DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
MARRIAGE AND FAMILY THERAPY – GENERAL RULES  
Filed with the secretary of state on December 16, 2021  
These rules take effect immediately upon filing with the secretary of state unless adopted  
under section 33, 44, or 45a(9) of the administrative procedures act of 1969, 1969 PA  
306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections become  
effective 7 days after filing with the secretary of state.  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 16901, 16903, 16909, and 16913 of the public health  
code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16901, 333.16903, 333.16909, and  
333.16913, and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-  
4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)  
R 338.7202, R 338.7203, R 338.7205, R 338.7207, R 338.7209, R 338.7211, R  
338.7213, R 338.7215, and R 338.7219 of the Michigan Administrative Code are  
amended, and R 338.7204 is added, as follows:  
PART 1. GENERAL PROVISIONS  
R 338.7202 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 2. (1) Under 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 satisfies the following standards:  
(a) Training content must cover all the following:  
(i) Understanding the types and venues of human trafficking in Michigan 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 approved for initial licensure, or by  
a college or university.  
August 6, 2021  
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(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.  
(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 March 17, 2021.  
R 338.7203 Limited license.  
Rule 3. (1) An individual applying for a limited license under section 16903(3) of the  
code, MCL 333.16903, shall provide a completed application on a form provided by the  
department, together with the requisite fee.  
(2) In addition to satisfying the requirements of the code, an individual applying for a  
limited license shall satisfy both of the following requirements:  
(a) Satisfy either of the following educational requirements, as specified under section  
16909(1)(a)(i) or (ii) of the code, MCL 333.16909:  
(i) Possess a master’s degree or higher graduate degree from an approved training  
program in marriage and family therapy that satisfies the accreditation standards in R  
338.7211(1).  
(ii) Possess a master’s degree or higher graduate degree from an approved college or  
university that satisfies the accreditation standards in R 338.7211(2) and complete the  
graduate-level courses in section 16909(1)(a)(ii) of the code, MCL 333.16909.  
(b) Complete a supervised clinical marriage and family therapy experience, as  
specified under section 16909(1)(b) of the code, MCL 333.16909, in conjunction with the  
applicant’s educational program. The supervised experience must be obtained either in a  
clinical practicum during graduate education or in a postgraduate marriage and family  
institute training program accredited under R 338.7211(2).  
(3) A limited license is renewed annually and may not be renewed more than 5 times.  
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R 338.7204 Telehealth.  
Rule 4. (1) A licensee shall obtain consent 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 follow 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.  
R 338.7205 Licensure requirements.  
Rule 5. An applicant for licensure as a marriage and family therapist shall provide a  
completed application on a form provided by the department, together with the requisite  
fee. In addition to satisfying the requirements of the code, an applicant for licensure shall  
satisfy all the following requirements:  
(a) Satisfy either of the following educational requirements, as specified under section  
16909(1)(a) of the code, MCL 333.16909:  
(i) Possess a master’s degree or higher graduate degree earned from an approved  
training program in marriage and family therapy that satisfies the accreditation standards  
in R 338.7211(1).  
(ii) Possess a master’s degree or higher graduate degree from an approved college or  
university that satisfies the accreditation standards in R 338.7211(2) and complete the  
graduate-level courses in section 16909(1)(a)(ii) of the code, MCL 333.16909.  
(b) Complete a supervised clinical marriage and family therapy experience that  
satisfies the requirements of section 16909(1)(b) of the code, MCL 333.16909, in  
conjunction with the applicant’s educational program. The supervised experience must  
be obtained either in a clinical practicum during graduate education or in a postgraduate  
marriage and family institute training program accredited under R 338.7211(2).  
(c) Obtain not less than 1,000 direct client contact hours in a supervised marriage and  
family therapy experience, as required under section 16909(1)(c) of the code, MCL  
333.16909.  
(d) Pass the examination under R 338.7209.  
R 338.7207 Examinations; eligibility.  
Rule 7. (1) To establish eligibility for the examination under R 338.7209, an applicant  
shall provide a completed application on a form provided by the department, together  
with the requisite fee.  
(2) To be eligible to sit for the examination in marital and family therapy, an applicant  
shall satisfy either R 338.7203(2)(a) and (b) or R 338.7205(a) and (b).  
R 338.7209 Examination adoption.  
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Rule 9. The Marital and Family Therapy National Examination conducted and scored  
by the Association of Marital and Family Therapy Regulatory Boards (AMFTRB) is  
approved and adopted. The passing score for the Marital and Family Therapy National  
Examination is the passing score established by the AMFTRB.  
R 338.7211 Adoption of standards by reference.  
Rule 11. (1) The accreditation standards of the Commission on Accreditation for  
Marriage and Family Therapy Education (COAMFTE) are adopted by reference. The  
standards are set forth in the publication entitled “Accreditation Standards Graduate &  
Post-Graduate Marriage and Family Therapy Training Programs Version 12.5,”  
published December 2020, which is available at no cost from the commission’s website  
at http://www.coamfte.org/. Copies of the standards also are available for inspection and  
distribution at a cost of 10 cents per page from the Board of Marriage and Family  
Therapy, Bureau of Professional Licensing, Department of Licensing and Regulatory  
Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan 48909.  
(2) A higher education institution is considered approved 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 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 “Recognition of Accrediting Organizations,  
Policies and Procedures of the Council for Higher Education Accreditation, CHEA,”  
effective September 28, 2018, are adopted by reference. Copies of the policies and  
procedures of CHEA as well as the procedures and criteria of the United States  
Department of Education are available for inspection and distribution at a cost of 10 cents  
per page from the Board of Marriage and Family Therapy, 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 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 U.S.  
Department of Education Office of Postsecondary Education, at  
https://www2.ed.gov/about/offices/list/ope/index.html.  
R 338.7213 Licensure by endorsement.  
Rule 13. (1) An applicant for a marriage and family therapy license by endorsement  
who satisfies the requirements of the code and this rule satisfies the requirements of  
section 16186 of the code, MCL 333.16186. The department shall issue a marriage and  
family therapist license to an applicant who satisfies all the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Holds a current and full marriage and family therapist license in another state or in  
a province of Canada.  
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(c) Completed the educational requirements for a marriage and family therapist license  
in a province of Canada or another state to obtain licensure as a marriage and family  
therapist in a province of Canada or another state.  
(d) Received a passing score on either of the following examinations for a marriage  
and family therapist license in a province of Canada or another state to obtain licensure as  
a marriage and family therapist in a province of Canada or another state:  
(i) The examination adopted under R 338.7209.  
(ii) The Licensed Marriage and Family Therapist California Clinical Examination.  
(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.  
R 338.7215 Relicensure.  
Rule 15. (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  
all of 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.  
(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 all  
of 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.  
(d) Satisfies either of the following requirements:  
(i) Possesses a current unrestricted license in a province of Canada or another state.  
(ii) Documents that the applicant has achieved a passing score on the examination  
approved under R 338.7209.  
(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  
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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.  
R 338.7219 License renewal; requirements.  
Rule 19. (1) An applicant for license renewal who has been licensed for the 2-year  
period immediately preceding the application for renewal shall provide the required fee  
and a completed application on a form provided by the department.  
(2) A license renewed within 60 days after the expiration date is subject to the  
requirements set forth under section 16201(2) of the code, MCL 333.16201.  
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