The need for licensed teachers and specialists in the area of moderate to severe disabilities has been a point of concern for the past two decades; however, technology is increasingly being used to deliver instruction and assist in providing supervision and consulting for students in need of certification in diverse fields through synchronous online learning environments (Luna & Medina, 2007; Spooner & Wood, 2006). The use of these technologies, such as video and web conferencing, are an increasingly popular and viable option for educators and teacher candidates living in rural locations or that have schedules that may not allow for travel to on-campus meetings. In response to this need, the University of Kentucky (UK) Department of Early Childhood, Special Education, & Rehabilitation Counseling, has been delivering instruction through satellite, interactive video, and web-based course management systems for 30 years. This chapter describes how UK has increased their capacity to serve students by using distance education technologies not only for course delivery, but practicum supervision as well (Collins & Baird, 2006).