DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR'S OFFICE

AUDIOLOGY - GENERAL RULES

Filed with the secretary of state on March 29, 2023

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, 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 338.1, 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, as follows:

PART 1. GENERAL PROVISIONS

R 338.1 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 audiology created under section 16805 of the

code, MCL 333.16805.

(c) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.

(d) “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.

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 that 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 this state or 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.

October 19, 2022

2

(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

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 the individual’s name.

(b) A self-certification statement by the 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-reviewed journal, healthcare 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 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) Provide proof, as directed by the department, verifying completion of 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) Provide proof, as directed by the department, verifying completion of a minimum of

9 months of supervised clinical experience in audiology, as shown by 1 of the following

requirements:

(i) For an applicant that has a doctor of audiology (Au.D.), 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).

3

(ii) For an applicant that has either a doctoral or master's degree in audiology, a

certification of clinical experience that shows that the applicant completed the required

supervised clinical experience.

(d) Provide proof, as directed by the department, verifying a passing score on an

examination adopted under R 338.7.

(2) If an applicant for an audiologist license provides either a Certificate of Clinical

Competence in Audiology (CCC-A) from 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 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 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) Provide proof, as directed by the department, verifying a current and full audiologist

license in another state or in a province of Canada.

(c) If the applicant is licensed as an audiologist in a province in Canada, provide proof,

as directed by the department, verifying that the applicant completed the educational

requirements in Canada or in the United States for licensure as an audiologist in Canada

or in the United States.

(d) Provide proof, as directed by the department, verifying a passing score 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.

(e) If the applicant has held an audiologist license for less than 18 months, 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.

(2) An applicant that is or has been 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 338.4 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 rules promulgated under the code, as well as all the following requirements:

4

(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 an accredited

educational program in audiology under R 338.8(1) or (2) and (3) or (4).

(c) Provide proof, as directed by the department, verifying acceptance for training in a

clinical situation under the supervision of an individual that is licensed as an audiologist

in this state.

(2) The applicant shall provide proof, as directed by the department, verifying 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 to the clinical supervised experience:

(a) The experience is subject to R 338.5.

(b) Only experience obtained in an approved supervised clinical situation by an

individual that 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 not less than 30 hours per week and 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 not less than 15 hours per week and

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 the requirements of the

code and the rules promulgated under the code, as well as all the following requirements:

(a) Provide proof, as directed by the department, verifying completion of an educational

degree program in audiology that is substantially equivalent to the educational

requirements in R 338.2(1)(b). The department accepts a credential evaluation completed

by a credential evaluation organization that is a current member organization of the

National Association of Credential Evaluation Services as proof of an applicant's

satisfaction of the educational requirements.

(b) Provide proof, as directed by the department, verifying that the applicant may

practice as an audiologist without limitation in a country currently recognized by the

United States. An applicant that is or has been licensed, registered, or certified in a

health profession or specialty by another state, the United States military, the federal

5

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.

(c) Provide proof, as directed by the department, verifying 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 or its successor organization.

Applicants shall achieve a passing score on the NTE 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), ASHA, 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 August 1,

2017, and updated August 2020, which are available at no cost on the council’s website

at https://caa.asha.org, are approved and adopted by reference. If an audiology

educational program is accredited by the CAA, it 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 Drive, Ste. 220, Reston, Virginia 20191, in the publication titled "Accreditation

Standards for the Doctor of Audiology (Au.D.) Program,” adopted March 2016, which

are available at no cost on the commission's website at https://acaeaccred.org, are

approved and adopted by reference. If an audiology educational program is accredited by

the ACAE, it 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 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 in which

the institution is located and the accrediting body satisfies the recognition standards of

CHEA, the institution 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 SW, Washington, D.C. 20202, in 34

CFR 602.10 to 602.39, effective July 1, 2020, which are available at no cost on the

6

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 in which 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.

(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 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 in, and determined under, 1974 PA

381, MCL 338.41 to 338.47.

(c) Provides proof, as directed by the department, verifying the completion of not less

than 20 hours of continuing education credit that satisfies the requirements under R

338.10 and R 338.11 during the 2 years immediately before 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 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 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 the satisfaction of either of

the following requirements:

(i) Successfully passing an examination required under R 338.7 during the 2 years

immediately before the date of the application for relicensure.

(ii) Presents proof, as directed by the department, verifying that the applicant was

licensed as an audiologist in another state or in a province of Canada during the 2-year

period before the application for relicensure.

(3) An applicant that is or has been 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.

7

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 338.10 License renewal; requirements; applicability.

Rule 10. (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 has been licensed in the 2-year period

immediately before the expiration date of the license shall complete not less than 20

hours of continuing education in activities approved under these rules during the 2 years

before 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. The licensee shall maintain

documentation of satisfying the requirements of this rule for 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 shall receive a request for a waiver of continuing education

requirements for the board’s consideration not less than 30 days before the last regularly

scheduled board meeting before the expiration date of the license.

R 338.11 Acceptable continuing education; requirements; limitations.

Rule 11. (1) As used in this rule, "instruction" means education time, exclusive of

breakfast, lunch, or dinner periods, or any other breaks in the program.

(2) The 20 hours of continuing education required under R 338.10(2) for the renewal of

an audiologist license must satisfy the following requirements:

(a) Not more than 10 hours of continuing education may be earned during a 24-hour

period.

(b) The licensee may not earn credit for a continuing education program or activity that

is equivalent or substantially equivalent to a program or activity the licensee has already

earned credit for during the license cycle.

(c) 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 part 168 of the code, MCL

333.16801 to 333.16811.

(3) Any of the following activities are considered acceptable continuing education:

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.

8

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.

If audited, the licensee shall provide a

copy of the presentation notice or

advertisement showing the date of the

Under subrule (2)(b) 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 (2)(b) 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.

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

9

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

date the program was held or activity

completed.

continuing education are allowed

for this activity in each renewal

period.

(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 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 (2)(b) 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 healthcare 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 (2)(b) of this rule,

credit for publication is granted

once per renewal period.

publication acceptance letter.

10

(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

for this activity in each renewal

period.

If audited, the licensee shall provide a

copy of the publication and the

evaluation created for continuing

education credit in audiology practice

education.

(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 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 shall 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 not less than 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

11

publication titled “American Speech-Language-Hearing Association Continuing

Education Board Manual,” updated January 2022, which are available at no cost on the

association's website at https://www.asha.org, are approved and adopted by reference.

(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 titled “CE Provider Course

Application Requirements and Guidelines,” revised October 1, 2020, which are available

at no cost on the academy’s website at https://www.audiology.org, are approved and

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 maintained 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 shall 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.