEA is approved.

(4) The criteria for recognition and the recognition process for the secretary’s

recognition of accrediting agencies of the United States Department of Education, Office

of Postsecondary Education, 400 Maryland Avenue, S.W., Washington, D.C. 20202, in

34 CFR 602.10 to 602.39, effective July 1, 2020, which are available at no cost on the

department’s website at https://www2.ed.gov/about/offices/list/ope/index.html are

approved and adopted by reference. Any higher education institution accredited by the

accrediting body of the region in which the institution is located and the accrediting body

satisfies the recognition criteria and process of the United States Department of

Education is approved.

(5) Copies of the standards in this rule are available for inspection and distribution

at a cost of 10 cents per page from the Board of Audiology, Bureau of Professional

Licensing, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa

Street, Lansing, Michigan 48909.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.9 Relicensure.

Rule 9. (1) An applicant may be relicensed within 3 years after the expiration date

of the license under section 16201(3) of the code, MCL 333.16201, if the applicant

satisfies the requirements of the code and the administrative rules promulgated under the

code, as well as all the following requirements:

(a) Provides the required fee and a completed application on a form provided by

the department.

(b) Establishes good moral character as defined under 1974 PA 381, MCL 338.41

to 338.47.

(c) Provides proof to the department of accumulating not less than 20 hours of

continuing education credit that satisfies the requirements of R 338.10 and R 338.11

during the 2 years immediately preceding the application for relicensure.

(2) An applicant may be relicensed more than 3 years after the expiration date of the

license under section 16201(4) of the code, MCL 333.16201, if the applicant satisfies the

requirements of the code and the administrative rules promulgated under the code, as well

as all the following requirements:

(a) Provides the required fee and a completed application on a form provided by

the department.

(b) Establishes good moral character as defined under 1974 PA 381, MCL 338.41

to 338.47.

(c) Provides fingerprints as required under section 16174(3) of the code, MCL

333.16174.

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(d) Satisfies either of the following requirements:

(i) Passes an examination required under R 338.7.

(ii) Presents proof to the department that the applicant was licensed as an

audiologist in another state or a province of Canada during the 2-year period prior to the

application for relicensure.

(3) An applicant who is or has been licensed, registered, or certified in a health

profession or specialty by any other state, the United States military, the federal

government, or another country shall disclose that fact on the application form. The

applicant shall satisfy the requirements of section 16174(2) of the code, MCL 333.16174,

which includes verification from the issuing entity showing that disciplinary proceedings

are not pending against the applicant and sanctions are not in force at the time of

application. If licensure is granted and it is determined that sanctions have been imposed,

the disciplinary subcommittee may impose appropriate sanctions under section 16174(5)

of the code, MCL 333.16174.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.10 License renewal; requirements; applicability.

Rule 10. (1) An applicant for renewal shall satisfy the requirements of the code and

the administrative rules promulgated under the code.

(2) An applicant for license renewal who has been licensed for the 2-year period

immediately preceding the expiration date of the license shall accumulate not less than 20

hours of continuing education in activities approved under these rules during the 2 years

preceding the end of the license cycle.

(3) Submission of an application for renewal constitutes the applicant's certification

of compliance with the requirements of this rule. A licensee shall keep documentation of

satisfying the requirements of this rule for a period of 4 years from the date of applying

for license renewal. Failure to satisfy this rule is a violation of section 16221(h) of the

code, MCL 333.16221.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.11 Acceptable continuing education; requirements; limitations.

Rule 11. (1) The 20 hours of continuing education required under R 338.10(2) for

the renewal of an audiology license must satisfy the following requirements:

(a) For the purpose of this rule, "instruction" means education time, exclusive of

breakfast, lunch, or dinner periods, or any other breaks in the program.

(b) Not more than 10 hours of continuing education may be earned during a 24-

hour period.

(c) A licensee may not earn credit for a continuing education program or activity

that is identical or substantially equivalent to a program or activity the licensee has

already earned credit for during the license cycle.

(d) Under section 16204 of the code, MCL 333.16204, at least 1 hour of

continuing education must be earned in pain and symptom management. Continuing

education hours in pain and symptom management may include, but are not limited to,

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courses in behavior management, behavior modification, stress management, and clinical

applications, as they relate to professional practice under sections 16801 to 16811 of the

code, MCL 333.16801 to 333.16811.

(2) The following are acceptable continuing education activities:

Activity Activity and Proof Required

Code

Number of continuing education

hours

granted/allowed

per

activity

(a)

Initial presentation of a continuing

Three hours of continuing

education program related to the education are granted for each 50

practice of audiology provided to a to 60 minutes of presentation.

state, regional, national, or international

audiology organization.

No other credit is granted for

preparation of a presentation.

To receive credit, the presentation

must not be a part of the licensee's

A maximum of 9 hours of

regular job description and must satisfy continuing education are allowed

the standards in R 338.12.

for this activity in each renewal

period.

If audited, the licensee shall provide

a copy of the presentation notice or

Under subrule (1)(c) of this

advertisement showing the date of the rule, credit for a presentation is

presentation, the licensee’s name listed granted once per renewal period.

as a presenter, and the name of the

organization that approved or offered

the

education credit.

Initial presentation of a scientific

exhibit, paper, or clinical demonstration education are granted for each 50

presentation

for

continuing

(b)

Two hours of continuing

to an audiology organization.

to 60 minutes of presentation.

To receive credit, the presentation

No other credit is granted for

must not be part of the licensee’s preparation of a presentation.

regular job description or performed in

the normal course of the licensee’s

employment.

A maximum of 6 hours of

continuing education are allowed

for this activity in each renewal

If audited, the licensee shall provide period.

a copy of the document presented with

proof of presentation or a letter from the

Under subrule (1)(c) of this

program sponsor verifying the length rule, credit for a presentation is

and date of the presentation.

granted once per renewal period.

Five hours of continuing

(c)

Passing a postgraduate academic

course related to the practice of education are granted for each

audiology offered in an educational academic credit hour passed.

program approved under R 338.8(1) or

(2) and (3) or (4).

Three hours of continuing

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education are granted for each

If audited, the licensee shall provide academic term or quarter credit

an official transcript documenting hour passed.

successful completion of the course.

A maximum of 20 hours of

continuing education are allowed

for this activity in each renewal

period.

(d)

Attendance

at

a

continuing

One continuing education

education program approved under R hour is granted for each 50 to 60

338.12.

If audited, the licensee shall provide

a program description, a copy of a letter

minutes of program attendance.

A maximum of 20 hours of

or certificate of completion showing the continuing education are allowed

licensee’s name, number of continuing for this activity in each renewal

education hours earned, sponsor name period.

or the name of the organization that

approved the program or activity for

continuing education credit, and the

date on which the program was held or

activity completed.

(e)

Attendance

at

a

continuing

One continuing education

education program approved by another hour is granted for each 50 to 60

state board of audiology.

minutes of program attendance.

If audited, the licensee shall provide

A maximum of 20 hours of

a program description, a copy of a letter continuing education are allowed

or certificate of completion showing the for this activity in each renewal

licensee’s name, number of continuing period.

education hours earned, sponsor name

or the name of the organization that

approved the program or activity for

continuing education credit, and the

date on which the program was held or

activity completed.

(f)

Initial publication of an article

One hour of continuing

related to the practice of audiology in a education is granted for each

non-peer

reviewed

journal

or article.

newsletter.

A maximum of 5 hours of

If audited, the licensee shall provide continuing education are allowed

a copy of the publication that identifies for this activity in each renewal

the licensee as the author or a period.

publication acceptance letter.

Under subrule (1)(c) of this

rule, credit for publication is

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granted once per renewal period.

Initial publication of a chapter Five hours of continuing

(g)

related to the practice of audiology in education are granted for serving

either of the following:

as the primary author.

A professional or health care

textbook.

Two hours of continuing

education are granted for serving

as the secondary author.

A peer-reviewed journal.

If audited, the licensee shall provide

Under subrule (1)(c) of this

a copy of the publication that identifies rule, credit for publication is

the licensee as the author or a granted once per renewal period.

publication acceptance letter.

(h)

Reading an audiology professional

One hour of continuing

journal and successfully completing an education is granted for each 50

evaluation created for continuing to 60 minutes of this activity.

education credit in audiology practice

education.

A maximum of 5 hours of

continuing education are allowed

If audited, the licensee shall provide for this activity in each renewal

a copy of the publication and the period.

evaluation created for continuing

education credit in audiology practice

education.

(i)

Attendance at a program approved

One continuing education

for continuing education by the board hour is granted for each 50 to 60

of medicine or the board of osteopathic minutes of program attendance.

medicine related to audiology practice.

A maximum of 5 hours of

If audited, the licensee shall provide continuing education are allowed

a program description, a copy of a letter for this activity in each renewal

or certificate of completion showing the period.

licensee’s name, number of continuing

education hours earned, sponsor name

or the name of the organization that

approved the program or activity for

continuing education credit, and the

date on which the program was held or

activity completed.

(j)

Participating on a state or national

committee, board, council, or education are granted for each

association related to the field of committee, board, council, or

audiology. A committee, board, association.

Two hours of continuing

council, or association must enhance

the participant’s knowledge and

A maximum of 2 hours of

understanding of the field of audiology. continuing education are allowed

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for this activity in each renewal

If audited, the licensee shall provide period.

documentation verifying the licensee’s

participation in at least 50% of the

regularly scheduled meetings of the

committee,

association.

board,

council,

or

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.12 Continuing audiology education providers and programs; methods of

approval.

Rule 12. (1) Any continuing education provider or program approved by ASHA is

approved. The standards for continuing education providers developed and adopted by

the American Speech-Language-Hearing Association Continuing Education Board

(ASHA-CEB), 2200 Research Boulevard, Rockville, Maryland 20850-3289, in the

publication entitled “American Speech-Language-Hearing Association Continuing

Education Board Manual,” updated June 2021, which are available at no cost on the

association's website at https://www.asha.org, are approved and adopted by reference.

(2) Any continuing education provider or program approved by the American

Academy of Audiology is approved. The standards for continuing education programs

developed and adopted by the American Academy of Audiology, 11480 Commerce Park

Drive, Suite 220, Reston, Virginia 20191, in the publication entitled “CE Provider Course

Application Requirements and Guidelines,” revised October 1, 2020, which are available

at no cost on the academy’s website at https://www.audiology.org, are approved and

adopted by reference.

(3) Any continuing education provider or program approved by the board is

approved. Providers or programs that need to be reviewed and preapproved must provide

the following requirements:

(a) Course content related to current issues in audiology practice.

(b) An outline of the course or program provided with time allotted for each

section of the program.

(c) Documentation of qualifications of presenters.

(d) Description of the method for delivering the course or program.

(e) Inclusion of defined measurements of pre-knowledge and post-knowledge or

skill improvement.

(f) Monitoring of participant attendance at the program or course.

(g) Records of a course or program kept that include the number of participants in

attendance, the date of the program, the program's location, the credentials of the

presenters, rosters of the individuals who attended, and the continuing education time

awarded to each participant.

(h) A participant must receive a certificate or written proof of attendance at a

program that shows a participant's name, the date of the program, the location of

program, the sponsor or program approval number, and the hours of continuing education

awarded.

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(4) Copy of the standards in this rule are available for inspection and distribution at

a cost of 10 cents per page from the Michigan Board of Audiology, Bureau of

Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West

Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.

History: 2005 AACS; 2019 AACS; 2021 AACS; 2022 MR 6, Eff. Mar. 16, 2022.

R 338.13 Telehealth.

Rule 13. (1) A licensee shall obtain consent from the patient for treatment before

providing a telehealth service under section 16284 of the code, MCL 333.16284.

(2) A licensee shall keep proof of consent for telehealth treatment in the patient’s

up-to-date medical record and satisfy section 16213 of the code, MCL 333.16213.

(3) A licensee providing any telehealth service shall do both of the following:

(a) Act within the scope of the licensee’s practice.

(b) Exercise the same standard of care applicable to a traditional, in-person health

care service.

History: 2022 MR 6, Eff. Mar. 16, 2022.

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