DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR'S OFFICE  
SPEECH-LANGUAGE PATHOLOGY – GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 17601, 17607, 17609, 17610, and 17611 of the public  
health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.17601, 333.17607,  
333.17609, 333.17610, and 333.17611, 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 338.601 Definitions.  
Rule 1. (1) As used in these rules:  
(a) "Board" means the Michigan board of speech-language pathology created under  
section 17605 of the code, MCL 333.17605.  
(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: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.602 Rescinded.  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.603 Application for speech-language pathology license; requirements.  
Rule 3. (1) An applicant for a license as a speech-language pathologist shall submit the  
required fee and a completed application on a form provided by the department. In  
addition to satisfying the requirements of the code, and the administrative rules  
promulgated under the code, an applicant shall satisfy all of the following requirements:  
(a) Have documentation provided directly to the department from an educational  
program verifying the applicant's possession of a master's or doctoral degree from an  
accredited educational program that satisfies the standards adopted by the board under R  
338.619.  
(b) Have successfully completed a supervised postgraduate clinical experience in  
speech-language pathology that satisfies the requirements of R 338.615.  
(c) Have passed an examination approved by the board under R 338.605.  
(2) If an applicant possesses a current Certificate of Clinical Competence in Speech-  
Language Pathology (CCC-SLP) from the American Speech-Language-Hearing  
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Association (ASHA), then the applicant presumably satisfies the requirements of subrule  
(1)(a), (b), and (c) of this rule.  
History: 2011 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.604 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 4. (1) Under section 16148 of the code, MCL 333.16148, an individual seeking  
licensure or licensed under article 15 of the code, MCL 333.16101 to 333.18838, shall  
complete training in identifying victims of human trafficking that satisfies 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 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 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 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 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 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.  
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(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 2016 renewal cycle  
and for initial licenses issued March 16, 2021.  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.605 Examination; adoption; passing score.  
Rule 5. The board approves and adopts the Praxis Examination in Speech-Language  
Pathology that is administered by the Educational Testing Service (ETS) or its successor  
organization. The board adopts the passing score recommended by ASHA for the Praxis  
Examination in Speech-Language Pathology.  
History: 2011 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.607 Rescinded.  
History: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.609 Rescinded.  
History: 2011 AACS; 2016 AACS.  
R 338.611 Licensure by endorsement; speech-language pathologist.  
Rule 11. (1) An applicant for a license by endorsement as a speech-language  
pathologist shall submit the required fee and a completed application on a form provided  
by the department. In addition to satisfying the requirements of the code, and the  
administrative rules promulgated under the code, an applicant who satisfies the  
requirements of this rule, as applicable, satisfies the requirements of section 16186 of the  
code, MCL 333.16186.  
(2) If an applicant was first registered or licensed in another state for 5 years or more  
immediately preceding the date of filing an application for a Michigan license, then the  
applicant shall satisfy both of the following requirements:  
(a) Have documentation provided directly to the department from an educational  
program verifying the applicant's possession of a master's or doctoral degree from an  
accredited educational program that satisfies the standards adopted by the board under R  
338.619 or from an educational program that satisfies the requirements of R  
338.617(1)(a).  
(b) Have passed the Praxis Examination in Speech-Language Pathology with a score  
adopted by the board under R 338.605.  
(3) If an applicant was first registered or licensed in another state for less than 5 years  
immediately preceding the date of filing an application for a Michigan license, then the  
applicant shall satisfy both of the following requirements:  
(a) Satisfy the requirements of subrule (2)(a) and (b) of this rule.  
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(b) Have successfully completed a supervised postgraduate clinical experience in  
speech-language pathology that satisfies the requirements of R 338.615.  
(4) If an applicant possesses a current Certificate of Clinical Competence in Speech-  
Language Pathology (CCC-SLP) from ASHA, then the applicant is presumed to satisfy  
the requirements of subrule (2) or (3) of this rule, as applicable.  
(5) In addition to satisfying the requirements of either subrule (2) or (3) of this rule, as  
applicable, an applicant's registration or license shall be verified, on a form provided by  
the department, by the licensing agency of any state in which the applicant holds a  
current registration or license or ever held a registration or license as a speech-language  
pathologist. Verification must include providing all documentation of any disciplinary  
action taken or pending against the applicant.  
History: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.613  
Supervised postgraduate clinical experience; temporary license;  
requirements.  
Rule 13. (1) The department may issue a temporary license under section 17609(4) of  
the code, MCL 333.17609, to an individual for the purpose of completing a supervised  
postgraduate clinical experience.  
(2) An applicant for a license as a speech-language pathologist who satisfies the  
educational requirements in R 338.603(1)(a) or R 338.617(1)(a) but who still must  
complete the required supervised postgraduate clinical experience shall submit the  
required fee and a completed application for a temporary license on a form provided by  
the department. In addition to satisfying the requirements of the code, and the  
administrative rules promulgated under the code, an applicant for a temporary license  
shall satisfy both of the following requirements:  
(a) Have documentation provided directly to the department from an educational  
program verifying the applicant's possession of a master's or doctoral degree from an  
accredited educational program that satisfies the standards adopted by the board under R  
338.619 or from an educational program that satisfies the requirements of R  
338.617(1)(a).  
(b) Submit a plan for the supervised postgraduate clinical experience on a form  
provided by the department that is signed by a speech-language pathologist who is  
licensed and has agreed to supervise the applicant's postgraduate experience.  
(3) The supervised postgraduate clinical experience must satisfy both of the following  
requirements:  
(a) The experience must satisfy the requirements of R 338.615.  
(b) Only experience obtained by an individual who holds a temporary license in a  
supervised postgraduate clinical situation approved under R 338.615 may count toward  
the experience requirement.  
(4) If an individual transfers to a different supervised postgraduate clinical situation,  
then he or she shall submit a plan for the new supervised postgraduate clinical situation  
on a form provided by the department that is signed by a speech-language pathologist  
who is licensed and has agreed to supervise the individual's postgraduate experience.  
(5) The department may issue a nonrenewable temporary license under this rule for a  
period not to exceed 12 months.  
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(6) A 2-year educational limited license issued before the effective date of this revised  
rule may be renewed no more than 2 times, with the length of each renewal period equal  
to 2 years.  
History: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.615 Supervised postgraduate clinical experience; requirements.  
Rule 15. (1) The supervised postgraduate clinical experience required for licensure in  
R 338.603(1)(b) and R 338.617(1)(b) must consist of 1,260 hours and must satisfy the  
requirements of this rule.  
(2) At least 1,008 hours of the 1,260 hours must consist of direct clinical contact  
engaged in activities consistent with section 17601(1)(a) of the code, MCL 333.17601.  
(3) A supervised postgraduate clinical experience must be completed under the  
supervision of a licensed speech language pathologist who holds a full and unlimited  
license and has no past or pending disciplinary actions.  
(4) The supervisor and supervisee in a postgraduate clinical experience shall develop  
agreed upon outcomes and performance levels for the supervisee and maintain  
documentation indicating whether the outcomes and performance levels were met by the  
supervisee.  
(5) The supervisor of a supervised postgraduate clinical experience shall engage in a  
sufficient number of supervisory activities to prepare the supervisee to begin independent  
practice as a speech language pathologist. Supervisory activities must include both of the  
following requirements:  
(a) On-site observations of the supervisee engaged in screening, evaluation,  
assessment, and habilitation or rehabilitation activities. Real time, interactive video and  
audio conferencing technology may be used to perform on-site observations.  
(b) Evaluation of reports written by the supervisee, conferences between the  
supervisor and supervisee, and discussions with the supervisee's professional colleagues.  
Correspondence, telephone calls, or review of audio or videotapes may be used to  
perform this type of supervisory activity.  
(6) A supervised postgraduate clinical experience may be fulfilled on a full or part-time  
basis.  
(7) A postgraduate clinical experience approved by ASHA qualifies as a postgraduate  
clinical experience approved by the board.  
History: 2011 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.617 Graduate of non-accredited postsecondary institution; speech-language  
pathologist; licensure.  
Rule 17. (1) An applicant for a speech-language pathology license who graduated from  
a non-accredited postsecondary institution shall submit the required fee and a completed  
application on a form provided by the department. In addition to satisfying the  
requirements of the code, and the administrative rules promulgated under the code, an  
applicant shall satisfy all of the following requirements:  
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(a) Have documentation provided directly to the department from an educational  
program verifying the applicant's possession of a master's or doctoral degree from an  
educational program that is substantially equivalent to an accredited educational program  
that satisfies the standards adopted by the board under R 338.619. Proof of having  
completed a substantially equivalent educational program includes an evaluation of the  
applicant's non-accredited education by a credential evaluation agency that is a member  
of the National Association of Credential Evaluation Services (NACES).  
(b) Have successfully completed a supervised postgraduate clinical experience in  
speech-language pathology that satisfies the requirements of R 338.615.  
(c) Have passed the Praxis Examination in Speech-Language Pathology with a score  
approved by the board under R 338.605.  
(2) If an applicant possesses a current Certificate of Clinical Competence in Speech-  
Language Pathology (CCC-SLP) from ASHA, then the applicant presumably satisfies the  
requirements of subrule (1)(a), (b), and (c) of this rule.  
History: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.619 Educational standards; adoption by reference.  
Rule 19. (1) The board approves and adopts by reference in these rules the standards of  
the Council on Academic Accreditation in Audiology and Speech-Language Pathology  
(CAA) for the accreditation of speech-language pathology education programs in the  
publication entitled "Standards for Accreditation of Graduate Education Programs in  
Audiology and Speech-Language Pathology," which were effective August 1, 2017.  
Copies of the standards are available from the American Speech-Language-Hearing  
Association, 2200 Research Boulevard, #310, Rockville, Maryland 20850 at no cost from  
the association's website at https://caa.asha.org/wp-content/uploads/Accreditation-  
Standards-for-Graduate-Programs.pdf. A copy of the standards also is available for  
inspection and distribution at a cost of 10 cents per page from the Board of Speech-  
Language Pathology, Bureau of Professional Licensing, Michigan Department of  
Licensing and Regulatory Affairs, 611 West Ottawa, Lansing, Michigan 48909.  
(2) Any educational program for speech-language pathologists that is accredited by the  
CAA qualifies as a speech-language pathology educational program approved by the  
board.  
(3) A higher education institution is considered approved by the board if it is accredited  
by the accrediting body of the region in which the institution is located and the  
accrediting body satisfies either the recognition standards and criteria of the Council for  
Higher Education Accreditation (CHEA) or the recognition procedures and criteria of the  
United States Department of Education. The board adopts by reference the procedures  
and criteria for recognizing accrediting agencies of the United States Department of  
Education, effective July 1, 2010, as contained in 34 CFR part 602, and the policies and  
procedures for recognition of accrediting organizations of CHEA, effective June 28,  
2010. Copies of the standards and criteria of CHEA and the United States Department of  
Education are available for inspection and distribution at a cost of 10 cents per page from  
the Michigan Board of Speech-Language Pathology, Bureau of Professional Licensing,  
Department of Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670,  
Lansing, Michigan 48909. The CHEA recognition standards may also be obtained at no  
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cost from the council's website at http://www.chea.org. The federal recognition criteria  
may also be obtained at no cost from the website for the United States Department of  
Education,  
Office  
of  
Postsecondary  
Education  
at:  
http://www.ed.gov/about/offices/list/OPE/index.html.  
History: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.621 Relicensure.  
Rule 21. (1) An applicant whose license has lapsed for less than 3 years preceding the  
date of application for relicensure may be relicensed under section 16201(3) of the code,  
MCL 333.16201, if the applicant satisfies all of the following requirements:  
(a) Submits the required fee and a completed application on a form provided by the  
department.  
(b) Establishes that he or she is of good moral character as defined under 1974 PA  
381, MCL 338.41 to 338.47.  
(c) Submits proof to the department of acquiring not less than 20 continuous  
professional development (CPD) credits that satisfy the requirements of R 338.629 during  
the 2 years immediately preceding the date of relicensure.  
(2) An applicant whose license has lapsed for 3 years or more preceding the date of  
application for relicensure may be relicensed under section 16201(4) of the code, MCL  
333.16201, if the applicant satisfies all of the following requirements:  
(a) Submits the required fee and a completed application on a form provided by the  
department.  
(b) Establishes that he or she is of good moral character as defined under 1974 PA  
381, MCL 338.41 to 338.47.  
(c) Submits fingerprints as required under section 16174(3) of the code, MCL  
333.16174.  
(d) Submits proof to the department of acquiring not less than 20 CPD credits that  
satisfy the requirements of R 338.629 during the 2 years immediately preceding the date  
of relicensure.  
(e) Satisfies 1 of the following requirements:  
(i) Re-takes and passes the Praxis Examination in Speech-Language Pathology with a  
score approved by the board under R 338.605 in the 2 years immediately preceding the  
application for relicensure.  
(ii) Possesses a current Certificate of Clinical Competence in Speech-Language  
Pathology (CCC-SLP) from ASHA.  
(iii) Presents proof to the department that he or she was registered or licensed as a  
speech language pathologist in another state during the 3-year period immediately  
preceding the application for relicensure.  
(3) In addition to satisfying the requirements of subrule (1) or (2) of this rule, an  
applicant's registration or license must be verified, on a form provided by the department,  
by the licensing agency of any state in which the applicant holds a current registration or  
license or ever held a registration or license as a speech language pathologist.  
Verification must include providing all documentation of any disciplinary action taken or  
pending against the applicant.  
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History: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.623 Relicensure; certified teachers; limited license.  
Rule 23. (1) An applicant whose limited license has lapsed for less than 3 years  
preceding the date of application for relicensure may be relicensed under section  
16201(3) of the code, MCL 333.16201, if the applicant satisfies all of the following  
requirements:  
(a) Submits the required fee and a completed application on a form provided by the  
department.  
(b) Establishes that he or she is of good moral character as defined under 1974 PA  
381, MCL 338.41 to 338.47.  
(c) Establishes that the licensee is a certified teacher whose teaching certificate was  
endorsed on January 12, 2009, as provided under section 17609(2) of the code, MCL  
333.17609, in the area of speech and language impairment for the sole purpose of  
providing services as a part of employment or contract with a school district, intermediate  
school district, nonpublic school, or state department that provides educational services.  
(d) Submits proof to the department of acquiring not less than 20 CPD credits that  
satisfy the requirements of R 338.629 during the 2 years immediately preceding the date  
of relicensure.  
(2) In addition to satisfying the requirements of subrule (1) of this rule, an applicant's  
registration or license must be verified, on a form provided by the department, by the  
licensing agency of any state in which the applicant holds a current registration or license  
or ever held a registration or license as a speech language pathologist. Verification must  
include providing all documentation of any disciplinary action taken or pending against  
the applicant.  
(3) An applicant whose limited license has lapsed for 3 years or more is not eligible for  
relicensure but may apply for a full and unlimited license under R 338.603.  
History: 2011 AACS; 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.625 Rescinded.  
History: 2011 AACS; 2016 AACS.  
R 338.627 License renewal; requirements; applicability.  
Rule 27. (1) This rule applies to applications for renewal of a speech-language  
pathologist license or a limited speech-language pathologist license under section  
17609(1), (2) and (3) of the code, MCL 333.17609, that are filed for renewal cycles after  
March 16, 2017.  
(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  
CPD credits in activities approved by the board in R 338.629 during the 2 years  
preceding the end of the license cycle.  
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(3) Submission of an application for renewal constitutes the applicant’s certification of  
compliance with the requirements of this rule. A licensee shall retain 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.  
(4) The department may select and audit a sample of licensees who have renewed their  
license and request proof of compliance with subrule (2) of this rule. If audited, a  
licensee shall submit documentation as specified in R 338.629.  
(5) If the renewing licensee is a certified teacher whose teaching certificate was  
endorsed on January 12, 2009, as provided under section 17609(2) of the code, MCL  
333.17609, in the area of speech and language impairment for the sole purpose of  
providing services as a part of employment or contract with a school district, intermediate  
school district, nonpublic school, or state department that provides educational services, a  
Verification of Employment in an Educational Setting form shall be submitted to the  
department.  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R
338.629  
Acceptable continuous professional development activities;  
requirements, limitations.  
Rule 29. (1) The 20 CPD credits required under R 338.627(2) for the renewal of a  
license must satisfy the following requirements as applicable:  
(a) No more than 12 CPD credits may be earned for approved CPD programs or  
activities during one 24-hour period.  
(b) A licensee cannot earn CPD credit for a CPD program or activity that is  
substantially identical to a program or activity the licensee has already earned credit for  
during that renewal period.  
(c) Under section 16204(2) of the code, MCL 333.16204, a licensee shall earn at least  
1 CPD credit in the area of pain and symptom management by completing a CPD  
program or activity. Credits in pain and symptom management may include, but are not  
limited to, courses or activities relevant to the practice of speech-language pathology and  
relating to the public health burden of pain; ethics and health policy relating to pain; pain  
definitions; basic sciences including pharmacology, psychology, and sociology; clinical  
sciences relating to pain; clinician-patient communications as relating to pain;  
management of pain including evaluation and treatment; ensuring quality pain care; and  
programs and resources relevant to pain.  
(2) Credit may be earned for any of the following activities:  
Activity and Proof of Completion  
Number of  
Approved CPD Credits  
(a) Completing an approved CPD program or activity The number of CPD  
related to the practice of speech-language pathology or credits approved by the  
any non-clinical subject relevant to the practice of sponsor or the approving  
speech-language pathology.  
activity is approved, regardless of the format in which number  
A CPD program or organization  
of  
is  
the  
credits  
it is offered, if it is approved, sponsored, or accepted approved for each CPD  
for CPD credit by any of the following organizations:  
program or activity.  
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-
American  
Speech-Language-Hearing  
Association (ASHA).  
A minimum of 6 CPD  
credits must be earned  
for this activity in each  
renewal period.  
-
-
-
Michigan board of audiology.  
Michigan board of medicine.  
Michigan board of osteopathic medicine and  
surgery.  
A maximum of 15 CPD  
credits may be earned for  
this activity in each  
renewal period.  
-
A speech-language pathology board of any  
state.  
If audited, a licensee shall submit a copy of a letter or  
certificate of completion showing the licensee’s name,  
number of credits earned, sponsor name or the name of  
the organization that approved the program or activity  
for CPD credit, and the date or dates on which the  
program or activity was completed.  
(b) Reading an article related to the practice of speech- 1 CPD credit is granted  
language pathology in a professional or scientific for each article read.  
journal. This activity does not include articles offered  
as a CPD activity by ASHA.  
A maximum of 5 CPD  
credits may be earned for  
If audited, the licensee shall submit a signed document this activity in each  
that lists the journals read, including title of article, renewal period.  
journal name, volume number, and author.  
(c) Presenting a CPD program related to the practice of 2 CPD credits are  
speech-language pathology.  
granted for each 50 to 60  
minutes of presentation.  
To receive credit, the presentation must be approved,  
sponsored, or accepted for CPD credit by any of the A presentation must not  
following organizations:  
be less than 50 minutes  
in length. No additional  
credit is granted for  
-
-
-
-
ASHA.  
Michigan board of audiology.  
Michigan board of medicine.  
Michigan board of osteopathic medicine and  
surgery.  
preparation.  
subrule (1)(b) of this  
rule, credit for  
Under  
a
presentation is granted  
only once per a renewal  
period.  
-
A speech-language pathology board of any  
state.  
If audited, a licensee shall submit a letter from the  
program sponsor confirming the licensee as the  
presenter and the presentation date and time, or a copy  
of the presentation notice or advertisement showing the  
date of presentation, the licensee’s name listed as the  
presenter, and the name of the organization that  
approved or offered the presentation for CPD credit.  
A
maximum of 10  
credits may be earned for  
this type of activity in  
each renewal period.  
(d) Initial presentation of a scientific exhibit or paper 2 CPD credits are  
accepted for presentation through a peer review process granted  
for  
each  
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at a state, regional, national or international speech- presentation.  
language pathology conference, or its components, or a  
related professional organization.  
No additional credit for  
preparation is granted.  
If audited, a licensee shall submit a copy of the Under subrule (1)(b) of  
document presented with proof of presentation or a this rule, credit for a  
letter from the program sponsor verifying the exhibit or presentation is granted  
paper was accepted for presentation through a peer only once per a renewal  
review process and the date of presentation.  
period.  
A
maximum of 10  
credits may be earned for  
this type of activity in  
each renewal period.  
(e) Writing an article related to the practice, education, or 3 CPD credits are  
research of speech-language pathology that is granted for each article.  
published in any of the following journals:  
Under subrule (1)(b) of  
this rule, credit for an  
article is granted once  
per renewal period.  
An association journal.  
A peer-reviewed journal.  
A health care journal.  
A professional or scientific journal.  
A maximum of 9 credits  
may be earned for this  
type of activity in each  
renewal period.  
If audited, a licensee shall submit a copy of the  
publication that identifies the licensee as the author of  
the article or a publication acceptance letter.  
(f) Writing a chapter related to the practice, education, or 3 CPD credits for each  
research of speech-language pathology that is chapter are granted.  
published in a text book.  
Under subrule (1)(b) of  
If audited, the licensee shall submit a copy of the this rule, credit for a  
publication that identifies the licensee as the author of chapter is granted only  
the chapter or a publication acceptance letter.  
once in a renewal period.  
A maximum of 9 credits  
may be earned for this  
type of activity in each  
renewal period.  
(g) Serving as an instructor of students, staff, or other 2 CPD credits are  
licensees at a clinical program related to the practice of granted for each 50 to 60  
speech-language pathology provided through or minutes  
instructional  
recognized by an accredited speech language pathology session on a specific  
educational program that satisfies the standards set in R subject.  
338.619.  
No additional credit is  
If audited, the licensee shall submit a letter from the granted for preparation.  
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program director verifying the licensee’s role, the  
number of instructional sessions on specific subjects A maximum of 10 CPD  
provided by the licensee, and the length of the credits may be earned for  
instructional sessions. Also, the letter must verify that this type of activity in  
the clinical training program was provided, offered, or each renewal period.  
accredited by an educational program or organization  
that satisfies the requirements of this rule.  
(h) Serving as a clinical supervisor for students completing 1 CPD credit is granted  
an internship, residency, or fellowship program that is for 1 hour of clinical  
recognized or approved by R 338.615.  
instruction  
or  
supervision.  
If audited, a licensee shall submit a letter from the  
educational program or clinical agency director A maximum of 5 CPD  
verifying the licensee’s role, the number of hours of credits may be earned for  
instruction or supervision provided by the licensee, and this type of activity in  
that the internship, residency, or fellowship program is each renewal period.  
recognized or approved by an educational program or  
organization that satisfies the requirements of this rule.  
(i) Providing supervision as part of a disciplinary sanction. 1 CPD credit is granted  
for 1 hour of supervision  
If audited, the licensee shall submit an affidavit from provided.  
the disciplinary limited licensee who received the  
supervision. The affidavit must attest to the licensee’s A maximum of 5 CPD  
role as supervisor and the number of hours the licensee credits may be earned for  
spent providing supervision to the disciplinary limited this type of activity in  
speech-language pathologist.  
each renewal period.  
(j) Participating on an international, national, regional, 5 CPD credits are  
state, state component, or local task force, committee, granted for participation  
board, council, or association related to the field of on each task force,  
speech-language pathology. A task force, committee committee,  
board,  
board, council, or association is considered acceptable council, or association.  
if it enhances the participant’s knowledge and  
understanding of the field of speech-language A maximum of 5 CPD  
pathology.  
credits may be earned for  
this type of activity in  
If audited, a licensee shall submit documentation each renewal period.  
verifying the licensee’s participation in at least 50% of  
the regularly scheduled meetings of the task force,  
committee, board, council, or association.  
(k) Participation in the development of a national 5 CPD credits are  
examination for speech-language pathologists.  
granted for participation.  
If audited, the licensee shall submit documentation A maximum of 5 CPD  
from the sponsor of the examination verifying the credits may be earned for  
licensee’s role and participation in the development of this type of activity in  
the examination.  
each renewal period.  
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(l) Participating in an in-service program relating to the 1 CPD credit is granted  
practice of speech-language pathology provided or for each hour of in-  
sponsored by a Michigan school system.  
service completed.  
If audited, the licensee shall submit documentation A maximum of 5 CPD  
from the in-service provider verifying the date and credits may be earned for  
number of hours for the in-service program, the this type of activity in  
program’s relationship to speech-language pathology, each renewal period.  
and the licensee’s participation.  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.641  
approval.  
Continuous Professional Development providers; standards for  
Rule 41. (1) A CPD provider that is not pre-approved under R 338.629 may be  
approved by the board. To be approved by the board, the provider shall complete an  
application provided by the department, file the application with the department for  
review no later than 120 days before the program date, and satisfy subrules (2) and (3) of  
this rule. The application and supporting documentation must include all of the following  
information:  
(a) A program schedule, including date of program, topics, name of speaker, and break  
times.  
(b) An explanation of how the program is being designed to further educate speech-  
language pathologists, including a short narrative describing the program content and the  
criteria for the selection of this topic.  
(c) Copies of instructional objectives that have been developed.  
(d) Copies of all promotional and advertising materials for the program.  
(e) The name, title, and address of the program director and a description of his or her  
qualifications to direct the program.  
(f) A description of how the amount of CPD credit to be awarded for this program was  
determined.  
(g) A description of how participants will be notified that CPD credit has been earned.  
(h) A copy of the curriculum vitae for each instructional staff member.  
(i) A description of the delivery method or methods to be used and the techniques that  
will be employed to assure active participation.  
(j) A copy of the post-test instrument that will be used for participant evaluation.  
(k) A description of how post tests will be administered, corrected, and returned to  
participants.  
(l) A description of how post-test performance will influence the awarding of CPD  
credit.  
(m) A description of how attendance is monitored, including sample documents, and  
the name of the person monitoring attendance.  
(2) The CPD program approved under subrule (1) of this rule must satisfy all of the  
following requirements:  
(a) The program must be an organized program of learning that that will contribute to  
the advancement and enhancement of professional competency and scientific knowledge  
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in the practice of speech-language pathology and be designed to reflect the educational  
needs of speech-language pathologists.  
(b) The program must have a scientific and educational integrity and contain generally  
accepted speech-language pathology practices.  
(c) A course must have an outline that demonstrates consistency with the course  
description and reflects the course content.  
(d) A course must be taught in a manner appropriate to the educational content,  
objectives, and purpose of the program and must allow suitable time to be effectively  
presented to the audience.  
(e) Instructors must have the necessary qualifications, training, or experience, or all 3,  
to teach the course.  
(f) The activity must provide for active participation and involvement from the  
participants.  
(g) The activity must offer educational materials for each CPD activity that will  
enhance the participant’s understanding of the content and foster applications to speech-  
language pathology practice.  
(h) The activity must include learning assessments in each activity that allow speech-  
language pathologists to assess their achievement of the learned content. Completion of a  
learning assessment is required for CPD content.  
(3) The program provider or sponsor approved under subrule (1) of this rule shall issue  
certificates or letters of attendance that include all of the following information:  
(a) The name of the sponsor.  
(b) The name of the program.  
(c) The name of the attendee.  
(d) The date of the program.  
(e) The Michigan approval number.  
(f) The signature of the person responsible for attendance monitoring and his or her  
title.  
(g) The number and type of hours attended.  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.645 Patient records and collaboration.  
Rule 45. A speech-language pathologist shall maintain patient records under section  
16213 of the code, MCL 333.16213. The records must be made available to other health  
professionals involved in the care of the patient in accordance with the Health Insurance  
Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA).  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.647 Referral required.  
Rule 47. A speech-language pathologist shall not assess or treat a patient for either of  
the following, unless the patient has been referred by an individual licensed in the  
practice of medicine or osteopathic medicine and surgery or by an advanced practice  
registered nurse as that term is defined in section 17201 of the code, MCL 333.17201:  
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(a) Swallowing disorders.  
(b) Medically-related communication disorders.  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 338.649 Physically invasive procedures; supervision required.  
Rule 49. (1) Physically invasive procedures beyond the oropharynx include the  
following:  
(a) Esophageal manometry.  
(b) Fiberoptic endoscopic examination of swallowing (fees).  
(c) Fiberoptic laryngovideostroboscopy.  
(2) Under section 17610(3) of the code, MCL 333.17610, a speech-language  
pathologist shall only perform the procedures set forth in subrule (1) of this rule under the  
supervision of a physician licensed to practice medicine or osteopathic medicine and  
surgery in the state of Michigan. Supervision is defined in section 16109(2) of the code,  
MCL 333.16109.  
(3) A speech-language pathologist shall only perform the procedures listed in subrule  
(1) of this rule in a setting where a physician licensed in the practice of medicine or  
osteopathic medicine is physically available to ensure for patient safety.  
(4) A speech-language pathologist performing physically invasive procedures under the  
supervision of a physician shall be familiar with risks associated with physically invasive  
procedures, including but not limited to, epistaxis, mucosal injury, gagging, allergic  
reaction to topical anesthetic, laryngospasm, and vasovagal response, and the need for  
medical intervention.  
History: 2016 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
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