In recent years, there has been an increase in paraeducator supports, in large part because students with low incidence disabilities are being included more frequently in general education settings. As a result, special education teachers have been given additional supervisory responsibilities related to directing the work of paraeducators in special and general education settings. Many teachers, however, feel unprepared for this supervisory role. Therefore, to gain a better understanding of current practices in paraeducator supervision, the authors interviewed 13 special education teachers who were nominated by district special education administrators as exemplary supervisors of paraeducators. From the interviews, three themes emerged: creating effective teams, ensuring appropriate training and evaluation, and recommendations for the field. Practices for paraeducators working with students with low incidence disabilities in general education settings are noted in the first two themes. Implications for policy, practice, teacher preparation, and future research are also discussed.