National Assistive Technology Act Data System

Annual Progress Report - Full Report

Missouri 2021

General Information

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

State AT Program Title:
Missouri Assistive Technology
State AT Program Title:
State AT Program URL
www.at.mo.gov
Mailing Address:
1501 N.W. Jefferson
City:
Blue Springs
State:
Missouri
Zip Code:
64015
Program Email:
info@mo-at.org
Phone:
816-655-6700
TTY:
816-655-6710

Lead Agency

Agency Name:
Missouri Assistive Technology
Mailing Address:
1501 N.W. Jefferson
City:
Blue Springs
State:
Missouri
Zip Code:
64015
Program URL:
www.at.mo.gov

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):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org
Program Director at Lead Agency (last, first):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org
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):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org

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? Yes

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 17 07 24
Approved Not made 00 00 00
Rejected 03 00 03
Total 20 07 27

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $9,396 Highest Income: $127,536

Average Income
Sum of Incomes Loans Made Average Annual Income
$1,367,943 24 $56,998

Number and Percentage of Loans Made to Applicants by Income Range
Income Ranges Total
$15,000
or Less
$15,001-
$30,000
$30,001-
$45,000
$45,001-
$60,000
$60,001-
$75,000
$75,001
or More
Number of Loans 03 04 04 05 03 05 24
Percentage of Loans 12.5% 16.67% 16.67% 20.83% 12.5% 20.83% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 24 100%
Partnership Loans
Without interest buy-down or loan guarantee 00 0%
With interest buy-down only 00 0%
With loan guarantee only 00 0%
With both interest buy-down and loan guarantee 00 0%
Total 24 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 24 $450,991
Partnership Loans 00 $0
Total 24 $450,991

4. Interest Rates

Interest Rates
Lowest 1%
Highest 4%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
82 24 3.41666666666667%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 06
2.1% to 4.0% 18
4.1% to 6.0% 00
6.1% to 8.0% 00
8.1% - 10.0% 00
10.1%-12.0% 00
12.1%-14.0% 00
14.1% + 00
Total 24

5. Types and Dollar Amounts of AT Financed

Types and Dollar Amounts of AT Financed
Type of AT Number of Devices Financed Dollar Value of Loans
Vision 00 $0
Hearing 03 $14,790
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 01 $4,200
Daily living 00 $0
Environmental adaptations 03 $27,250
Vehicle modification and transportation 13 $386,758
Computers and related 00 $0
Recreation, sports, and leisure 04 $17,993
Total 24 $450,991

6. Defaults

Defaults
Number Loans in default 03
Net loss for loans in default $38,794

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? 7
Activity 1
How would you describe this state financing activity?Telecommunications equipment distribution

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)173
B. Non-Metro (RUCC 4-9)74
C. Total Served247

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures247

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

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 249153580.00
Hearing 00.00
Speech communication00.00
Learning, cognition, and developmental 1810122.00
Mobility, seating and positioning187329.00
Daily living 00.00
Environmental adaptations316246.00
Vehicle modification and transportation 00.00
Computers and related 23257868.00
Recreation, sports, and leisure00.00
Total548235145.00

Activity 2
How would you describe this state financing activity?Other: iCanConnect

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)38
B. Non-Metro (RUCC 4-9)12
C. Total Served50

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures50

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

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 8466647.00
Hearing 326722.00
Speech communication00.00
Learning, cognition, and developmental 00.00
Mobility, seating and positioning00.00
Daily living 00.00
Environmental adaptations00.00
Vehicle modification and transportation 00.00
Computers and related 6646299.00
Recreation, sports, and leisure00.00
Total182119668.00

Activity 3
How would you describe this state financing activity?Last resort - Activity

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)16
B. Non-Metro (RUCC 4-9)12
C. Total Served28

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures28

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

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 00.00
Hearing 13788.00
Speech communication11097.00
Learning, cognition, and developmental 00.00
Mobility, seating and positioning1342771.00
Daily living 39881.00
Environmental adaptations622632.00
Vehicle modification and transportation 420626.00
Computers and related 00.00
Recreation, sports, and leisure00.00
Total28100795.00

Activity 4
How would you describe this state financing activity?Other: MFP AT Service

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)58
B. Non-Metro (RUCC 4-9)4
C. Total Served62

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures62

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

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 313350.00
Hearing 00.00
Speech communication00.00
Learning, cognition, and developmental 00.00
Mobility, seating and positioning1342448.00
Daily living 4277990.00
Environmental adaptations315000.00
Vehicle modification and transportation 00.00
Computers and related 1595.00
Recreation, sports, and leisure00.00
Total62149383.00

Activity 5
How would you describe this state financing activity?Other: School Reimbursement Program

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)153
B. Non-Metro (RUCC 4-9)104
C. Total Served257

Performance Measure
D. Excluded from Performance Measure257
E. Number of Individuals Included in Performance Measures0

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

Schools have obligation to provide AT under IDEA.

3. Types and Dollar Amounts of AT Funded

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 45125067.00
Hearing 2860774.00
Speech communication79119019.00
Learning, cognition, and developmental 84135477.00
Mobility, seating and positioning00.00
Daily living 00.00
Environmental adaptations22.00
Vehicle modification and transportation 00.00
Computers and related 1926858.00
Recreation, sports, and leisure00.00
Total257467197.00

Activity 6
How would you describe this state financing activity?Other: Robotic Pet Project

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)121
B. Non-Metro (RUCC 4-9)111
C. Total Served232

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures232

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

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 00.00
Hearing 00.00
Speech communication00.00
Learning, cognition, and developmental 00.00
Mobility, seating and positioning00.00
Daily living 00.00
Environmental adaptations00.00
Vehicle modification and transportation 00.00
Computers and related 00.00
Recreation, sports, and leisure23230900.00
Total23230900.00

Activity 7
How would you describe this state financing activity?Other: DD COVID Scholarship

2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)117
B. Non-Metro (RUCC 4-9)63
C. Total Served180

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures180

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

Type of AT Device / ServiceNumber of Devices
Funded
Value of
AT Provided
Vision 41230.00
Hearing 00.00
Speech communication52800.00
Learning, cognition, and developmental 00.00
Mobility, seating and positioning00.00
Daily living 00.00
Environmental adaptations00.00
Vehicle modification and transportation 00.00
Computers and related 178120170.00
Recreation, sports, and leisure3025800.00
Total217150000.00



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? 0

D. Anecdote

Clara is a fiercely independent 5-year old who has an Anoxic brain injury and other disabilities that affect her functional mobility. Funding assistance from MoAT's KAT Program allowed Clara's family convert their bathroom from inaccessible to accessible through the addition of a grab-bar (installed at Clara height) and a special tub that features a cut-out and door, providing Clara with independent access. For Clara, her new bath is definitely a happy place.

Impact Area

Mr. Harris spent part of the past year in a nursing home recovering from multiple medical challenges. His true desire, though, was to transition back to the community and into his own home, which was made possible when he connected with the Money Follows the Person Program. Due to mobility challenges and limited upper body strength, Mr. Harris was in need of several pieces of AT to help increase his independence and ensure his safety. Funds provided through the AT Demonstration Program enabled Mr. Harris to secure the needed devices, which included a rollater and lift chair.

Mr. Harris poses in his new lift chair with his rollator close by
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 00 823 823
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 00 823 823
5. None of the above 00 00 00 00
6. Subtotal 00 00 823 823
7. Nonrespondent 00 00 00 00
8. Total 00 00 823 823
9. Performance on this measure NaN% NaN% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 728 67.41%
Satisfied 160 14.81%
Satisfied somewhat 11 1.02%
Not at all satisfied 09 0.83%
Nonrespondent 172 15.93%
Total Surveyed 1,080
Response rate % 84.07%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 09
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 2,020
C. Total 2,029

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 2,029

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 07 $2,270 $0 $2,270
Daily Living 02 $112 $0 $112
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 09 $2,382 $0 $2,382

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 33 $15,125 $17 $15,108
Hearing 18 $2,474 $105 $2,369
Speech Communication 07 $8,808 $0 $8,808
Learning, Cognition and Developmental 13 $1,312 $0 $1,312
Mobility, Seating and Positioning 1,364 $475,179 $21,841 $453,338
Daily Living 1,239 $251,935 $18,251 $233,684
Environmental Adaptations 26 $6,026 $0 $6,026
Vehicle Modification & Transportation 02 $5,200 $0 $5,200
Computers and Related 08 $1,391 $0 $1,391
Recreation, Sports and Leisure 19 $5,220 $0 $5,220
Total 2,729 $772,670 $40,214 $732,456

D. Anecdote

Family time should be fun and enjoyable, not strenuous and exhausting. Aaron's manual wheelchair was simply not a good option for traveling distances or on hilly terrains and was leaving his parents too fatigued to enjoy all the activities a local amusement park had to offer. Aaron's parents reached out to Accessibility Medical, a MoAT device reutilization partner in the Kansas City area, in search of a solution. A tilt-in-space reclining power wheelchair with elevating leg rests and attendant controls was available for a nominal price. Aaron and his family are now able to fully enjoy their next family trip.

Aaron shows of his new power chair obtained through the reuse program
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. 06 09 1,068 1,083
2. AT was only available through the AT program. 04 02 759 765
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 01 100 102
4. Subtotal 11 12 1,927 1,950
5. None of the above 00 01 78 79
6. Subtotal 11 13 2,005 2,029
7. Nonrespondent 00 00 00 00
8. Total 11 13 2,005 2,029
9. Performance on this measure 100% 92.31% 96.11%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,781 87.78%
Satisfied 244 12.03%
Satisfied somewhat 04 0.2%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 2,029
Response rate % 100%

G. Notes:

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) 666
Serve as loaner during service repair or while waiting for funding 21
Provide an accommodation on a short-term basis for a time-limited event/situation 28
Conduct training, self-education or other professional development activity 11
Total 726

B. Short-Term Device Loan by Type of Borrower

LOANS BY TYPE OF BORROWER
Type of Individual or Entity Number of Device Borrowers
Desicion-making All other Purposes Total
Individuals with Disabilities 04 00 04
Family Members, Guardians, and Authorized Representatives 12 00 12
Representative of Education 498 00 498
Representative of Employment 07 00 07
Representatives of Health, Allied Health, and Rehabilitation 128 00 128
Representatives of Community Living 57 00 57
Representatives of Technology 20 00 20
Total 726 00 726

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days 35

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device Number of Devices
Desicion-making All other Purposes Total
Vision 145 00 145
Hearing 65 00 65
Speech Communication 784 00 784
Learning, Cognition and Developmental 282 00 282
Mobility, Seating and Positioning 00 00 00
Daily Living 53 00 53
Environmental Adaptations 255 00 255
Vehicle Modification and Transportation 09 00 09
Computers and Related 389 00 389
Recreation, Sports and Leisure 10 00 10
Total 1,992 00 1,992

E. Anecdote

Social isolation brought on by the pandemic led MoAT to expand its demonstration inventory to include input methods for adapted gaming. Brenden was one of several individuals with paralysis who connected with the device loan program to try out various items that allowed them to connect with others on-line through accessible gaming.

Brenden surrounded by alternative input methods for adapted gaming.
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 284 02 107 393
Decided that an AT device/ service will not meet needs 69 00 29 98
Subtotal 353 02 136 491
Have not made a decision 142 00 33 175
Subtotal 495 02 169 666
Nonrespondent 00 00 00 00
Total 495 02 169 666
Performance on this measure 71.31% 100% 80.47%

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. 12 00 18 30
2. AT was only available through the AT program. 11 04 12 27
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 23 04 30 57
5. None of the above 00 00 01 01
6. Subtotal 23 04 31 58
7. Nonrespondent 02 00 00 02
8. Total 25 04 31 60
9. Performance on this measure 100% 100% 96.77%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 641 88.29%
Satisfied 44 6.06%
Satisfied somewhat 04 0.55%
Not at all satisfied 00 0%
Nonrespondent 37 5.1%
Total Surveyed 726
Response rate % 94.9%

I. Notes:

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service Number of Demonstrations of AT Devices / Services
Vision 249
Hearing 271
Speech Communication 39
Learning, Cognition and Developmental 28
Mobility, Seating and Positioning 349
Daily Living 383
Environmental Adaptations 29
Vehicle Modification and Transportation 02
Computers and Related 60
Recreation, Sports and Leisure 31
Total # of Devices Demonstrated 1,441

B. Types of Participants

Demonstrations by Participant Type
Type of Participant Number of Participants in Device Demonstrations
Individuals with Disabilities 1,197
Family Members, Guardians, and Authorized Representatives 427
Representatives of Education 54
Representatives of Employment 34
Health, Allied Health, Rehabilitation 33
Representative of Community Living 24
Representative of Technology 02
Total 1,771

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 35
Service Provider 174
Vendor 118
Repair Service 01
Others 39
Total 367

D. Anecdote

If you want to know how assistive technology can change your life, just ask Micah. Though not even out of elementary school, Micah fully understands how the assistive technology devices he has been introduced to through MoAT’s demonstration center can help him succeed in school, assist his family, be independent, and pursue his dreams. During a recent visit, Micah learned about the OrCam, a wearable device that reads text, recognizes faces and identifies products. Able to obtain his own OrCam, Micah quickly put it to use to help him identify which feed the family’s farm animals should receive, to ride his bike around the property, for independently doing his school work, and to further his dream of working in the transportation industry.