NAME

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Select the NAME Membership Category that describes you ($50.00 per person) *

Local Education Agency [A public board of education or other public authority legally within a State who performs a services function for; local or intermediate school districts, county office of education, regional education services center, etc. and does not function as a Medicaid billing agent.

State Education Agency [State Education Agency or State Education Resource Center which does not function as a Medicaid billing agent.

State Medicaid Agency [State Medicaid Agency, State Department of Health, etc.]

Associate Membership [An agency/organization interested in or company that provides services/supports for school health, Special Education or Medicaid in Education, or functions as a Medicaid billing agent.

NAME Regions (please select one) *

Region 1: Connecticut, Delaware, District of Columbia, Kentucky, Maryland, Massachusetts, Maine, New Hampshire, New Jersey, New York, North Carolina, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia

Region 2: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Michigan, Minnesota, Missouri, Ohio, Mississippi, Oklahoma, Texas, Puerto Rico, US Virgin Islands, Wisconsin

Region 3: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Kansas, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming

In order to improve networking within the NAME organization, we would like to publish a member directory, by region, on our members only website. If you would like to opt out of having your directory information included, click opt out below.

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