National Assistive Technology Act Data System

Annual Progress Report - Full Report

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Missouri 2024

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 27 08 35
Approved Not made 00 00 00
Rejected 02 01 03
Total 29 09 38

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $11,000 Highest Income: $179,947

Average Income
Sum of Incomes Loans Made Average Annual Income
$2,446,811 35 $69,909

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 01 06 04 06 04 14 35
Percentage of Loans 2.86% 17.14% 11.43% 17.14% 11.43% 40% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 35 100%
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 35 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 35 $627,831
Partnership Loans 00 $0
Total 35 $627,831

4. Interest Rates

Interest Rates
Lowest 1%
Highest 4%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
00 35 0%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 13
2.1% to 4.0% 22
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 35

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 14 $47,341
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 00 $0
Daily living 01 $3,787
Environmental adaptations 04 $31,669
Vehicle modification and transportation 16 $545,034
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 35 $627,831

6. Defaults

Defaults
Number Loans in default 03
Net loss for loans in default $5,158

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? 5
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)277
B. Non-Metro (RUCC 4-9)234
C. Total Served511

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures511

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 402$244,052
Hearing 233$38,247
Speech communication5$3,315
Learning, cognition, and developmental 53$26,069
Mobility, seating and positioning0$0
Daily living 10$2,945
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 86$46,542
Recreation, sports, and leisure0$0
Total789$361,170

Activity 2
How would you describe this state financing activity?Other: MFP AT 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)13
B. Non-Metro (RUCC 4-9)13
C. Total Served26

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures26

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 0$0
Hearing 0$0
Speech communication0$0
Learning, cognition, and developmental 0$0
Mobility, seating and positioning25$72,012
Daily living 18$7,002
Environmental adaptations3$5,962
Vehicle modification and transportation 0$0
Computers and related 0$0
Recreation, sports, and leisure0$0
Total46$84,976

Activity 3
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)184
B. Non-Metro (RUCC 4-9)114
C. Total Served298

Performance Measure
D. Excluded from Performance Measure298
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 an 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 98$151,069
Hearing 28$47,620
Speech communication171$359,503
Learning, cognition, and developmental 48$57,528
Mobility, seating and positioning2$3,090
Daily living 3$475
Environmental adaptations18$14,586
Vehicle modification and transportation 0$0
Computers and related 41$37,895
Recreation, sports, and leisure0$0
Total409$671,766

Activity 4
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)35
B. Non-Metro (RUCC 4-9)16
C. Total Served51

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures51

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 65$44,231
Hearing 36$25,132
Speech communication0$0
Learning, cognition, and developmental 9$6,032
Mobility, seating and positioning2$10,053
Daily living 0$0
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 35$24,061
Recreation, sports, and leisure0$0
Total147$109,509

Activity 5
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)17
B. Non-Metro (RUCC 4-9)13
C. Total Served30

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures30

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 0$0
Hearing 4$2,523
Speech communication5$5,964
Learning, cognition, and developmental 0$0
Mobility, seating and positioning9$46,073
Daily living 2$2,352
Environmental adaptations6$37,954
Vehicle modification and transportation 3$22,050
Computers and related 0$0
Recreation, sports, and leisure1$325
Total30$117,241



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? 1
Activity 1
How would you describe this state financing activity?AT Fabrication or AT Maker Program

2. Geographic Distribution and Number of Individuals Served

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)48
B. Non-Metro (RUCC 4-9)20
C. Total Served68

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures68

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 ProvidedTotal Estimated
Current Retail
Purchase Price		Total Price for
Which Devices
Were Sold		Savings
to Consumers
Vision 0$0$0$0
Hearing 0$0$0$0
Speech communication 0$0$0$0
Learning, cognition, and developmental 0$0$0$0
Mobility, seating and positioning 0$0$0$0
Daily living 79$964$0$964
Environmental adaptations 50$1,500$0$1,500
Vehicle modification and transportation 0$0$0$0
Computers and related 0$0$0$0
Recreation, sports, and leisure 8$280$0$280
Total 137$2,744$0$2,744


D. Anecdote

Joyce sought financing for an accessible vehicle for her adult son, who has Cerebral Palsy. To assist with the cost, she applied for the Division of Developmental Disabilities EAA one-time funding for vehicle modifications and was awarded the grant. She also had a valuable trade-in to use as her cash deposit. However, due to the high cost of adaptive vehicles, Joyce still needed to finance over $40,000. Thankfully, she was approved for a Show Me Loans program at a below-market interest rate, making the purchase more manageable. Her son was overjoyed to see the new vehicle and couldn't wait to get in and start using it. This milestone marks a significant step in improving their mobility and independence!

James smiles from the families new adapted vehicle as his mother looks on.
Impact Area

Ryhlyn is being raised by her single father, a retired military serviceman, who was determined to provide her with a safe and suitable bed as she had outgrown her current one. Seeking assistance, he applied for grants through several organizations. While working with a coordinator at CC Links, he learned about the KAT program, which provided additional funding support. Through the combined efforts of these resources, they were able to secure a new safe bed valued at over $12,000. This collaboration ensured that Ryhlyn now has a safe and comfortable space, bringing peace of mind to her devoted father.

Ryhlyn smiles as she sits in her new, safe bed.
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 15 638 653
2. AT was only available through the AT program. 00 00 68 68
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 15 706 721
5. None of the above 00 00 00 00
6. Subtotal 00 15 706 721
7. Nonrespondent 00 00 00 00
8. Total 00 15 706 721
9. Performance on this measure NaN% 100% 100%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 429 42.1%
Satisfied 21 2.06%
Satisfied somewhat 03 0.29%
Not at all satisfied 01 0.1%
Nonrespondent 565 55.45%
Total Surveyed 1,019
Response rate % 44.55%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 18
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 2,875
C. Total 2,893

Performance Measure
D. 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
E. Number of Individuals Included in Performance Measures 2,893

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

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 05 $15,520 $2,600 $12,920
Daily Living 10 $7,950 $1,095 $6,855
Environmental Adaptations 04 $10,790 $2,305 $8,485
Vehicle Modification & Transportation 01 $24,375 $9,500 $14,875
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 01 $1,835 $800 $1,035
Total 21 $60,470 $16,300 $44,170

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 155 $37,269 $10 $37,259
Hearing 17 $6,868 $70 $6,798
Speech Communication 06 $1,420 $0 $1,420
Learning, Cognition and Developmental 02 $270 $0 $270
Mobility, Seating and Positioning 1,668 $845,605 $31,948 $813,657
Daily Living 1,562 $425,275 $30,594 $394,681
Environmental Adaptations 415 $76,680 $35 $76,645
Vehicle Modification & Transportation 04 $4,276 $350 $3,926
Computers and Related 23 $6,615 $0 $6,615
Recreation, Sports and Leisure 13 $6,220 $55 $6,165
Total 3,865 $1,410,498 $63,062 $1,347,436

D. Anecdote

Lavonda, a kind-hearted woman from Chaffee, MO, loves shopping with her friends but often feels fatigued due to weakness from a stroke and other health issues. She visited the SADI office with her aide, Pauline, and her friend, Rose, to explore options for a chair that could make shopping more comfortable. After demonstrating both a manual wheelchair and a transport chair, Lavonda and Pauline decided that the transport chair would be the best fit. Its lightweight design makes it easier for Pauline to load and unload from the vehicle. Lavonda was able to receive the transport chair from SEMO TECH at no cost, as her insurance does not cover such equipment. She was deeply grateful for the assistance and is now looking forward to enjoying shopping trips without becoming overly tired.

Lavonda transfers from her vehicle to her new transfer chair obtained at her local reuse center.
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. 05 08 1,434 1,447
2. AT was only available through the AT program. 04 03 1,213 1,220
3. AT was available through other programs, but the system was too complex or the wait time too long. 02 01 205 208
4. Subtotal 11 12 2,852 2,875
5. None of the above 00 00 18 18
6. Subtotal 11 12 2,870 2,893
7. Nonrespondent 00 00 00 00
8. Total 11 12 2,870 2,893
9. Performance on this measure 100% 100% 99.37%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 2,570 88.84%
Satisfied 321 11.1%
Satisfied somewhat 02 0.07%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 2,893
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) 956
Serve as loaner during service repair or while waiting for funding 17
Provide an accommodation on a short-term basis for a time-limited event/situation 11
Conduct training, self-education or other professional development activity 12
Total 996

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 15 09 24
Family Members, Guardians, and Authorized Representatives 13 03 16
Representative of Education 634 03 637
Representative of Employment 16 00 16
Representatives of Health, Allied Health, and Rehabilitation 168 02 170
Representatives of Community Living 92 00 92
Representatives of Technology 18 23 41
Total 956 40 996

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 198 07 205
Hearing 65 00 65
Speech Communication 1,131 08 1,139
Learning, Cognition and Developmental 240 00 240
Mobility, Seating and Positioning 00 00 00
Daily Living 98 17 115
Environmental Adaptations 333 18 351
Vehicle Modification and Transportation 06 00 06
Computers and Related 516 08 524
Recreation, Sports and Leisure 00 00 00
Total 2,587 58 2,645

E. Anecdote

Luke Domeny was born with congenital and cognitive challenges and is working in therapy to develop goal-directed movements that will help him accomplish simple tasks. The ultimate aim is to increase his independence in functional activities using switch control. Previously, Luke trialed our Obi Feeder to practice self-feeding independently. However, he needed more practice with purposeful switch activation to use the device effectively. To support this goal, his occupational therapist (OT) reached out to request switch-adapted toys that could make learning these movements more engaging. A switch-adapted beaver and a remote-controlled car were loaned to Luke to try during an OT session. Using a proximity switch, he successfully activated the car, making it turn in circles. He demonstrated purposeful movement, tracked the car with his eyes, and even laughed as he interacted with it. Both his family and OT were delighted with his progress and engagement. It was a privilege to collaborate with a local therapy agency to support Luke in developing independence through goal-directed actions and communication.

Luke sits in his positioning chair and uses his feet to activate a switch as his therapists look on.
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 342 08 131 481
Decided that an AT device/ service will not meet needs 111 07 23 141
Subtotal 453 15 154 622
Have not made a decision 158 07 28 193
Subtotal 611 22 182 815
Nonrespondent 113 11 17 141
Total 724 33 199 956
Performance on this measure 74.14% 68.18% 84.62%

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. 17 01 02 20
2. AT was only available through the AT program. 06 02 03 11
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 00 01 02
4. Subtotal 24 03 06 33
5. None of the above 00 01 00 01
6. Subtotal 24 04 06 34
7. Nonrespondent 05 00 01 06
8. Total 29 04 07 40
9. Performance on this measure 100% 75% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 848 85.14%
Satisfied 45 4.52%
Satisfied somewhat 03 0.3%
Not at all satisfied 02 0.2%
Nonrespondent 98 9.84%
Total Surveyed 996
Response rate % 90.16%

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 383
Hearing 155
Speech Communication 14
Learning, Cognition and Developmental 20
Mobility, Seating and Positioning 213
Daily Living 209
Environmental Adaptations 75
Vehicle Modification and Transportation 03
Computers and Related 29
Recreation, Sports and Leisure 04
Total # of Device Demonstrations 1,105

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 933 10 943
Family Members, Guardians, and Authorized Representatives 148 285 433
Representatives of Education 12 09 21
Representatives of Employment 03 14 17
Health, Allied Health, Rehabilitation 07 15 22
Representative of Community Living 02 21 23
Representative of Technology 00 06 06
Total 1,105 360 1,465

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 27
Service Provider 151
Vendor 179
Repair Service 02
Others 18
Total 377

D. Anecdote

Tim, who is legally blind, relies heavily on his sister for assistance with daily tasks at home. Despite this, he maintains his independence by living alone and is deeply grateful for the ability to do so. Today, he visited to explore options that could enhance his independence, particularly with tasks requiring better vision. We demonstrated the Topaz EZ video magnifier, and Tim was amazed by its capabilities. The device allowed him to clearly see documents and objects placed under the screen, opening up new possibilities for managing tasks like sorting mail, inspecting his hands, reading medication labels, and even using his phone.

Tim stands with his arm around the CCTV he learned about during a demonstration
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 33 33 985 1,051
Decided that an AT device/ service will not meet needs 00 03 28 31
Subtotal 33 36 1,013 1,082
Have not made a decision 01 01 17 19
Subtotal 34 37 1,030 1,101
Nonrespondent 01 00 03 04
Total 35 37 1,033 1,105
Performance on this measure 94.29% 97.3% 98.06%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,046 71.4%
Satisfied 126 8.6%
Satisfied somewhat 05 0.34%
Not at all satisfied 03 0.2%
Nonrespondent 285 19.45%
Total 1,465
Response rate % 80.55%

G. Notes:

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. 22 24 2,074 2,120
2. AT was only available through the AT program. 10 05 1,284 1,299
3. AT was available through other programs, but the system was too complex or the wait time too long. 03 01 206 210
4. Subtotal 35 30 3,564 3,629
5. None of the above 00 01 18 19
6. Subtotal 35 31 3,582 3,648
7. Nonrespondent 05 00 01 06
8. Total 40 31 3,583 3,654
9. Performance on this measure 91.43% 93.55% 93.75% 93.72%
ACL Performance Measure 85%
Met/Not 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 375 41 1,116 1,532
Decided that an AT device/ service will not meet needs 111 10 51 172
Subtotal 486 51 1,167 1,704
Have not made a decision 159 08 45 212
Subtotal 645 59 1,212 1,916
Nonrespondent 114 11 20 145
Total 759 70 1,232 2,061
Performance on this measure 75.23% 86.44% 96.05% 88.75%
ACL Performance Measure 90%
Met/Not Met Not Met

Overall Satisfaction Rating

Customer Rating of Services Percent ACL Target Met/Not Met
Highly satisfied and satisfied 99.65% 95% Met
Response Rate 85.12% 90% Not Met

Educational/Training Activities

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

Educational/Training Activities by Participant Type
Type of Participant Number
Individuals with Disabilities 836
Family Members, Guardians and Authorized Representatives 186
Representatives of Education 1,408
Representatives of Employment 524
Rep Health, Allied Health, and Rehabilitation 989
Representatives of Community Living 1,580
Representatives of Technology 361
Unable to Categorize 420
TOTAL 6,304

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
4,368 1,516 420 6,304

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities Participants
AT Products/Services 4,362
AT Funding/Policy/ Practice 805
Combination of any/all of the above 687
Information Technology/Telecommunication Access 322
Transition 128
Total 6,304

C. Description of Educational/Training Activities

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

As the state of Missouri rolled out various programs to enhance the connectivity of its citizens, the director of MoAT developed and delivered six in-person training sessions (attended by approximately 120 individuals) in different regions of the state that focused on reaching individuals with I/DD to increase their digital skills, digital safety and awareness of assistive technology solutions. The intended impact of the training was to increase the number of individuals with I/DD who signed up for free or low-cost internet services, help build their digital skills, increase their safety and connect them to assistive technology devices and resources.

Briefly describe one educational/training activity related to transition conducted during the reporting period:

Including assistive technology as part of K-12 transition planning was the focus of several presentations this past year that drew roughly 90 participants. The training shared best practices on identifying needs post-high school and highlighted a roadmap of steps and responsibilities that school personnel can follow during the transition process.

Briefly describe one educational/training activity related to Information and Communication Technology accessibility:

MoAT's in-house ICT expert in conjunction with several state employees who work on ICT accessibility issues, developed and provided primarily to state employees responsible for digital accessibility a six-part training series on PDF remediation. The subject of PDF remediation was identified as an area of training need by state agencies in order to address a backlog of inaccessible PDF files on state websites. A decrease in inaccessible PDF files has been noted since the training concluded.

D. IT/Telecommunications Educational/Training Activity Performance Measure

IT/Telecommunications Educational/Training Activity Performance Measure
Outcome/Result From IT/Telecommunications Educational/Training Activities Received Number
IT and Telecommunications Procurement or Dev Policies 130
Training or Technical Assistance will be developed or implemented 174
No known outcome at this time 18
Nonrespondent 00
Total 322
Performance Measure Percentage 94.4%
ACL Target Percentage 70%
Met/Not Met Met

E. Notes:

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 00%
Employment 22%
Health, Allied Health, Rehabilitation 00%
Community Living 47%
Technology (IT, Telecom, AT) 31%
Total 100%

B. Description of Technical Assistance

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

MoAT staff including the director and 2 program coordinators are actively working with the UCEDD to develop resources and training materials related to assistive technology. Materials being developed will be incorporated into the highly used, widely disseminated Charting the LifeCourse Framework they previously developed. to be included into their Charting the LifeCourse framework.

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

C. Notes:

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. Libraries are renowned for attracting diverse audiences and serving as essential community hubs. Building strong partnerships with libraries to raise awareness about assistive technology and MoAT services has been a longstanding objective. This year, that vision became a reality through a meaningful collaboration with libraries in the Kansas City area. Through this partnership, MoAT gained access to display cases in libraries across the metro region. These displays showcased a variety of assistive devices, particularly those designed to support reading, along with information about MoAT and other disability services available in the Kansas City area. Throughout the year, displays were set up in five libraries on a rolling basis, extending the reach of these resources and fostering greater community engagement.

2.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service		 AT Funding Total
Individuals with Disabilities 1,610 560 2,170
Family Members, Guardians and Authorized Representatives 553 302 855
Representative of Education 2,588 396 2,984
Representative of Employment 178 13 191
Representative of Health, Allied Health, and Rehabilitation 623 29 652
Representative of Community Living 1,992 35 2,027
Representative of Technology 98 26 124
Unable to Categorize 16 00 16
Total 7,658 1,361 9,019

Referral Types:

Raising awareness among seniors and their families is a key objective for MoAT. To achieve this, we have increasingly used 3D-printed, low-tech devices—such as nail clippers, bottle openers, and pill poppers—as engaging conversation starters at conferences and other outreach events. These items tend to spark more interest compared to traditional displays of standalone devices or computer-based tools, which have historically drawn limited attention from this demographic. Additionally, all 10 Area Agencies on Aging received kits containing 3D-printed devices and MoAT promotional materials, with encouragement to share these resources with the individuals they serve. Collectively, these initiatives have led to a noticeable increase in seniors and their family members reaching out to learn more about 3D printing, assistive technology devices, and related services.

Referral Sources:

MoAT’s referral network encompasses a wide range of organizations, including those in education, healthcare, community living, and senior services. Local Education Agencies, Centers for Independent Living, and state agencies—such as the Division of Developmental Disabilities, the Bureau of Special Health Care Needs, and the state education agency—account for over 50% of referrals, spanning all regions of the state. The remaining referrals come from a diverse mix of sources, including assistive technology vendors, employment providers, County Developmental Disability Boards, targeted case management providers, and word-of-mouth recommendations. Many of these personal referrals originate from individuals with disabilities who have utilized MoAT’s services and shared their positive experiences with others in their communities.

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Yes
Yes
Missouri Assistive Technology collaborates with the state department of education to provide the Assistive Technology Reimbursement Program. This program provides financing for assistive technology to students in local school districts, charter schools and the State School’s for the Severely Disabled to who have assistive technology listed in their IEP. Funding for the program (Part B funds) is provided by the state education agency and MoAT administers the program
During this reporting period, the program enabled 298 students in 103 different districts to acquire assistive devices for educational outcomes. This program is instrumental to districts in Missouri in terms of enhancing their confidence in addressing AT in the IEP and knowing that funds will be available for purchase. The program also further cements MoAT’s reputation as a trusted resource for schools and helps ensure are ability to reach all corners of the state. This initiative will be an on-going one as long as funds are made available.
https://at.mo.gov/at-reimbursement-for-schools/

3. What focus areas(s) were addressed by the initiative?

Education,

4. What AT Act authorized activity(s) were addressed?

State Financing,
Yes
Yes
This year saw MoAT and the state VR agency launch a new partnership initiative focused on assistive technology for new counselors. Related activities and services include training on assistive technology and MoAT services during the new counselor training and the provision of free assistive technology guidance to counselors with clients for whom assistive technology may be needed. Both VR counselors and VR clients are served and benefit from this initiative. MoAT utilizes its federal funds to underpin the minimal related costs.
Approximately 80 new VR counselors went through this training, with roughly 1/5th also reaching out to MoAT staff for follow-up information, device guidance, connection with programs, etc. MoAT significantly increased its coordination with the state VR agency overall through this initiative, but even more importantly established relationships with individual VR counselors helping to make them more comfortable in addressing AT for clients. This initiative is on-going.

3. What focus areas(s) were addressed by the initiative?

Employment,

4. What AT Act authorized activity(s) were addressed?

Training, Information & Assistance,
Yes
Yes
Toward the latter part of the reporting period, MoAT launched an initiative with its Area Agencies on Aging focused on providing 3D printed low-tech devices to help connect seniors to AT that is practical and assists in their ability to do everyday tasks. All 10 of the Area Agencies on Aging, plus MA4, their state association, have been part of this collaboration. The role of each partner agency is to share through demonstration the 3D printed items with their constituents and encourage them to identify devices effective for their needs. Identified devices are then produced and distributed by MoAT staff. MoAT federal funds are being used for this initiative.
Thus far, measurable results include gaining the participation of the 10 Area Agencies and support of their membership association. Awareness of AT is increased through this initiative in the sense that it emphasizes low-tech assistive tools, as opposed to higher tech which may not be affordable or of interest to the aging population. However, the low-tech items also can be an opening with seniors to discuss other potential AT solutions. MoAT’s reach has been increased both with the target population, seniors, and with the state’s 10 area agencies on gaining. This is an on-going initiative.

3. What focus areas(s) were addressed by the initiative?

Aging,

4. What AT Act authorized activity(s) were addressed?

Demo, State Financing, Public Awareness,
No
We have been unable to identify any key individuals to collaborate with inside the agency.
Additional Coordination/Collaboration activities 0

Overview of State Improvement Activities

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? 00

Additional And Leveraged Funds

Did you have Additional and Leveraged Funding to Report? Yes

A. Leveraged Funding for State Plan Activities

Fund Source Amount Use of Funds Data Reported
Private$30,000TrainingTrue
Public/State Agency$117,240State FinancingTrue
State Appropriations$884,780State FinancingTrue
Public/State Agency$700,000State FinancingTrue
Federal$174,716State FinancingTrue
Federal$84,976State FinancingTrue
Amount: $1,991,712

For any leveraged funding reported above for which data could not be reported, please describe the extenuating circumstances that precluded data from being reported and efforts to remediate the situation in future reporting periods.

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).

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This FY24 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.