DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
DIRECTOR'S OFFICE
AUDIOLOGY - GENERAL RULES
Filed with the secretary of state on
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 338.8, R 338.9, R 338.10, R 338.11, R 338.12, and R 338.13 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.
(e) “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 338.1a 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 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.
(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 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 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 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 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 who
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).
(ii) For an applicant that who
has either a master’s or 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 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 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 who 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.
(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). a master’s or doctoral
degree in audiology from either of the following:
(i) An accredited educational program under R 338.8(1) or (2) and (3) or (4).
(ii) An educational program that is substantially equivalent to the educational requirements under R 338.8(1) or (2) and (3) or (4). The department accepts a credential evaluation completed by a credential evaluation organization that is a current member organization of NACES as proof of an applicant's satisfaction of the educational requirements.
(c) Provide proof, as directed by the
department, verifying acceptance for training in a clinical situation under the
supervision of an individual that who 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, which is (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 who holds
a limited license counts toward the experience requirement.
(3) If an applicant transfers to a
different supervised clinical situation, then the applicant shall
provide information about the supervised clinical situation on an updated
a 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 and all the following requirements:
(a) Provide proof, as directed by the
department, verifying completion of a master's or doctoral degree in
audiology from an educational degree program in audiology
that is substantially equivalent to the educational requirements in R
338.2(1)(b). under R 338.8(1) or (2) and (3) or (4). 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 NACES 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 who 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 338.8 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, January 2023, which are available
at no cost on the council’s website at https://caa.asha.org, are
approved and adopted by reference. If an An audiology
educational program is accredited by the CAA, it CAA is
approved.
(2) The standards for accrediting doctor
of audiology programs developed and adopted by the Accreditation Commission for
Audiology Education (ACAE), 11480 Commerce Park 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 An audiology
educational program is accredited by the ACAE, it ACAE is
approved.
(3) The standards for recognition of accrediting organizations developed and adopted by the Council for Higher Education Accreditation (CHEA), One Dupont Circle NW, Suite 510, Washington, D.C. 20036, in the publication 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 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 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 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 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 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 who 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 338.10 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 An
applicant shall submit a request for a waiver of continuing education
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.
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.
(d) Completion of implicit bias training under R 338.7004 during the 2 years before the end of the license cycle may be used towards satisfaction of the requirements of R 338.10(2) and this subrule.
(3) Any of the following activities are considered acceptable continuing education:
|
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
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 (2)(b) 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 (2)(b) 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 the program was held or activity completed. |
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 the program was held or activity completed. |
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-peer-reviewed journal or newsletter.
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 (2)(b) 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 textbook. - 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 (2)(b) 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 the program was held or activity completed. |
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 shall enhance the participant’s knowledge and understanding of the field of audiology.
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. |
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 titled
“American Speech-Language-Hearing Association Continuing Education Board
Manual,” updated January October 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 by the board and preapproved shall petition the
board for approval of a continuing education program. The continuing education
program provider shall complete an application provided by the department, file
the application and supporting documentation with the department for review not
less than 120 days before the program date, and must provide include
all the following requirements: information:
(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.
(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. 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.
(5) Copy of the standards in this rule are available for inspection and distribution at a cost of 10 cents per page from the Michigan Board of Audiology, Bureau of Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.
R 338.13 Telehealth.
Rule 13. (1) A licensee shall obtain consent from the patient for treatment before providing a telehealth service under section 16284 of the code, MCL 333.16284.
(2) A licensee shall keep maintain
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 health care service.