The majority of students who are deaf or hard of hearing currently receive educational services in general education settings. Trends that have led to this shift in placement as well as potential benefits and barriers are presented. A unique partnership between the Washington State Center for Childhood Deafness and Hearing Loss (formerly the Washington School for the Deaf) and Listen and Talk created to help local, school-based teams effectively provide services to students with a hearing loss who want to develop listening and spoken language skills is described. Specifics of the collaborative process, data collection procedures, and accommodations for students are included. (Contains 1 table.)