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School District, Agency or Organization
District Of Columbia
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
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