DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
ACUPUNCTURE – GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16141, 16145, 16148, 16174, 16201, 16204, 16205, 16287, 16515,  
16517, and 16525 of the public health code, 1978 PA 368, MCL 333.16141, 333.16145,  
333.16148, 333.16174, 333.16201, 333.16204, 333.16205, 333.16287, 333.16515,  
333.16517, and 333.16525 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 RULES  
R 338.13001 Definitions.  
Rule 1. (1) As used in these rules:  
(a) “Board” means the Michigan board of acupuncture created under section 16521 of  
the public health code, MCL 333.16521.  
(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) Terms defined in the code have the same meanings when used in these rules.  
History: 2011 AACS; 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13002 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 2. (1) Pursuant to section 16148 of the code, MCL 333.16148, an individual  
seeking licensure or registration or who is licensed or registered shall complete training  
in identifying victims of human trafficking that meets the following standards:  
(a) Training content must cover all of the following:  
(i) Understanding the types and venues of human trafficking in 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 by the  
board for initial licensure or registration, or by a college or university.  
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(iv) Reading an article related to the identification of victims of human trafficking  
that meets the requirements of subdivision (a) of this subrule and is published in a peer  
review journal, health care journal, or professional or scientific journal.  
(c) Acceptable modalities of training may 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 an acceptable proof of completion of training, including 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 pursuant to subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of  
article, author, publication name of peer review journal, health care journal, or  
professional or scientific journal, and date, volume, and issue of publication, as  
applicable.  
(3) Pursuant to section 16148 of the code, MCL 333.16148, the requirements specified  
in subrule (1) of this rule apply to an applicant for license renewal beginning July 2, 2018  
and to an applicant for initial licensure beginning April 22, 2021.  
History: 2016 AACS; 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13003 Telehealth.  
Rule 3. (1) An acupuncturist shall obtain consent before providing a telehealth service  
pursuant to section 16284 of the code, MCL 333.16284.  
(2) An acupuncturist providing a telehealth service shall do both of the following:  
(a) Act within the scope of his or her practice.  
(b) Exercise the same standard of care applicable to a traditional, in-person health care  
service.  
History: 2011 AACS; rescinded 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13004 Adoption of standards.  
Rule 4. The National Certification Commission for Acupuncture and Oriental  
Medicine’s (NCCAOM) national standards of competence in acupuncture and Oriental  
medicine as set forth in the document titled, “NCCAOM Certification Handbook,”  
effective January 1, 2019, is approved by the board and adopted by reference in these  
rules. The document is available for inspection and distribution at the cost of 10 cents per  
page from the Department of Licensing and Regulatory Affairs, Bureau of Professional  
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Licensing at 611 W. Ottawa St. P.O. Box 30670, Lansing, Michigan 48909 and at no cost  
from NCCAOM at www.nccaom.org or National Certification Commission for  
Acupuncture and Oriental Medicine, 2025 M. Street NW, Suite 800, Washington, DC  
20036.  
History: 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
PART 2. LICENSURE  
R 338.13005 Licensure of Michigan-registered acupuncturist; requirements.  
Rule 5. Beginning on the date of promulgation of these rules, and for a period of 36  
months following promulgation of these rules, the department shall issue a license to an  
applicant who, in addition to meeting all the requirements of the code, satisfies both of  
the following:  
(a) Submits a completed application on a form provided by the department, together  
with the requisite fee.  
(b) Is currently registered as an acupuncturist in this state.  
History: 2011 AACS; 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13006 Licensure of non-NCCAOM certified acupuncturist; requirements.  
Rule 6. (1) Beginning on the date of promulgation of these rules, and for a period of 36  
months following promulgation of these rules, the department shall issue a license to an  
applicant who, in addition to meeting all the requirements of the code, submits a  
completed application on a form provided by the department, together with the requisite  
fee.  
(2) The applicant shall demonstrate to the board that he or she has the education,  
training, and experience required for licensure pursuant to sections 16515 and 16525 of  
the code, MCL 333.16515 and 333.16525. The applicant shall satisfy all of the  
following:  
(a) The applicant shall establish that he or she has completed a minimum of 1,245  
hours of systematic acupuncture education, as that term is defined in section 16501(1)(v)  
of the code, MCL 333.16501, by submitting his or her education records, training  
records, or other verifiable evidence of the applicant’s education and training that  
included live lectures, demonstrations, and supervised clinical training specific to  
acupuncture.  
(b) The applicant shall establish that he or she is certified in clean needle technique by  
the Council of Colleges of Acupuncture and Oriental Medicine.  
(c) The applicant shall establish that he or she has provided acupuncture services to an  
average of 50 or more patients per year during the 4 years preceding the date of  
application for licensure by submitting his or her patient records, billing records, or both.  
The applicant shall ensure that patient confidentiality is protected on every document  
submitted.  
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(3) If documentation submitted pursuant to this rule is in a language other than English,  
an original, official translation must also be submitted.  
History:2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13007 Licensure of NCCAOM-certified applicant; requirements.  
Rule 7. Beginning on the date of promulgation of these rules, the department shall issue  
a license to an applicant who, in addition to meeting all the requirements of the code,  
satisfies both of the following:  
(a) Submits a completed application on a form provided by the department, together  
with the requisite fee.  
(b) Submits proof acceptable to the department that he or she is currently certified by  
NCCAOM as a Diplomate of Acupuncture or Diplomate of Oriental Medicine.  
History:2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13008 Limited License; requirements; restrictions.  
Rule 8. (1) Beginning on the date of promulgation of these rules, and for a period of 36  
months following the promulgation of these rules, the department shall issue a limited  
license to an applicant who, in addition to meeting the requirements of the code, meets all  
of the following:  
(a) The applicant provides documentation that he or she has been performing  
acupuncture under the supervision of a physician licensed under part 170 of the code,  
MCL 333.17001 to 333.17097, or part 175 of the code, MCL 333.17501 to 333.17556,  
for a minimum of 2 years before March 4, 2020.  
(b) The applicant submits a form provided by the department that contains the name  
and signature of the supervising physician acknowledging assumption of the supervisory  
responsibilities under section 16109(2) of the code, MCL 333.16109.  
(c) The applicant holds a license to engage in another health profession as defined in  
section 16105(2) of the code, MCL 333.16105, at the time of his or her application.  
(2) A limited licensee shall comply with all of the following:  
(a) Engage in the practice of acupuncture only under the supervision of the physician  
identified pursuant to subrule (1)(b) of this rule.  
(b) Notify the department if the physician identified pursuant to subrule (1)(b) of this  
rule is no longer willing or able to supervise the limited licensee.  
(i) If the supervising physician is no longer willing or able to supervise the limited  
licensee, the limited licensee shall not provide acupuncture services until a new  
supervising physician licensed under part 170 or part 175 of the code is secured and the  
requirements of subrule (1)(b) of this rule have been met by the new supervising  
physician and the form, provided by the department, that contains the name and signature  
of the supervising physician acknowledging assumption of the supervisory  
responsibilities under section 16109(2) of the code, MCL 333.16109, has been submitted  
to the department.  
(ii) A limited license cannot be renewed if a supervising physician licensed under  
part 170 or part 175 of the code is not identified.  
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(c) A limited licensee shall not collect payment from an insurer for performing a  
service that is within the practice of acupuncture.  
History:2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13010 Licensure by endorsement; requirements.  
Rule 10. (1) An applicant for an acupuncturist license by endorsement, in addition to  
meeting all the requirements of the code, shall submit a completed application on a form  
provided by the department, together with the requisite fee and satisfy both of the  
following:  
(a) Demonstrate to the satisfaction of the department that he or she holds an active  
license or registration in good standing from another state on the date of filing an  
application for licensure by endorsement.  
(b) Submit proof acceptable to the department that he or she is currently certified by  
NCCAOM as a Diplomate of Acupuncture or Diplomate of Oriental Medicine.  
(2) An applicant’s license or registration in good standing shall be verified by the  
licensing or registering agency of each state in which the applicant holds or ever held a  
license or registration as an acupuncturist. If applicable, verification must include the  
record of any disciplinary action taken or pending against the applicant.  
History: 2011 AACS; 2019 AACS;2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13015 Rescinded.  
History: 2011 AACS; 2019 AACS;2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13020 Rescinded.  
History: 2011 AACS; 2019 AACS;2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13025 Application for relicensure; requirements.  
Rule 25. An applicant whose license has lapsed may be relicensed upon submission of  
the appropriate documentation as noted in the table below:  
(1) For an acupuncturist who has let his or Lapsed  
Lapsed more  
than 3 years  
her Michigan license lapse  
and is currently licensed in another state or  
Canada.  
0-3 years  
(a)  
Submits a completed application on √  
a form provided by the department,  
together with the required fee.  
Establishes that he or she is of good √  
moral character as defined under  
(b)  
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sections 1 to 7 of 1974 PA 381,  
MCL 338.41 to 338.47.  
(c)  
(d)  
Submits fingerprints as required  
under section 16174(3) of the code,  
MCL 333.16174(3).  
Submits proof of having completed √  
30 hours of continuing education in  
compliance with R 338.13026 and R  
338.13028 within the 2-year period  
immediately  
preceding  
the  
application for relicensure.  
(e)  
An applicant’s license or registration √  
in good standing must be verified by  
the licensing or registering agency of  
each state in which the applicant  
holds or ever held a license or  
registration as an acupuncturist. If  
applicable, verification must include  
the record of any disciplinary action  
taken or pending against the  
applicant.  
(2) For an acupuncturist who has let his or Lapsed  
Lapsed more  
than 3 years  
her Michigan license lapse and is not  
0-3 years  
currently licensed in another state or Canada.  
(a)  
Submits a completed application on a √  
form provided by the department,  
together with the required fee.  
Establishes that he or she is of good √  
moral character as defined under  
sections 1 to 7 of 1974 PA 381, MCL  
338.41 to 338.47.  
(b)  
(c)  
(d)  
Submits fingerprints as required  
under section 16174(3) of the code,  
MCL 333.16174(3).  
Submits proof of having completed √  
30 hours of continuing education in  
compliance with R 338.13026 and R  
338.13028 within the 2-year period  
immediately  
application for relicensure.  
Possesses a current and valid  
NCCAOM certification as  
preceding  
the  
(e)  
a
Diplomate of Acupuncture or  
Diplomate of Oriental Medicine.  
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(f)  
An applicant’s license or registration √  
in good standing must be verified by  
the licensing or registering agency of  
each state in which the applicant  
holds or ever held a license or  
registration as an acupuncturist. If  
applicable, verification must include  
the record of any disciplinary action  
taken or pending against the  
applicant.  
History: 2011 AACS; 2019 AACS;2021 MR 7, Eff. Apr. 1, 2021.  
PART 3. LICENSE RENEWAL, LIMITED LICENSE RENEWAL, AND  
CONTINUING EDUCATION  
R 338.13026 Renewal of acupuncturist license; renewal of limited license;  
requirements; limitations; waiver request.  
Rule 26. (1) Pursuant to section 16517 of the code, MCL 333.16517, an applicant for  
renewal of a license or limited license, who has been licensed for the 2-year period  
immediately preceding the expiration date of the license, shall accumulate 30 hours of  
continuing education related to the practice of acupuncture and approved by the board,  
pursuant to these rules, during the 2 years before the expiration date of the license.  
(2) An applicant for renewal of a license or a limited license shall accumulate at least 5  
hours of the required hours of continuing education in pain and symptom management  
related to the practice of acupuncture during each license cycle pursuant to sections  
16204(2) and 16517(2) of the code, MCL 333.16204 and 333.16517.  
(3) An applicant for renewal of a limited license, in addition to meeting the  
requirements of subrules (1) and (2) of this rule, shall meet all of the following:  
(a) Pursuant to section 16517(3) of the code, MCL 333.16517, the applicant shall hold  
an active license to engage in another health profession, as defined in section 16105 of  
the code, MCL 333.16105, at the time of his or her application, and as a condition of  
renewal of his or her limited license.  
(b) The applicant shall accumulate the continuing education credits required in  
subrules (1) and (2) of this rule in addition to any continuing education credits  
accumulated for the purpose of renewing his or her other health professional license.  
(c) The applicant shall submit a form, provided by the department, that contains the  
name and signature of his or her supervising physician acknowledging that the physician  
provided the supervisory responsibilities required under section 16109(2) of the code,  
MCL 333.16109, during the previous license cycle and agreeing to provide those  
supervisory responsibilities during the next license cycle.  
(4) Submission of an application for renewal constitutes the applicant's certification of  
compliance with this rule. An applicant shall retain documentation of satisfying the  
requirements of this rule for a period of 4 years from the date of applying for license  
renewal. The board may require an applicant to submit evidence to demonstrate  
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compliance with this rule. Failure to comply with this rule is a violation of section  
16221(h) of the code, MCL 333.16221.  
(5) The department must receive a request for a waiver under section 16205 of the  
code, MCL 333.16205, before the expiration date of the license.  
(6) The continuing education credits earned in 1 license cycle may not be carried  
forward to the next license cycle.  
(7) The applicant may not earn continuing education credits for completing the same  
activity twice within the same license cycle.  
History: 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13028 Acceptable continuing education, requirements.  
Rule 28. (1) The board approves for continuing education a course or activity approved  
by the NCCAOM as a professional development activity (PDA). One PDA credit equals  
1 hour of continuing education credit that can be accumulated to satisfy the requirements  
of R 338.13026.  
(2) Pursuant to section 16517(1) of the code, MCL 333.16517, an individual who has  
met the continuing education standards of the NCCAOM is considered to have met the  
continuing education requirements for license renewal.  
(3) If an applicant does not meet the requirements of subrule (2) of this rule, he or she  
shall accumulate not less than 30 continuing education credits by participating in a course  
or activity approved by the NCCAOM.  
History: 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13030 Rescinded.  
History: 2011 AACS; 2019 AACS; 2021 MR 7, Eff. Apr. 1, 2021.  
R 338.13035 Delegation; supervision.  
Rule 35. An acupuncturist shall practice under the delegation of an allopathic physician  
or osteopathic physician and surgeon in accordance with sections 16104, 16109, and  
16215(3) of the code, MCL 333.16104, 333.16109, and 333.16215(3).  
History: 2011 AACS; 2019 AACS.  
R 338.13040 Rescinded.  
History: 2011 AACS; 2019 AACS.  
R 338.13045 Rescinded.  
History: 2011 AACS; 2019 AACS.  
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