Mississippi Hearing Instrument Specialist — Requirements & Free Practice
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Hearing Aid Specialist License
Regular license to dispense and fit hearing aids, including current recognition routes and restoration of the same license.
Licensing authority: Mississippi State Board of Health / Mississippi State Department of Health · Application information
Restoration to good standing following discipline
- Hearing
- After hearing, the Board must be satisfied that renewed practice is in the public interest.
- Probation
- The same license may remain on probation with reporting, education, or other reasonable restrictions. Rule 6.8.6 does not create a separate probationary credential.
Official no-examination sources
Effective from 2024-08-15.
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.8.6, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.8.6, passage 2
Renewal or reinstatement after continuing education deficiency
- Education
- At Department discretion, present satisfactory evidence of the required continuing education and pay all fees due.
- Lapse
- Ordinary reinstatement remains subject to the one-year limit in Rule 6.6.3; a longer lapse requires a new application under the separately recorded relicensure route.
Official no-examination sources
Effective from 2024-08-15.
- Mississippi Legislature HB 246, official text of Hearing Aid Dealers Chapter
Miss. Code Ann. section 73-14-31 in HB 246
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.2, passage 2
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.6.3, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.6.3, passage 2
Licensure by examination
All of the following:
- Age
- At least 21 years of age under section 73-14-17 and Rule 6.4.1. The proposed reduction to 18 in 2026 HB 316 died on the calendar.
- Application abandonment
- The Department deems an application abandoned if licensing requirements are not completed and submitted within six months.
- Education
- Education equivalent to a four-year course in an accredited high school.
- Fees
- Pay the required application, license and examination fees.
- Nonresident business
- An existing regular or temporary licensee whose principal business is outside Mississippi certifies display of the Mississippi license, client-record availability within 72 hours of a written request, and three-year record retention; Rule 6.4.5 does not establish a separate license.
- Oral discretion
- Section 73-14-21 permits an additional oral examination at Board discretion without naming an identifiable currently offered examination; this is an applicant condition.
- Prior written score
- A score from the same written examination in another jurisdiction is valid for 12 months after examination.
- Retakes
- Retake the entire failed written or Mississippi law assessment; retake failed practical subsections. After an unsuccessful retest, take the entire licensure examination at the next sitting.
- Sequence
- Pass the written examination before scheduling the practical and Mississippi law examinations; the Department must receive the written score at least 30 days before the quarterly date.
- Training when temporary
- A temporary trainee completes 150 supervised clock hours, including 50 face-to-face hours, over at least 90 days and no more than nine months, under an eligible Mississippi licensee. The supervisor must attest before examination.
Military Family Freedom Act recognition based on experience
- Good standing
- Meet section 73-50-1(3)(c)-(f), including good standing, no disqualifying record or misconduct-related surrender, resolution of investigations, and applicable Mississippi fees.
- Jurisprudence discretion
- Section 73-50-1(5) permits the relevant Mississippi jurisprudential examination; Rule 6.4.6 applies the named jurisprudential examination to recognition routes and refers military applicants to section 73-50-1. Department discretion is an applicant condition.
- Military status
- Member of the military, or spouse or dependent of a military member, under the Military Family Freedom Act.
- Processing
- Issue or deny within 120 days. A qualifying application requiring more than two weeks to process receives a temporary practice permit within 30 days after the statutory affidavit and fees.
- Qualification
- Worked at least three years in a state that does not license this occupation, with a Department-determined similar scope of practice.
- Scope
- License is valid in Mississippi and does not itself confer eligibility to practice elsewhere through a compact or reciprocity.
Military Family Freedom Act recognition based on licensed
- Good standing
- Meet section 73-50-1(3)(c)-(f), including good standing, no disqualifying record or misconduct-related surrender, resolution of investigations, and applicable Mississippi fees.
- Jurisprudence discretion
- Section 73-50-1(5) permits the relevant Mississippi jurisprudential examination; Rule 6.4.6 applies the named jurisprudential examination to recognition routes and refers military applicants to section 73-50-1. Department discretion is an applicant condition.
- Military status
- Member of the military, or spouse or dependent of a military member, under the Military Family Freedom Act.
- Processing
- Issue or deny within 120 days. A qualifying application requiring more than two weeks to process receives a temporary practice permit within 30 days after the statutory affidavit and fees.
- Qualification
- Hold a current valid license for at least one year in another state with a similar scope of practice, as determined by the Department.
- Scope
- License is valid in Mississippi and does not itself confer eligibility to practice elsewhere through a compact or reciprocity.
Military Family Freedom Act recognition based on training
- Good standing
- Meet section 73-50-1(3)(c)-(f), including good standing, no disqualifying record or misconduct-related surrender, resolution of investigations, and applicable Mississippi fees.
- Jurisprudence discretion
- Section 73-50-1(5) permits the relevant Mississippi jurisprudential examination; Rule 6.4.6 applies the named jurisprudential examination to recognition routes and refers military applicants to section 73-50-1. Department discretion is an applicant condition.
- Military status
- Member of the military, or spouse or dependent of a military member, under the Military Family Freedom Act.
- Processing
- Issue or deny within 120 days. A qualifying application requiring more than two weeks to process receives a temporary practice permit within 30 days after the statutory affidavit and fees.
- Qualification
- Awarded a military occupational specialty, completed military training and testing or equivalent training and experience, and performed in that specialty.
- Scope
- License is valid in Mississippi and does not itself confer eligibility to practice elsewhere through a compact or reciprocity.
Reinstatement after failure to renew within one year
- Eligibility
- Apply within one year of lapse; license lapsed solely for failure to renew.
- Exam exception
- Section 73-14-31 expressly prohibits a reinstatement examination for this qualifying applicant.
- Fees and education
- Pay reinstatement fee and furnish required continuing education; Department discretion applies.
Official no-examination sources
Effective from 2024-08-15.
- Mississippi Legislature HB 246, official text of Hearing Aid Dealers Chapter
Miss. Code Ann. section 73-14-31 in HB 246
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.6.3, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.6.3, passage 2
New licensure application after at least one year of lapse
All of the following:
- Age
- At least 21 years of age under section 73-14-17 and Rule 6.4.1. The proposed reduction to 18 in 2026 HB 316 died on the calendar.
- Application abandonment
- The Department deems an application abandoned if licensing requirements are not completed and submitted within six months.
- Education
- Education equivalent to a four-year course in an accredited high school.
- Fees
- Pay the required application, license and examination fees.
- Lapse
- Rule 6.6.3(2) disallows reinstatement after one year from lapse; submit a new application and meet current licensure requirements. Recognition applicants meeting separate universal or military conditions can use those independently stated routes.
- Nonresident business
- An existing regular or temporary licensee whose principal business is outside Mississippi certifies display of the Mississippi license, client-record availability within 72 hours of a written request, and three-year record retention; Rule 6.4.5 does not establish a separate license.
- Oral discretion
- Section 73-14-21 permits an additional oral examination at Board discretion without naming an identifiable currently offered examination; this is an applicant condition.
- Prior written score
- A score from the same written examination in another jurisdiction is valid for 12 months after examination.
- Retakes
- Retake the entire failed written or Mississippi law assessment; retake failed practical subsections. After an unsuccessful retest, take the entire licensure examination at the next sitting.
- Sequence
- Pass the written examination before scheduling the practical and Mississippi law examinations; the Department must receive the written score at least 30 days before the quarterly date.
- Training when temporary
- A temporary trainee completes 150 supervised clock hours, including 50 face-to-face hours, over at least 90 days and no more than nine months, under an eligible Mississippi licensee. The supervisor must attest before examination.
Biennial renewal
- Cycle
- Biennial July 1 through June 30 licensing period; grace period through July 30 without penalty.
- Education
- 20 contact hours per licensing period, without carryover; at least one hour per year on hearing-aid specialist ethical practices; no more than 50 percent online or home study. Retain certificates with name, source, hours and attendance date.
- Submission
- Complete online renewal, pay renewal fee, provide continuing education proof, annual audiometric equipment inspection and calibration, and a written worksite list.
Official no-examination sources
Effective from 2024-08-15.
- Mississippi Legislature HB 246, official text of Hearing Aid Dealers Chapter
Miss. Code Ann. section 73-14-31 in HB 246
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.6.1, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.6.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.2, passage 2
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.3, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.4, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.5, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.7.5, passage 2
Reinstatement following child support suspension by court
- Precedence
- The controlling child-support statute governs reinstatement instead of the general licensing and disciplinary provisions.
- Support compliance
- The court orders reinstatement when satisfied that the support delinquency is purged; treat suspension as under section 93-11-157 and pay applicable administrative reinstatement fees.
Official no-examination sources
Effective from 2024-08-15.
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.14.1, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.14.1, passage 2
- Mississippi State Board of Medical Licensure official statutory compilation
Miss. Code Ann. section 93-11-163
Reinstatement following child support suspension by division
- Precedence
- The controlling child-support statute governs reinstatement instead of the general licensing and disciplinary provisions.
- Support compliance
- The Division notifies the licensing entity in writing that the arrearage is cleared or a stipulated agreement and agreed judgment is entered. Immediately reinstate on that notice; renewed noncompliance and subsequent cure follow subsection (9).
Official no-examination sources
Effective from 2024-08-15.
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.14.1, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.14.1, passage 2
- Mississippi State Board of Medical Licensure official statutory compilation
Miss. Code Ann. section 93-11-157(7)
- Mississippi State Board of Medical Licensure official statutory compilation
Miss. Code Ann. section 93-11-157(9)
Universal recognition based on unregulated state work experience
- Experience
- At least three years of work in a state that does not license this occupation, with a Department-determined similar scope of practice.
- Fees
- Pay all applicable Mississippi fees.
- Good standing
- No disqualifying criminal history, qualifying misconduct, surrender for negligence or intentional misconduct, or unresolved professional-conduct or crime investigation; meet section 73-50-2(3)(c)-(f).
- Jurisprudence discretion
- The Department may require the Mississippi jurisprudential examination under Rule 6.4.6(3) and section 73-50-2(5); the leaf identifies the examination involved, while discretion remains this applicant condition.
- Residency
- Establish Mississippi residency, with a state-issued identification card or the listed utility, housing, employment or other verifiable proof.
- Scope
- Issue at the same practice level; recognition is valid only in Mississippi and does not itself confer interstate compact eligibility.
- Timing
- Issue or deny within 120 days; a pending application exceeding two weeks triggers the statutory temporary-practice-permit procedure.
Universal recognition based on an existing license
- Fees
- Pay all applicable Mississippi fees.
- Good standing
- No disqualifying criminal history, qualifying misconduct, surrender for negligence or intentional misconduct, or unresolved professional-conduct or crime investigation; meet section 73-50-2(3)(c)-(f).
- Jurisprudence discretion
- The Department may require the Mississippi jurisprudential examination under Rule 6.4.6(3) and section 73-50-2(5); the leaf identifies the examination involved, while discretion remains this applicant condition.
- Prior license
- Hold a current valid license in good standing for at least one year in another state with a Department-determined similar scope; that jurisdiction verifies minimum education and any applicable experience, examination and clinical supervision requirements.
- Residency
- Establish Mississippi residency, with a state-issued identification card or the listed utility, housing, employment or other verifiable proof.
- Scope
- Issue at the same practice level; recognition is valid only in Mississippi and does not itself confer interstate compact eligibility.
- Timing
- Issue or deny within 120 days; a pending application exceeding two weeks triggers the statutory temporary-practice-permit procedure.
Temporary Hearing Aid Specialist License
Supervised training license before completion of the licensure examinations.
Licensing authority: Mississippi State Board of Health / Mississippi State Department of Health · Application information
Initial supervised temporary licensure
All of the following:
- Age
- At least 21 years of age under section 73-14-17 and Rule 6.4.1. The proposed reduction to 18 in 2026 HB 316 died on the calendar.
- Application abandonment
- The Department deems an application abandoned if licensing requirements are not completed and submitted within six months.
- Education
- Education equivalent to a four-year course in an accredited high school.
- Exam after issue
- The temporary license precedes examinations. The examinations remain leaves because this pathway involves the next licensure examination; taking it may be deferred for good cause.
- Fees
- Pay the required application, license and examination fees.
- Nonresident business
- An existing regular or temporary licensee whose principal business is outside Mississippi certifies display of the Mississippi license, client-record availability within 72 hours of a written request, and three-year record retention; Rule 6.4.5 does not establish a separate license.
- Oral discretion
- Section 73-14-21 permits an additional oral examination at Board discretion without naming an identifiable currently offered examination; this is an applicant condition.
- Prior written score
- A score from the same written examination in another jurisdiction is valid for 12 months after examination.
- Retakes
- Retake the entire failed written or Mississippi law assessment; retake failed practical subsections. After an unsuccessful retest, take the entire licensure examination at the next sitting.
- Sequence
- Pass the written examination before scheduling the practical and Mississippi law examinations; the Department must receive the written score at least 30 days before the quarterly date.
- Supervision
- At least one third of supervision is direct and onsite. Complete the supervision agreement before training; report termination to the Department within ten days.
- Supervisor
- Current Mississippi licensee with NBC-HIS certification, ASHA CCC-A certification, or at least three years of testing, fitting and dispensing experience. Supervisor credentials are conditions, not examinations of the trainee.
- Temporary license
- Obtain the temporary license before starting training or practice; initially available to an applicant who has not previously applied for the approved examination.
- Term
- Rule 6.4.4 ends the temporary license 30 days after the next examination following the minimum 90-day training period. Section 73-14-27(2) states 30 days after the next examination following issuance; the statute controls where those periods differ.
- Training when temporary
- A temporary trainee completes 150 supervised clock hours, including 50 face-to-face hours, over at least 90 days and no more than nine months, under an eligible Mississippi licensee. The supervisor must attest before examination.
Temporary license renewal after failed examination
All of the following:
- Examination timing
- The statutory next-examination requirement is measured from issuance; the implementing rule describes the next examination after the minimum 90-day training period.
- Ongoing supervision
- Continue supervised practice and comply with the temporary training and examination requirements; no temporary-license continuing education requirement.
- Temporary renewal
- Applicant took and failed the next examination. At Department discretion, renew once only, for a period ending 30 days after renewal is announced; pay the temporary renewal fee.
Temporary license renewal after good cause
All of the following:
- Examination timing
- The statutory next-examination requirement is measured from issuance; the implementing rule describes the next examination after the minimum 90-day training period.
- Ongoing supervision
- Continue supervised practice and comply with the temporary training and examination requirements; no temporary-license continuing education requirement.
- Temporary renewal
- Applicant did not take the next required examination and shows good cause satisfactory to the Department. Nonattendance normally precludes renewal; the good-cause exception does not eliminate the underlying examinations.
Temporary Practice Permit for Hearing Aid Specialist
Permit while a qualifying universal-recognition or military application remains pending.
Licensing authority: Mississippi State Board of Health / Mississippi State Department of Health · Application information
Military Family Freedom Act temporary practice permit based on experience
- Good standing
- Meet section 73-50-1(3)(c)-(f), including good standing, no disqualifying record or misconduct-related surrender, resolution of investigations, and applicable Mississippi fees.
- Jurisprudence discretion
- Section 73-50-1(5) permits the relevant Mississippi jurisprudential examination; Rule 6.4.6 applies the named jurisprudential examination to recognition routes and refers military applicants to section 73-50-1. Department discretion is an applicant condition.
- Military status
- Member of the military, or spouse or dependent of a military member, under the Military Family Freedom Act.
- Permit conditions
- Submit the section 73-50-1(6) affidavit under penalties of perjury and required fees. Practice pending grant or denial; permit expires at 365 days if applicable jurisprudential requirements remain unmet.
- Processing
- Issue or deny within 120 days. A qualifying application requiring more than two weeks to process receives a temporary practice permit within 30 days after the statutory affidavit and fees.
- Qualification
- Worked at least three years in a state that does not license this occupation, with a Department-determined similar scope of practice.
- Scope
- License is valid in Mississippi and does not itself confer eligibility to practice elsewhere through a compact or reciprocity.
Military Family Freedom Act temporary practice permit based on licensed
- Good standing
- Meet section 73-50-1(3)(c)-(f), including good standing, no disqualifying record or misconduct-related surrender, resolution of investigations, and applicable Mississippi fees.
- Jurisprudence discretion
- Section 73-50-1(5) permits the relevant Mississippi jurisprudential examination; Rule 6.4.6 applies the named jurisprudential examination to recognition routes and refers military applicants to section 73-50-1. Department discretion is an applicant condition.
- Military status
- Member of the military, or spouse or dependent of a military member, under the Military Family Freedom Act.
- Permit conditions
- Submit the section 73-50-1(6) affidavit under penalties of perjury and required fees. Practice pending grant or denial; permit expires at 365 days if applicable jurisprudential requirements remain unmet.
- Processing
- Issue or deny within 120 days. A qualifying application requiring more than two weeks to process receives a temporary practice permit within 30 days after the statutory affidavit and fees.
- Qualification
- Hold a current valid license for at least one year in another state with a similar scope of practice, as determined by the Department.
- Scope
- License is valid in Mississippi and does not itself confer eligibility to practice elsewhere through a compact or reciprocity.
Military Family Freedom Act temporary practice permit based on training
- Good standing
- Meet section 73-50-1(3)(c)-(f), including good standing, no disqualifying record or misconduct-related surrender, resolution of investigations, and applicable Mississippi fees.
- Jurisprudence discretion
- Section 73-50-1(5) permits the relevant Mississippi jurisprudential examination; Rule 6.4.6 applies the named jurisprudential examination to recognition routes and refers military applicants to section 73-50-1. Department discretion is an applicant condition.
- Military status
- Member of the military, or spouse or dependent of a military member, under the Military Family Freedom Act.
- Permit conditions
- Submit the section 73-50-1(6) affidavit under penalties of perjury and required fees. Practice pending grant or denial; permit expires at 365 days if applicable jurisprudential requirements remain unmet.
- Processing
- Issue or deny within 120 days. A qualifying application requiring more than two weeks to process receives a temporary practice permit within 30 days after the statutory affidavit and fees.
- Qualification
- Awarded a military occupational specialty, completed military training and testing or equivalent training and experience, and performed in that specialty.
- Scope
- License is valid in Mississippi and does not itself confer eligibility to practice elsewhere through a compact or reciprocity.
Temporary practice permit for universal recognition based on experience
- Experience
- At least three years of work in a state that does not license this occupation, with a Department-determined similar scope of practice.
- Fees
- Pay all applicable Mississippi fees.
- Good standing
- No disqualifying criminal history, qualifying misconduct, surrender for negligence or intentional misconduct, or unresolved professional-conduct or crime investigation; meet section 73-50-2(3)(c)-(f).
- Jurisprudence discretion
- The Department may require the Mississippi jurisprudential examination under Rule 6.4.6(3) and section 73-50-2(5); the leaf identifies the examination involved, while discretion remains this applicant condition.
- Permit trigger
- Application processing exceeds two weeks; submit an affidavit under penalties of perjury affirming the qualifying statutory requirements and pay applicable fees. Issue within 30 days; practice until grant or denial, with a 365-day outer limit if licensing requirements remain unsatisfied.
- Residency
- Establish Mississippi residency, with a state-issued identification card or the listed utility, housing, employment or other verifiable proof.
- Scope
- Issue at the same practice level; recognition is valid only in Mississippi and does not itself confer interstate compact eligibility.
- Statutory precedence
- Section 73-50-2(9), effective July 1, 2026, requires the affidavit to affirm subsection (3) or (4). The earlier Rule 6.4.6(7) refers to Rule 6.4.6(3) or (4); the statute controls the eligibility statement.
- Timing
- Issue or deny within 120 days; a pending application exceeding two weeks triggers the statutory temporary-practice-permit procedure.
Temporary practice permit for universal recognition based on licensed
- Fees
- Pay all applicable Mississippi fees.
- Good standing
- No disqualifying criminal history, qualifying misconduct, surrender for negligence or intentional misconduct, or unresolved professional-conduct or crime investigation; meet section 73-50-2(3)(c)-(f).
- Jurisprudence discretion
- The Department may require the Mississippi jurisprudential examination under Rule 6.4.6(3) and section 73-50-2(5); the leaf identifies the examination involved, while discretion remains this applicant condition.
- Permit trigger
- Application processing exceeds two weeks; submit an affidavit under penalties of perjury affirming the qualifying statutory requirements and pay applicable fees. Issue within 30 days; practice until grant or denial, with a 365-day outer limit if licensing requirements remain unsatisfied.
- Prior license
- Hold a current valid license in good standing for at least one year in another state with a Department-determined similar scope; that jurisdiction verifies minimum education and any applicable experience, examination and clinical supervision requirements.
- Residency
- Establish Mississippi residency, with a state-issued identification card or the listed utility, housing, employment or other verifiable proof.
- Scope
- Issue at the same practice level; recognition is valid only in Mississippi and does not itself confer interstate compact eligibility.
- Statutory precedence
- Section 73-50-2(9), effective July 1, 2026, requires the affidavit to affirm subsection (3) or (4). The earlier Rule 6.4.6(7) refers to Rule 6.4.6(3) or (4); the statute controls the eligibility statement.
- Timing
- Issue or deny within 120 days; a pending application exceeding two weeks triggers the statutory temporary-practice-permit procedure.
Mississippi Law Examination for Hearing Aid Specialists
Practice scope
Inferred from the examination name; the authority has not published an examination outline.
- Mississippi Code Title 73, Chapter 14 — Hearing Aid Dealers
- Title 15, Part 19, Subpart 60, Chapter 6 — Regulations Governing Licensure of Hearing Aid Specialists
Examination sources
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 2
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.6, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.6, passage 2
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.6, passage 3
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.6, passage 4
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.1.2, passage 1
- Mississippi Legislature HB 246, official text of Hearing Aid Dealers Chapter
Miss. Code Ann. section 73-14-1 in HB 246
- MSDH Professional Licensure Regulations Index
Hearing Aid Specialist Regulations entry
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 2
- MSDH Request to Schedule the Hearing Aid Specialist Licensure Exam
Form 1331 title
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 2
Practical Examination for Hearing Aid Specialists
This assessment does not have a question bank.
Examination outline
- Ear impression
- Audiometric evaluation
- Audiometric interpretation
- Hearing Aid Selection, Fitting, and Follow-up
- Verification
- Hearing Aid troubleshooting
Examination sources
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 2
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 2
- MSDH Request to Schedule the Hearing Aid Specialist Licensure Exam
Form 1331 title
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 1
- MSDH Regulations Governing Licensure of Hearing Aid Specialists
Rule 6.4.2, passage 2
International Licensing Examination for Hearing Healthcare Professionals
- Provider
- International Hearing Society (IHS); scheduled and paid through the TestWise system at testing centers
- Format
- Practice-based computer-delivered multiple-choice examination; most questions present a scenario; a few questions require selecting two (or three) correct answers to earn one point; dichotomous right/wrong scoring
- Exam questions
- 105 multiple-choice questions: 80 scored and 25 unscored pilot questions
- Time limit
- 120 minutes (two hours)
- Passing score
- Pass/Fail on the overall raw score against the IHS-recommended passing score; the licensing agency makes the final decision
- Exam fee
- $260.00 (USD) per examination appointment, including re-takes, plus applicable taxes
Examination outline
Domain 1. Conduct Patient/Client Assessment (21%) (21%)
- Objective 1.1 Apply infection control protocols (5%). Includes but is not limited to choosing appropriate infection control processes for tools and equipment; observing universal precautions for infection control; distinguishing between single- and multiple-use items; differentiating among sanitization, disinfection and sterilization processes; and identifying personal protective equipment.
- Objective 1.2 Apply otoscopic inspection protocols (5%). Includes but is not limited to observing safety protocols during otoscopy; identifying anatomical structures; identifying abnormalities through otoscopic inspection; and recognizing the presence of referral criteria. This objective helps provide evidence of the candidate’s ability to perform otoscopy.
- Objective 1.3 Utilize audiometric testing protocols (11%). Includes but is not limited to performing air and bone conduction threshold and suprathreshold testing; performing speech audiometry; performing effective masking; and applying principles to include interpreting results of tympanometry/immittance audiometry. This objective helps provide evidence of the candidate’s ability to perform audiometric testing and application of tympanometry.
Domain 2. Interpret and Apply Assessment Results (22%) (22%)
- Objective 2.1 Interpret and explain audiometric results (11%). Includes but is not limited to demonstrating an understanding of referral criteria; interpreting pure tone and speech testing results; identifying the need for additional testing; identifying the degree and configuration of hearing loss; and identifying the type of hearing loss.
- Objective 2.2 Determine candidacy for amplification (11%). Includes but is not limited to interpreting the case history and outlining contraindications to hearing instrument use.
Domain 3. Select Hearing Devices (18%) (18%)
- Objective 3.1 Select style and type of hearing instruments (9%). Includes but is not limited to establishing fitting goals and selecting specific hearing instruments based on test results, case history, and individual patient/client preferences and lifestyle; selecting electroacoustic and physical properties; and evaluating the need for accessory devices.
- Objective 3.2 Select earmold or other acoustic coupler (9%). Includes but is not limited to assessing physical properties of the outer ear, taking ear impressions, critiquing ear impressions, and selecting coupler based on patient/client needs.
Domain 4. Fit and Dispense Hearing Devices (20%) (20%)
- Objective 4.1 Utilize protocols to fit hearing instruments and other devices (10%). Includes but is not limited to confirming physical and acoustic integrity of hearing devices; programming and adjusting hearing devices; verifying physical fit and acoustic comfort; orienting patient/client to hearing instruments; and orienting patient/client to assistive devices. This objective helps provide evidence of the candidate’s ability to program and dispense hearing instruments and other devices.
- Objective 4.2 Verify fitting (5%). Includes but is not limited to selecting verification method based on patient/client; assessing physical and acoustic integrity of hearing devices; interpreting and explaining verification results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting verification (e.g., speech mapping, REM).
- Objective 4.3 Validate fitting (5%). Includes but is not limited to selecting validation method based on patient/client; interpreting and explaining validation results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting validation (e.g., questionnaire, self-assessment).
Domain 5. Provide Continuing Care (19%) (19%)
- Objective 5.1 Implement aural rehabilitation and counseling (8%). Includes but is not limited to demonstrating an understanding of the psychology of the hearing impaired; defining and managing patient/client expectations for improved communication; defining and managing family/caregiver expectations for improved communication; and identifying communication strategies.
- Objective 5.2 Apply instrument maintenance and troubleshooting protocols (9%). Includes but is not limited to employing hearing instrument cleaning procedures; performing listening checks on hearing instruments; troubleshooting acoustic properties of hearing instruments; and adjusting based upon changes in patient/client hearing loss and/or listening needs. This objective helps provide evidence of the candidate’s ability to maintain and troubleshoot instrument performance.
- Objective 5.3 Interpret electroacoustic analysis results (2%). Includes but is not limited to identifying need for electroacoustic analysis and comparing electroacoustic analysis of patient’s/client’s hearing instruments to fitting specifications.
Examination sources
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Title block (p. 1)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Structure key, item D (p. 1)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Domain 1 heading (p. 2)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Domain 5, Objective 5.3 (p. 4)
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
About the Exam
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
About the Exam
- IHS — ILE Study Guide (January 2026)
After the Examination, Examination Scoring (p. 31)
- IHS — ILE Study Guide (January 2026)
Taking the Examination (p. 28)
- IHS — ILE Exam Results & Score Transfer web page
Topic/Domain Feedback
- IHS — ILE Exam Results & Score Transfer web page
Results
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
Eligibility and Exam Scheduling
- IHS — ILE Study Guide (January 2026)
Before the Examination, Scheduling an Examination Appointment (p. 20)