DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR'S OFFICE  
AUDIOLOGY - GENERAL RULES  
Filed with the secretary of state on March 16, 2022  
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, 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)  
R 338.1a, R 338.2, R 338.3, R 338.4, R 338.5, R 338.6, R 338.7, R 338.8, R 338.9, R  
338.10, R 338.11, and R 338.12 of the Michigan Administrative Code are amended, and  
R 338.13 is added, as follows:  
PART 1. GENERAL PROVISIONS  
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 published in a peer  
review journal, health care journal, or professional or scientific journal.  
September 29, 2021  
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(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.  
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  
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  
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is presumed that the applicant satisfies the requirements of subrule (1)(b), (c), and (d) of  
this rule.  
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.  
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:  
(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.  
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(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.  
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.  
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  
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  
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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.  
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.  
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  
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  
approved and adopted by reference. Any audiology educational program accredited by  
the ACAE is approved.  
(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  
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  
approved and adopted by reference. Any higher education institution accredited by the  
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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.  
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.  
(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.  
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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.  
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, 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  
education program related to the  
practice of audiology provided to a  
state, regional, national, or international  
audiology organization.  
Three hours of continuing  
education are granted for each 50  
to 60 minutes of presentation.  
No other credit is granted for  
preparation of a presentation.  
To receive credit, the presentation must  
not be a part of the licensee's regular  
job description and must satisfy the  
standards in R 338.12.  
A maximum of 9 hours of  
continuing education are allowed  
for this activity in each renewal  
period.  
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If audited, the licensee shall provide a  
copy of the presentation notice or  
advertisement showing the date of the  
Under subrule (1)(c) of this 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 presentation for continuing  
education credit.  
(b)  
Initial presentation of a scientific  
exhibit, paper, or clinical demonstration education are granted for each 50  
to an audiology organization. to 60 minutes of presentation.  
Two hours of continuing  
To receive credit, the presentation must No other credit is granted for  
not be part of the licensee’s regular job preparation of a presentation.  
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  
period.  
If audited, the licensee shall provide a  
copy of the document presented with  
proof of presentation or a letter from the  
program sponsor verifying the length  
and date of the presentation.  
Under subrule (1)(c) of this rule,  
credit for a presentation is  
granted once per renewal period.  
(c)  
Passing a postgraduate academic course Five hours of continuing  
related to the practice of audiology  
offered in an educational program  
approved under R 338.8(1) or (2) and  
(3) or (4).  
education are granted for each  
academic credit hour passed.  
Three hours of continuing  
education are granted for each  
If audited, the licensee shall provide an academic term or quarter credit  
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 education  
program approved under R 338.12.  
If audited, the licensee shall provide a  
program description, a copy of a letter  
One continuing education hour is  
granted for each 50 to 60  
minutes of program attendance.  
or certificate of completion showing the A maximum of 20 hours of  
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  
continuing education are allowed  
for this activity in each renewal  
period.  
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date on which the program was held or  
activity completed.  
(e)  
Attendance at a continuing education  
program approved by another state  
board of audiology.  
One continuing education hour is  
granted for each 50 to 60  
minutes of program attendance.  
If audited, the licensee shall provide a  
program description, a copy of a letter  
A maximum of 20 hours of  
continuing education are allowed  
or certificate of completion showing the for this activity in each renewal  
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.  
period.  
(f)  
Initial publication of an article related  
to the practice of audiology in a non-  
peer reviewed journal or newsletter.  
One hour of continuing  
education is granted for each  
article.  
If audited, the licensee shall provide a  
copy of the publication that identifies  
the licensee as the author or a  
A maximum of 5 hours of  
continuing education are allowed  
for this activity in each renewal  
period.  
publication acceptance letter.  
Under subrule (1)(c) of this rule,  
credit for publication is granted  
once per renewal period.  
(g)  
Initial publication of a chapter related to Five hours of continuing  
the practice of audiology in either of the education are granted for serving  
following:  
as the primary author.  
A professional or health care textbook. Two hours of continuing  
A peer-reviewed journal.  
education are granted for serving  
as the secondary author.  
If audited, the licensee shall provide a  
copy of the publication that identifies  
the licensee as the author or a  
Under subrule (1)(c) of this rule,  
credit for publication is 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  
education credit in audiology practice  
education.  
to 60 minutes of this activity.  
A maximum of 5 hours of  
continuing education are allowed  
10  
If audited, the licensee shall provide a  
copy of the publication and the  
evaluation created for continuing  
education credit in audiology practice  
education.  
for this activity in each renewal  
period.  
(i)  
Attendance at a program approved for  
continuing education by the board of  
medicine or the board of osteopathic  
medicine related to audiology practice.  
One continuing education hour is  
granted for each 50 to 60  
minutes of program attendance.  
A maximum of 5 hours of  
If audited, the licensee shall provide a  
program description, a copy of a letter  
continuing education are allowed  
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  
association related to the field of  
audiology. A committee, board,  
council, or association must enhance  
the participant’s knowledge and  
Two hours of continuing  
education are granted for each  
committee, board, council, or  
association.  
A maximum of 2 hours of  
understanding of the field of audiology. continuing education are allowed  
for this activity in each renewal  
If audited, the licensee shall provide  
documentation verifying the licensee’s  
participation in at least 50% of the  
regularly scheduled meetings of the  
committee, board, council, or  
association.  
period.  
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  
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(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  
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.  
(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.  
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.  
;