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.


How to Complete an Online Examination Registration

  1. Navigate to:
  2. Create and Complete a Candidate Profile.
    • Candidates who have taken the nurse aide I examination or completed the medication aide examination in the past may already have an account.
  3. Complete the Medication Aide Application for Adult Care.
    • If candidates request resting accommodations, then the application will not be approved until the candidate has completed the accommodation steps listed in the Adult Care Medication Aide Candidate Handbook.
  4. Click Schedule Exam Link on the Account Homepage.
  5. Select Testing Location, Exam Date, and Exam Time.
  6. Complete Payment.
    • After payment is processed, a confirmation email will be sent to the email provided. Also included will be the information regarding the examination appointment.

Examination Payment

The examination fee must be paid at the time of reservation by credit card, debit card, or voucher.

Examination Day

  1. Candidates should report to the test center 30 minutes before the appointment time.
  2. Candidates are required to present two forms of current (not expired) identifications.
    • Refer to the candidate handbook for a list of approved identifications
  3. Candidates will complete any required paperwork during the check-in process.
  4. Candidates will have an opportunity to take a computerized tutorial regarding how the examination will be administered. The time spent on this tutorial will not reduce the examination time.
  5. Candidates will receive a score report before they leave the testing center.

*Test Results will be listed on the MATS Websites within three to five business days.


  1. Training materials
  2. Candidate Handbook, Registration Website and Voucher Purchasing
  3. State Approved Medication Administration Courses for Adult Care Homes
  4. Guidelines for the Medication Administration Clinical Skills Checklist (PDF, 204 KB)
  5. State Approved Infection Control Course for Adult Care Homes

Registering for the Medication Aide Written Exam

Online Registration Process

Medication Aide Exam Schedule and Testing Locations

1South Piedmont Community CollegePolktonAnson
2Rowan-Cabarrus Community College - South CampusConcordCabarrus
3Caldwell Community College and Technical InstituteHudsonCaldwell
4Catawba Valley Community CollegeHickoryCatawba
5Tri-County Community CollegeMurphyCherokee
6Southeastern Community College Testing CenterWhitevilleColumbus
7Craven Community CollegeNew BernCraven
8Craven Community College - Site 2New BernCraven
9Office of University Testing Services - FSUFayettevilleCumberland
10Davidson County Community College ThomasvilleDavidson
11North Carolina Central UniversityDurhamDurham
12Alliance Assessments LLCWinston-SalemForsyth
13Forsyth Technical Community CollegeWinston-SalemForsyth
14Vance-Granville Community CollegeLouisburgFranklin
15TechWorks GastonBelmontGaston
16BCY Testing SolutionGreensboroGuilford
17NC Elite Career Center of GreensboroGreensboroGuilford
18Central Carolina Community CollegeSanfordLee
19A BCY SolutionCharlotteMecklenburg
20ABS Career Training & Testing CenterCharlotteMecklenburg
21Central Piedmont Community CollegeCharlotteMecklenburg
22ECPI UniversityCharlotteMecklenburg
24NC Elite Career Services of CharlotteCharlotteMecklenburg
25New Horizons Computer Learning CenterCharlotteMecklenburg
27Cape Fear Community CollegeWilmingtonNew Hanover
28Coastal Carolina Community CollegeJacksonvilleOnslow
29College of the AlbemarleElizabeth CityPasquotank
30Mid-Atlantic Christian UniversityElizabeth CityPasquotank
31East Carolina University Proctoring CenterGreenvillePitt
32Richmond Community College - James BuildingHamletRichmond
33Robeson Community CollegeLumbertonRobeson
34Rockingham Community College WentworthRockingham
35Rowan-Cabarrus Community College - North CampusSalisburyRowan
36Stanly Community CollegeAlbemarleStanly
37South Piedmont Community CollegeMonroeUnion
38Vance-Granville Community CollegeHendersonVance
39NC Elite Career CenterCaryWake
40ECPI College of TechnologyRaleighWake
41Wake Technical Community College - Beltline Education Center located at 3200 Bush StreetRaleighWake
42Wake Technical Community College - RTPMorrisvilleWake
43Appalachian State University - SelectBooneWatauga
44WCC - Workforce Dev & Comm Ed - Building 13WilkesboroWilkes

Administrator and Alternative Exam Information

Administrator Information and Forms

Rules and Statutes


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, Inclement Weather Conditions, Check-in, Identification)

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)

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