Wis. Admin. Code HAS — Hearing and Speech Examining Board

agency-hasWis. Admin. Code HASRegulation

Chapter HAS 1 LICENSURE OF HEARING INSTRUMENT SPECIALISTS

Wis. Admin. Code § HAS 1.005 Authority {#sec-has-1.005 omnilex-key=us-wi-regs-official--agency-has--HAS 1.005}

The rules in chs. HAS 1 to 5 and 9 are adopted pursuant to ss. 15.08 (5) (b), 227.11 (2), 459.115 (4), 459.12 (1), Stats.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 25-044: am. Register April 2026 No. 844, eff. 5-1-26; correction made under s. 35.17, Stats., Register April 2026 No. 844.
Wis. Admin. Code § HAS 1.01 Definitions {#sec-has-1.01 omnilex-key=us-wi-regs-official--agency-has--HAS 1.01}

As used in chs. HAS 1 to 5 and 9, unless the context otherwise requires:

(1a) “Board” means the hearing and speech examining board.

(1m) “Cerumen” has the meaning given in s. 459.01 (1b), Stats.

(2) “Department” means the department of safety and professional services.

(2a) “Direct supervision” means being physically present at the time the trainee makes ear impressions or measurements of human hearing for the purpose of ordering, fitting, and dealing in hearing instruments.

(2m) “Full terms of sale” means the conditions of a sale agreed to by a hearing instrument specialist and the purchaser of a hearing instrument.

(2n) “Hearing instrument” means a hearing aid, as defined in s. 459.01 (2), Stats.

(3) “License” means a license issued by the department under s. 459.05, Stats., to hearing instrument specialists.

(5) “Practice” means the practice of ordering, fitting, and dealing in hearing instruments, as defined in s. 459.01 (5), Stats.

(5e) “Seller’s guarantee” means a promise made by a hearing instrument specialist to a hearing instrument purchaser to provide the minimum product warranty offered by a manufacturer.

(5h) “Significant pain” means an unpleasant sensory and emotional experience associated with, or resembling association with actual or potential tissue damage that is so bothersome that a patient cannot continue to verbalize consent, communicate symptoms with a health care practitioner, remain conscious and alert, or any combination of the above.

(5n) “Sufficient cause” means illness or other hardship.

(6) “Trainee” means the holder of a permit.

(7) “Trainee permit” has the meaning given in s. 459.01 (7), Stats.

History

  • Cr. Register, March, 1975, No. 231, eff. 4-1-75; correction in (1) made under s. 13.93 (2m) (b) 6., Stats., Register, April, 1992, No. 436; am. (intro.), (2) to (5), Register, July, 1992, No. 439, eff. 8-1-92; am. (intro.), Register, January, 1994, No. 457, eff. 2-1-94; cr. (2m), (5m), Register, January, 1995, No. 469, eff. 2-1-95; renum. (1) to be (1a), cr. (1) and (2a), Register, August, 1995, No. 476, eff. 9-1-95; am. (1), (2a) (a), (b), (2m), (3) and (5m), cr. (2n) and (5n), renum. (4) to be (7) and am., Register, July, 1998, No. 511, eff. 8-1-98; r. (1), (2a) (b), renum. and am. (2a) (intro.) and (a) to be (2a) and am. (5n), Register, February, 1999, No. 518, eff. 3-1-99; correction in (2) made under s. 13.92 (4) (b) 6., Stats., Register February 2012 No. 674; CR 24-093: am. (2a), (5) Register September 2025 No. 837, eff. 10-1-25; CR 25-044: am. (intro.), cr. (1m), renum. (5m) to (5e), cr. (5h) Register April 2026 No. 844, eff. 5-1-26.

Chapter HAS 2 HEARING INSTRUMENT SPECIALISTS TEMPORARY TRAINEES

Wis. Admin. Code § HAS 2.01 Trainees {#sec-has-2.01 omnilex-key=us-wi-regs-official--agency-has--HAS 2.01}

(1) An applicant for a trainee permit must make application on the form provided by the department. This form must be completed in full, and payment in the amount of the fee specified under s. 440.05 (6), Stats., must accompany this application.

Note: Applications are available on the website at dsps.wi.gov or by calling (608) 266 - 2112.

(2) A trainee permit issued by the board entitles the trainee to practice fitting hearing instruments, make ear impressions and make measurements of human hearing, for the purpose of fitting hearing instruments, for a period of one year and only while under the direct supervision of a hearing instrument specialist or an audiologist who holds a license issued under ch. 459, Stats. The licensee is liable for the trainee’s negligent acts and omissions in the fitting of hearing instruments.

(3) A trainee permit may be extended for a period of one year if the trainee shows sufficient cause to the board for not having completed the requirements for a permanent license.

(4) No more than 3 trainees at any given time may hold a trainee permit to practice the fitting of hearing instruments under the direct supervision of a given licensee.

(5) A trainee permit will be revoked by the board upon receipt of written notice, signed by the trainee’s supervising licensee, stating that the licensee wishes to cease supervising such trainee.

History

  • Cr. Register, March, 1975, No. 231, eff. 4-1-75; am. (1), Register, January, 1979, No. 277, eff. 2-1-79; am. (4), r. (6), Register, February, 1991, No. 422, eff. 3-1-91; am. (1), (2) and (4), Register, July, 1992, No. 439, eff. 8-1-92; am. (1) to (3), renum. (4) to be (4) (a), cr. (4) (b), Register, August, 1995, No. 476, eff. 9-1-95; am. (3) and (4), Register, July, 1998, No. 511, eff. 8-1-98; renum. and am. (4) (a) to be (4) and r. (4) (b), Register, February, 1999, No. 518, eff. 3-1-99; CR 05-026: am. (2) Register September 2005 No. 597, eff. 10-1-05; CR 21-025: am. (3), (4) Register March 2022 No. 795, eff. 4-1-22.
Wis. Admin. Code § HAS 2.02 Accommodations relating to a disability {#sec-has-2.02 omnilex-key=us-wi-regs-official--agency-has--HAS 2.02}

A qualified applicant with a disability shall be provided with reasonable accommodations requested in connection with the completion of an application for a trainee permit.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98.

Chapter HAS 3 HEARING INSTRUMENT SPECIALISTS EXAMINATIONS

Wis. Admin. Code § HAS 3.01 Examinations {#sec-has-3.01 omnilex-key=us-wi-regs-official--agency-has--HAS 3.01}

(1) Written examination. An applicant for a hearing instrument specialist license shall pass the International Licensing Examination for Hearing Healthcare Professionals.

(2) Practical examination. An applicant shall pass a practical examination that shall consist of 2 parts, audiometric and ear mold. The practical examination is designed to test the applicant’s proficiency in the techniques and procedures described in s. HAS 3.03.

(3) Content. Examinations may include objective questions, practical demonstrations, or a combination of the foregoing, in any of the subject areas in which an applicant is to be examined.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 15-097: am. (1) Register August 2016 No. 728, eff. 9-1-16.
Wis. Admin. Code § HAS 3.03 Practical examination {#sec-has-3.03 omnilex-key=us-wi-regs-official--agency-has--HAS 3.03}

(1) Subjects covered in the practical portions of the examination shall include tests of proficiency in the following techniques as they pertain to the fitting of hearing instruments:

(a) Pure tone audiometry, including air conduction testing and bone conduction testing.

(b) Live voice or recorded voice speech audiometry including speech reception threshold testing and most comfortable loudness measurements and measurements of tolerance thresholds.

(c) Masking when indicated.

(d) Recording and evaluation of audiograms and speech audiometry to determine proper selection and adaption of a hearing instrument.

(e) Taking ear mold impressions.

(2) In addition to the topics listed under sub. (1), the board may examine an applicant as to his or her proficiency in the following procedures and use of equipment commonly employed in the fitting and selling of hearing instruments and taking of ear mold impressions:

(a) Otoscope or equivalent illuminator for the visual observation of the entire ear canal.

(b) Pure tone discrete or sweep frequency threshold type audiometer with air and bone conduction and appropriate masking.

(c) Appropriate equipment for establishing speech reception threshold and speech discrimination scores through headphones or sound field media by recorded or live voice.

(e) Equipment designed for the evaluation and testing of hearing instrument performance.

(f) Post fitting care and problem solving.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 20-036: r. (2) (d) Register August 2021 No. 788, eff. 9-1-21.
Wis. Admin. Code § HAS 3.04 Identifying marks {#sec-has-3.04 omnilex-key=us-wi-regs-official--agency-has--HAS 3.04}

An applicant may not place any marks upon his or her practical examination papers which reveals his or her identity.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 16-080: am. Register November 2017 No. 743, eff. 12-1-17.
Wis. Admin. Code § HAS 3.05 Removal of examination {#sec-has-3.05 omnilex-key=us-wi-regs-official--agency-has--HAS 3.05}

An applicant may not take any records of the practical examination questions from the examination room.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 16-080: am. Register November 2017 No. 743, eff. 12-1-17.
Wis. Admin. Code § HAS 3.06 Rules of conduct {#sec-has-3.06 omnilex-key=us-wi-regs-official--agency-has--HAS 3.06}

The board may deny release of scores or issuance of a hearing instrument specialist license if the board determines that an applicant violated the rules of conduct of the examination or otherwise acted dishonestly.

Note: The rules of conduct of an examination are provided to candidates prior to the administration of an examination.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98.
Wis. Admin. Code § HAS 3.07 Time limits {#sec-has-3.07 omnilex-key=us-wi-regs-official--agency-has--HAS 3.07}

The board may set time limits for completion of each part of the practical examination.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 16-080: am. Register November 2017 No. 743, eff. 12-1-17.
Wis. Admin. Code § HAS 3.08 Passing grades {#sec-has-3.08 omnilex-key=us-wi-regs-official--agency-has--HAS 3.08}

(1) To pass the written and practical examinations, each applicant shall receive a grade determined by the board to represent minimum competence to practice, based upon the following:

(a) For each part of the practical examination, the board shall determine the passing grade after consultation with subject matter experts who have reviewed a representative sample of the examination questions and available candidate performance statistics.

(b) For the written examination, the board may accept the test provider’s recommended passing grade as a representation of minimum competence to practice.

(2) A passing grade is required on the written examination and each part of the practical examination. An applicant who does not receive all of the required passing grades may retake only the examination, or portion of the examination, which the applicant has failed.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 16-080: renum. (1) to (1) (intro.) and (a) and am., cr. (1) (b), r. and recr. (2) Register November 2017 No. 743, eff. 12-1-17.
Wis. Admin. Code § HAS 3.09 Failure and review {#sec-has-3.09 omnilex-key=us-wi-regs-official--agency-has--HAS 3.09}

(1) An applicant who fails all or part of the practical examination may review those parts of the practical examination failed according to the following procedures and within the following limitations:

(a) The applicant shall file a written request for review with the board within 30 days from the date that notice of examination results have been sent to the applicant.

(b) At the arranged time at the board office, the applicant shall be provided an opportunity to review those parts of the examination failed.

(c) The applicant may not take notes and may not copy the examination in any manner.

(d) No person other than the applicant and a board representative may be present during review of an examination.

(e) The time for review shall be limited and shall not exceed one hour.

(f) An applicant may not review an examination more than once.

(2) An applicant may request that the board review the grading of one or more practical examination questions by completing a form which will be provided to the applicant by the board representative. The form must be completed and returned to the board representative at the time of review.

(3) Any comments or claims of error regarding specific questions or procedures in the practical examination may be placed in writing on the form provided. These comments shall be retained by the board made available to the board for review.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 16-080: am. (1) (intro.), (2), (3) Register November 2017 No. 743, eff. 12-1-17.
Wis. Admin. Code § HAS 3.10 Claim of examination error {#sec-has-3.10 omnilex-key=us-wi-regs-official--agency-has--HAS 3.10}

(1) An applicant wishing to claim practical examination error shall file a written request for board review in the board office within 30 days of the date the practical examination was reviewed. The request shall include all of the following:

(a) The applicant’s name and address.

(b) The type of license applied for.

(c) A description of the perceived error, including specific questions or procedures claimed to be in error.

(d) The facts which the applicant intends to prove, including reference text citations or other supporting evidence for the applicant’s claim.

(2) The board shall review the claim and notify the applicant in writing of the board’s decision and any resulting grade change.

(3) If the board’s decision does not result in the applicant passing the examination, the applicant may retake the examination, as provided under s. HAS 3.08 (2).

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98; CR 16-080: am. (1) (intro.) Register November 2017 No. 743, eff. 12-1-17.

Chapter HAS 4 HEARING INSTRUMENT SPECIALISTS MEASUREMENT OF HUMAN HEARING

Wis. Admin. Code § HAS 4.01 Appropriate procedures for measurement of human hearing {#sec-has-4.01 omnilex-key=us-wi-regs-official--agency-has--HAS 4.01}

The procedures accepted by the board for the measurement of human hearing by licensees and trainees comprise:

(1) Pure tone audiometry, including air conduction testing and bone conduction testing.

(2) Speech audiometry by live voice, or recorded voice, including speech reception threshold, speech discrimination testing, and most comfortable loudness measurements and loudness discomfort levels.

(3) Appropriate masking when indicated.

(4) Recording and interpretation of audiograms and speech audiometry to determine proper selection and adaptation of hearing instruments.

History

  • Cr. Register, March, 1975, No. 231, eff. 4-1-75; am. (2) and (4), Register, July, 1992, No. 439, eff. 8-1-92.
Wis. Admin. Code § HAS 4.02 Ear molds {#sec-has-4.02 omnilex-key=us-wi-regs-official--agency-has--HAS 4.02}

Taking impressions for ear molds includes:

(1) Otoscopic observation, pre- and post- impression.

(2) Proper cotton or foam block placement.

(3) Impression material insertion.

(4) Removal of completed impression.

(5) Proper ear mold selection.

History

  • Cr. Register, March, 1975, No. 231, eff. 4-1-75; am. (2), cr. (5), Register, July, 1992, No. 439, eff. 8-1-92; am. (2), Register, July, 1993, No. 451, eff. 8-1-93; am. (1) and (5), Register, July, 1998, No. 511, eff. 8-1-98.
Wis. Admin. Code § HAS 4.03 Equipment used to measure hearing {#sec-has-4.03 omnilex-key=us-wi-regs-official--agency-has--HAS 4.03}

(1) Pure tone audiometry must be conducted with a pure tone audiometer which conforms to the American National Standards Institute, Standard ANSI S3.6 2018 approved September 20, 2018. Such audiometer shall be capable of generating a minimum of 9 discrete frequencies, ranging from 250 Hz through 8 KHz (250, 500, 750, 1000, 1500, 2000, 3000, 4000, 6000, 8000 Hz). Output levels over the frequency range shall conform to standard ANSI S3.6 specified above.

Note: A copy of Standard ANSI S3.6 may be obtained from the American National Standards Institute website at www.ANSI.org. A copy of the Standard is on file at the Legislative Reference Bureau.

(2) A masking source shall be either available within, or capable of being attached to, the audiometer. The masking source shall have one of the following:

(a) White noise capability.

(b) Speech noise capability.

(c) Narrow band noise and white noise or narrow band noise and speech noise capability.

(3) Audiometric equipment used in the evaluation of hearing sensitivity for the fitting and sale of hearing instruments shall be calibrated not less than once every 12 months.

History

  • Cr. Register, March, 1975, No. 231, eff. 4-1-75; am. Register, July, 1992, No. 439, eff. 8-1-92; am. Register, July, 1993, No. 451, eff. 8-1-93; renum. HAS 4.03 to be 4.03 (1), cr. (2) and (3), Register, July, 1997, No. 499, eff. 8-1-97; am. (1), Register, July, 1998, No. 511, eff. 8-1-98; CR 22-059: am. (1) Register March 2024 No. 819, eff. 4-1-24.
Wis. Admin. Code § HAS 4.04 Appropriate time frame for hearing tests prior to fitting hearing instruments {#sec-has-4.04 omnilex-key=us-wi-regs-official--agency-has--HAS 4.04}

Appropriate procedures for the measurement of human hearing as described in s. HAS 4.01 shall be performed and documented within 6 months prior to the selling and fitting of a hearing instrument.

History

  • Cr. Register, June, 1977, No. 258, eff. 7-1-77; corrections made under s. 13.93 (2m) (b) 1., Stats., Register, April, 1992, No. 436; am. Register, July, 1992, No. 439, eff. 8-1-92; am., Register, July, 1998, No. 511, eff. 8-1-98.

Chapter HAS 5 HEARING INSTRUMENT SPECIALISTS UNPROFESSIONAL CONDUCT

Wis. Admin. Code § HAS 5.01 Authority {#sec-has-5.01 omnilex-key=us-wi-regs-official--agency-has--HAS 5.01}

The rules in this chapter are adopted pursuant to the authority in ss. 15.08 (5) (b), 227.11, 459.10 (1) (k), 459.12 (1), and 459.34 (2) (h), Stats.

History

  • Cr. Register, May, 1988, No. 389, eff. 6-1-88; am. Register, July, 1998, No. 511, eff. 8-1-98; CR 22-058: am. Register January 2024 No. 817, eff. 2-1-24.
Wis. Admin. Code § HAS 5.013 Scope {#sec-has-5.013 omnilex-key=us-wi-regs-official--agency-has--HAS 5.013}

The standards of practice and professional conduct in this chapter apply to a licensee regardless of whether services are provided in person or by telehealth.

History

  • CR 22-058: cr. Register January 2024 No. 817, eff. 2-1-24.
Wis. Admin. Code § HAS 5.015 Definition {#sec-has-5.015 omnilex-key=us-wi-regs-official--agency-has--HAS 5.015}

In this chapter, “telehealth” has the meaning given in s. 440.01 (1) (hm), Stats.

History

  • CR 22-058: cr. Register January 2024 No. 817, eff. 2-1-24; (title) created under s. 13.92 (4) (b) 2., Stats., Register January 2024 No. 817.
Wis. Admin. Code § HAS 5.02 Unprofessional conduct {#sec-has-5.02 omnilex-key=us-wi-regs-official--agency-has--HAS 5.02}

(1) In this section, “client records” include:

(a) The results of all tests required under ch. HAS 4.

(b) Copies of all contracts, receipts and guarantees involving the sale of hearing instruments.

(c) Documentation of all pertinent client contacts, except those relating to the sale of batteries or product accessories.

(d) Copies of all written statements waiving medical evaluations, as required under 21 CFR 801.421.

Note: Hearing instrument specialists must comply with the recordkeeping requirements adopted by the U.S. Food and Drug Administration (FDA), as set forth in 21 CFR 801.421.

(2) The following, without limitation because of enumeration, are violations of standards of professional conduct and constitute unprofessional conduct under s. 459.10 (1) (k), Stats.:

(a) After a request by the board, failing to cooperate in a timely manner with the board’s investigation of complaints filed against the applicant, or licensee, or certified individual. There is a rebuttable presumption that, the applicant, or licensee, or certified individual who takes longer than 30 days to respond to a request of the board has not acted in a timely manner under this subsection.

(b) Knowingly providing false information to the board.

(c) Knowingly placing false information in a client’s records or making a client’s record false.

(d) Failing to maintain client records for a period of 5 years.

(dm) Failing to record all of the following information in each client record:

  1. The date of entry of pertinent information.

  2. The name of the licensee.

  3. Information sufficiently legible to allow interpretation by other individuals for the benefit of the client.

(e) Practicing in a manner which substantially departs from the standard of care ordinarily exercised by a hearing instrument specialist.

(f) Failing to maintain proper calibration of audiometric equipment, as specified in s. HAS 4.03 (3).

(fm) Failing to maintain adequate records of certification of calibrations of audiometric equipment for a period of 5 years or failing to provide access to those records when requested by the board or its representative.

(g) Failing to clearly state the full terms of sale on a receipt, as required in s. 459.03, Stats., and failing to comply with those terms. The full terms of sale shall include all of the following:

  1. The amount and method of payment.

  2. The date and place of delivery.

  3. The terms of any guarantee.

  4. The nature and duration of the trial period and extension, if any.

  5. The refund policy and amount, if any.

  6. The product return and exchange policy, if any.

  7. The product repair policy, if any.

Note: Pursuant to s. 459.03 (1m), a receipt is not required if the hearing aid is an over-the-counter hearing aid as defined in 21 USC 360j (q).

(h) Soliciting from or knowingly disclosing to any person or entity the content of an examination conducted under ch. HAS 3.

(i) Failing to utilize equipment and technology to provide telehealth services which enable the hearing instrument specialist to meet or exceed the standard of minimally competent practice.

(j) If the licensee maintains a cerumen management certificate under s. 459.115, Stats., and ch. HAS 9, failure to do any of the following:

  1. Safely engage in the practice of cerumen management.

  2. Refer a patient for cerumen management under s. HAS 9.04 when appropriate.

  3. Follow proper infection control procedures under s. HAS 9.05.

  4. Maintain the required amount malpractice liability insurance under s. HAS 9.06.

(3) A person engaging in the practice of ordering, fitting, and dealing in hearing aids to a patient located in this state, whether in-person or via telehealth, shall be licensed under ch. 459, Stats., as a hearing instrument specialist or audiologist.

History

  • Cr. Register, May, 1988, No. 389, eff. 6-1-88; am. (1), (2) (d) and (e), cr. (2) (f), Register, July, 1992, No. eff. 8-1-92; cr. (2) (g), Register, January, 1995, No. 469, eff. 2-1-95; am. (1) (f), cr. (1) (fm), Register, July, 1997, No. 499, eff. 8-1-97; r. and recr. (1), am. (2) (intro.), (c), (d), (g) 2., cr. (2) (dm) and (h), Register, July, 1998, No. 511, eff. 8-1-98; CR 05-026: am. (2) (g) and 2. Register September 2005 No. 597, eff. 10-1-05; CR 22-058: cr. (2) (i), (3) Register January 2024 No. 817, eff. 2-1-24; CR 24-093: am. (3) Register September 2025 No. 837, eff. 10-1-25; CR 25-044: am. (2) (a), cr. (2) (j) Register April 2026 No. 844, eff. 5-1-26.

Chapter HAS 6 LICENSURE OF SPEECH-LANGUAGE PATHOLOGISTS, AUDIOLOGISTS AND TEMPORARY LICENSEES

Subchapter I Speech-Language Pathologists and Audiologists

Wis. Admin. Code § HAS 6.01 Authority and purpose {#sec-has-6.01 omnilex-key=us-wi-regs-official--agency-has--HAS 6.01}

The rules in this chapter are adopted by the hearing and speech examining board under the authority of ss. 227.11 (2) and 459.24 to 459.34, Stats., to govern the licensure of speech-language pathologists, audiologists and temporary licensees, and the granting of compact privileges for speech-language pathologists and audiologists.

History

  • Cr. Register, May, 1993, No. 449, eff. 6-1-93; CR 01-043: am. Register October 2001 No. 550, eff. 11-1-01; CR 24-062: am. Register September 2025 No. 837, eff. 10-1-25.
Wis. Admin. Code § HAS 6.015 Scope {#sec-has-6.015 omnilex-key=us-wi-regs-official--agency-has--HAS 6.015}

The licensure and conduct rules in this chapter and ch. 459, Stats., apply to any person providing services to patients located in this state without regard to whether services are provided in person or via telehealth.

History

  • CR 22-058: cr. Register January 2024 No. 817, eff. 2-1-24.
Wis. Admin. Code § HAS 6.02 Definitions {#sec-has-6.02 omnilex-key=us-wi-regs-official--agency-has--HAS 6.02}

In this chapter and in ch. 459, Stats.:

(1) “ASHA” means the American speech-language hearing association.

(2) “Audiologist” has the meaning given in s. 459.20 (1), Stats.

(3) “Audiology” has the meaning given in s. 459.20 (2), Stats.

(4) “Board” means the hearing and speech examining board.

(4m) “Compact privilege” has the meaning given in s. 459.70 (2) (h), Stats.

(4t) “Hearing aid” has the meaning given in s. 459.20 (3g), Stats.

(4v) “Home state” has the meaning given in s. 459.70 (2) (m), Stats.

(6) “Postgraduate clinical fellowship” means a program approved by the board consisting of a minimum of 9 months of supervised clinical practice in speech-language pathology provided in the work setting to which an applicant is seeking licensure.

(6a) “Practice of ordering, fitting, and dealing in hearing aids” has the meaning given in s. 459.20 (3p), Stats.

(7) “Speech-language pathologist” has the meaning given in s. 459.20 (4), Stats.

(8) “Speech-language pathology” has the meaning given in s. 459.20 (5), Stats.

(9) “Supervised clinical practicum” means a program required by a college or university for completion of a master’s degree in speech-language pathology or a doctoral degree in audiology.

(9m) “Telehealth” has the meaning given in s. 440.01 (1) (hm), Stats.

(10) “Verification of clinical competence” means written confirmation submitted directly to the board by ASHA stating that an applicant holds a certificate of clinical competence in speech-language pathology or audiology.

History

  • Cr. Register, May, 1993, No. 449, eff. 6-1-93; cr. (4m), Register, August, 1995, No. 476, eff. 9-1-95; cr. (4r), Register, July, 1997, No. 499, eff. 8-1-97; cr. (10), Register, July, 1998, No. 511, eff. 8-1-98; am. (intro.), (2) and (3), cr. (4o), (4t), (6a), (6b) and (8a), Register, February, 1999, No. 518, eff. 3-1-99; CR 01-043: cr. (1m), r. (4o), (4r) and (8a), am. (7) to (9), Register October 2001 No. 550, eff. 11-1-01: CR 03-025: cr. (4g) and (5g) Register January 2004 No. 577, eff. 2-1-04; CR 05-026: am. (1m), r. (4g), (4m), (5g) and (6b) Register September 2005 No. 597, eff. 10-1-05; CR 15-096: r. (1m), (5), am. (6), (9) Register August 2016 No. 728, eff. 9-1-16; CR 22-058: cr. (9m) Register January 2024 No. 817, eff. 2-1-24; CR 24-062: cr. (4m), (4v) Register September 2025 No. 837, eff. 10-1-25; CR 24-093: am. (6a) Register September 2025 No. 837, eff. 10-1-25.
Wis. Admin. Code § HAS 6.03 Applications for licensure; speech-language pathologist {#sec-has-6.03 omnilex-key=us-wi-regs-official--agency-has--HAS 6.03}

Every applicant for licensure as a speech-language pathologist shall submit:

(1) An application on a form provided by the board.

Note: Applications are available on the website at dsps.wi.gov or by calling (608) 266 - 2112.

(2) The fee specified in s. 440.05 (1), Stats.

(4) Subject to ss. 111.321, 111.322, and 111.335, Stats., evidence satisfactory to the board that the applicant does not have a conviction record.

(5) Evidence satisfactory to the board that the applicant has satisfied one of the following:

(a) Completed a supervised clinical practicum and received a master’s degree in speech-language pathology from a college or university approved by the board.

(b) Completed education or training that the board determines is substantially equivalent to the requirements under par. (a).

(6) Verification the applicant has satisfied one of the following:

(a) Passed the Praxis Speech-Language Pathologist examination.

(b) Completed education or training that the board determines is substantially equivalent to passing the NESPA examination that may include verification that the applicant has been granted a certificate of clinical competence in speech-language pathology by ASHA.

(7) Evidence satisfactory to the board that the applicant has satisfied one of the following:

(a) Completed a postgraduate clinical fellowship in speech-language pathology approved by the board.

(b) Completed education or training that the board determines is substantially equivalent to the completion of a postgraduate clinical fellowship in speech-language pathology.

History

  • Cr. Register, May, 1993, No. 449, eff. 6-1-93; emerg. am. (6), eff. 12-6-93; am. (6), Register, April, 1994, No. 460, eff. 5-1-94, r. (3), Register, July, 1998, No. 511, eff. 8-1-98; CR 01-043: am. (5), r. and recr. (6), Register October 2001 No. 550, eff. 11-1-01; CR 05-026: renum. (7) to be (7) (intro.), cr. (7) (a) and (b) Register September 2005 No. 597, eff. 10-1-05; CR 15-096: am. (6) (intro.), (a) Register August 2016 No. 728, eff. 9-1-16.
Wis. Admin. Code § HAS 6.04 Applications for licensure; audiologist {#sec-has-6.04 omnilex-key=us-wi-regs-official--agency-has--HAS 6.04}

Every applicant for licensure as an audiologist shall submit:

(1) An application on a form provided by the board.

Note: Applications are available on the website at dsps.wi.gov or by calling (608) 266 - 2112.

(2) The fee specified in s. 440.05 (1), Stats.

(4) Subject to ss. 111.321, 111.322 and 111.335, Stats., evidence satisfactory to the board that the applicant does not have a conviction record.

(5) Evidence satisfactory to the board that the applicant has completed a supervised clinical practicum and satisfied one of the following:

(a) Possesses a doctoral degree in audiology from a college or university in an accredited academic program. The doctoral degree program shall consist of not less than 3 years of educational course work and not less than 12 months of clinical rotation or externship.

(b) Evidence satisfactory to the examining board that the applicant has completed education or training that the board determines is substantially equivalent to the requirement under par. (a).

(6) Verification the applicant has satisfied one of the following:

(a) Passed the Praxis Audiology examination.

(b) Completed education or training that the board determines is substantially equivalent to passing the Praxis Audiology examination.

(8) Evidence satisfactory to the board that the applicant has passed the practical examination required under s. 459.26 (2) (b), Stats., or has completed education or training that the board determines is substantially equivalent to the completion of the examination.

History

  • Cr. Register, May, 1993, No. 449, eff. 6-1-93; r. (3), am. (7), Register, July, 1998, No. 511, eff. 8-1-98; cr. (8), Register, February, 1999, No. 518, eff. 3-1-99; CR 01-043: am. (5) and (8), r. and recr. (6) and (7), Register October 2001 No. 550, eff. 11-1-01; CR 15-096: am. (5), (6) (intro.), (a), consol. (6) (b) (intro.) and 1. and renum. (6) (b) and am., r. (6) (b) 2., (7) Register August 2016 No. 728, eff. 9-1-16; CR 22-059: am. (6) (b) Register March 2024 No. 819, eff. 4-1-24.
Wis. Admin. Code § HAS 6.05 Applications for compact privilege {#sec-has-6.05 omnilex-key=us-wi-regs-official--agency-has--HAS 6.05}

Every applicant for compact privilege as a speech-language pathologist or audiologist shall meet all of the following requirements:

(1) Hold an unencumbered home state license in another state that is party to the compact and satisfies the requirements under s. 459.70 (4), Stats.

(2) Complete the compact application process.

(3) Pay the fee specified in s. 459.71 (2), Stats.

Note: Application instructions for compact privilege may be obtained from the Department of Safety and Professional Services’ website at http://dsps.wi.gov.

Note: CR 24-062: cr. Register September 2025 No. 837, eff. 10-1-25.

Wis. Admin. Code § HAS 6.07 Reciprocal license {#sec-has-6.07 omnilex-key=us-wi-regs-official--agency-has--HAS 6.07}

(1) Reciprocal licenses generally.

(a) Speech-language pathology. The board shall grant a license to practice speech-language pathology to an applicant who pays the fee required by s. 440.05 (2), Stats., and provides evidence of all the following:

  1. The applicant has a current license to practice speech-language pathology in good standing in another state or territory of the United States.

  2. The requirements for licensure in the other state or territory are substantially equivalent to the requirements under s. 459.24 (2), Stats.

(b) Audiology. The board shall grant a license to practice audiology to an applicant who pays the fee required by s. 440.05 (2), Stats., and provides evidence of one of the following:

  1. The applicant has a current license to practice audiology in good standing in another state or territory of the United States and the requirements for licensure in the other state or territory are substantially equivalent to the requirements under s. 459.24 (3), Stats.

  2. The applicant has a current license to practice audiology in good standing in another state or territory of the United States and provides evidence of all the following:

a. The requirements for licensure in the other state or territory are substantially equivalent to the requirements under s. 459.24 (3) (c), (e), and (em), Stats.

b. The applicant has completed a supervised clinical practicum and received a master’s degree in audiology from a college or university approved by the examining board or has completed education or training that the examining board determines is substantially equivalent to the completion of those requirements.

(c) Reciprocal agreements. A license to practice speech-language pathology or audiology may be granted to applicants according to the terms of a reciprocal agreement the board has entered into with another state or territory.

(2) Reciprocal licenses for service members, former service members, and their spouses.

(a) Speech-language pathology. Notwithstanding the requirements in sub. (1) (a), the board shall grant a license to practice speech-language pathology to an applicant who is a service member, former service member, or the spouse of a service member or former service member, as defined in s. 440.09 (1), Stats., who submits all the following:

  1. A completed application form with the signature of the applicant and date of signature.

Note: Applications are available on the website at dsps.wi.gov or by calling (608) 266-2112.

  1. Fees as determined by the department under s. 440.05 (2), Stats.

  2. A statement that the applicant resides in this state.

  3. Documentation that the applicant is a service member, former service member, or the spouse of a service member or former service member. If an applicant is unable to provide the documentation, the applicant may submit an affidavit to the board stating that the applicant is a service member, former service member, or the spouse of a service member or former service member.

  4. Evidence that the individual holds a license, certification, registration, or permit that was granted by a governmental authority in a jurisdiction outside this state that qualifies the individual to perform the acts authorized under the appropriate credential granted by the department or credentialing board.

  5. Evidence that the applicant is in good standing with the governmental authorities in every jurisdiction outside this state that have granted the applicant a license, certification, registration, or permit that qualifies the individual to perform acts authorized under a speech-language pathology license granted by the board.

(b) Audiology. Notwithstanding the requirements in sub. (1) (b), the board shall grant a license to practice audiology to an applicant who is a service member, former service member, or the spouse of a service member or former service member, as defined in s. 440.09 (1), Stats., who pays the fee required by s. 440.05 (2), Stats., and submits all the following:

  1. A completed application form with the signature of the applicant and date of signature.

Note: Applications are available on the website at dsps.wi.gov or by calling (608) 266-2112.

  1. Fees as determined by the department under s. 440.05 (2), Stats.

  2. A statement that the applicant resides in this state.

  3. Documentation that the applicant is a service member, former service member, or the spouse of a service member or former service member. If an applicant is unable to provide the documentation, the applicant may submit an affidavit to the board stating that the applicant is a service member, former service member, or the spouse of a service member or former service member.

  4. Evidence that the individual holds a license, certification, registration, or permit that was granted by a governmental authority in a jurisdiction outside this state that qualifies the individual to perform the acts authorized under the appropriate credential granted by the department or credentialing board.

  5. Evidence that the applicant is in good standing with the governmental authorities in every jurisdiction outside this state that have granted the applicant a license, certification, registration, or permit that qualifies the individual to perform acts authorized under an audiology license granted by the board.

(c) Renewal.

  1. A license granted under this subsection expires on the renewal date specified in s. 440.08 (2) (a), Stats., except that if the first renewal date specified in s. 440.08 (2) (a), Stats., after the date on which the license is granted is within 180 days of the date on which the license is granted, the license expires on the 2nd renewal date specified in s. 440.08 (2) (a), Stats., after the date on which the license is granted.

  2. The credentialing board shall grant a renewed reciprocal credential to an applicant who pays the renewal fee specified under s. 440.05 (2) and satisfies the requirements that apply for renewing that credential.

History

  • Cr. Register, May, 1993, No. 449, eff. 6-1-93; CR 01-043: am. (1) (intro) and (c), Register October 2001 No. 550, eff. 11-1-01; CR 15-096: r. and recr. Register August 2016 No. 728, eff. 9-1-16; correction in (1) (intro.), (2) (intro.) made under s. 35.17, Stats., Register August 2016 No. 728, eff. 9-1-16; CR 22-059: r. and recr. Register March 2024 No. 819, eff. 4-1-24; correction in (2) (a) (intro.), (b) (intro.) made under s. 35.17, Stats., Register March 2024 No. 819.
Wis. Admin. Code § HAS 6.08 Limited permit {#sec-has-6.08 omnilex-key=us-wi-regs-official--agency-has--HAS 6.08}

(1) A non-resident applicant for a limited permit to practice in association with a licensed speech-language pathologist or licensed audiologist for a period not to exceed 10 days in any calendar year shall submit the application, pay the fee specified in s. 440.05 (6), Stats., and provide evidence of all of the following:

(a) The applicant does not have an arrest or conviction record, subject to ss. 111.321, 111.322, and 111.335, Stats.

(b) Completion of one of the following:

  1. The requirements in s. HAS 6.03 (5) for the practice of speech-language pathology.

  2. The requirements in s. HAS 6.04 (5) for the practice of audiology.

(2) A non-resident applicant for a limited permit to practice speech-language pathology or audiology, who holds a current speech-language pathologist or audiologist license in another state or territory of the United States which has requirements determined by the board to be substantially equivalent to the requirements under s. 459.24 (2) or (3), Stats., shall submit the application, pay the fee specified in s.440.05 (6), Stats., and provide evidence the applicant holds a current license in good standing. The limited permit shall be valid for a period not to exceed 45 days in any calendar year.

History

  • Cr. Register, May, 1993, No. 449, eff. 6-1-93; am. (1) (b) and (2) (b), Register, January, 1994, No. 457, eff. 2-1-94; r. (1) (c), cr. (1) (d) and (e), am. (2) (b) and (3), Register, July, 1998, No. 511, eff. 8-1-98; am. (2) (b), Register, February, 1999, No. 518, eff.3-1-99; CR 01-043: r. and recr. (1) (e) 2., am. (2) (b), (c) and (3), Register October 2001 No. 550, eff. 11-1-01; CR 15-096: r. and recr. Register August 2016 No. 728, eff. 9-1-16; correction in (1) (intro.), (2) made under s. 35.17, Stats., Register August 2016 No. 728.
Wis. Admin. Code § HAS 6.085 Accommodations relating to a disability {#sec-has-6.085 omnilex-key=us-wi-regs-official--agency-has--HAS 6.085}

A qualified applicant with a disability shall be provided with reasonable accommodations requested in connection with the completion of an application for a credential.

History

  • Cr. Register, July, 1998, No. 511, eff. 8-1-98.

Subchapter II Temporary Licensees

Wis. Admin. Code § HAS 6.09 Definitions {#sec-has-6.09 omnilex-key=us-wi-regs-official--agency-has--HAS 6.09}

In this subchapter and in ch. 459, Stats.:

(1) “Hardship” means serious illness or some other personal adversity, as determined by the board.

(1m) “Sufficient cause” means illness or other hardship.

(2) “Supervision” means any of the following:

(a) A face-to-face meeting, at least monthly, between the supervisor and the temporary licensee and other on-going communications by mail, telephone, pager, e-mail or other electronic means.

(b) On-site, in-view observation and guidance by the supervisor while an assigned activity is performed by the temporary licensee.

History

  • CR 01-043: Cr. Register October 2001 No. 550, eff. 11-1-01; CR 05-026: renum. (1) to be (1m), cr. (1) Register September 2005 No. 597, eff. 10-1-05; CR 15-096: r. (3) Register August 2016 No. 728, eff. 9-1-16.
Wis. Admin. Code § HAS 6.10 Temporary licenses {#sec-has-6.10 omnilex-key=us-wi-regs-official--agency-has--HAS 6.10}

(1) Speech-language pathology.

(a) Before commencing a postgraduate clinical fellowship in speech-language pathology an applicant shall obtain a temporary license to practice under the supervision of a licensed or compact privilege holding speech-language pathologist by submitting all the following:

  1. An application and fee specified in s. 440.05 (6), Stats.

  2. Evidence the applicant does not have an arrest or conviction record, subject to ss. 111.321, 111.322, and 111.335, Stats.

  3. Evidence the applicant has completed one of the following:

a. A supervised clinical practicum and received a master’s degree in speech-language pathology from a college or university approved by the board.

b. Education or training that the board determines is substantially equivalent to the completion of the supervised clinical practicum and master’s degree in speech-language pathology.

  1. Evidence of the applicant is registered to take the next available Praxis Speech-Language Pathology examination or has passed the Praxis Speech-Language Pathology examination or has completed education or training that the board determines is substantially equivalent to passing the examination.

(b) A temporary license to practice speech-language pathology is valid for 18 months. A temporary license may be renewed once by the board.

(c) Notwithstanding par. (b), a temporary license to practice speech-language pathology shall terminate in 90 days if an applicant fails to take the next available examination for reasons other than inaction by the examining board or hardship.

(d) A person holding a temporary license to practice speech-language pathology shall be supervised face-to-face, at least monthly, by a licensed or compact privilege holding speech-language pathologist. The person holding the temporary license shall have the supervisor, once a month, provide written approval in the client files of the clinical services provided.

(2) Audiology.

(a) A temporary license to practice audiologist may be granted by submitting of all of the following:

  1. An application and fee specified in s. 440.05 (6), Stats.

  2. Evidence the applicant does not have an arrest or conviction record, subject to ss. 111.321, 111.322, and 111.335, Stats.

  3. Evidence the applicant has completed a supervised clinical practicum and one of the following:

a. Possesses a doctoral degree in audiology from an accredited academic institution approved by the board. The doctoral degree program shall consist of not less than 3 years of educational course work and not less than 12 months of clinical rotation or externship.

b. Education or training that the board determines is substantially equivalent to the completion of the requirement under subd. 3. a.

  1. Evidence the applicant has passed the Praxis Audiologist examination.

(b) A temporary license to practice audiology is valid for 6 months. A temporary license may be renewed once by the board, for a time period to allow the applicant time to take the next available examination and receive the results of the examination, if one of the following occurs:

  1. The applicant fails the practical exam required under s. 459.26 (2) (b), Stats., and applies to take the next available examination.

  2. The applicant shows to the satisfaction of the examining board sufficient cause for the renewal.

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01; CR 05-026: am. (1) (intro.) and (2), renum. (3) to be (6), cr. (3) to (5) Register September 2005 No. 597, eff. 10-1-05; CR 15-096: r. and recr. Register August 2016 No. 728, eff. 9-1-16; CR 24-062: am. (1) (a) (intro.), (d) Register September 2025 No. 837, eff. 10-1-25.
Wis. Admin. Code § HAS 6.12 Use of titles {#sec-has-6.12 omnilex-key=us-wi-regs-official--agency-has--HAS 6.12}

An individual who holds a temporary license under s. 459.24 (6), Stats., may use the title “audiology intern,” “speech-language pathology intern,” “clinical fellow in audiology,” or “clinical fellow in speech-language pathology.”

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01.
Wis. Admin. Code § HAS 6.13 Discipline {#sec-has-6.13 omnilex-key=us-wi-regs-official--agency-has--HAS 6.13}

Temporary licensees and speech-language pathologists and audiologists who supervise temporary licensees may be subject to discipline under s. HAS 6.18.

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01.

Subchapter III Unlicensed Individuals

Wis. Admin. Code § HAS 6.14 Definitions {#sec-has-6.14 omnilex-key=us-wi-regs-official--agency-has--HAS 6.14}

In this chapter and in ch. 459, Stats.:

(1)

(a) “Assist in the practice of speech-language pathology” means providing speech-language pathology services, while under direct supervision, that include any of the following:

  1. Assisting the speech-language pathologists with speech-language screenings.

  2. While in the presence of the speech-language pathologist, providing assistance during client evaluations.

  3. Helping with informal documentation such as taking a written language sample; organizing test materials; preparing treatment materials; developing communication boards and performing assigned clerical duties.

  4. Scheduling activities, preparing charts, records, graphs or displaying data related to client performance.

  5. Performing calibration and regular maintenance of equipment.

  6. Participating in research projects, in-service training and public relations programs.

  7. While in the presence of the speech-language pathologist, providing assistance during a treatment session conducted by the speech-language pathologist that may include any of the following:

a. Structured speech-language drills; oral motor exercises; practice and reinforcement of established speech-language skills and applications to communication activities of daily living.

b. Informal documentation of the client’s response to treatment.

  1. Providing treatment to clients selected by the speech-language pathologist by adhering to the treatment plans established by the speech-language pathologist who is available on site for consultation, as needed.

(b) “Assist in the practice of speech-language pathology” does not include any of the following:

  1. Performing formal or informal speech-language pathology evaluations.

  2. Interpreting screening or test results.

  3. Participating in client conferences or interdisciplinary team meetings or communicating with a client’s family or other individuals outside of the presence of the supervising speech-language pathologist unless authorized by the speech-language pathologist.

  4. Writing evaluation consultation reports.

  5. Counseling or consulting with the client, the client’s family or other individuals regarding the client’s status or service.

  6. Writing, developing or modifying a client’s individualized treatment plan.

  7. Deviating from the treatment plan.

  8. Working with clients without direct supervision by the speech-language pathologist.

  9. Signing formal client documents such as evaluations or progress notes.

  10. Selecting clients for service or discharging clients from service.

  11. Disclosing confidential client information to anyone other than the supervising speech-language pathologist unless authorized by the supervising speech-language pathologist.

  12. Referring a client to another health care provider.

  13. Representing himself or herself as a speech-language pathologist.

  14. Using a checklist to tabulate results of feeding or swallowing evaluations.

  15. Demonstrating swallowing strategies or precautions to a client, the family of a client or staff.

(2)

(a) “Assist in the practice of audiology” means providing audiology services that include any of the following:

  1. Conducting hearing screenings including pure tone thresholds.

  2. Servicing hearing instruments including applying lubrication, making tube changes on ear molds, cleaning and repairing cases or ear mold surfaces, checking battery status and returning hearing instruments to clients after servicing.

  3. Preparing informal documentation of clients’ responses to treatment or service.

  4. Performing biological checks, calibrations and regular maintenance of equipment.

  5. Preparing charts and records, scheduling activities and performing assigned clerical duties.

(b) “Assist in the practice of audiology” does not mean any of the following:

  1. Performing diagnostic audiological evaluations.

  2. Interpreting screening or test results.

  3. Writing evaluation consultation reports.

  4. Providing counseling to the client or the client’s family.

  5. Signing formal client documents including evaluations and progress notes.

  6. Disclosing confidential client information unless authorized by the supervising audiologist.

  7. Referring a client to another health care provider.

(3) “Direct supervision of unlicensed individuals” means:

(a) For purposes of monitoring unlicensed individuals who assist in the practice of speech-language pathology, providing direct observation and supervision of the clinical services provided by the individual to clients at least 50% of client contact time during the first 90 days of employment and no less than 10% thereafter. Direct supervision shall be scheduled and documented. Documentation of direct supervision shall include all of the following:

  1. Identifying specific roles and tasks for the individual.

  2. Ensuring that the tasks performed by the individual do not require the exercise of professional judgment or entail interpretation of results or the development or modification of treatment plans.

  3. Providing appropriate training that is competency-based and specific to job performance.

  4. Maintaining a record of direct supervision provided by the speech-language pathologist over the unlicensed individual who assists in the practice of speech-language pathology.

(b) For purposes of monitoring unlicensed individuals who assist in the practice of audiology, providing comprehensive, periodic and documented supervision that includes:

  1. Identifying specific roles and tasks for the individual.

  2. Ensuring that the tasks performed by the individual do not require the exercise of professional judgment or entail interpretation of results or the development or modification of treatment plans.

  3. Providing appropriate training that is competency-based and specific to job performance.

(4) “Full-time equivalent individual” means an unlicensed individual who, alone or in conjunction with other unlicensed individuals, assists in the practice of speech-language pathology or audiology for a combined total of 40 hours per week.

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01; CR 03-025: am. (1) (a) 1. and 2., (b) 5. and 7., (2) (a) 2., (3) (a) (intro.), and 4., renum. (1) (a) 2. a. to d. and 3. (intro.) to be (1) (a) 3., 4., 5., 6. and 7., renum. and am. (1) (a) 4. to be (1) (a) 8., cr. (1) (b) 13., 14. and 15. Register January 2004 No. 577, eff. 2-1-04.
Wis. Admin. Code § HAS 6.15 Direct supervision {#sec-has-6.15 omnilex-key=us-wi-regs-official--agency-has--HAS 6.15}

(1) An unlicensed individual may assist in the practice of speech-language pathology or audiology only under the direct supervision of a speech-language pathologist or audiologist, as appropriate.

(2) For purposes of supervising unlicensed individuals who assist in the practice of speech-language pathology or audiology:

(a) A speech-language pathologist may supervise up to 2 full-time equivalent individuals at any given time.

(b) Except as provided in par. (c), an audiologist may supervise up to 5 full-time equivalent individuals at any given time.

(c) In industrial settings, an audiologist may supervise up to 10 full-time equivalent individuals at any given time.

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01.
Wis. Admin. Code § HAS 6.16 Prohibited practice and use of titles {#sec-has-6.16 omnilex-key=us-wi-regs-official--agency-has--HAS 6.16}

No person may engage in the practice of speech-language pathology or use the title “speech-language pathologist” or any similar title or engage in the practice of audiology or use the title “audiologist”, “clinical audiologist” or any similar title, unless the person holds a current speech-language pathologist or audiologist license or compact privilege, as appropriate, granted by the board.

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01; CR 24-062: am. Register September 2025 No. 837, eff. 10-1-25.
Wis. Admin. Code § HAS 6.17 Discipline {#sec-has-6.17 omnilex-key=us-wi-regs-official--agency-has--HAS 6.17}

A speech-language pathologist or audiologist who supervises an unlicensed individual may be subject to discipline under s. HAS 6.18.

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01.

Subchapter IV Discipline

Wis. Admin. Code § HAS 6.175 Definitions {#sec-has-6.175 omnilex-key=us-wi-regs-official--agency-has--HAS 6.175}

In this subchapter and in subchapter II of ch. 459, Stats.:

(1) “Cerumen management” means the removal of cerumen from the external auditory canal by the utilization of methods and techniques performed in accordance with minimum standards and procedures established in the audiological profession.

(1m) “Deceptive advertising” means creating, using, or promoting the use of any advertising material, promotional literature, testimonial, guarantee, warranty, label, brand, insignia, or other representation, however disseminated or published, which is misleading, false, or untruthful.

(2) “Full terms of sale” means the conditions of a sale agreed to by an audiologist and the purchaser of a hearing instrument.

(3) “Personal guarantee” means a promise made by an audiologist to a hearing instrument purchaser to provide the minimum product warranty offered by a manufacturer.

(4) “Sell” or “sale” has the meaning given in s. 459.20 (3t), Stats.

(5) “Unprofessional conduct” means the violation of any standard of professional behavior, which through experience, state statute or administrative rule has become established in the practice of speech-language pathology or audiology.

History

  • CR 05-026: cr. Register September 2005 No. 597, eff. 10-1-05; CR 12-050: cr. (1m) Register August 2013 No. 692, eff. 9-1-13.
Wis. Admin. Code § HAS 6.18 Grounds for discipline {#sec-has-6.18 omnilex-key=us-wi-regs-official--agency-has--HAS 6.18}

(1) The board may reprimand a speech-language pathologist, audiologist, temporary licensee or a permittee, or deny, limit, suspend or revoke a license, compact privilege, or permit, if it finds that the applicant, licensee, compact privilege holder, or permittee has done any of the following:

(a) Made a material misstatement in an application for a license, compact privilege, or permit or for renewal of a license.

(b) Engaged in conduct in the practice of speech-language pathology or audiology which evidences a lack of knowledge or ability to apply professional principles or skills.

(c) Subject to ss. 111.321, 111.322 and 111.335, Stats., been convicted of an offense the circumstances of which substantially relate to the practice of speech-language pathology or audiology.

(d) Engaged in deceptive advertising.

(e) Advertised, practiced, or attempted to practice under another individual’s name.

(f) Subject to ss. 111.321, 111.322 and 111.34, Stats., practiced speech-language pathology or audiology while the person’s ability to practice was impaired by alcohol or other drugs.

(g) Violated ch. 459, Stats., subchapter II, or any rule promulgated by the board under that subchapter.

(h) Engaged in unprofessional conduct.

(2) In this subchapter and in s. 459.34 (2) (h), Stats., the following, without limitation because of enumeration, are violations of standards of professional behavior that constitute unprofessional conduct:

(a) Subject to ss. 111.321, 111.322 and 111.34, Stats., practicing or attempting to practice speech-language pathology or audiology while the person’s ability to practice is impaired by a mental or emotional disorder.

(b) Using the title “speech-language pathologist,” “audiologist” or any similar title unless the individual holds a current speech-language pathologist or audiologist license or compact privilege granted under s. 459.24 (2), (3), or (3e), Stats.

(c) Violating the conditions or limitations placed upon a license, compact privilege, or permit by the board.

(d) Engaging in conduct likely to deceive, defraud, or harm an individual or the public in the course of the practice of speech-language pathology or audiology.

(e) Having a license, compact privilege, certificate, permit or registration issued by another jurisdiction to practice as a speech-language pathologist or audiologist limited, suspended or revoked.

(f) Aiding or abetting an unlicensed person, knowingly conspiring with an unlicensed person, or allowing one’s license or compact privilege to be used by an unlicensed person to evade the use of a title prohibited under s. 459.24 (1) or (1m), Stats.

(g) Engaging in sexual intimacies in connection with the practice of speech-language pathology or audiology.

(h) Failing to fully inform persons served of the nature and possible adverse effects of services rendered and products dispensed.

(i) Failing to evaluate the effectiveness of services rendered or products dispensed.

(j) Providing services or dispensing products when benefits cannot reasonably be expected.

(k) Guaranteeing the results of any treatment or procedure, directly or by implication, except that a reasonable statement of prognosis may be made.

(L) Evaluating or treating speech, language, or hearing disorders except in a professional relationship.

(m) Treating solely by correspondence.

(n) Failing to maintain adequate records of professional services rendered and products dispensed for a period of 5 years.

Note: Speech-language pathologists and audiologists are also required to maintain patient health care records in accordance with ss. 146.81 to 146.84, Stats.

(o) Failing to provide access to records of professional services rendered and products dispensed when requested by the board or its representative in connection with an investigation of a complaint filed against the applicant, licensee, compact privilege holder, or permittee.

(p) Failing to record all of the following information in each client record:

  1. The name of the licensee or compact privilege holder.

  2. The date of entry of pertinent information.

  3. Information sufficiently legible to allow interpretation by other individuals for the benefit of the client.

(q) Misrepresenting diagnostic information, services rendered, or products dispensed or engaging in any scheme to defraud in connection with obtaining reimbursement.

(r) Using persons in research or as the subject of a teaching demonstration without obtaining their informed consent.

(s) Failing to practice speech-language pathology or audiology within the scope of the licensee’s or compact privilege holder’s competence, education, training and experience.

(t) Delegating the provision of clinical services to an unlicensed individual for whom the licensee or compact privilege holder does not provide direct supervision.

(u) Delegating the provision of clinical services to a temporary licensee for whom the licensee or compact privilege holder does not provide supervision.

(v) Knowingly permitting any professional staff or unlicensed individual to provide clinical services that exceed that person’s competence, education, training and experience.

(w) Failing to assign credit to persons who have contributed to clinical services, a publication, presentation or product in proportion to their contribution.

(x) Violating any federal or state statute, rule or regulation that relates to the practice of speech-language pathology or audiology, as appropriate.

(3) In addition to the bases for unprofessional conduct set forth under sub. (2), the board may reprimand an audiologist, or deny, limit, suspend or revoke a license, compact privilege, or permit, if it finds that the applicant, licensee, compact privilege holder, or permittee has engaged in the following unprofessional conduct:

(a) Violated any federal or state statute, rule or regulation that relates to the practice of fitting and dealing in hearing aids.

(b) Failed to conduct a direct observation of the ear canal of a person for whom a hearing aid is purchased.

(c) Sold a hearing aid for use by a person who was not given tests by a hearing instrument specialist or an audiologist licensed under ch. 459, Stats., or in another state using appropriate procedures and instrumentation or without proper measurement of the functional intensity and range of the person’s hearing.

(d) Failed to calibrate audiometric equipment at least once every 12 months.

(e) Failed to maintain adequate records of certification of calibrations of audiometric equipment for a period of 5 years or failed to provide access to those records when requested by the board or its representative.

(f) Failed to clearly state the full terms of sale on a receipt, as required in s. 459.30 (2), Stats., or failed to comply with those terms. The full terms of sale shall include all of the following:

  1. The amount and method of payment.

  2. The date and place of delivery.

  3. The terms of any personal guarantee.

  4. The nature and duration of the trial period and extension, if any.

  5. The refund policy and amount, if any.

  6. The product return and exchange policy, if any.

  7. The product repair policy, if any.

(g) Failed to perform cerumen management in a competent manner.

History

  • CR 01-043: cr. Register October 2001 No. 550, eff. 11-1-01; CR 03-025: cr. (1) (h), (2) (d), (e) and (f) Register January 2004 No. 577, eff. 2-1-04; CR 05-026: renum. (2) and (3) to be (3) and (2) and am. Register September 2005 No. 597, eff. 10-1-05; CR 112-050: am. (1) (d) Register August 2013 No. 692, eff. 9-1-13; correction in (3) (f) made under s. 13.92 (4) (b) 7., Stats., Register January 2025 No. 829; CR 24-062: am. (1) (intro.), (a), (2) (b), (c), (e), (f), (o), (p) 1., (s), (t), (u), (3) (intro.) Register September 2025 No. 837, eff. 10-1-25.

Chapter HAS 7 REQUIREMENTS FOR RENEWAL

Wis. Admin. Code § HAS 7.01 Definitions {#sec-has-7.01 omnilex-key=us-wi-regs-official--agency-has--HAS 7.01}

As used in this chapter:

(1) “Board” means the hearing and speech examining board.

(2) “Department” means the department of safety and professional services.

History

  • Cr. Register, January, 1994, No. 457, eff. 2-1-94; correction in (2) made under s. 13.92 (4) (b) 6., Stats., Register February 2012 No. 674.
Wis. Admin. Code § HAS 7.02 Licenses {#sec-has-7.02 omnilex-key=us-wi-regs-official--agency-has--HAS 7.02}

Hearing instrument specialist licenses granted under ss. 459.05 and 459.06, Stats., expire on February 1 of each odd-numbered year. Except as provided in s. 459.24 (6), Stats., speech-language pathologist and audiologist licenses granted under ss. 459.24 and 459.28, Stats., expire on February 1 of each odd-numbered year.

History

  • Cr. Register, January, 1994, No. 457, eff. 2-1-94; CR 05-026: am. Register September 2005 No. 597, eff. 10-1-05.
Wis. Admin. Code § HAS 7.03 Late Renewal of license {#sec-has-7.03 omnilex-key=us-wi-regs-official--agency-has--HAS 7.03}

(1) Expired license. A person who fails to renewal a license holds an expired license and may not reapply for the license using the initial application process.

(2) Renewal within 5 years. A hearing instrument specialist license, speech-language pathologist or audiologist license shall be renewed within 5 years after expiration by paying the renewal fee determined by the department under s. 440.03 (9) (a), Stats., any applicable late renewal fee and certification of the continuing education required under s. HAS 8.03.

(3) Renewal after 5 years. This subsection does not apply to license holders who have unmet disciplinary requirements or whose license has been surrendered or revoked. A license may be renewed after 5 years after expiration by complying with all of the following:

(a) Payment of the renewal fee determined under s. 440.03 (9) (a), Stats., and the late renewal fee.

(b) Evidence of one of the following:

  1. Holding an active license in good standing in another state.

  2. If hearing instrument specialist renewal, passed the examination required under s. HAS 3.01 (1) within the previous 12 months of application for renewal.

  3. If speech-language pathologist renewal, passed the Praxis Speech-Language Pathologist exam within the previous 12 months of application for renewal.

  4. If audiologist renewal, passed the Praxis Audiologist exam within the previous 12 months of application for renewal.

History

  • Cr. Register, January, 1994, No. 457, eff. 2-1-94; am. (1) (intro.), (2) (intro.) and (b), Register, July, 1998, No. 511, eff. 8-1-98; cr. (1) (d) and (2) (c), Register, February, 1999, No. 518, eff. 3-1-99; CR 05-026: am. (1) (d) and (2) (c), cr. (1) (e) and (2) (d) Register September 2005 No. 597, eff. 10-1-06; CR 15-096: r. and recr. Register August 2016 No. 728, eff. 9-1-16; CR 20-036: am. (3) (b) 2. Register August 2021 No. 788, eff. 9-1-21.
Wis. Admin. Code § HAS 7.04 Failure to renew {#sec-has-7.04 omnilex-key=us-wi-regs-official--agency-has--HAS 7.04}

A licensee who fails to renew a license by the applicable renewal date shall not practice as a hearing instrument specialist, speech-language pathologist or audiologist.

History

  • Cr. Register, January, 1994, No. 457, eff. 2-1-94; CR 15-096; am. Register August 2016 No. 728, eff. 9-1-16.
Wis. Admin. Code § HAS 7.06 Reinstatement {#sec-has-7.06 omnilex-key=us-wi-regs-official--agency-has--HAS 7.06}

A license holder who has unmet disciplinary requirements and failed to renew the certificate of registration within 5 years after expiration or whose license has been surrendered or revoked may apply to have the license reinstated in accordance with all of the following:

(1) Evidence of completion of the requirements in s. HAS 7.03 (3) if the license has not been active within 5 years.

(2) Evidence of completion of the disciplinary requirements, if applicable.

(3) Evidence of rehabilitation or change in circumstances, warranting reinstatement.

History

  • CR 15-096: cr. Register August 2016 No. 728, eff. 9-1-16.

Chapter HAS 8 CONTINUING EDUCATION REQUIREMENTS

Wis. Admin. Code § HAS 8.01 Authority {#sec-has-8.01 omnilex-key=us-wi-regs-official--agency-has--HAS 8.01}

The rules in this chapter are adopted by the hearing and speech examining board under the authority of ss. 227.11 (2), 459.095, 459.12 (1) and 459.24 (5m), Stats.

History

  • Cr. Register, February, 1999, No. 518, eff. 3-1-99.
Wis. Admin. Code § HAS 8.02 Definitions {#sec-has-8.02 omnilex-key=us-wi-regs-official--agency-has--HAS 8.02}

In this chapter:

(1) “Accredited university” means an institution which is accredited by a regional or national accrediting agency recognized by the U.S. department of education.

(2) “Course of study” means course work completed while enrolled as a student at a college or university accredited by a regional or national accrediting agency recognized by the U.S. department of education.

(3) “Hour” means 60 minutes.

(4) “Licensee” means a hearing instrument specialist, audiologist or speech-language pathologist licensed by the board under ch. 459, Stats.

(5) “‘Program” means a seminar or course other than a course of study offered by a sponsor approved by the board.

History

  • Cr. Register, February, 1999, No. 518, eff. 3-1-99.
Wis. Admin. Code § HAS 8.03 Continuing education {#sec-has-8.03 omnilex-key=us-wi-regs-official--agency-has--HAS 8.03}

(1) Except as provided in sub. (6), hearing instrument specialists, audiologists and speech-language pathologists shall complete at least 20 hours of board approved continuing education programs or courses of study which pertain to the practice of fitting and dealing in hearing instruments, audiology or speech-language pathology, as appropriate, in each biennial renewal period. Of the 20 required hours, at least 2 hours shall relate to ethics.

(2) Except as provided under s. HAS 7.03 (2), continuing education hours may be applied only to the biennial registration period in which the continuing education hours are acquired.

(3) To obtain credit for completion of continuing education hours, a licensee shall, at the time of each renewal, sign a statement certifying that he or she has completed, within the 2 years immediately preceding the date of his or her application, 20 hours of continuing education programs or courses of study approved by the board, including at least 2 hours of ethics credits.

(4) A licensee who fails to meet the continuing education requirements by the renewal date shall not practice as a hearing instrument specialist, audiologist or speech-language pathologist, as appropriate, until his or her license is renewed or reinstated under ch. HAS 7.

(5) For auditing purposes, every licensee shall maintain records of continuing education hours for at least 5 years from the date the certification statement required under sub. (3) is signed.

(6) A new licensee is not required to report continuing education hours until the second renewal date following the initial grant of his or her license. A new licensee is not required to take or report continuing education prior to or at the time of the first renewal of the license after initial licensure. A licensee is required to take continuing education during the second 2-year period following licensure and report full compliance with the continuing education requirements at the time of the second renewal following licensure and every subsequent biennium.

History

  • Cr. Register, February, 1999, No. 518, eff. 3-1-99; CR 05-026: am. (1) and cr. (6) Register September 2005 No. 597, eff. 10-1-05; CR 11-017: am. (1), (3), (6) Register August 2011 No. 668, eff. 9-1-11; CR 20-036: am. (2), (4) Register August 2021 No. 788, eff. 9-1-21.
Wis. Admin. Code § HAS 8.04 Approval of continuing education programs and courses of study {#sec-has-8.04 omnilex-key=us-wi-regs-official--agency-has--HAS 8.04}

(1) Except as provided in subs. (6) and (7), to apply for approval of a continuing education program or course of study, a sponsor shall submit to the board office, at least 30 calendar days prior to the first date the program or course of study is offered, an application on forms provided by the board and shall include the name of the sponsor, the program or course title, general description and an outline of the program or course, the dates, the location, the name and qualifications of each instructor.

Note: Applications are available on the website at dsps.wi.gov or by calling (608) 266 - 2112.

(2) The following criteria shall be utilized in the approval process:

(a) The subject matter of the program or course shall pertain to an area or topic approved or required by the board which relates to the practice of fitting and dealing in hearing instruments, audiology or speech-language pathology.

(b) The program or course sponsor shall be approved by the board.

(c) The program or course sponsor agrees to monitor the attendance, furnish a certificate of attendance to each participant and maintain records verifying attendance for at least 5 years.

(3) If a continuing education course includes subject matter other than the subject matter areas identified under sub. (2) (a), only the board approved portions of the course which relate to the areas identified under sub. (2) (a), qualify as continuing education required under this chapter.

(4) Continuing education programs or courses of study offered by alternative delivery methods such as home-study courses, self-study packages, computer courses, televideo conferencing and other methods may be approved by the board.

(5) A program or course sponsor may repeat a previously approved program or course without application, if the subject matter and instructor has not changed.

(6) Subject to compliance with the requirements set forth in subs. (2) to (5), the board may accept attendance at and completion of one or more continuing education programs or courses of study approved by the American Academy of Audiology, American Speech-Language-Hearing Association, Wisconsin Department of Public Instruction, International Hearing Society, or the National Board for Certification in Hearing Instrument Sciences as fulfilling the continuing education hours required under this chapter. Other acceptable continuing education activities include employer-sponsored in-service training programs, other professional organizations’ continuing education programs, college or university course work from an institution that holds regional accreditation or its equivalent, and courses offered by any provider authorized by the International Association for Continuing Education and Training. Prior approval is not required for activities related to professional development or practice, which are completed during the biennial renewal period, and for which the licensee has obtained acceptable documentation of attendance and completion.

(7) The board may accept attendance at and completion of graduate courses of study from an accredited university which pertain to the practice of fitting and dealing in hearing instruments, to audiology, or to speech-language pathology, as appropriate, as fulfilling one or more continuing education hours required under this chapter. Each clock hour of a course shall be equivalent to one hour of continuing education.

Note: The following entities may be contacted by writing to the: American Academy of Audiology (AAA), 8201 Greensboro Drive, Suite 300, McLean, Virginia, 22102; American Speech-Language-Hearing Association (ASHA), 10801 Rockville Pike, Rockville, Maryland 20852; Wisconsin Department of Public Instruction (DPI), 125 South Webster, Madison, Wisconsin 53702; and the International Hearing Society (IHS) and National Board for Certification in Hearing Instrument Sciences (NBC-HIS), 16880 Middlebelt Road, Suite 4, Livonia, Michigan 48154-3367.

History

  • Cr. Register, February, 1999, No. 518, eff. 3-1-99; CR 05-026: am. (1) Register September 2005 No. 597, eff. 10-1-05; CR 11-017: am. (6) Register August 2011 No. 668, eff. 9-1-11.
Wis. Admin. Code § HAS 8.05 Special continuing education requirements {#sec-has-8.05 omnilex-key=us-wi-regs-official--agency-has--HAS 8.05}

(1) If a licensee is required to complete a specified continuing education program or course of study pursuant to s. 459.095 (3) or 459.24 (5m) (a) 3., Stats., the board shall administer an examination on the matter that is the subject of the continuing education program or course of study prior to the date the continuing education program or course of study is offered.

(2) A licensee who passes the examination administered by the board, as provided under sub. (1), is not required to complete the continuing education hours approved by the board for the specified continuing education program or course of study.

(3) A licensee who takes the examination specified under sub. (1), shall pay the fee required under s. 440.05 (1) (b), Stats.

(4) The criteria established under s. HAS 8.04 shall apply to determinations involving the approval of a specified continuing education program or course of study and to the approval of sponsors and cosponsors of a specified continuing education program or course of study.

History

  • Cr. Register, February, 1999, No. 518, eff. 3-1-99.

Chapter HAS 9 CERUMEN MANAGEMENT CERTIFICATION

Wis. Admin. Code § HAS 9.01 Applicability and scope {#sec-has-9.01 omnilex-key=us-wi-regs-official--agency-has--HAS 9.01}

(1) Pursuant to s. 459.115 (1) and (2), Stats., the standards of practice for cerumen management in this chapter apply to all licensees who maintain a certification in cerumen management. An audiologist licensed under s. 459.24 (3), Stats. is not required to maintain a cerumen management certification.

(2) The practice of cerumen management may include any of the following services:

(a) Conducting audiometric testing.

(b) Making ear impressions.

(c) Monitoring use of hearing aids.

(d) Fitting hearing protection or prosthetic devices.

(e) Conducting a thorough case history including medication list, surgical history, hospitalizations, and chronic health conditions.

(f) Other services approved by the board.

(3) When performing cerumen management, the certified individual may only remove cerumen within the lateral external auditory canal or not beyond the second bend using the following instruments:

(a) Cerumen loop.

(b) Cerumenolytic fluid.

(c) Suction used lateral to the bony canal limited to a suction tip in size 5 on the French scale for patients with all of the following:

  1. No recent ear surgery.

  2. Intact tympanic membranes.

  3. No clear otorrhea.

(4) Cerumen management shall always be performed under otoscopy or micro-otoscopy.

History

  • CR 25-044: cr. Register April 2026 No. 844, eff. 5-1-26.
Wis. Admin. Code § HAS 9.02 Certification {#sec-has-9.02 omnilex-key=us-wi-regs-official--agency-has--HAS 9.02}

(1) An applicant for cerumen management certification shall submit all of the following:

(a) A completed application form as specified by the department.

Note: Instructions for applications are available on the department of safety and professional services’ website at http://dsps.wi.gov.

(b) The fee as required by s. 440.05 (1), Stats.

(c) Proof of completion of the education requirements under s. HAS 9.03.

(d) Evidence satisfactory to the board that the licensee is in compliance with s. HAS 9.06.

(2) Pursuant to s. 459.115 (5), Stats., once granted, a certification to practice cerumen management is permanent unless revoked and is not subject to periodic renewal.

History

  • CR 25-044: cr. Register April 2026 No. 844, eff. 5-1-26.
Wis. Admin. Code § HAS 9.03 Education requirements {#sec-has-9.03 omnilex-key=us-wi-regs-official--agency-has--HAS 9.03}

(1) The board accepts education courses for cerumen management that satisfy all of the following criteria:

(a) The course provides at least 6 hours of instruction.

(b) The subject matter of the course relates to removal of cerumen from the ear canal using safe techniques.

(c) The course includes a final practical examination on proper cerumen management procedures.

(d) The course is one of the following:

  1. Sponsored or recognized by a local, state, regional, national, or international association of hearing instrument specialists or audiology.

  2. A course preapproved by the board or its designee as sufficient.

(2) In place of a course that satisfies the requirements under sub. (1), an applicant may submit evidence of completion of approved practical or occupational training, with a licensed supervising otolaryngologist or licensed audiologist, in cerumen management that has been approved by the board. Approved practical or occupational training in cerumen management shall be at least 6 hours in duration and include practical training in proper cerumen management procedures.

Note: Requests for board approval of practical or occupational training in cerumen management may be sent to the department of safety and professional services at dsps@wi.gov or 4822 Madison Yards Way Madison, WI 53705.

(3) For the duration of their cerumen management certification, an individual shall complete at least two of the 20 hours required under s. HAS 8.03 on the topic of diseases of the ear or a similar topic approved by the board.

History

  • CR 25-044: cr. Register April 2026 No. 844, eff. 5-1-26.
Wis. Admin. Code § HAS 9.04 Referrals {#sec-has-9.04 omnilex-key=us-wi-regs-official--agency-has--HAS 9.04}

(1) An individual certified to perform cerumen management shall refer a patient to an otolaryngologist or licensed physician for cerumen management when the patient presents with any of the following:

(a) They are less than 18 years of age.

(b) A perforated tympanic membrane.

(c) History of pain, active drainage, or bleeding from the ear.

(d) Evidence of congenital or traumatic deformity of the ear.

(e) On anticoagulant therapy.

(f) Are immunocompromised.

(g) Have diabetes mellitus.

(h) History of prior radiation therapy to the head and neck.

(i) History of ear canal stenosis or exostoses.

(j) A nonintact tympanic membrane.

(k) Had ear surgery within the last six months.

(L) Tympanostomy tubes.

(m) A bleeding disorder.

(n) An actual or suspected foreign body in the ear.

(o) Stenosis or bony exostosis of the ear canal.

(p) Cerumen impaction that totally occludes the ear canal.

(q) Cerumen located medial to the cartilaginous external auditory canal or beyond the second bend.

(r) A tympanic membrane that the certified individual is unable to see.

(s) Vertigo.

(2) The certified individual shall immediately stop the procedure and refer a patient to an otolaryngologist or a licensed physician if any of the following occur while performing cerumen management:

(a) Significant pain.

(b) Uncontrolled bleeding.

(c) Laceration of the external auditory canal or beyond the second bend.

(d) Acute onset of dizziness or vertigo.

(e) Sudden hearing loss.

History

  • CR 25-044: cr. Register April 2026 No. 844, eff. 5-1-26.
Wis. Admin. Code § HAS 9.05 Infection control {#sec-has-9.05 omnilex-key=us-wi-regs-official--agency-has--HAS 9.05}

An individual certified to perform cerumen management under this chapter shall establish a written protocol to comply with all of the following infection control procedures:

(1) Standard precautions for all health care providers.

(2) Cleaning, disinfection, and sterilization based on manufacturer instructions, where appropriate, of multiple use equipment.

(3) Universal precautions for prevention of the transmission of human immunodeficiency virus, hepatitis B virus, and other blood borne pathogens as defined by the occupational safety and health standards in 29 CFR 1910.1030.

History

  • CR 25-044: cr. Register April 2026 No. 844, eff. 5-1-26.
Wis. Admin. Code § HAS 9.06 Malpractice liability coverage {#sec-has-9.06 omnilex-key=us-wi-regs-official--agency-has--HAS 9.06}

An individual applying for cerumen management certification shall obtain and maintain malpractice liability insurance for the duration of their certification. The insurance policy shall provide professional liability coverage of at least $1,000,000 for each incident or claim.

History

  • CR 25-044: cr. Register April 2026 No. 844, eff. 5-1-26.

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