Despite the trend for mainstreaming children with cochlear implants (CI), a considerable number, either with or without additional disabilities, attend schools for the deaf today. The purpose of this study was to address approaches and practices, interdisciplinary involvement, and challenges within schools for the deaf for managing the communication needs of students with CI. Focused semistructured interviews of school personnel were used for documenting current practices and drawing out areas of concern. Several differences emerged across schools but also between past and current practices in managing the communication of students with CI. These included management of technology, speech-language pathologist (SLP) involvement, instruction models, student regrouping, and modifications in communication mode in teacher-student interchange. Challenges were related to technology, interactions with other professionals and carriers, and reaching the student's oral communication potential. The importance of an interdisciplinary approach and the school's orientation are discussed as key factors in the management process.