National Assistive Technology Act Data System

Annual Progress Report - Full Report

Kentucky 2018

General Information

Statewide AT Program (Information to be listed in national State AT Program Directory)

State AT Program Title:
KY Assistive Technology Service (KATS) Network
State AT Program Title:
State AT Program URL
www.katsnet.org
Mailing Address:
8412 Westport Road
City:
Louisville
State:
KY
Zip Code:
40242
Program Email:
info@katsnet.org
Phone:
800.327.5287
TTY:
KY Relay 711

Lead Agency

Agency Name:
KY Office of Vocational Rehabilitation
Mailing Address:
275 East Main Street, Mail Drop 2EK
City:
Frankfort
State:
KY
Zip Code:
40621
Program URL:
https://kcc.ky.gov/Vocational-Rehabilitation/Pages/default.aspx

Implementing Entity

Name of Implementing Agency:
Mailing Address:
City
State:
Zip Code:
Program URL:

Program Director and Other Contacts

Program Director for State AT Program (last, first):
Brown, James
Title:
Program Coordinator
Phone:
800.327.5287
E-mail:
JamesA.Brown@ky.gov
Program Director at Lead Agency (last, first):
Brown, James
Title:
Program Coordinator
Phone:
800.327.5287
E-mail:
JamesA.Brown@ky.gov
Primary Contact at Implementing Agency (last, first) - If applicable:
Title:
Phone:
E-mail:

Person Responsible for completing this form if other than Program Director

Name (last, first):
Title:
Phone:
E-mail:

Certifying Representative

Name (last, first):
McNabb, Cora
Title:
Executive Director, Office of Vocational Rehab.
Phone:
800.372.7172
E-mail:
Cora.McNabb@ky.gov

State Financing

Did your approved state plan for this reporting period include any State Financing? Yes
Did your approved state plan for this reporting period include conducting a Financial Loan Program? No

B. State Financing Activities that provide consumers with resources and services that result in the acquisition of AT devices and services

1. Overview of Activities Performed

How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan? 00


C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost

1. Overview of Activities Performed

How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan? 01
Activity 1
How would you describe this state financing activity? Other: Statewide Hearing Aid Program
2. Geographic Distribution and Number of Individuals Served
Geographic Distribution
County of Residence Individuals Served
A. Metro (RUCC 1-3) 00
B. Non-Metro (RUCC 4-9) 20
C. Total Served 20

Performance Measure Number
Performance Measure Number
D. Excluded from Performance Measure 00
E. Number of Individuals Included in Performance Measures 20

If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:

3. Types and Dollar Amounts of AT Funded
Types and Dollar Amounts of AT Funded
Type of AT Device / Service Number Provided Total Estimated
Current Retail
Purchase Price
Total Price for
Which Devices
Were Sold
Savings
to Consumers
Vision 00 $0 $0 $0
Hearing 20 $70,000 $2,500 $67,500
Speech communication 00 $0 $0 $0
Learning, cognition, and developmental 00 $0 $0 $0
Mobility, seating and positioning 00 $0 $0 $0
Daily living 00 $0 $0 $0
Environmental adaptations 00 $0 $0 $0
Vehicle modification and transportation 00 $0 $0 $0
Computers and related 00 $0 $0 $0
Recreation, sports, and leisure 00 $0 $0 $0
Total 20 $70,000 $2,500 $67,500

D. Anecdote

KATS/SHARP was contacted by a social worker working with an elderly patient in Rockcastle County, KY. The patient currently wears hearing aids, but has been using the same pair for the last 20+ years. She reported that the pair is no longer working properly, and she is needing to have them replaced. The individual lives alone and does not have the income to afford a new pair or to take on a loan to pay for them. Working with a local audiologist, we were able to qualify the individual for the national Hear Now program through the Starkey Foundation. SHARP was able to assist with half of the application fee and the individual covered the remaining balance on the application fee. We were also able to connect the individual with the TAP program through the Commission on the Deaf and Hard of Hearing to get a Cap-Tel telephone to assist with telecommunications.

Impact Area

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 00 00 20 20
2. AT was only available through the AT program. 00 00 00 00
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 00 00
4. Subtotal 00 00 20 20
5. None of the above 00 00 00 00
6. Subtotal 00 00 20 20
7. Nonrespondent 00 00 00 00
8. Total 00 00 20 20
9. Performance on this measure NaN% NaN% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 20 100%
Satisfied 00 0%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 20
Response rate % 100%

G. Notes:

None to report

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 01
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 2,301
C. Total 2,302

Performance Measure
D. Device Exchange - Excluded from Performance Measure 00
E. Reassignment/Refurbishment and Repair and Open Ended Loans - Excluded from Performance Measure because AT is provided to or on behalf of an entity that has an obligation to provide the AT such as schools under IDEA or VR agencies/clients 00
F. Number of Individuals Included in Performance Measures 2,302

If a number is reported in E you must provide a description of the reason the individuals are excluded from the performance measure:

B. Device Exchange Activities

Device Exchange
Type of AT Device Number of Devices Exchanged Total Estimated Current Purchase Price Total Price for Which Device(s) Were Exchanged Savings to Consumers
Vision 00 $0 $0 $0
Hearing 00 $0 $0 $0
Speech Communication 00 $0 $0 $0
Learning, Cognition and Developmental 00 $0 $0 $0
Mobility, Seating and Positioning 00 $0 $0 $0
Daily Living 01 $42 $0 $42
Environmental Adaptations 00 $0 $0 $0
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 01 $42 $0 $42

C. Device Refurbish/Repair - Reassignment and/or Open Ended Loan Activities

Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device Number of Devices Reassigned/Refurbished and Repaired Total Estimated Current Purchase Price Total Price for Which Device(s) Were Sold Savings to Consumers
Vision 05 $4,726 $0 $4,726
Hearing 34 $56,971 $0 $56,971
Speech Communication 17 $12,528 $0 $12,528
Learning, Cognition and Developmental 59 $5,539 $0 $5,539
Mobility, Seating and Positioning 512 $218,453 $0 $218,453
Daily Living 1,457 $138,122 $0 $138,122
Environmental Adaptations 31 $10,768 $0 $10,768
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 171 $26,102 $0 $26,102
Recreation, Sports and Leisure 15 $5,672 $0 $5,672
Total 2,301 $478,881 $0 $478,881

D. Anecdote

A woman was having difficulty hearing on the phone and had missed some calls about interviews and employment opportunities. The woman came to Redwood’s ATRC and trialed several different types of phones before deciding on a phone that would work well for her. The ATRC had that phone available for reutilization so the woman was able to take a phone home with her that day. The adapted phone helped the woman overcome the barrier of a hearing impairment. The ATRC provided this woman with information on obtaining a portable phone when new options became available through the TAP program with KCDHH. The woman can now hear when phone calls are coming in and answer calls so that she can pursue employment. The adapted phone will improve the consumer’s access to employment since she is now able to hear when calls are coming in and can answer those calls.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 108 09 2,065 2,182
2. AT was only available through the AT program. 00 00 48 48
3. AT was available through other programs, but the system was too complex or the wait time too long. 05 00 67 72
4. Subtotal 113 09 2,180 2,302
5. None of the above 00 00 00 00
6. Subtotal 113 09 2,180 2,302
7. Nonrespondent 00 00 00 00
8. Total 113 09 2,180 2,302
9. Performance on this measure 100% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 2,259 98.13%
Satisfied 43 1.87%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 2,302
Response rate % 100%

G. Notes:

None to report

Device Loan

A. Short-Term Device Loans by Type of Purpose

Loans By Purpose
Primary Purpose of Short-Term Device Loan Number
Assist in decision-making (device trial or evaluation) 1,127
Serve as loaner during service repair or while waiting for funding 19
Provide an accommodation on a short-term basis for a time-limited event/situation 89
Conduct training, self-education or other professional development activity 96
Total 1,331

B. Short-Term Device Loan by Type of Borrower

LOANS By Borrower Type
Type of Individual or Entity Number of Device Borrowers
Individuals with Disabilities 41
Family Members, Guardians, and Authorized Representatives 403
Representative of Education 119
Representative of Employment 04
Representatives of Health, Allied Health, and Rehabilitation 717
Representatives of Community Living 40
Representatives of Technology 07
Total 1,331

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 30

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number
Vision 11
Hearing 07
Speech Communication 143
Learning, Cognition and Developmental 203
Mobility, Seating and Positioning 347
Daily Living 78
Environmental Adaptations 242
Vehicle Modification and Transportation 00
Computers and Related 610
Recreation, Sports and Leisure 164
Total 1,805

E. Anecdote

A parent contacted the KATS Network to ask about the portable ramp lending library - RampUP! KY. Mrs. M. and her husband have five children, including 10-year-old Rachel, who is non-verbal and non-mobile because of cerebral palsy and uses a wheelchair. With no wheelchair ramp at their home, getting their daughter out of the house for anything from a trip to the park or a doctor’s visit became a daunting ordeal. Mrs. M. stated that her other four children had to stay home unless their dad was home to help lift their sister’s wheelchair. “It was so difficult and time consuming. We had to make multiple trips in and out of the house. We’d have to carry her, then carry the wheelchair, and then get her feeding machine and her sucking machine. It would add an hour to every trip we planned out of the house.” Mrs. M. and her husband were able to borrow a portable aluminum ramp from the KATS Network while waiting for funding to have a permanent ramp built at their house. “Wow, it has made life a thousand times easier. It would take 30-40 minutes to load everything up in the van. Now that time is cut in half. Now we just roll down the ramp and we’re ready to go. I’m now able to take my daughter and her wheelchair out of the house easily for a walk to the park or a drive. We have left the house every day since we have had the portable ramp."

Impact Area

F. Access Performance Measures

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 180 07 922 1,109
Decided that an AT device/ service will not meet needs 02 00 16 18
Subtotal 182 07 938 1,127
Have not made a decision 00 00 00 00
Subtotal 182 07 938 1,127
Nonrespondent 00 00 00 00
Total 182 07 938 1,127
Performance on this measure 100% 100% 100%

G. Acquisition Performance Measures

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 93 02 45 140
2. AT was only available through the AT program. 15 01 05 21
3. AT was available through other programs, but the system was too complex or the wait time too long. 10 02 31 43
4. Subtotal 118 05 81 204
5. None of the above 00 00 00 00
6. Subtotal 118 05 81 204
7. Nonrespondent 00 00 00 00
8. Total 118 05 81 204
9. Performance on this measure 100% 100% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,200 90.16%
Satisfied 122 9.17%
Satisfied somewhat 08 0.6%
Not at all satisfied 01 0.08%
Nonrespondent 00 0%
Total Surveyed 1,331
Response rate % 100%

I. Notes:

None to report at this time.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 07
Hearing 19
Speech Communication 110
Learning, Cognition and Developmental 210
Mobility, Seating and Positioning 51
Daily Living 226
Environmental Adaptations 41
Vehicle Modification and Transportation 00
Computers and Related 428
Recreation, Sports and Leisure 32
Total # of Devices Demonstrated 1,124

B. Types of Participants

Demonstrations by Participant Type
Type of Participant Number of Participants in Device Demonstrations
Individuals with Disabilities 1,103
Family Members, Guardians, and Authorized Representatives 622
Representatives of Education 265
Representatives of Employment 242
Health, Allied Health, Rehabilitation 1,045
Representative of Community Living 207
Representative of Technology 153
Total 3,637

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 237
Service Provider 1,575
Vendor 50
Repair Service 00
Others 22
Total 1,884

D. Anecdote

A non-verbal two year old child needed a way to participate in play and educational activities. An occupational therapist on Redwood’s ATRC team demonstrated a variety of switches, including the Big Candy Corn Proximity switch, with the iPad for the child and his mother. The occupational therapist used the demonstration to help the child’s family determine which switch might work best. The ATRC team worked with a local foundation to obtain a grant to purchase the Big Candy Corn Proximity switch and an iPad for this child. Due to high muscle tone, this child had trouble moving his arms to reach out and interact with toys. The demonstration of the various switches allowed the OT to find a switch the child could activate with just a slight move of his head or arm so he did not have to fight his muscles in a laborious way to play learning games on the iPad. The ATRC team collaborated with a local foundation to obtain a grant to purchase the Big Candy Corn Proximity switch and an iPad for this child. The child now has access to learning activities and is very curious and interested in learning new things. The proximity switch gave this child access to education through developmentally appropriate activities.

Impact Area

E. Performance Measures

Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 378 03 732 1,113
Decided that an AT device/ service will not meet needs 02 00 03 05
Subtotal 380 03 735 1,118
Have not made a decision 01 00 05 06
Subtotal 381 03 740 1,124
Nonrespondent 00 00 00 00
Total 381 03 740 1,124
Performance on this measure 99.74% 100% 99.32%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,953 53.7%
Satisfied 1,684 46.3%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total 3,637
Response rate % 100%

G. Notes:

None to report

Overall Performance Measures

Overall Acquisition Performance Measure

Acquisition Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
1. Could only afford the AT through the AT program. 201 11 2,130 2,342
2. AT was only available through the AT program. 15 01 53 69
3. AT was available through other programs, but the system was too complex or the wait time too long. 15 02 98 115
4. Subtotal 231 14 2,281 2,526
5. None of the above 00 00 00 00
6. Subtotal 231 14 2,281 2,526
7. Nonrespondent 00 00 00 00
8. Total 231 14 2,281 2,526
9. Performance on this measure 100% 100% 100% 100%
ACL Performance Measure 75% 75% 75% 75%
Met/Not Met Met Met Met Met

Overall Access Performance Measure

Access Performance Measures
Response Primary Purpose for Which AT is Needed Total
Education Employment Community Living
Decided that AT device/service will meet needs 558 10 1,654 2,222
Decided that an AT device/ service will not meet needs 04 00 19 23
Subtotal 562 10 1,673 2,245
Have not made a decision 01 00 05 06
Subtotal 563 10 1,678 2,251
Nonrespondent 00 00 00 00
Total 563 10 1,678 2,251
Performance on this measure 99.82% 100% 99.7% 99.73%
ACL Performance Measure 70% 70% 70% 70%
Met/Not Met Met Met Met Met

Training

A. Training Participants: Number and Types of Participants; Geographical Distribution

Training by Participant Type
Type of Participant Number
Individuals with Disabilities 32
Family Members, Guardians and Authorized Representatives 19
Representatives of Education 198
Representatives of Employment 12
Rep Health, Allied Health, and Rehabilitation 389
Representatives of Community Living 17
Representatives of Technology 34
Unable to Categorize 05
TOTAL 706

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
636 44 26 706

B. Training Topics

Trainings by Topic
Primary Topic of Training Participants
AT Products/Services 325
AT Funding/Policy/ Practice 12
Information Technology/Telecommunication Access 25
Combination of any/all of the above 325
Transition 19
Total 706

B. Description of Training Activities

Describe innovative one high-impact assistance training activity conducted during the reporting period:

Wendell Foster hosted a Go Baby Go! event on July 28, 2018, which included a morning lecture on pediatric mobility by founder Dr. James “Cole” Galloway and an afternoon build led by Go Baby Go! Engineers. Eighteen PTs and OTs participated in the event with five children receiving adapted ride on cars. https://www.youtube.com/watch?v=k5PlDBs6MXs

Breifly describe one training activity related to transition conducted during the reporting period:

1) Wendell Foster hosted a training on “Life after Graduation” covering supports that are available for people with disabilities after graduating high school. The training was presented by Heidi Cooley-Cook, Family Field Training Coordinator, Kentucky Autism Training Center, and attended by 17 parents/guardians, educators, and case managers. 2) enTECH ATRC staff (ATRC Director of Operations and OT Teaching Clinic Coordinator) provided training to 24 service coordinators for the KIPDA Point of Entry (Kentuckiana Regional Planning and Development Agency). The presentation consisted of reviewing the process to request assistive technology loans with an emphasis on transition to community living and providing AT loan meets the clients needs to make a successful transition to community living and seeking funding resources to acquire AT devices for permanent use.

Breifly describe one training activity related to Information and Communication Technology accessibility:

KATS Network staff provided training to a local work group on website accessibility and WCAG 2.0. Training content included building a P.O.U.R. website, ADA and Section 508 guidelines for accessibility and examples of accessible vs non accessible web content, PDF and Word Documents. There were 25 participants in attendance

D. IT/Telecommunications Training Performance Measure

IT/Telecommunications Training Performance Measure
Outcome/Result From IT/Telecommunications Training Received Number
IT and Telecommunications Procurement or Dev Policies 20
Training or Technique Assistance will be developed or implemented 00
No known outcome at this time 05
Nonrespondent 00
Total 25
Performance Measure Percentage 80%
RSA Target Percentage 70%
Met/Not Met Met

E. Notes:

None to report at this time

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 15%
Employment 35%
Health, Allied Health, Rehabilitation 20%
Community Living 15%
Technology (IT, Telecom, AT) 15%
Total 100%

B. Description of Technical Assistance

Describe Innovative one high-impact assistance activity that is not related to transition:

KATS Coordinating Center staff worked with Education Cabinet and OVR ADA Coordinator to develop a training series on both physical (structural) and electronic (documents,etc) accessibility. These trainings will be presented in both a live audience and archived webinar format. The first of this series of trainings will cover a basic overview of accessibility, followed by sessions covering individual topics in accessibility such as ADA guidelines for physical accessibility, creating accessible word documents, accessible PDF, accessible Excel, accessible powerpoint, IT contracts and procurement. The first training will take place in FFY 2019.

Breifly describe one technical assistance activity related to transition conducted during the reporting period:

Note: See "Training" section for narratives related to Transition for Education and Community Living.

C. Notes:

None to report

Public Awareness

Public Awareness Activities

Public Awareness Narratives

Describe in detail at least one and no more than two innovative or high-impact public awareness activities conducted during this reporting period. Highlight the content/focus of the awareness information shared, the mechanism used to disseminate or communicate the awareness information, the numbers and/or types of individuals reached, and positive outcomes resulting from the activity. If quantative numbers are available regarding the reach of the activity, please provide those: however, quantative data is not required.

1. In November our Owensboro regional ATRC hosted a Go Baby Go workshop, which switch adapts Power Wheels battery operated vehicles for children with mobility impairments. This event was covered by local news media, which resulted in a print article by the local newspaper (Messenger Inquirer: http://www.messenger-inquirer.com/news/local/foster-starts-local-chapter/article_f4d15160-77b0-54c2-bba5-78b366ec0c0a.html) and a video from the Owensboro Times (https://www.youtube.com/watch?v=k5PlDBs6MXs), highlighting the event. Children participating in the event were given their own adapted Power Wheels Vehicle to take home with them.

2. In September, The KATS Network RampUp Program was featured in the Summer/Fall 2018 edition of the Kentucky Exceptional Family Magazine (See pg 12: https://www.lexingtonfamily.com/magazines/exceptional-family/).

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 1,954 00 1,954
Family Members, Guardians and Authorized Representatives 2,716 01 2,717
Representative of Education 5,123 00 5,123
Representative of Employment 87 00 87
Representative of Health, Allied Health, and Rehabilitation 20,911 00 20,911
Representative of Community Living 867 00 867
Representative of Technology 2,257 00 2,257
Unable to Categorize 08 00 08
Total 33,923 01 33,924

Notes:

None to report

State Improvement Outcomes

State improvement outcomes are not required. You may report up to two MAJOR state improvement outcomes for this reporting period. How many will you be reporting? 01

A. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.

With assistance from our Lexington ATRC (HDI-CATS) staff, two residential building code changes written by a subcommittee of Lexington’s Americans with Disabilities Act (ADA) Task Force have now been adopted as part of the 2018 Kentucky Residential Code (KRC). The code changes went into effect in August, 2018.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)

The two changes made to the residential building code include: R307.3 Blocking: which states that bathrooms will be built with blocking behind walls to allow for secure installation of grab bars, so people can more safely use and customize their needs for safety in the bathroom. And, Egress Door: which sets minimum widths for passage through a dwelling at 32” clear. Notice: goo.gl/LXBvco, full text: goo.gl/C62mE1, press release: goo.gl/TNvpgv


3. What was the primary area of impact for this state improvement outcome?

Community Living


B. State Improvements

1. In one or two sentences, describe the outcome. Be as specific as possible about exactly what changed during this reporting period as a result of the AT program's initiative.


2. In one or two sentences, describe the written policies, practices, and procedures that have been developed and implemented as a result of the AT program's initiative. Include information about how to obtain the full documents, such as a Web site address or e-mail address of a contact person, but do not include the full documents here. (If there are no written polices, practices and procedures, explain why.)


3. What was the primary area of impact for this state improvement outcome?

Additional And Leveraged Funds

Additional and Leveraged Funds

Did you have Additional and Leveraged Funding to Report? Yes

A. Leveraged Funding for State Plan Activities

State Plan Activities
Fund Source Amount Use of Funds
Private$2,500State Financing
Amount: $2,500

B. Leveraged Funding for Activities Not in State Plan (data not previously reported in other activity sections)

Non-State Plan Activities
Fund Source Amount Use of Funds Individuals Served Other Outcome

C. Describe any unique issues with your data in this section (e.g., the reason why you were unable to report the number of individuals served with additional or leveraged funds).

No issues to report


Association of Assistive Technology Act Programs . Saved: Wed Mar 13 2019 13:49:23 GMT-0500 (Central Daylight Time)


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This FY18 State AT Program Annual Progress Report was exported from the National Assistive Technology Act Data System (NATADS). NATADS was developed with partial support from the Center for Assistive Technology Act Data Assistance.