N.C. Medication Aide Registry for Adult Care Homes

General Information

Medication testing is required for anyone administering drugs to residents in any adult care home, assisted living facility or family care home in North Carolina who is not authorized by occupational laws to administer medications.

The N.C. Medication Aides for Adult Care Homes operates under the state adult care home rules and statutes 10A NCAC 13F .0403, 10A NCAC 13F .0503, 10A NCAC 13F .0505, 10A NCAC 13G .0403, 10A NCAC 13G .0503, 10A NCAC 13G .0505.

Note: Listing on this registry does not qualify a person to administer drugs in a nursing home.

Website: N.C. Adult Care Medication Testing

How to Become an N.C. Medication Aide

Medication testing is required for anyone administering drugs to residents in any adult care home in North Carolina who is not authorized by occupational laws to administer medications.

Listing for Out-of-State Medication Aides

North Carolina does not list medication aides by reciprocity, endorsement, or transfer from other states. To be listed on the N.C. Medication Aide Registry for Adult Care Homes, an out-of-state medication aide must pass the N.C state medication aide written exam, approved medication aide training program, and complete the clinical skills requirement.


Obtaining Resource Material
Review the Medication Study Guide, Medication Test Study Tips and Guidelines for the Medication Administration Clinical Skills Checklist for the exam

Registering for the Medication Aide Written Exam

Obtaining a Registration Form

Medication Aide Exam Schedule and Testing Locations

Medication Exam Schedule (PDF, 39 KB)

Administrator and Alternative Exam Information

Administrator Information and Forms

Rules and Statutes

Exam Site
Test Schedule
Davidson County Community College Lexington Davidson Available Exams
Division of Health Service Regulation [Directions] Raleigh Wake Available Exams
Gaston College (Dallas Campus) [Directions] Gastonia Gaston Available Exams
Herring Hall Building/Wilkes Community College Wilkesboro Wilkes Available Exams
Lenoir Community College Link goes outside of N.C. DHHS./Jones County Center Trenton Jones Available Exams
Martin Community College Williamston Martin Available Exams
McDowell Technical Community College [Directions] Marion McDowell Available Exams
Montgomery Community College [Directions] Troy Montgomery Available Exams
New Hanover County Department of Aging Wilmington New Hanover Available Exams
Blue Ridge Community College/Transylvania Campus Brevard Transylvania Available Exams

Testing Policies and Procedures

Review the information and testing policies for medication testing.


The Medication Aide Written Exam for medication aides in adult care homes does not expire. This is not a license and does not have to be renewed.

Employer Responsibility

Before allowing a medication aide to work, an adult care home facility must do the following:

Cancellations and Re-scheduling

Absence Policy (Weather Emergencies, Check-in, Identification)

  1. Since unexpected situations occasionally occur, the agency will consider excusing an absence from the scheduled examination in certain situations. Acceptable reasons for rescheduling are as follows – but is not all inclusive:
    1. Court appearance or jury duty
    2. Disabling traffic accident
    3. Death in the family
    4. Military duty
    5. Illness (yourself or a member of your immediate family)
    6. Weather emergencies (see Inclement Weather)
  1. Requests for excused absences must be made in writing and received within 10 business days following the scheduled examination. This request must include documentation of your absence from an appropriate source. (For example: if you had jury duty, submit a copy of the court notice).
  2. After review of the documentation the decision by the agency will be final regarding whether an absence is excused and whether you must reregister and repay the examination fee if you are to reschedule.

Weather Emergencies / Inclement Weather Conditions

  1. Testing will be canceled if weather conditions are considered hazardous for local travel or for commuting.
  2. Information on cancellations may be obtained by:
    1. Calling the Testing Unit in Raleigh at 919-855-3793
    2. Website announcements
    3. Checking the local TV stations (this will especially apply if testing locations are held at a community college campus)

Check-in / Lateness, Guests / Visitors, Eating, Misconduct / Other

  1. You will be required to present proper identification (see: What to Bring with You).
  2. In order to allow time for check-in, you are to arrive 30 minutes before the examination starts.
  3. If you are late for any of the written examinations you will NOT be allowed to test and your fee(s) will not be refunded. You will have to re-register and pay another registration fee.
  4. No guests, visitors, pets, children or residents are allowed at the testing site and if present you will not be allowed to test. You are not permitted to eat, drink or smoke during the examination.
  5. Every effort is made to keep disturbances at the testing sites to a minimum. If an individual is involved with causing a disturbance of any kind or engaging in any misconduct, the individual will be asked to leave the premises.
  6. Cell phones, beepers, computers/laptops or any other electronic devices are not permitted to be used and must be turned off during testing. Space is limited and there is no place for storage of personal belongings at the testing sites.

What to Bring with You

  1. One form of proper identification (ID) which may include the following:
    1. Current non-expired driver's license;
    2. State issued ID card
    3. U.S. government issued military ID
    4. Passport (current and non-expired)
  1. You must have the following items with you to take the exams:
    1. Required proper identification
    2. Two no. 2 pencils, extra eraser

Link goes outside of N.C. DHHS. Denotes link to site outside of N.C. DHHS