lDEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
DIRECTOR’S OFFICE
PHYSICAL THERAPY – GENERAL RULES
Filed with the secretary of state on These rulestake effectbecome effective immediatelyuponafter 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 16141, 16145, 16148, 16174, 16201, 16204, 16205, 16206, 16215, 16287, and 17823 of the public health code, 1978 PA 368, MCL 333.16141, 333.16145, 333.16148, 333.16174, 333.16201, 333.16204, 333.16205, 333.16206, 333.16215, 333.16287, and 333.17823 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 338.7121, R 338.7122, R 338.7126, R 338.7131, R 338.7132, R 338.7133, R 338.7134, R 338.7135, R 338.7136, R 338.7137, R 338.7139, R 338.7141, R 338.7142, R 338.7145, R 338.7146, R 338.7147, R 338.7148, R 338.7149, R 338.7161, and R 338.7163 of the Michigan Administrative Code are amended, as follows:
PART 1. DEFINITIONS
R 338.7121 Definitions.
Rule 21. (1) As used in these rules:
(a) “Board” means the Michigan board of physical
therapy created under section 17821 of the code, MCL 333.17821. “APTA”
means the American Physical Therapy Association.
(b) “Code” means the public
health code, 1978 PA 368, MCL 333.1101 to 333.25211. “Board” means
the Michigan board of physical therapy created under section 17821 of the code,
MCL 333.17821.
(c) “Department” means the Michigan department of
licensing and regulatory affairs. “CAPTE” means the Commission on
Accreditation in Physical Therapy Education.
(d) “Patient or client of record” means a patient or
client who is receiving physical therapy services from a licensed physical
therapist or from a licensed physical therapist assistant under the direction
and supervision of a physical therapist. “Code” means the public health
code, 1978 PA 368, MCL 333.1101 to 333.25211.
(e) “Continuous instruction” means education or presentation time that does not include breakfast, lunch, or dinner periods, coffee breaks, or other breaks in the activity or program.
(f) “Department” means the Michigan department of licensing and regulatory affairs.
(g) "Direct supervision" means that the physical therapist is physically present and immediately available for direction and supervision when patients or clients are present when the act, task, or function is performed, and that the physical therapist has direct contact with the patient or client during each visit.
(h) “FSBPT” means the Federation of State Boards of Physical Therapy.
(i) “NPTE” means the National Physical Therapy Examination.
(j) “Patient or client of record” means a patient or client that is receiving physical therapy services from a licensed physical therapist or from a licensed physical therapist assistant under the direction and supervision of a physical therapist.
(k) “PDR” means professional development requirement.
(l) “Prescription” is a written or electronic order for physical therapy.
(2) A term defined in the code has the same meaning when used in these rules.
PART 2. GENERAL PROVISIONS
R 338.7122 Prescription.
Rule 22. (1) As used in these rules, a prescription is
a written or electronic order for physical therapy. A prescription must
include all the following information:
(a) The name of the patient.
(b) The patient's medical diagnosis.
(c) The signature of either an individual that who
is licensed and authorized to prescribe physical therapy in this state Michigan
or an individual that who holds the has an equivalent
license issued by another state, as provided in section 17820(1) of the code,
MCL 333.17820.
(d) The date that the authorized licensee wrote the prescription.
(2) A prescription is valid for 90 days from after
the date that the authorized licensee writes the prescription unless the authorized
licensee specifies a different termination date is otherwise
specified by the authorized licensee on the prescription.
R 338.7126 Training standards for identifying victims of human trafficking;
requirements.
Rule 26. (1) Under section 16148 of the code, MCL
333.16148, an the individual seeking licensure or who is
licensed shall have completed complete training in identifying
victims of human trafficking that satisfies all the following standards:
(a) Training content must cover all the following:
(i) Understanding the types and venues of human trafficking in the United States.
(ii) Identifying victims of human trafficking in health
care healthcare settings.
(iii) Identifying the warning signs of human trafficking
in health care healthcare 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 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,
health care 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
a sample of individuals and request documentation of proof of completion
of training. If audited by the department, an the individual shall
provide an acceptable proof of completion of training, including either of the
following:
(a) Proof of completion certificate issued by the training provider that includes the date, provider name, name of training, and individual’s name.
(b) A self-certification statement by an the individual.
The certification statement must include the individual’s name and either
1 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 the
peer-reviewed peer review journal, health care 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 beginning January 6, 2022.
PART 3. PHYSICAL THERAPISTS
R 338.7131 Program accreditation standards; physical therapist; adoption of standards by
reference.
Rule 31. (1) The standards and evaluative criteria for
accreditation of physical therapist educational programs set forth by the
Commission on Accreditation in Physical Therapy Education (CAPTE) CAPTE,
3030 Potomac Avenue, Suite 100, Alexandria, Virginia 22305-3085, in the document
entitled publication titled “PT Standards and Required Elements” effective
January 1, 2016 revised November 3, 2020, which are available at no cost
on the commission’s website at https://www.capteonline.org, are approved
and adopted by reference. An educational program for physical
therapists accredited by CAPTE satisfies the qualifications for an approved
physical therapist educational program. in these rules. Copies of the
evaluative criteria are available, at no cost, from CAPTE, 1111 North Fairfax
St., Alexandria, Virginia 22314-1488, and on CAPTE’s website at https://www.capteonline.org.
Copies of the evaluative criteria also are available for inspection and
distribution at a cost of 10 cents per page from the Board of Physical Therapy,
Bureau of Professional Licensing, Department of Licensing and Regulatory
Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan 48909.
(2) Any educational program for
physical therapists accredited by CAPTE satisfies the qualifications for an
approved physical therapist educational program. Copies of the standards
and evaluative criteria adopted by reference in subrule (1) of this rule are also
available for inspection and distribution at a cost of 10 cents per page from
the Board of Physical Therapy, Bureau of Professional Licensing, Department of
Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670, Lansing,
Michigan 48909.
R 338.7132 Licensure by examination; physical therapist; requirements.
Rule 32. An applicant for a physical therapist license by
examination shall provide the required fee and a completed application on a
form provided by the department. In addition to satisfying satisfy the
requirements of the code and these rules, the rules promulgated under
the code, an applicant shall satisfy as well as all the
following requirements:
(a) Graduate from an accredited physical therapist educational
program that satisfies the standards under R 338.7131. Provide the
required fee and a completed application on a form provided by the department.
(b) Pass the National Physical Therapy Examination
(NPTE) for physical therapists required under R 338.7133(1). Provide proof, as directed by the department, verifying
completion of 1 of the following:
(i) An accredited physical therapist educational program that satisfies the standards under R 338.7131(1).
(ii) A substantially equivalent physical therapist educational program under R 338.7135.
(c) Achieve a converted score of not less than
75 on the Michigan Physical Therapist Jurisprudence Exam required under R
338.7133(2). Provide proof, as directed by the department, verifying a
passing score on the examination adopted under R
338.7133(1).
R 338.7133 Examinations; physical therapist; adoption and approval.
Rule 33. (1) The board approves and adopts the
NPTE for physical therapists developed, administered, and scored by the
Federation of State Boards of Physical Therapy (FSBPT). FSBPT is approved
and adopted. The board adopts the passing score recommended by FSBPT.
FSBPT is approved and adopted.
(2) The board approves the Michigan Physical
Therapist Jurisprudence Exam on laws and rules related to the practice of
physical therapy in this state Michigan, which is administered by
a third party third-party approved by the department. department,
is approved and adopted.
R 338.7134 Physical therapist examination; eligibility.
Rule 34. (1) To be eligible for the NPTE for physical therapists, an applicant shall satisfy 1 of the following requirements:
(a) Graduate from Provide proof, as directed by
the department, verifying the completion of an accredited physical
therapist educational program that satisfies the standards under R 338.7131.
R 338.7131(1).
(b) Satisfy the requirements under R 338.7135.
(c) Verify Provide proof, as directed by the
department, verifying current enrollment in the final semester, term, or
quarter of an approved accredited physical therapist educational
program that satisfies the standards under R 338.7131(1) and the expected
date of graduation.
(2) An applicant who fails to achieve passing scores on
the examinations required under R 338.7133 may retake the Michigan Physical
Therapist Jurisprudence Exam without limitation and shall take the
NPTE for physical therapists consistent with the FSBPT testing standards. An
applicant requesting an appeal of the 6-time lifetime limit policy or the 2
very low scores policy shall first satisfy all other licensing requirements
and complete the following requirements before the board will shall
consider the request. The department shall reject a request to the board if
the applicant does not provide all the following information in writing:
(a) A completed NPTE Appeal appeal form, which
includes including the information under subdivisions (b) to (j) of
this subrule.
(b) The candidate’s name.
(c) Whether the request relates to the physical therapy or physical therapy assistant examination level.
(d) Whether the 6-time lifetime limit policy or the 2 very low scores policy is being appealed.
(e) The state where the applicant is seeking licensure.
(f) The reason for the appeal, including why the applicant believes the 6-time lifetime limit policy or the 2 very low scores policy should not apply to the applicant.
(g) A list of all physical therapist or physical therapist assistant examination level examinations taken by the applicant, including the date of the examinations, province or state where taken, and the scores on the examinations.
(h) A list of any disciplinary action taken against the applicant by the FSBPT or by a province of Canada or another state, including the date, the province or state, and an explanation of the circumstances surrounding the discipline.
(i) The applicant’s signature.
(j) The date the applicant completed the form.
(3) An applicant that does not achieve a passing score on the Michigan Physical Therapist Jurisprudence Exam may retake the examination without limitation.
R 338.7135 Graduate of non-accredited postsecondary institution; physical therapist;
examination; eligibility.
Rule 35. To ensure eligibility for examination, an
applicant that graduated from a non-accredited physical therapist educational
program shall provide the required fee and a completed application on a form
provided by the department. To be eligible for the NPTE for physical
therapists, an applicant who graduated from a non-accredited physical
therapist educational program shall provide proof, as directed by the
department, verify verifying the completion of a physical
therapist educational program that is substantially equivalent to a an
accredited physical therapist educational program that is
accredited by CAPTE, as provided under R 338.7131. satisfies the
standards under R 338.7131(1). Proof of having completed a substantially
equivalent physical therapist educational program must include an evaluation of
the applicant's non-accredited education through an evaluation that uses the
current FSBPT Coursework Tool for Foreign Educated Physical Therapists.
R 338.7136 Licensure by endorsement of physical therapist; requirements.
Rule 36. (1) An applicant for a physical therapist
license by endorsement who satisfies shall satisfy the requirements
of the code and this rule satisfies the requirements of section 16186 of the
code, MCL 333.16186. The department shall issue a physical therapist license
to an applicant who satisfies the rules promulgated under the code, as
well as all the following requirements:
(a) Provides Provide the required fee and a
completed application on a form provided by the department.
(b) Holds Provide proof, as directed by the
department, verifying a current and full physical therapist license
in another state or in a province of Canada.
(c) Completed If the applicant is licensed as a
physical therapist in a province in Canada, provide proof, as directed by the
department, verifying the completion of the educational requirements for
a physical therapist license in Canada or in the United States another
state or province of Canada to obtain for licensure as a physical
therapist in a province of Canada or another state. in the
United States.
(d) Received Provide
proof, as directed by the department, verifying a passing score on
either of the following examinations for a physical therapist license in
another state or in a province of Canada: to obtain licensure
as a physical therapist in a province of Canada: or
another state:
(i) The NPTE for physical therapists required under R 338.7133(1).
(ii) The Physiotherapy Competency Examination (PCE).
Canadian Alliance of Physiotherapy Regulators Physiotherapy Competency Examination.
(e) Passed Provide
proof, as directed by the department, verifying a converted score of not less
than 75 on the Michigan Physical Therapist Jurisprudence Exam required
approved under R 338.7133(2).
(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 338.7137 Requirements for relicensure; physical therapist.
Rule 37. (1) An applicant whose physical therapist license has lapsed may be relicensed within 3 years after the expiration date of the license under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies the requirements of the code and the rules promulgated under the code, as well as all the following requirements:
(a) Provides the required fee and a completed application on a form provided by the department.
(b) Establishes good moral character as that term is
defined in, and determined under, section 1 of 1974 PA
381, MCL 338.41 to 338.47.
(c) Passes Provides proof, as directed by the
department, verifying a converted score of not less than 75 on the Michigan
Physical Therapist Jurisprudence Exam required approved under R
338.7133(2).
(d) Complies with Provides proof, as directed
by the department, verifying either of the following:
(i) Provides proof to the department of accumulating
Accumulation of not less than 24 professional development requirement
(PDR) PDR credits that satisfy the requirements under consistent
with R 338.7161 to R 338.7165 and R 338.7163 during the 2
years immediately preceding before the date of the application
for relicensure. However, if the PDR credit hours provided with the
application are deficient, the applicant shall have 2 years from the date of
the application to complete the deficient credits.
(ii) Establishes employment Employment as
a licensed physical therapist in another jurisdiction recognized by
FSBPT for a minimum of 500 hours during the 2-year period immediately preceding
before the date of application for relicensure.
(2) An applicant whose physical therapist license has lapsed 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 under the code and the rules promulgated under the code, as well as all the following requirements:
(a) Provides the required fee and a completed application on a form provided by the department.
(c) Provides fingerprints as required under section 16174(3) of the code, MCL 333.16174.
(d) Passes Provides proof, as directed by the
department, verifying a converted score of not less than 75 on the Michigan
Physical Therapist Jurisprudence Exam required approved under R
338.7133(2).
(e) Complies with Provides proof, as directed
by the department, verifying either of the following:
(i) Establishes employment Employment as a
licensed physical therapist in another jurisdiction recognized by FSBPT
for a minimum of 500 hours during the 2-year period immediately preceding before
the date of application for relicensure.
(ii) Passes A passing score on the NPTE
for physical therapists required under R 338.7133(1). examination
adopted under R 338.7133(1) during the 2-year period immediately before the
date of 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 338.7139 Delegation of acts, tasks, or functions to a licensed or unlicensed individual;
direct supervision of a licensed or unlicensed individual; requirements.
Rule 39. (1) Under section 16215(6) of the code, MCL 333.16215, the requirements of this rule do not apply to a physical therapist who delegates to a physical therapist assistant if the physical therapist satisfies the requirements for delegation to a physical therapist assistant under R 338.7138.
(2) Except as provided under subrule (1) of this rule, a
physical therapist who delegates the performance of selected acts, tasks, or
functions to a licensed or unlicensed individual under section 16215 of the
code, MCL 333.16215, shall supervise the individual under section 16109(2) of
the code, MCL 333.16109, in addition to providing direct supervision of the
individual. As used in this rule, "direct
supervision" means that the physical therapist is physically present and
immediately available for direction and supervision when patients or clients
are present at the time the act, task, or function is performed, and that the
physical therapist has direct contact with the patient or client during each
visit.
(3) A physical therapist who delegates acts, tasks, or functions under subrule (2) of this rule shall also satisfy all the following:
(a) Ensure the qualifications of the individual under the physical therapist's direct supervision, including verification of the individual's training and education.
(b) Examine and evaluate the patient or client before delegating acts, tasks, or functions performed by the individual.
(c) Directly supervise the individual to whom acts, tasks, or functions are delegated.
(d) Provide predetermined procedures and protocols for acts, tasks, or functions delegated.
(e) Maintain a record of the names of the individuals to whom acts, tasks, or functions are delegated.
(f) Monitor the individual's practice and provision of assigned acts, tasks, or functions.
(g) Meet regularly and in person in-person with
the individual to whom acts, tasks, or functions have been delegated to evaluate
the individual's performance, review records, and educate the individual on the
acts, tasks, or functions that have been delegated.
(4) A physical therapist shall not supervise more than 3 individuals under this rule at the same time.
(5) Under section 16171 of the code, MCL 333.16171, the requirements of subrule (3)(b) of this rule do not apply to a student enrolled in an accredited physical therapist or physical therapist assistant educational program approved by the board.
PART 4. PHYSICAL THERAPIST ASSISTANTS
R 338.7141 Program accreditation standards; physical therapist assistant; adoption of
standards by reference.
Rule 41. (1) The standards and evaluative criteria for
accreditation of physical therapist assistant educational programs set forth by
CAPTE, 3030 Potomac Avenue, Suite 100, Alexandria, Virginia 22305-3085,
in the document entitled publication titled “PTA Standards and
Required Elements,” effective January 1, 2016 revised November
3, 2020, which are available at no cost on the commission’s website at https://www.capteonline.org,
are approved and adopted by reference. An educational program
for physical therapist assistants accredited by CAPTE satisfies the qualifications
for an approved physical therapist assistant educational program. in
these rules. Copies of the evaluative criteria are available at no cost from
CAPTE, 1111 North Fairfax St., Alexandria, Virginia 22314-1488 and on CAPTE’s
website at https://www.capteonline.org. Copies of the evaluative
criteria also are available for inspection and distribution at a cost of 10
cents per page from the Board of Physical Therapy, Bureau of Professional
Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa,
P.O. Box 30670, Lansing, Michigan 48909.
(2) Any educational program for
physical therapist assistants accredited by CAPTE satisfies the qualifications
for an approved physical therapist assistant educational program. Copies
of the standards and evaluative criteria adopted by reference in subrule (1) of
this rule are also available for inspection and distribution at a cost of 10
cents per page from the Board of Physical Therapy, Bureau of Professional
Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa,
P.O. Box 30670, Lansing, Michigan 48909.
R 338.7142 Licensure by examination; physical therapist assistant; requirements.
Rule 42. (1) An applicant for a physical therapist
assistant license by examination shall provide the required fee and a
completed application on a form provided by the department. In addition to
satisfying satisfy the requirements of the code and these rules,
an applicant shall satisfy the rules promulgated under the code, as well
as all the following requirements:
(a) Graduate from an accredited physical therapist
assistant educational program that satisfies the standards under R 338.7141.
Provide the required fee and a completed application on a form provided by
the department.
(b) Pass the NPTE for physical therapist assistants
required under R 338.7145(1). Provide proof, as directed by the
department, verifying completion of 1 of the following:
(i) An accredited physical therapist assistant educational program that satisfies the standards under R 338.7141(1).
(ii) A substantially equivalent physical therapist assistant educational program under R 338.7147.
(c) Achieve a converted score of not less than 75 on
the Michigan Physical Therapist Assistant Jurisprudence Exam required under R
338.7145(2). Provide proof, as directed by the department, verifying a
passing score on the examination adopted under R 338.7145(1).
(d) Provide proof, as directed by the department, verifying a converted score of not less than 75 on the Michigan Physical Therapist Assistant Jurisprudence Exam approved under R 338.7145(2).
(2) An applicant who that graduated on or
before January 1, 2008, from an accredited educational program that satisfies
the standards under R 338.7141(1) is presumed to satisfy the
requirements of this rule.
R 338.7145 Examinations; physical therapist assistant; adoption and approval; passing
score.
Rule 45. (1) The board approves and adopts the
NPTE for physical therapist assistants developed, administered, and scored by FSBPT.
FSBPT is approved and adopted. The board adopts the passing
score recommended by FSBPT. FSBPT is approved and adopted.
(2) The board approves the Michigan Physical Therapist
Assistant Jurisprudence Exam on laws and rules related to the practice of
physical therapy in this state, Michigan, which is administered
by a third party approved by the department. department, is approved
and adopted.
R 338.7146 Physical therapist assistant examination; eligibility.
Rule 46. (1) To be eligible for the NPTE for physical therapist assistants, an applicant shall satisfy 1 of the following requirements:
(a) Graduate from Provide proof, as directed by
the department, verifying the completion of an accredited physical
therapist assistant educational program that satisfies the standards under R
338.7141. R 338.7141(1).
(b) Satisfy the requirements under R 338.7147.
(c) Verify Provide proof, as directed by the
department, verifying current enrollment in the final semester, term, or
quarter of an approved accredited physical therapist assistant
educational program that satisfies the standards under R 338.7141(1) and
the expected date of graduation.
(2) An applicant who fails to achieve passing scores on
the examinations required under R 338.7145(1) and (2) may retake the Michigan
Physical Therapist Assistant Jurisprudence Exam without limitation and shall
take the NPTE for physical therapist assistants consistent with the FSBPT
testing standards. An applicant requesting an appeal of the 6-time lifetime
limit policy or the 2 very low scores policy shall first satisfy all other
licensing requirements and complete the following requirements before the
board will shall consider the request. The department shall
reject a request to the board if the applicant does not provide all the
following information in writing:
(a) A completed NPTE Appeal form, which includes
including the information under subdivisions (b) through to (j)
of this subrule.
(b) The candidate’s name.
(c) Whether the request relates to the physical therapy or physical therapy assistant examination level.
(d) Whether the 6-time lifetime limit policy or the 2 very low scores policy is being appealed.
(e) The state where the applicant is seeking licensure.
(f) The reason for the appeal, including why the applicant believes the 6-time lifetime limit policy or the 2 very low scores policy should not apply to the applicant.
(g) A list of all physical therapist or physical therapist assistant examination level examinations taken by the applicant, including the date of the examinations, province or state where taken, and the scores on the examinations.
(h) A list of any disciplinary action taken against the applicant by the FSBPT or by a province of Canada or another state, including the date, the province or state, and an explanation of the circumstances surrounding the discipline.
(i) The applicant’s signature.
(j) The date the applicant completed the form.
(3) An applicant that does not achieve a passing score on the Michigan Physical Therapist Assistant Jurisprudence Exam may retake the examination without limitation.
R 338.7147 Graduate of non-accredited postsecondary institution; physical therapist
assistant; examination; eligibility.
Rule 47. To ensure eligibility for examination, an
applicant that who graduated from a United States military or
non-accredited physical therapist assistant educational program shall provide
the required fee and a completed application on a form provided by the
department. To be eligible for examination, the NPTE for physical
therapist assistants, an applicant shall provide proof, as directed by
the department, verify verifying the completion of a physical
therapist or physical therapist assistant educational program that is
substantially equivalent to a an accredited physical therapist
assistant educational program that is accredited by CAPTE, as
provided under R 338.7141. satisfies the standards under R 338.7141(1).
Proof of having completed a substantially equivalent physical therapist
assistant educational program must include an evaluation of the applicant's
non-accredited education through an evaluation that uses the current FSBPT
Coursework Tool for Foreign Educated Physical Therapist Assistants.
R 338.7148 Licensure by endorsement of physical therapist assistant; requirements.
Rule 48. (1) An applicant for a physical therapist
assistant license by endorsement who satisfies shall satisfy the
requirements of the code and this rule satisfies the requirements of section
16186 of the code, MCL 333.16186. The department shall issue a physical
therapist assistant license to an applicant who satisfies the rules
promulgated under the code, as well as all the following requirements:
(a) Provides Provide the required fee and a
completed application on a form provided by the department.
(b) Holds Provide proof, as directed by the
department, verifying a current and full physical therapist
assistant license in another state or in a province of Canada.
(c) Completed Provide proof, as directed by the
department, verifying the completion of the educational requirements for
a physical therapist assistant license in Canada or in the United States
another state or province of Canada to obtain for licensure
as a physical therapist assistant in a province of Canada or another
state. in the United States if the applicant is licensed as a physical
therapist assistant in a province in Canada.
(d) Received Provide proof, as directed by the
department, verifying a passing score on the NPTE for physical therapist
assistants required under R 338.7145(1) for a physical therapist assistant
license in another state or in a province of Canada. to obtain
licensure as a physical therapist assistant in a province of Canada. or
another state.
(e) Passed Provide proof, as directed by the
department, verifying a converted score of not less than 75 on the Michigan
Physical Therapist Assistant Jurisprudence Exam required approved under
R 338.7145(2).
(2) An applicant that who 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 338.7149 Requirements for relicensure; physical therapist assistant.
Rule 49. (1) An applicant whose physical therapist assistant license has lapsed may be relicensed within 3 years after the expiration date of the license under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies the requirements of the code and the rules promulgated under the code, as well as all the following requirements:
(a) Provides the required fee and a completed application on a form provided by the department.
(b) Establishes good moral character as that term is
defined in, and determined under, section 1 of 1974 PA
381, MCL 338.41 to 338.47.
(c) Passes Provides proof, as directed by the
department, verifying a converted score of not less than 75 on the Michigan
Physical Therapist Assistant Jurisprudence Exam required approved under
R 338.7145(2).
(d) Complies with Provides proof, as directed
by the department, verifying either of the following:
(i) Provides proof to the department of accumulating
Accumulation of not less than 24 PDR credits that satisfies the
requirements under consistent with R 338.7161 to R 338.7165 and
R 338.7163 during the 2 years immediately preceding before the
date of the application for relicensure. However, if the PDR credits
provided with the application are deficient, the applicant shall have 2 years
from the date of the application to complete the deficient credits.
(ii) Establishes employment Employment as
a licensed physical therapist assistant in another jurisdiction
recognized by FSBPT for a minimum of 500 hours during the 2-year period
immediately before preceding the date of application for
relicensure.
(2) An applicant whose physical therapist assistant license has lapsed 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 under the code and the rules promulgated under the code, as well as all the following requirements:
(a) Provides the required fee and a completed application on a form provided by the department.
(b) Establishes good moral character as that term is defined
in, and determined under, section 1 of 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) Passes Provides proof, as directed by the
department, verifying a converted score of not less than 75 on the Michigan
Physical Therapist Assistant Jurisprudence Exam required approved under
R 338.7145(2).
(e) Complies with Provides proof, as directed
by the department, verifying either of the following:
(i) Establishes employment Employment as a
licensed physical therapist assistant in another jurisdiction recognized
by FSBPT for a minimum of 500 hours during the 2-year period immediately before
preceding the date of application for relicensure.
(ii) Passes A passing score on the NPTE
for physical therapist assistants under R 338.7145(1). examination
adopted under R 338.7145(1) during the 2-year period immediately before the
date of application for relicensure.
(3) An applicant that who 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.
PART 5. PROFESSIONAL DEVELOPMENT REQUIREMENTS
R 338.7161 License renewals; requirements; applicability.
Rule 61. (1) This part applies to applications for
renewal of a physical therapist or physical therapist assistant license under
sections 16201 and 17823 of the code, MCL 333.16201 and 333.17823. 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
for in the 2-year period immediately before preceding
the expiration date of the license shall accumulate not less than 24 PDR
credits in activities approved by the board under these rules during the
2 years immediately before preceding the expiration date of the
license.
(3) Submission of an application for renewal constitutes
the applicant’s certification of compliance with the requirements of this
rule. A licensee shall keep documentation of satisfying the requirements of
this rule for 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 requirements of this rule do not apply to a licensee during the initial licensure cycle.
(5) The PDRs requirements in these rules satisfy
the professional development requirements PDRs under section
17823 of the code, MCL 333.17823.
(6) The department shall receive a request for a waiver of PDRs 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 338.7163 Acceptable professional development
requirement PDR activities;
requirements; limitations.
Rule 63. (1) The 24 PDR credits required under R 338.7161(2) for the renewal of a license must satisfy the following requirements, as applicable:
(a) No more than 12 PDR credits are allowed for approved online continuing education programs or activities completed in one 24-hour period.
(b) A licensee shall not earn PDR credit for a continuing
education program or activity that is identical equivalent or
substantially identical equivalent to a program or activity for
which the licensee has already earned credit during that renewal period.
(c) Under section 16204(2) of the code, MCL 333.16204, a
licensee shall earn at least 1 PDR credit in the area of pain and
symptom management by completing a continuing education program or activity. Credits
in pain and symptom management may include, but are not limited to, courses in
behavior management, psychology of pain, pharmacology, behavior modification,
stress management, clinical applications, and drug interventions as they relate
to the practice of physical therapy.
(2) The board adopts by
reference the procedures and criteria for recognizing accrediting organizations
of the Council for Higher Education Accreditation (CHEA), effective September
28, 2018, and the procedures and criteria for recognizing accrediting agencies
of the United States Department of Education, effective July 1, 2010, as
contained in The Secretary’s Recognition of Accrediting Agencies,
34 CFR 602.10 to 34 CFR 602.38. Copies of the
procedures 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 Physical Therapy, Bureau of Professional Licensing,
Department of Licensing and Regulatory Affairs 611 West Ottawa, P.O. Box 30670,
Lansing, Michigan 48909. CHEA’s procedures and criteria are also available
from CHEA at One Dupont Circle NW, Suite 510, Washington, DC 20036-1110 and at
no cost from CHEA’s website at https://www.chea.org. The federal
recognition criteria may be obtained at no cost from the United States
Department of Education Office of Postsecondary Education, 1990 K Street, NW,
Washington, DC 20006 or from the department's website at https://www.ed.gov. The standards for
recognition of accrediting organizations developed and adopted by the Council
for Higher Education (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, then the institution is approved.
Copies of the standards and criteria approved and adopted by reference in this subrule
are available for inspection and distribution at a cost of 10 cents per page
from the Board of Physical Therapy, Department of Licensing and Regulatory
Affairs, Bureau of Professional Licensing, 611 W. Ottawa Street, P.O. Box
30670, Lansing, Michigan 48909.
(3) As used in this rule, “continuous instruction” means education or presentation
time that does not include breakfast, lunch, or dinner periods, coffee breaks,
or any other breaks in the activity or program. The criteria for recognition and the 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, then the institution is approved.
Copies of the standards and criteria approved and
adopted by reference in this subrule are available for inspection and
distribution at a cost of 10 cents per page from the Board of Physical Therapy,
Department of Licensing and Regulatory Affairs, Bureau of Professional
Licensing, 611 W. Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.
(4) Licensees may earn credit for any of the following
activities: Any of the following are considered acceptable PDR
activities:
ACCEPTABLE PDR
ACTIVITIES
|
Activity Code |
Activity
|
Number of PDR credits earned for activity |
|
(a) |
Completing an approved continuing education program or activity related to the practice of physical therapy or any non-clinical subject relevant to the practice of physical therapy. A continuing education program or activity is approved, regardless of the format in which it is offered, if it is approved or offered for continuing education credit by any of the following: · Another state board of physical therapy. · Another board or task force regulated under article 15 of the code, MCL 333.16101 to 333.18838. · FSBPT. ·
The · An accredited physical therapist educational program that satisfies the standards under R 338.7131. · An accredited physical therapist assistant educational program that satisfies the standards under R 338.7141.
If audited, a licensee shall provide a copy of a letter or
certificate of completion showing the licensee’s name, number of credits
earned, sponsor name or the name of the organization that approved the
program or activity for continuing education credit, and the date or dates |
The number of credits approved by the sponsor or the approving organization are granted.
When the sponsor or approving organization calculates credit at a rate of 0.1 credit for every 50 to 60 minutes of continuous instruction, then 0.1 credit equals 1 PDR credit.
A maximum of 20 PDR credits may be earned for this activity in each renewal period.
|
|
(b) |
Passing a postgraduate academic course related to the practice of physical therapy offered by either of the following: · An accredited physical therapist educational program that satisfies the standards under R 338.7131. ·
A nationally accredited university or college that satisfies
the standards in
If audited, a licensee shall provide a copy of the transcript showing credit hours of the academic courses related to physical therapy. |
Fifteen PDR credits are granted for each semester credit earned and 10 PDR credits are granted for each quarter or term credit earned.
A maximum of 20 PDR credits may be earned for this activity in each renewal period. |
|
(c) |
Reading an article related to the practice of physical therapy in a professional or scientific journal.
This activity does not include articles approved for PDR credit under activity code 1.
To receive credit, a licensee shall successfully complete an evaluation that was provided with the article or the general response form provided by the department as an evaluative component for this activity.
If audited, a licensee shall provide documentation from the professional or scientific journal or a copy of the completed general response form to verify that the licensee completed an evaluation. |
One PDR credit is granted for each article.
A maximum of 6 PDR credits may be earned for this activity in each renewal period.
|
|
(d) |
Viewing or listening to media devoted to professional
education related to the practice of physical therapy, other than on
To receive credit, a licensee shall successfully complete an evaluation that was provided with the educational media or the general response form provided by the department as an evaluative component for this activity.
If audited, a licensee shall provide a copy of the completed evaluation or completed general response form to verify that the licensee completed an evaluation, and identify the title of the media, the name of the publisher of the media, the date the media was published or copyrighted, and the length of the media. |
A maximum of 6 PDR credits may be earned for this activity in each renewal period.
|
|
(e) |
Presenting a continuing education program related to the practice of physical therapy.
To receive credit, the presentation must be approved or offered for continuing education credit by any of the following: · Another state board of physical therapy. · Another board or task force regulated under article 15 of the code, MCL 333.16101 to 333.18838. · FSBPT. · APTA or its components. APTA components include the APTA Michigan and other APTA Chapters, APTA Sections and APTA Academies. · An accredited physical therapist educational program that satisfies the standards under R 338.7131. · An accredited physical therapist assistant educational program that satisfies the standards under R 338.7141.
If audited, a licensee shall provide a letter from the program sponsor confirming the licensee as the presenter and the presentation date and time, or a copy of the presentation notice or advertisement showing the date of 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. |
Two PDR credits are granted for every 50 minutes of continuous instruction. A presentation may not be less than 50 minutes in length.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(f) |
Presenting a scientific exhibit or scientific paper
accepted for presentation through a
If audited, a licensee shall provide a copy of the
document presented with proof of presentation or a letter from the program
sponsor verifying the exhibit or paper was accepted for presentation through
a peer-review |
Two PDR credits are granted for every 50 minutes of continuous instruction.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(g) |
Authoring an article related to the practice, education, or research of physical therapy published in any of the following: · The journal of a national physical therapy association or its components. · A peer-reviewed journal. ·
A · A professional or scientific journal.
If audited, a licensee shall provide a copy of the publication that shows the licensee as the author of the article or a publication acceptance letter. |
Six PDR credits are granted for each article.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(h) |
Writing a chapter related to the practice, education, or research of physical therapy published in a book.
If audited, a licensee shall provide a copy of the publication that shows the licensee as the author of the chapter or a publication acceptance letter. |
Six PDR credits are granted for each chapter.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(i) |
Successfully completing 1 of the following: · An American Board of Physical Therapy Specialties (ABPTS) certification examination. · An ABPTS recertification examination. · The APTA’s PTA Advanced Proficiency Pathways Program.
If audited, a licensee shall provide proof of certification or recertification. |
Twenty-three PDR credits are granted for each successful completion.
A maximum of 23 PDR credits may be earned for this activity in each renewal period.
|
|
(j) |
Participating as a student for a minimum of 1,000 hours in any of the following: · A postgraduate clinical training program related to the practice of physical therapy provided through or recognized by an accredited physical therapist educational program that satisfies the standards under R 338.7131. · A postgraduate clinical training program related to the practice of physical therapy provided through or recognized by an accredited physical therapist assistant educational program that satisfies the standards under R 338.7141. ·
A postgraduate clinical training program related to the
practice of physical therapy offered through a · A postgraduate clinical training program related to the practice of physical therapy accredited or credentialed by the APTA or an organization approved by the board.
If audited, a licensee shall provide a letter from the program director verifying the number of hours the licensee participated in the clinical training program and that the program was provided, offered, or accredited by an educational program or organization that satisfies the requirements of this rule. |
Twelve PDR credits are granted for 1,000 hours of participation.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(k) |
Participation in a
If audited, a licensee shall provide a letter from an appropriate official representing the committee, educational program, or task force verifying that the committee, educational program, or task force dealt with patient care related issues, which may include physical therapy education, research, or practice or quality of patient care and utilization review. The letter must also include the dates and the amount of time the licensee took part on each date. |
One PDR credit is granted for every 50 minutes of participation.
A maximum of 6 PDR credits may be earned for this activity in each renewal period. |
|
(l) |
Serving as a guest instructor of students, staff, or other licensees at any of the following: · A clinical training program related to the practice of physical therapy provided through or recognized by an accredited or developing physical therapist educational program that satisfies the standards under R 338.7131. · A clinical training program related to the practice of physical therapy provided through or recognized by an accredited or developing physical therapist assistant educational program that satisfies the standards under R 338.7141. ·
A clinical training program related to the practice of physical
therapy offered through a · A clinical training program related to the practice of physical therapy accredited or credentialed by APTA or an organization approved by the board.
If audited, a licensee shall provide a letter from the program director verifying the licensee’s role, the number of instructional sessions on specific subjects provided by the licensee, and the length of the instructional sessions. Also, the letter must verify that the clinical training program provided, offered, or accredited by an educational program or organization satisfies the requirements of this rule. |
Two PDR credits are granted for every 50 minutes of continuous instruction.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(m) |
Serving as a clinical instructor or clinical supervisor for students completing an internship, residency, or fellowship program that recognized or approved by any of the following: · An accredited or developing educational program for physical therapists that satisfies the standards under R 338.7131. · An accredited or developing educational program for physical therapist assistants that satisfies the standards under R 338.7141. · APTA or an organization approved by the board.
If audited, a licensee shall provide a letter from the educational program or clinical agency director verifying the licensee’s role, the number of hours of instruction or supervision provided by the licensee, and that the internship, residency, or fellowship program is recognized or approved by an educational program or organization that satisfies the requirements of this rule. |
Three PDR credits are granted for 40 hours of clinical instruction or supervision.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(n) |
Identifying, researching, and addressing an event or issue related to professional practice.
If audited, a licensee shall provide a completed experiential activity form provided by the department for each issue or event.
|
One PDR credit is granted for each separate event or issue.
A maximum of 6 PDR credits may be earned for this activity in each renewal period. |
|
(o) |
Participating on an international, national, regional, state, state component, or local task force, committee, board, council, or association related to the field of physical therapy that is considered acceptable by the board. A task force, committee, board, council, or association is acceptable if it enhances the participant’s knowledge and understanding of the field of physical therapy.
If audited, a licensee shall provide documentation
verifying the licensee’s participation
in |
Four PDR credits are granted for participation on each task force, committee, board, council, or association.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(p) |
Participating as a surveyor for an external agency in a program involving the accreditation, certification, or inspection of an educational program for physical therapists or physical therapist assistants or a certification process for a clinical agency.
If audited, a licensee shall provide a letter from the accreditation, certification, or inspection program verifying the licensee’s participation, the location of the inspections, and the number of hours the licensee spent participating as a surveyor. |
One PDR credit is granted for every 50 minutes of participation.
A maximum of 12 PDR credits may be earned for this activity in each renewal period.
|
|
(q) |
Performing volunteer work related to the field of physical therapy without reimbursement.
If audited, a licensee shall provide a letter from an official other than the licensee verifying the number of hours and the type of volunteer work performed by the licensee.
|
One PDR credit is granted for every 50 minutes of volunteer work performed.
A maximum of 6 PDR credits may be earned for this activity in each renewal period. |
|
(r) |
Serving as a center or site coordinator of clinical education at an agency that provides clinical internships for students enrolled in programs that are recognized or approved by either of the following: · An accredited or developing educational program for physical therapists that satisfies the standards under R 338.7131. · An accredited or developing educational program for physical therapist assistants that satisfies the standards under R 338.7141.
If audited, a licensee shall provide a letter from the educational program or clinical agency director verifying the licensee’s role and that students were placed and participated in the internship program during the time for which the licensee is claiming PDR credit. |
Two PDR credits are granted per year of serving as the coordinator.
A maximum of 4 PDR credits may be earned for this activity in each renewal period.
|
|
(s) |
Completing a self-review tool developed by FSBPT.
To receive credit, a licensee shall provide documentation from FSBPT verifying completion of the self-review tool.
|
Three PDR credits are granted for each completion.
A maximum of 3 PDR credits may be earned for this activity in each renewal period. |
(5) The department must receive a request for a
continuing education waiver under section 16205(1) of the code, MCL 333.16205,
before the expiration date of the license.