DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR'S OFFICE  
AUDIOLOGY - GENERAL RULES  
Filed with the secretary of state on April 26, 2021  
These rules take effect immediately upon filing with the secretary of state unless adopted  
under section 33, 44, or 45a(6) 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) "Board" means the Michigan board of audiology created under section 16805 of  
the code, MCL 333.16805.  
(b) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.  
(c) "Department" means the department of licensing and regulatory affairs.  
(2) A term defined in the code has the same meaning when used in these rules.  
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 licensed  
or seeking licensure shall complete training in identifying victims of human trafficking  
that satisfies the following standards:  
(a) Training content must cover all the following:  
(i) Understanding the types and venues of human trafficking in Michigan or the  
United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
(iv) Resources for reporting the suspected victims of human trafficking.  
November 16, 2020  
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(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 subrule (1)(a) of this rule and is published in a peer  
review journal, health care journal, or professional or scientific journal.  
(c) Acceptable modalities of training include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training. If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including either of  
the following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by an individual. The certification statement must  
include the individual’s name and either of the following:  
(i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date, training  
provider name, and name of training.  
(ii) For training completed under subrule (1)(b)(iv) of this rule, the title of article,  
author, publication name of peer review journal, health care journal, or professional or  
scientific journal, and date, volume, and issue of publication, as applicable.  
(3) Under section 16148 of the code, MCL 333.16148, the requirements specified in  
subrule (1) of this rule apply for license renewals beginning with the 2017 renewal cycle  
and for initial licenses issued after April 22, 2021.  
R 338.2 Application for audiologist license; requirements.  
Rule 2. (1) An applicant for an audiologist license, in addition to satisfying the  
requirements of the code and the administrative rules promulgated under the code, shall  
satisfy all of the following requirements:  
(a) Submit a completed application on a form provided by the department, together  
with the requisite fee.  
(b) Possess a master's or doctoral degree in audiology from an accredited educational  
program under R 338.8.  
(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 possesses a doctor of audiology (Au.D.) degree, submission  
of an official transcript that indicates the awarding of a doctor of audiology (Au.D.)  
degree from an accredited educational institution under R 338.8.  
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(ii) For an applicant who has either a doctoral or master's degree in audiology,  
submission of a certification of clinical experience form that indicates 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 submits 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  
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 submit a  
completed application on a form provided by the department, together with the requisite  
fee. In addition to satisfying the requirements of the code and the administrative rules  
promulgated under the code, an applicant shall satisfy the requirements of this rule.  
(2) If an applicant was registered or licensed as an audiologist in another state with  
substantially equivalent requirements and holds a current and unencumbered registration  
or license as a an audiologist in that state, then it is presumed that the applicant satisfies  
the requirements of section 16811(1)(a) or (b), and (2) or (3) of the code, MCL  
333.16811.  
(3) If an applicant does not satisfy the requirements of subrule (2) of this rule, then the  
applicant shall satisfy all the following requirements, in addition to satisfying the  
requirements of the code:  
(a) Possess a master's or doctoral degree in audiology from an accredited educational  
program under R 338.8.  
(b) Have successfully completed a minimum of 9 months of supervised clinical  
experience in audiology.  
(c) Have successfully completed an examination in audiology under R 338.7.  
(d) Verify that the registration or license from the other jurisdiction found in another  
state or territory of the United States, whether current or expired, is in good standing.  
(e) In place of subdivisions (a), (b) and (c) of this subrule, submit a Certificate of  
Clinical Competence in Audiology (CCC-A) from ASHA or an American Board of  
Audiology Certified credential from the ABA.  
R 338.4 Supervised clinical experience; limited license requirements.  
Rules 4. (1) An applicant for an audiology 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 must submit a completed application for a  
limited license on a form provided by the department, together with the requisite fee. In  
addition to satisfying other requirements of the code and administrative rules, an  
applicant for a limited license shall establish both of the following requirements:  
(a) That the applicant is a graduate of an accredited educational program in audiology,  
as described in R 338.8.  
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(b) That the applicant has been accepted for training in a clinical situation under the  
supervision of an individual who is licensed in audiology in this state or who holds a  
current Certificate of Clinical Competence in Audiology (CCC-A) from ASHA or an  
American Board of Audiology Certified credential from the ABA.  
(2) The applicant shall complete 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, as described in R 338.8. 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 he or she  
shall notify the department by submitting information about the new supervised clinical  
situation on a form provided by the department.  
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), R 338.3(3)(b), 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 that is located outside of the United States shall establish all of 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) for licensure  
or R 338.3(3)(a) for licensure by endorsement. 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 shall have his or her license,  
certification, or registration verified by the licensing agency of any country in which the  
applicant holds a current license, certification, or registration or has ever held a license,  
certification, or registration as an audiologist. If applicable, verification must include the  
record of any disciplinary action taken or pending against the applicant.  
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(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 are required to 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) Educational standards approved and adopted by reference in these rules  
include the following:  
(a) The Council on Academic Accreditation in Audiology and Speech-Language  
Pathology (CAA) for the accreditation of audiology education programs as in the  
publication entitled "Standards for Accreditation of Graduate Education Programs in  
Audiology and Speech-Language Pathology," August 2017, which is available from the  
American Speech-Language-Hearing Association, 2200 Research Boulevard, #310,  
Rockville, Maryland 20850 at no cost from the association's website at  
Programs.pdf. A copy of the standards also is available for inspection and distribution at  
a cost of 10 cents per page from the Board of Audiology, Bureau of Professional  
Licensing, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa  
Street, Lansing, Michigan 48909. Evidence of completion of an accredited audiology  
educational program is proof of completion of an acceptable program.  
(b) The Accreditation Commission for Audiology Education (ACAE) for the  
accreditation of doctor of audiology programs as in the publication entitled  
"Accreditation Standards for the Doctor of Audiology (Au.D.) Program", adopted March  
2016, which is available at no cost from the Accreditation Commission for Audiology  
Education, 11480 Commerce Park Dr., Ste. 220, Reston, Virginia 20191 or at no cost  
standards 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.  
Evidence of completion of an accredited audiology educational program is proof of  
completion of an acceptable program.  
(2) A higher education institution is considered approved if it is accredited by the  
accrediting body of the region in which the institution is located and the accrediting body  
satisfies either the recognition standards and criteria of the Council for Higher Education  
Accreditation (CHEA) or the recognition procedures and criteria of the United States  
Department of Education. The department in consultation with the board adopts by  
reference the recognition standards and criteria of CHEA, effective September 24, 2018,  
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and the procedures and criteria for recognizing accrediting agencies of the United States  
Department of Education, effective July 1, 2010, as contained in 34 CFR 602.10 to  
602.38. Copies of the standards and criteria of CHEA and the United States department  
of education are available for inspection and distribution at a cost of 10 cents per page  
from the Board of Audiology, Bureau of Professional Licensing, Department of  
Licensing and Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing,  
Michigan 48909. The CHEA recognition standards also may be obtained from the  
Council for Higher Education Accreditation, One Dupont Circle NW, Suite 510,  
cost. The federal recognition criteria may be obtained from the U.S. Department of  
Education Office of Postsecondary Education, 1990 K Street, NW, Washington, DC  
20006 or from the department's website at  
R 338.9 Relicensure.  
Rule 9. (1) An applicant whose license has lapsed for less than 3 years preceding the  
date of application for relicensure may be relicensed under section 16201(3) of the code,  
MCL 333.16201, if the applicant satisfies all of the following requirements:  
(a) Submits the required fee and a completed application on a form provided by the  
department.  
(b) Establishes that he or she is of good moral character as defined under sections 1 to  
7 of 1974 PA 381, MCL 338.41 to 338.47.  
(c) Submits 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 whose license has lapsed for 3 years or more preceding the date of  
application for relicensure may be relicensed under section 16201(4) of the code, MCL  
333.16201, if the applicant satisfies all of the following requirements:  
(a) Submits the required fee and a completed application on a form provided by the  
department.  
(b) Establishes that he or she is of good moral character as defined under sections 1 to  
7 of 1974 PA 381, MCL 338.41 to 338.47.  
(c) Submits fingerprints as required under section 16174(3) of the code, MCL  
333.16174.  
(d) Complies with either of the following requirements:  
(i) Pass an examination required under R 338.7.  
(ii) Presents proof to the department that he or she was registered or licensed as an  
audiologist in another state during the 2-year period prior to the application for  
relicensure.  
(3) An applicant shall have his or her license, certification, or registration verified by  
the licensing agency of any state of the United States in which the applicant holds a  
current license, certification, or registration or has ever held a license, certification, or  
registration as an audiologist. If applicable, verification must include the record of any  
disciplinary action taken or pending against the applicant.  
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R 338.10 License renewal; requirements; applicability.  
Rule 10. (1) This rule applies to applications for renewal of an audiology license under  
sections 16201 and 16811 of the code, MCL 333.16201 and 333.16811.  
(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 retain documentation of  
satisfying the requirements of this rule for a period of 4 years from the date of applying  
for license renewal. Failure to satisfy this rule is a violation of section 16221(h) of the  
code, MCL 333.16221.  
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  
coffee breaks; breakfast, luncheon, 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 identical to a program or activity the licensee has already  
earned credit for during that license cycle.  
(d) Under section 16204 of the code, MCL 333.16204, at least 1 hour of continuing  
education must be earned in the area of 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:  
ACCEPTABLE CONTINUING EDUCATION ACTIVITIES  
Activity  
Code  
Activity and Proof Required  
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  
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for this activity in each renewal  
period.  
If audited, the licensee shall submit a  
copy of the presentation notice or  
advertisement showing the date of the  
Under subrule (1)(c) of this rule,  
presentation, the licensee’s name listed credit for a presentation is  
as a presenter, and the name of the  
organization that approved or offered  
the presentation for continuing  
education credit.  
granted once per renewal period.  
(b)  
Initial presentation of a scientific  
Two hours of continuing  
exhibit, paper, or clinical demonstration education are granted for each 50  
to an audiology organization. to 60 minutes of presentation.  
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 submit 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.  
education are granted for each  
academic credit hour passed.  
Three hours of continuing  
education are granted for each  
academic term or quarter credit  
hour passed.  
If audited, the licensee shall submit an  
official transcript documenting  
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 submit a  
program description, a copy of a letter  
One continuing education clock  
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 are allowed  
for this activity in each renewal  
period.  
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continuing education credit, and the  
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 clock  
hour is granted for each 50 to 60  
minutes of program attendance.  
If audited, the licensee shall submit 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 submit 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.  
A peer-reviewed journal.  
Two hours of continuing  
education are granted for serving  
as the secondary author.  
If audited, the licensee shall submit 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.  
10  
A maximum of 5 hours of  
continuing education are allowed  
for this activity in each renewal  
period.  
If audited, the licensee shall submit 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 clock  
hour is granted for each 50 to 60  
minutes of program attendance.  
A maximum of 5 hours of  
If audited, the licensee shall submit 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 submit  
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 programs; methods of approval.  
Rule 12. (1) Approved and adopted by reference are the standards of the American  
Speech-Language-Hearing Association Continuing Education Board (ASHA-CEB) for  
approved continuing education providers in the document entitled “American Speech-  
Language-Hearing Association Continuing Education Board Manual,” February 2019,  
which is available at no cost from ASHA, 2200 Research Boulevard, Rockville,  
providers/. A copy of the guidelines also is available for inspection and distribution at a  
cost of 10 cents per page from the Michigan Board of Audiology, Bureau of Professional  
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Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa Street,  
P.O. Box 30670, Lansing, Michigan 48909.  
(2) Approved and adopted by reference are the standards of the American Academy of  
Audiology for approved continuing education programs in the document entitled “CE  
Provider Course Application Requirements and Guidelines,” November 2018, which is  
available at no cost from the American Academy of Audiology, 11480 Commerce Park  
Drive, Suite 220, Reston, Virginia 20191 or from the academy’s website at  
information/course-approval-requirements. A copy of the guidelines also is available for  
inspection and distribution at cost 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.  
(3) The board may review a course or program. Courses or programs that need to be  
reviewed and preapproved must submit 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 are maintained and 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 indicates 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.  
;