DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR'S OFFICE  
SPEECH-LANGUAGE PATHOLOGY – GENERAL RULES  
Filed with the secretary of state on May 7, 2025  
These rules become effective immediately after 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, 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)  
R 338.601, R 338.603, R 338.604, R 338.605, R 338.611, R 338.613, R 338.615, R  
338.617, R 338.619, R 338.621, R 338.623, R 338.627, R 338.629, R 338.641, and R  
338.649 of the Michigan Administrative Code are amended, R 338.643 is added, and R  
338.645 is rescinded, as follows:  
PART 1. GENERAL PROVISIONS  
R 338.601 Definitions.  
Rule 1. (1) As used in these rules:  
(a) “ASHA” means the American Speech-Language-Hearing Association.  
(b) "Board" means the Michigan board of speech-language pathology created in section  
17605 of the code, MCL 333.17605.  
(c) “CCC-SLP” means certificate of clinical competence in speech-language pathology.  
(d) “CFCC” means the council for clinical certification in audiology and speech-  
language pathology.  
(e) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(f) “CPD” means continuous professional development.  
(g) "Department" means the department of licensing and regulatory affairs.  
(h) “NACES” means the National Association of Credential Evaluation Services.  
(2) A term defined in the code has the same meaning when used in these rules.  
R 338.603 Application for speech-language pathology license; requirements.  
Rule 3. (1) An applicant for licensure shall satisfy the requirements of the code, the  
rules promulgated under the code, and all the following requirements:  
November 12, 2024  
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(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying completion of a masters or  
doctoral degree from an accredited educational program under R 338.619(1) and (2) or  
(3).  
(c) Provide proof, as directed by the department, verifying completion of a supervised  
postgraduate clinical experience in speech-language pathology that satisfies the  
requirements of R 338.615.  
(d) Provide proof, as directed by the department, verifying a passing score on the  
examination under R 338.605.  
(2) An applicant who provides proof, as directed by the department, verifying a current  
CCC-SLP from the CFCC is presumed to satisfy the requirements of subrule (1)(b), (c),  
and (d) of this rule.  
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 who is licensed shall have completed 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 the United States.  
(ii) Identifying victims of human trafficking in healthcare settings.  
(iii) Identifying the warning signs of human trafficking in healthcare settings for adults  
and minors.  
(iv) Identifying 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-  
reviewed journal, healthcare 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 an individual and request documentation of  
proof of completion of training. If audited by the department, the 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 including the date,  
provider name, name of training, and individual’s name.  
(b) A self-certification statement by the individual. The self-certification statement  
must include the individual’s name and 1 of the following:  
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(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 the article,  
author, publication name of the peer-reviewed journal, healthcare journal, or professional  
or scientific journal, and the date, volume, and issue of publication, as applicable.  
R 338.605 Examination; adoption; passing score.  
Rule 5. The praxis examination in speech-language pathology that is administered by  
the educational testing service or its successor organization is approved and adopted. The  
passing score recommended by ASHA for the praxis examination in speech-language  
pathology is approved and adopted.  
R 338.611 Licensure by endorsement; speech-language pathologist.  
Rule 11. (1) An applicant for licensure by endorsement shall satisfy the requirements of  
the code, the rules promulgated under the code, and all the following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying a current and full speech-  
language pathologist license in another state or in a province of Canada.  
(c) Provide proof, as directed by the department, verifying completion of a masters or  
doctoral degree from an accredited educational program under R 338.619(1) and (2) or  
(3) or provide proof, as directed by the department, verifying completion of a masters or  
doctoral degree from an educational program that is substantially equivalent to an  
accredited educational program that satisfies the standards adopted under R 338.619(1)  
and (2) or (3) and provide an evaluation of the applicant's non-accredited education by a  
credential evaluation agency that is a member of NACES.  
(d) Provide proof, as directed by the department, verifying a passing score on either of  
the following examinations for a speech-language pathologist license in another state or  
in a province of Canada to obtain licensure as a speech-language pathologist in another  
state or in a province of Canada:  
(i) The examination under R 338.605.  
(ii) Canada’s Canadian entry-to-practice exam for speech-language pathology.  
(2) An applicant who provides proof, as directed by the department, verifying a current  
CCC-SLP from the CFCC is presumed to satisfy the requirements of subrule (1)(c) and  
(d) of this rule.  
(3) An applicant who is or was licensed, registered, or certified in a health profession or  
specialty by another 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, including 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 338.613 Supervised postgraduate clinical experience; temporary license requirements.  
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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 temporary license who provides proof, as directed by the  
department, verifying completion of a masters or doctoral degree in speech-language  
pathology but who still shall complete the required supervised postgraduate clinical  
experience in speech-language pathology shall satisfy the requirements of the code, the  
rules promulgated under the code, and the following requirements:  
(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Provides proof, as directed by the department, verifying the completion of an  
accredited educational program in speech-language pathology under R 338.619(1) and  
(2) or (3) or from an educational program that satisfies the requirements under R  
338.617(1)(b).  
(c) Provides a plan for the supervised postgraduate clinical experience on a form  
provided by the department and 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 and may count toward the experience requirement:  
(a) The experience must satisfy the requirements of R 338.615.  
(b) The experience must be obtained by an individual who has a temporary license in a  
supervised postgraduate clinical situation approved under R 338.615.  
(4) If an individual transfers to a different supervised postgraduate clinical situation, the  
applicant shall provide an updated plan for the supervised postgraduate clinical situation  
on a form provided by the department that complies with the requirements under subrule  
(2)(c) of this rule.  
(5) The department may issue a nonrenewable temporary license under this rule for a  
period not to exceed 12 months. On or after the effective date of 2024 PA 57, the  
following applies to the issuance of temporary licenses:  
(a) The department shall issue a temporary license under this rule for a period not to  
exceed 24 months. A temporary license issued under this rule may be renewed for 1  
additional 12-month term if the applicant continues to meet the requirements of this rule.  
(b) An individual who held a nonrenewable temporary license on the effective date of  
2024 PA 57 may renew that license for 1 additional 12-month term if the applicant  
continues to meet the requirements of this rule.  
(c) An individual who was issued a nonrenewable temporary license on or after April  
15, 2021, but whose license has lapsed may apply for relicensure for 1 additional 12-  
month term if the applicant continues to meet the requirements of this rule.  
(6) A 2-year educational limited license issued before April 15, 2021, may be renewed  
no more than 2 times, with the length of each renewal period equal to 2 years.  
R 338.615 Supervised postgraduate clinical experience; requirements.  
Rule 15. (1) The supervised postgraduate clinical experience required for licensure in R  
338.603(1)(c) and R 338.617(1)(c) must consist of 1,260 hours and satisfy the  
requirements of this rule.  
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(2) Not less than 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 has 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 keep documentation  
showing 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 that satisfies the requirements of ASHA qualifies  
as an approved postgraduate clinical experience.  
R 338.617 Graduate of non-accredited postsecondary institution; speech-language  
pathologist; licensure.  
Rule 17. (1) An applicant for licensure who graduated from a non-accredited  
postsecondary institution shall satisfy the requirements of the code, the rules promulgated  
under the code, and all the following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying completion of a masters or  
doctoral degree from an educational program that is substantially equivalent to an  
accredited educational program that satisfies the standards adopted under R 338.619(1)  
and (2) or (3) and provide an evaluation of the applicant's non-accredited education by a  
credential evaluation agency that is a member of NACES.  
(c) Provide proof, as directed by the department, verifying completion of a supervised  
postgraduate clinical experience in speech-language pathology that satisfies the  
requirements of R 338.615.  
(d) Provide proof, as directed by the department, verifying a passing score on the  
examination under R 338.605.  
(2) An applicant who provides proof, as directed by the department, verifying a current  
CCC-SLP from the CFCC is presumed to satisfy the requirements of subrule (1)(b), (c),  
and (d) of this rule.  
R 338.619 Educational standards; adoption by reference.  
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Rule 19. (1) The standards for accrediting speech-language pathology 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 titled "Standards for Accreditation of Graduate Education Programs in  
Audiology and Speech-Language Pathology," effective January 2023, which are available  
at no cost on the council’s website at https://caa.asha.org are approved and adopted by  
reference. A speech-language pathology educational program accredited by the CAA is  
approved.  
(2) 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 DC 20036, in the publication titled “CHEA Standards and Procedures  
for Recognition,” effective October 4, 2021, which are available at no cost on the  
council’s website at https://www.chea.org are approved and adopted by reference. If a  
higher education institution is accredited by the accrediting body of the region where the  
institution is located and the accrediting body satisfies the recognition standards of  
CHEA, the institution is approved.  
(3) 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, DC 20202, in 34  
CFR 602.10 to 602.39, effective July 1, 2020, which are available at no cost on the  
department’s website at https://www2.ed.gov/about/offices/list/ope/index.html, are  
approved and adopted by reference. If a higher education institution is accredited by the  
accrediting body of the region where the institution is located and the accrediting body  
satisfies the recognition criteria and process of the United States Department of  
Education, the institution is approved.  
(4) Copies of the standards in this rule are available for inspection and distribution at a  
cost of 25 cents per page from the Board of Speech-Language Pathology, Bureau of  
Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West  
Ottawa Street, Lansing, Michigan 48909.  
R 338.621 Relicensure.  
Rule 21. (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 rules promulgated under the code, and 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 in, and determined under, 1974 PA  
381, MCL 338.41 to 338.47.  
(c) Provides proof, as directed by the department, verifying completion of not less than  
20 CPD hours that satisfy the requirements of R 338.629 during the 2 years immediately  
preceding the date of 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  
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requirements of the code and the rules promulgated under the code, and 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 that term is defined in, and determined 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) Provides proof, as directed by the department, verifying completion of not less than  
20 CPD hours that satisfy the requirements of R 338.629 during the 2 years immediately  
preceding the date of relicensure.  
(e) Provides proof, as directed by the department, verifying 1 of the following  
requirements:  
(i) Re-takes and passes the examination under R 338.605 in the 2 years immediately  
preceding the application for relicensure.  
(ii) Has a current CCC-SLP from the CFCC.  
(iii) Has a license as a speech language pathologist in another state or province of  
Canada during the 3-year period immediately preceding the application for relicensure.  
(3) An applicant who is or was licensed, registered, or certified in a health profession or  
specialty by another 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, including 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 338.623 Relicensure; certified teachers; limited license.  
Rule 23. (1) A limited license 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 rules promulgated under the code,  
and 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 that term is defined in, and determined 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 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) Provides proof, as directed by the department, verifying completion of not less than  
20 CPD hours that satisfy the requirements of R 338.629 during the 2 years immediately  
preceding the date of relicensure.  
(2) An applicant who is or was licensed, registered, or certified in a health profession or  
specialty by another state, the United States military, the federal government, or another  
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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, including 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.  
(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.  
R 338.627 License renewal; requirements; applicability.  
Rule 27. (1) An applicant for renewal shall satisfy the requirements of the code and the  
rules promulgated under the code.  
(2) An applicant for license renewal who was licensed for the 2-year period immediately  
preceding the expiration date of the license shall accumulate not less than 20 CPD hours  
in activities approved under R 338.629 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 maintain documentation  
of satisfying the requirements of this rule for a period of 4 years after 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 licensee who renewed their license and  
request proof of compliance with subrule (2) of this rule. If audited, a licensee shall  
provide documentation as specified in R 338.629.  
(5) An applicant shall submit a request for a waiver of CPD requirements to the  
department for the board’s consideration not less than 30 days before the last regularly  
scheduled board meeting before the expiration date of the license.  
(6) 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 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 must be provided to the department.  
R 338.629 Acceptable continuous professional development activities; requirements,  
limitations.  
Rule 29. (1) The 20 CPD hours 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 hours may be earned for approved CPD programs or  
activities during one 24-hour period.  
(b) A licensee cannot earn CPD hours for a CPD program or activity that is  
substantially equivalent to a program or activity the licensee has already earned CPD  
hours for during that renewal period.  
(c) Under section 16204(2) of the code, MCL 333.16204, a licensee shall earn at least 1  
CPD hour in pain and symptom management by completing a CPD program or activity.  
CPD hours in pain and symptom management may include, but are not limited to, courses  
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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.  
(d) Completion of implicit bias training under R 338.7004 during the 2 years  
immediately preceding the expiration date of the license may be used toward satisfaction  
of the requirements of R 338.627(2) and subrule (1) of this rule.  
(2) The following are acceptable CPD activities:  
Activity Activity and Proof Required  
Code  
Number of CPD hours  
granted and allowed for  
the activity.  
(a)  
Completing an approved CPD program or activity  
related to the practice of speech-language  
pathology or any non-clinical subject relevant to  
The number of CPD  
hours approved by the  
sponsor or the  
the practice of speech-language pathology. A CPD approving organization  
program or activity is approved, regardless of the is the number of CPD  
format it is offered, if it is approved, sponsored, or hours approved for each  
accepted for CPD hours by any of the following  
organizations:  
CPD program or  
activity.  
- ASHA.  
- Michigan board of audiology.  
- Michigan board of medicine.  
- Michigan board of osteopathic medicine and  
surgery.  
A minimum of 6 CPD  
hours must be earned  
for this activity in each  
renewal period.  
- A speech-language pathology board of any state.  
A maximum of 15 CPD  
If audited, a licensee shall provide a copy of a letter hours may be earned for  
or certificate of completion showing the licensee’s this activity in each  
name, number of CPD hours earned, sponsor name renewal period.  
or the name of the organization that approved the  
program or activity for CPD hours, and the date or  
dates the program or activity was completed.  
(b)  
Reading an article related to the practice of speech- 1 CPD hour is granted  
language pathology in a professional or scientific  
journal. This activity does not include articles  
offered as a CPD activity by ASHA.  
for each article read.  
A maximum of 5 CPD  
hours may be earned for  
this activity in each  
If audited, a licensee shall provide a signed  
document that lists the journals read, including the renewal period.  
title of the article, journal name, volume number,  
and author.  
(c)  
Presenting a CPD program related to the practice of 2 CPD hours are  
speech-language pathology.  
granted for each 50 to  
10  
To receive CPD hours, the presentation must be  
60 minutes of  
approved, sponsored, or accepted for CPD hours by presentation.  
any of the following organizations:  
- ASHA.  
A presentation must not  
- Michigan board of audiology.  
- Michigan board of medicine.  
- Michigan board of osteopathic medicine and  
surgery.  
be less than 50 minutes  
in length. No  
additional CPD hours  
are granted for  
- A speech-language pathology board of any state.  
preparation. Under  
subrule (1)(b) of this  
If audited, a licensee shall provide a letter from the rule, CPD hours for a  
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 hours.  
presentation are granted  
only once per a renewal  
period.  
A maximum of 10 CPD  
hours may be earned for  
this type of activity in  
each renewal period.  
2 CPD hours are  
(d)  
Initial presentation of a scientific exhibit or paper  
accepted for presentation through a peer-review  
process at a state, regional, national, or  
international speech-language pathology  
conference, or its components, or a related  
professional organization.  
granted for each  
presentation.  
No additional CPD  
hours for preparation  
are granted. Under  
subrule (1)(b) of this  
If audited, a licensee shall provide a copy of the  
document presented with proof of presentation or a rule, CPD hours for a  
letter from the program sponsor verifying the  
exhibit or paper was accepted for presentation  
through a peer-review process and the date of  
presentation.  
presentation are granted  
only once per a renewal  
period.  
A maximum of 10 CPD  
hours may be earned for  
this type of activity in  
each renewal period.  
3 CPD hours are  
(e)  
Authoring an article related to the practice,  
education, or research of speech-language  
pathology that is published in any of the following  
journals:  
- An association journal.  
- A peer-reviewed journal.  
granted for each article.  
Under subrule (1)(b) of  
this rule, CPD hours for  
an article are granted  
once per renewal  
period.  
- A healthcare journal.  
- A professional or scientific journal.  
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If audited, a licensee shall provide a copy of the  
A maximum of 9 CPD  
publication that shows the licensee as the author of hours may be earned for  
the article or a publication acceptance letter.  
this type of activity in  
each renewal period.  
(f)  
Writing a chapter related to the practice, education, 3 CPD hours for each  
or research of speech-language pathology that is  
published in a textbook.  
chapter are granted.  
Under subrule (1)(b) of  
this rule, CPD hours for  
If audited, a licensee shall provide a copy of the  
publication that shows the licensee as the author of a chapter are granted  
the chapter or a publication acceptance letter.  
only once in a renewal  
period.  
A maximum of 9 CPD  
hours may be earned for  
this type of activity in  
each renewal period.  
2 CPD hours are  
granted for each 50 to  
60 minutes instructional  
session on a specific  
subject.  
(g)  
Serving as an instructor of students, staff, or other  
licensees at a clinical program related to the  
practice of speech-language pathology provided  
through or recognized by an accredited speech  
language pathology educational program that  
satisfies the standards set in R 338.619(1).  
No additional CPD  
If audited, a licensee shall provide a letter from the hours are granted for  
program director verifying the licensee’s role, the  
number of instructional sessions on specific  
preparation.  
subjects provided by the licensee, and the length of A maximum of 10 CPD  
the instructional sessions. Also, the letter must  
verify that the clinical training program was  
provided, offered, or accredited by an educational  
program or organization that satisfies the  
requirements of this rule.  
hours may be earned for  
this type of activity in  
each renewal period.  
(h)  
Serving as a clinical supervisor for students  
completing an internship, residency, or fellowship  
program that is recognized or approved by R  
338.615.  
1 CPD hour is granted  
for 1 hour of clinical  
instruction or  
supervision.  
If audited, a licensee shall provide a letter from the A maximum of 5 CPD  
educational program or clinical agency director  
verifying the licensee’s role, the number of CPD  
hours may be earned for  
this type of activity in  
hours of instruction or supervision provided by the each renewal period.  
licensee, and that the internship, residency, or  
fellowship program is recognized or approved by  
an educational program or organization that  
satisfies the requirements of this rule.  
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(i)  
Providing supervision as part of a disciplinary  
sanction.  
1 CPD hour is granted  
for 1 hour of  
supervision provided.  
If audited, a licensee shall provide an affidavit  
from the disciplinary limited licensee who received A maximum of 5 CPD  
the supervision. The affidavit must attest to the  
licensee’s role as supervisor and the number of  
CPD hours the licensee spent providing  
supervision to the disciplinary limited speech-  
language pathologist.  
hours may be earned for  
this type of activity in  
each renewal period.  
(j)  
Participating on an international, national, regional, 5 CPD hours are  
state, state component, or local task force,  
granted for participation  
committee, board, council, or association related to on each task force,  
the field of speech-language pathology. A task  
force, committee board, council, or association is  
considered acceptable if it enhances the  
committee, board,  
council, or association.  
participant’s knowledge and understanding of the  
field of speech-language pathology.  
A maximum of 5 CPD  
hours may be earned for  
this type of activity in  
each renewal period.  
If audited, a licensee shall provide documentation  
verifying the licensee’s participation in not less  
than 50% of the regularly scheduled meetings of  
the task force, committee, board, council, or  
association.  
(k)  
Participation in the development of a national  
examination for speech-language pathologists.  
5 CPD hours are  
granted for  
participation.  
If audited, a licensee shall provide documentation  
from the sponsor of the examination verifying the  
A maximum of 5 CPD  
licensee’s role and participation in the development hours may be earned for  
of the examination.  
this type of activity in  
each renewal period.  
1 CPD hour is granted  
(l)  
Participating in an in-service program relating to  
the practice of speech-language pathology provided for each hour of in-  
or sponsored by a school system in this state.  
service completed.  
If audited, a licensee shall provide documentation  
A maximum of 5 CPD  
from the in-service provider verifying the date and hours may be earned for  
number of CPD hours for the in-service program,  
the program’s relationship to speech-language  
pathology, and the licensee’s participation.  
this type of activity in  
each renewal period.  
R 338.641 Continuous professional development providers; standards for approval.  
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  
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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 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 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 goals 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 the  
program director’s qualifications to direct the program.  
(f) A description of how the amount of CPD hours awarded for this program was  
decided.  
(g) A description of how participants are notified that CPD hours have been earned.  
(h) A copy of the curriculum vitae for each instructional staff member.  
(i) A description of the delivery method or methods used and the techniques employed  
to ensure active participation.  
(j) A copy of the post-test instrument that is used for participant evaluation.  
(k) A description of how post tests are administered, corrected, and returned to  
participants.  
(l) A description of how post-test performance influences the awarding of CPD hours.  
(m) A description of how attendance is checked, including sample documents, and the  
name of the individual monitoring attendance.  
(2) The CPD program approved under subrule (1) of this rule must satisfy all the  
following requirements:  
(a) The program must be an organized program of learning that contributes to the  
advancement and enhancement of professional competency and scientific knowledge in  
the practice of speech-language pathology and is designed to reflect the educational needs  
of speech-language pathologists.  
(b) The program must have a scientific and educational integrity and accepted speech-  
language pathology practices.  
(c) A course must have an outline that shows consistency with the course description  
and reflects the course content.  
(d) A course must be taught in a manner appropriate to the educational content, goals,  
and purpose of the program and allow suitable time to be effectively presented to the  
audience.  
(e) Instructors shall have the necessary qualifications, training, and experience to teach  
the course.  
(f) The activity must support active participation and involvement from the participants.  
(g) The activity must offer educational materials for each CPD activity that enhances  
the participant’s understanding of the content and fosters 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.  
14  
(3) The program provider or sponsor approved under subrule (1) of this rule shall issue  
certificates or letters of attendance that include all 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 individual responsible for checking attendance and that  
individual’s title.  
(g) The number and type of CPD hours attended.  
R 338.643 Telehealth.  
Rule 43. (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 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 healthcare  
service.  
R 338.645 Rescinded.  
R 338.649 Physically invasive procedures; supervision required.  
Rule 49. (1) Physically invasive procedures beyond the oropharynx include the  
following:  
(a) Esophageal manometry.  
(b) Flexible endoscopic examination of swallowing.  
(c) Laryngovideostroboscopy.  
(d) Tracheoesophageal prosthesis replacement.  
(2) Under section 17610(3) of the code, MCL 333.17610, a speech-language pathologist  
shall only perform the procedures in subrule (1) of this rule under the supervision of a  
physician licensed to practice medicine or osteopathic medicine and surgery in this state.  
(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 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.  
;