DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
DIRECTOR'S OFFICE
AUDIOLOGY - GENERAL RULES
Filed with the secretary of state on
These rules become
effective take effect immediately after upon filing
with the secretary of state unless adopted under section 33, 44, or 45a(9) of
the administrative procedures act of 1969, 1969 PA 306, MCL 24.233, 24.244, or
24.245a. Rules adopted under these sections become effective 7 days after
filing with the secretary of state.
(By authority conferred on the director of the department of licensing and regulatory affairs by sections 16145, 16148, and 16811 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, and 333.16811, and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1 and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)
R 338.1, 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. “ASHA” means the American Speech-Language-Hearing
Association.
(b) "Code" means the
public health code, 1978 PA 368, MCL 333.1101 to 333.25211. “Board”
means the Michigan board of audiology created under section 16805 of the code,
MCL 333.16805.
(c) "Department" means the
department of licensing and regulatory affairs. “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 who
is licensed shall have completed complete training in identifying
victims of human trafficking that satisfies the following standards:
(a) Training content must cover all the following:
(i) Understanding the types and venues of human trafficking in this state or the United States.
(ii) Identifying victims of human
trafficking in healthcare health care settings.
(iii) Identifying the warning signs of
human trafficking in healthcare health care settings for adults
and minors.
(iv) Resources 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 peer
review journal, healthcare 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 an
individual a sample of individuals and request documentation of
proof of completion of training. If audited by the department, an 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 an
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 peer review journal, healthcare
health care journal, or professional or scientific journal, and the
date, volume, and issue of publication, as applicable.
(3) Under section 16148 of the code, MCL 333.16148, the requirements specified in subrule (1) of this rule apply for license renewals beginning with the 2017 renewal cycle and for initial licenses issued after April 22, 2021.
R 338.2 Application for audiologist license; requirements.
Rule 2. (1) An applicant for an
audiologist license shall satisfy the requirements of the code and the administrative
rules promulgated under the code, as well as all the following requirements:
(a) Provide the required fee and a completed application on a form provided by the department.
(b) Possess 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) Successfully completed 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 who that
has a doctor of audiology (Au.D.), degree, submission of an
official transcript that shows the awarding of an Au.D. from an accredited
educational institution under R 338.8(1) or (2) and (3) or (4).
(ii) For an applicant who that
has either a doctoral or master's degree in audiology, submission of
a certification of clinical experience form that shows that the
applicant completed the required supervised clinical experience.
(d) Successfully completed an
examination in audiology 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 the American Speech-Language-Hearing Association (ASHA) 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 administrative rules promulgated under the code, as well as all
the following requirements:
(a) Provide the required fee and a completed application on a form provided by the department.
(b) Hold 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 Complete completed the
educational requirements for an audiologist license in another state or a
province of in Canada or in the United States to obtain
for licensure as an audiologist in another state or a province of
Canada. Canada or in the United States.
(d) Receive Provide proof, as
directed by the department, verifying a passing scores 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. (CETP Exam).
(e) If the applicant has held an
audiologist license for less than 18 months, the applicant completes, 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 who that is
or has been licensed, registered, or certified in a health profession or
specialty by any other 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, which includes 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 administrative rules promulgated under the code, as well as all the
following requirements:
(a) Provide the required fee and a completed application on a form provided by the department.
(b) Graduate from 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) Be accepted Provide proof,
as directed by the department, verifying acceptance for training in a
clinical situation under the supervision of an individual who that is
licensed in audiology as an audiologist in this state.
(2) The applicant shall document on a
form provided by 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 who 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 at least
not less than 30 hours per week, and be 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 at least not less than 15 hours per week, and be
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) That the applicant has completed
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 completion satisfaction
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) Provide proof, as directed by the
department, verifying That that the applicant may practice as
an audiologist without limitation in a country currently recognized by the
United States. An applicant who that is or has been licensed,
registered, or certified in a health profession or specialty by any other
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, which includes 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 338.7 Examination; adoption; passing scores.
Rule 7.
Examinations approved and adopted are the National Teachers Examination (NTE)
in Audiology and the Praxis Series II Examination in Audiology that are
administered by the Educational Testing Service (ETS) or its successor
organization. Applicants must shall achieve a passing score on
the National Teachers Examination (NTE) in Audiology 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), American
Speech-Language-Hearing Association, ASHA, 2200 Research Boulevard,
#310, Rockville, Maryland 20850, in the publication entitled 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. Any If an audiology
educational program is accredited by the CAA, then 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 entitled 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. Any If an audiology
educational program is accredited by the ACAE, then 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 entitled titled “Recognition of
Accrediting Organizations Policy and Procedures,” effective September 24, 2018,
“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. Any 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, then 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, S.W., 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 department’s website at https://www2.ed.gov/about/offices/list/ope/index.html,
are approved and adopted by reference. Any 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, then 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 administrative rules promulgated under the code, as well as
all the following requirements:
(a) Provides the required fee and a completed application on a form provided by the department.
(b) Establishes good moral character as defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47.
(c) Provides proof, as directed
by to the department, verifying of accumulating
the completion of not less than 20 hours of continuing education credit
that satisfies the requirements of under R 338.10 and R 338.11
during the 2 years immediately before preceding the application
for relicensure.
(2) An applicant may be relicensed more
than 3 years after the expiration date of the license under section 16201(4) of
the code, MCL 333.16201, if the applicant satisfies the requirements of the
code and the administrative rules promulgated under the code, as well as
all the following requirements:
(a) Provides the required fee and a completed application on a form provided by the department.
(b) Establishes good moral character as defined 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 Satisfies satisfaction of either
of the following requirements:
(i) Successfully Passes passing
an examination required under R 338.7. R 338.7 during the 2 years
immediately before the date of the application for relicensure.
(ii) Presents proof, as
directed by to 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 prior to the
application for relicensure.
(3) An applicant who that is
or has been licensed, registered, or certified in a health profession or
specialty by any other 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, which includes 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 338.10 License renewal; requirements; applicability.
Rule 10. (1) An applicant for renewal
shall satisfy the requirements of the code and the administrative rules
promulgated under the code.
(2) An applicant for license renewal who
has been licensed for in the 2-year period immediately preceding
before the expiration date of the license shall accumulate complete
not less than 20 hours of continuing education in activities approved under
these rules during the 2 years preceding 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. A The licensee shall keep maintain
documentation of satisfying the requirements of this rule for a period of
4 years after 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.
(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) The 20 hours of continuing
education required under R 338.10(2) for the renewal of an audiology audiologist
license must satisfy the following requirements:
(a) For the purpose of this rule,
"instruction" means education time, exclusive of breakfast, lunch, or
dinner periods, or any other breaks in the program.
(b) Not more than 10 hours of continuing education may be earned during a 24-hour period.
(c) A The licensee may
not earn credit for a continuing education program or activity that is identical
equivalent or substantially equivalent to a program or activity the
licensee has already earned credit for during the license cycle.
(d) Under section 16204 of the code, MCL 333.16204, at least 1 hour of continuing education must be earned in pain and symptom management. Continuing education hours in pain and symptom management may include, but are not limited to, courses in behavior management, behavior modification, stress management, and clinical applications, as they relate to professional practice under sections 16801 to 16811 of the code, MCL 333.16801 to 333.16811.
(2) Any of The the following
activities are considered 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.
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.
If audited, the licensee shall provide a copy of the presentation notice or advertisement showing the date of the presentation, the licensee’s name listed as a presenter, and the name of the organization that approved or offered the presentation for continuing education credit. |
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.
A maximum of 9 hours of continuing education are allowed for this activity in each renewal period.
Under subrule (1)(c) of this rule, credit for a presentation is granted once per renewal period. |
|
(b) |
Initial presentation of a scientific exhibit, paper, or clinical demonstration to an audiology organization.
To receive credit, the presentation must not be part of the licensee’s regular job description or performed in the normal course of the licensee’s employment.
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. |
Two hours of continuing education are granted for each 50 to 60 minutes of presentation.
No other credit is granted for preparation of a presentation.
A maximum of 6 hours of continuing education are allowed for this activity in each renewal period.
Under subrule (1)(c) of this rule, credit for a presentation is granted once per renewal period. |
|
(c) |
Passing a postgraduate academic course related to the practice of audiology offered in an educational program approved under R 338.8(1) or (2) and (3) or (4).
If audited, the licensee shall provide an official transcript documenting successful completion of the course. |
Five hours of continuing 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.
A maximum of 20 hours of continuing education are allowed for this activity in each renewal period. |
|
(d) |
Attendance at a continuing education program approved under R 338.12.
If audited, the licensee shall provide a
program description, a copy of a letter or certificate of completion showing
the 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 |
One continuing education hour is granted for each 50 to 60 minutes of program attendance.
A maximum of 20 hours of 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.
If audited, the licensee shall provide a
program description, a copy of a letter or certificate of completion showing
the 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 |
One continuing education hour is granted for each 50 to 60 minutes of program attendance.
A maximum of 20 hours of continuing education are allowed for this activity in each renewal period. |
|
(f) |
Initial publication of an article
related to the practice of audiology in a non-
If audited, the licensee shall provide a copy of the publication that identifies the licensee as the author or a publication acceptance letter. |
One hour of continuing education is granted for each article.
A maximum of 5 hours of continuing education are allowed for this activity in each renewal period.
Under subrule (1)(c) of this rule, credit for publication is granted once per renewal period. |
|
(g) |
Initial publication of a chapter related to the practice of audiology in either of the following:
- A professional or healthcare - A peer-reviewed journal.
If audited, the licensee shall provide a copy of the publication that identifies the licensee as the author or a publication acceptance letter. |
Five hours of continuing education are granted for serving as the primary author.
Two hours of continuing education are granted for serving as the secondary author.
Under subrule (1)(c) of this rule, credit for publication is granted once per renewal period. |
|
(h) |
Reading an audiology professional journal and successfully completing an evaluation created for continuing education credit in audiology practice education.
If audited, the licensee shall provide a copy of the publication and the evaluation created for continuing education credit in audiology practice education. |
One hour of continuing education is granted for each 50 to 60 minutes of this activity.
A maximum of 5 hours of continuing education are allowed for this activity in each renewal period. |
|
(i) |
Attendance at a program approved for continuing education by the board of medicine or the board of osteopathic medicine related to audiology practice.
If audited, the licensee shall provide a
program description, a copy of a letter or certificate of completion showing
the 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 |
One continuing education hour is granted for each 50 to 60 minutes of program attendance.
A maximum of 5 hours of continuing education are allowed for this activity in each renewal period. |
|
(j) |
Participating on a state or national
committee, board, council, or association related to the field of audiology.
A committee, board, council, or association
If audited, the licensee shall provide
documentation verifying the licensee’s participation in |
Two hours of continuing education are granted for each committee, board, council, or association.
A maximum of 2 hours of continuing education are allowed for this activity in each renewal period.
|
R 338.12 Continuing audiology education providers and programs; methods of approval.
Rule 12. (1) Any continuing education
provider or program approved by ASHA is approved. The standards for continuing
education providers developed and adopted by the American
Speech-Language-Hearing Association Continuing Education Board (ASHA-CEB), 2200
Research Boulevard, Rockville, Maryland 20850-3289, in the publication entitled
titled “American Speech-Language-Hearing Association Continuing
Education Board Manual,” updated June 2021, 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 entitled “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
kept that include the number of participants in attendance, the date
of the program, the program's location, the credentials of the presenters,
rosters of the individuals who attended, and the continuing education time
awarded to each participant.
(h) A participant must 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.