National Assistive Technology Act Data System

Annual Progress Report - Full Report

General Information

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

State AT Program Title:
Maryland Assistive Technology Program
State AT Program Title:
State AT Program URL
www.mdtap.org
Mailing Address:
2301 Argonne Drive, Rm T42
City:
Baltimore
State:
Maryland
Zip Code:
21218
Program Email:
mdtap.general@maryland.gov
Phone:
1-800-832-4827
TTY:
1-866-881-7488

Lead Agency

Agency Name:
Maryland Department of Disabilities
Mailing Address:
217 E Redwood Street, Suite 1300
City:
Baltimore
State:
Maryland
Zip Code:
21202
Program URL:
http://mdod.maryland.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):
Lori Berrong
Title:
Executive Director
Phone:
4105549477
E-mail:
lori.berrong@maryland.gov
Program Director at Lead Agency (last, first):
Anne Blackfield
Title:
Deputy Secretary
Phone:
410-767-3660
E-mail:
anne.blackfield1@maryland.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):
Anne Blackfield
Title:
Deputy Secretary
Phone:
410-767-3660
E-mail:
anne.blackfield1@maryland.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? Yes

Loan Applications
Area of Residence Total
Metro
RUCC 1-3
Non-Metro
RUCC 4-9
Approved Loan made 32 03 35
Approved Not made 25 11 36
Rejected 15 24 39
Total 72 38 110

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $12,084 Highest Income: $490,999

Average Income
Sum of Incomes Loans Made Average Annual Income
$3,764,956 35 $107,570

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 02 06 03 03 01 20 35
Percentage of Loans 5.71% 17.14% 8.57% 8.57% 2.86% 57.14% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 00 0%
Partnership Loans
Without interest buy-down or loan guarantee 09 25.71%
With interest buy-down only 00 0%
With loan guarantee only 26 74.29%
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 00 $0
Partnership Loans 35 $1,217,286
Total 35 $1,217,286

4. Interest Rates

Interest Rates
Lowest 3%
Highest 7.74%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
166 35 4.74028571428571%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 00
2.1% to 4.0% 17
4.1% to 6.0% 07
6.1% to 8.0% 11
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 02 $5,954
Hearing 03 $7,448
Speech communication 01 $3,776
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 01 $2,384
Daily living 00 $0
Environmental adaptations 02 $9,654
Vehicle modification and transportation 25 $1,186,022
Computers and related 01 $2,048
Recreation, sports, and leisure 00 $0
Total 35 $1,217,286

6. Defaults

Defaults
Number Loans in default 03
Net loss for loans in default $62,099

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? 0


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? 2
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)144
B. Non-Metro (RUCC 4-9)3
C. Total Served147

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures147

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 20$405$0$405
Hearing 0$0$0$0
Speech communication 1$50$0$50
Learning, cognition, and developmental 33$395$0$395
Mobility, seating and positioning 4$95$0$95
Daily living 290$3,895$0$3,895
Environmental adaptations 0$0$0$0
Vehicle modification and transportation 0$0$0$0
Computers and related 0$0$0$0
Recreation, sports, and leisure 34$345$0$345
Total 382$5,185$0$5,185

Activity 2
How would you describe this state financing activity?Cooperative Buying Program

2. Geographic Distribution and Number of Individuals Served

County of ResidenceIndividuals Served
A. Metro (RUCC 1-3)196
B. Non-Metro (RUCC 4-9)0
C. Total Served196

Performance Measure
D. Excluded from Performance Measure77
E. Number of Individuals Included in Performance Measures119

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 120$96,198$85,550$10,648
Hearing 3$809$744$65
Speech communication 841$109,740$95,236$14,504
Learning, cognition, and developmental 371$58,731$53,671$5,060
Mobility, seating and positioning 0$0$0$0
Daily living 85$1,849$1,661$188
Environmental adaptations 36$13,969$12,612$1,357
Vehicle modification and transportation 0$0$0$0
Computers and related 16$3,273$2,980$293
Recreation, sports, and leisure 82$12,721$11,756$965
Total 1554$297,290$264,210$33,080


D. Anecdote

In April 2025, Lisa reached out to MDTAP's fabrication coordinator to request help developing a 3D custom-fabricated guitar pick. Lisa shared "I am so grateful to have been put in touch with Nora and MDTAP, where she created an adaptive guitar pick holder for me. It was wonderful to have input on the project to be sure it gave the assistance I needed, and after a few prototypes, she nailed it! I have an incomplete spinal cord injury from an Air Force accident, classical Ehlers-Danlos syndrome (a rare genetic condition causing severe joint hypermobility issues), rheumatoid arthritis and many more problems from injuries and surgeries affecting my hands and fingers, so grasping a regular pick was not possible. This custom device allowed me to comfortably use one for the first time! MDTAP is an amazing program, offering innovative solutions to those with physical challenges where off-the-shelf adaptive devices aren't available. Huge thanks to them for their creativity, determination and life-changing assistance!"

Narrative Picture
Impact Area

In March 2025, Laura, a kindergarten teacher at a local school, reached out to the 3D printing fabrication program to request assistance for a student who was experiencing difficulty zipping his jacket. Ensuring the correct sizing, MDTAP printed and sent a custom zipper pull in a the student's preferred color. Laura reached back out to the program to share, "Today I put the zipper pull on the coat of a kindergarten student. He was so excited to be able to pull up his zipper himself. His mom told me he often wears 2 shirts to stay warm because he doesn't want to stick out and ask someone to pull up the zipper!"

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. 09 81 77 167
2. AT was only available through the AT program. 06 00 51 57
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 01 20 22
4. Subtotal 16 82 148 246
5. None of the above 20 02 33 55
6. Subtotal 36 84 181 301
7. Nonrespondent 00 00 00 00
8. Total 36 84 181 301
9. Performance on this measure 44.44% 97.62% 81.77%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 337 89.15%
Satisfied 34 8.99%
Satisfied somewhat 04 1.06%
Not at all satisfied 00 0%
Nonrespondent 03 0.79%
Total Surveyed 378
Response rate % 99.21%

G. Notes:

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 83
C. Total 84

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 84

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 01 $60 $0 $60
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 & Transportation 00 $0 $0 $0
Computers and Related 00 $0 $0 $0
Recreation, Sports and Leisure 00 $0 $0 $0
Total 01 $60 $0 $60

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 78 $42,334 $0 $42,334
Hearing 03 $315 $0 $315
Speech Communication 12 $94,424 $0 $94,424
Learning, Cognition and Developmental 08 $927 $0 $927
Mobility, Seating and Positioning 01 $158 $0 $158
Daily Living 103 $1,497 $0 $1,497
Environmental Adaptations 11 $5,022 $0 $5,022
Vehicle Modification & Transportation 00 $0 $0 $0
Computers and Related 12 $1,748 $0 $1,748
Recreation, Sports and Leisure 00 $0 $0 $0
Total 228 $146,425 $0 $146,425

D. Anecdote

During the summer of 2025, the AT Reuse Coordinator with MDTAP connected with Metro Speech Therapy, a company that provides speech therapy services to children and adults. Out of this connection, an SLP working at Metro Speech Therapy offered to set up an AT donation box in the therapy office lobby. This would provide patients an opportunity to easily donate out-of-date AAC devices, from low tech to high tech. Since August 2025, there have been two (2) iPads added to the box for donation. We're hopeful that this donation box will continue to serve as an easy, centralized location for giving away unwanted equipment. As this model proves effective, MDTAP intends to connect with other speech organizations across the state to replicate.

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 02 68 75
2. AT was only available through the AT program. 03 00 02 05
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 08 02 70 80
5. None of the above 00 00 04 04
6. Subtotal 08 02 74 84
7. Nonrespondent 00 00 00 00
8. Total 08 02 74 84
9. Performance on this measure 100% 100% 94.59%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 84 100%
Satisfied 00 0%
Satisfied somewhat 00 0%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 84
Response rate % 100%

G. Notes:

During FY25, the AT Reuse Coordinator, an FTE with TAP, took on the added responsibility of covering a 16-week parental leave absence for our AT Clinician. This effectively redirected her from primarily reuse work to facilitating the majority of MDTAP's AT consultations, demonstrations, device loans, and AT Library tours. This re-focus impacted the number of reuse clients served (less outreach to viable candidates & programs), as well as reduced her time collaborating with organizations and agencies to solicit donations into the program. Additionally, during FY24, the reuse program was the recipient of a substantial donation of Blind/low vision equipment from a vendor going out of business. At the time, that large donation resulted in more devices being immediately donated back out to consumers. We did not receive any similar donation in FY2025, which subsequently also reduced the number of reuse recipients.

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) 200
Serve as loaner during service repair or while waiting for funding 02
Provide an accommodation on a short-term basis for a time-limited event/situation 07
Conduct training, self-education or other professional development activity 06
Total 215

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 110 03 113
Family Members, Guardians, and Authorized Representatives 33 01 34
Representative of Education 19 05 24
Representative of Employment 02 00 02
Representatives of Health, Allied Health, and Rehabilitation 25 01 26
Representatives of Community Living 06 05 11
Representatives of Technology 05 00 05
Total 200 15 215

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 of Devices
Desicion-making All other Purposes Total
Vision 128 07 135
Hearing 40 02 42
Speech Communication 61 02 63
Learning, Cognition and Developmental 13 00 13
Mobility, Seating and Positioning 04 00 04
Daily Living 48 23 71
Environmental Adaptations 25 08 33
Vehicle Modification and Transportation 00 00 00
Computers and Related 38 05 43
Recreation, Sports and Leisure 20 06 26
Total 377 53 430

E. Anecdote

Angela, an Occupational therapy student with upper extremity (UE) injuries (shoulder girdle fracture) experienced limited mobility with her right UE functionality, impacting her ability to type on the keyboard for school and clinicals. She was typing one-handed but was looking for assistance using dictation software. Angela visited the AT Library to learn how to enable her computer to allow dictating messages. However, she was still concerned about using dictation in class including the noise levels in the classroom and accuracy of the dictated messages. After exploring solutions with our AT Clinician, MDTAP loaned the Steno Microphone to plug into her computer, which muffles the voice into the microphone, so surrounding classmates don't hear it. When she first borrowed it, she discovered that she was getting no signal, making it non-functional for her needs. MDTAP contacted the Steno Microphone manufacturer asking why the mic wouldn't it work on Angela’s computer even though it was working on MDTAP's computer. The answer was that new computers have integrated 1 3.5 mm jack for headphones OR a microphone. The computer wasn't recognizing the microphone as a "microphone" but rather as headphones. MDTAP purchased an Aux jack Splitter to bifurcate the original single 3.5 mm jack into two separate 3.5 mm jacks. When Angela plugged the mic in this time, she was able to successfully dictate a message as the computer recognized the microphone appropriately. Eventually, Angela was able to speak with her Fieldwork Coordinator for her occupational therapy placement to allow the microphone as a reasonable accommodation and she got her own and has been using it successfully.

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 17 15 121 153
Decided that an AT device/ service will not meet needs 02 02 18 22
Subtotal 19 17 139 175
Have not made a decision 07 02 09 18
Subtotal 26 19 148 193
Nonrespondent 00 00 07 07
Total 26 19 155 200
Performance on this measure 73.08% 89.47% 93.92%

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. 03 00 04 07
2. AT was only available through the AT program. 02 01 03 06
3. AT was available through other programs, but the system was too complex or the wait time too long. 00 00 02 02
4. Subtotal 05 01 09 15
5. None of the above 00 00 00 00
6. Subtotal 05 01 09 15
7. Nonrespondent 00 00 00 00
8. Total 05 01 09 15
9. Performance on this measure 100% 100% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 196 91.16%
Satisfied 18 8.37%
Satisfied somewhat 01 0.47%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 215
Response rate % 100%

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 79
Hearing 17
Speech Communication 44
Learning, Cognition and Developmental 08
Mobility, Seating and Positioning 01
Daily Living 26
Environmental Adaptations 01
Vehicle Modification and Transportation 00
Computers and Related 13
Recreation, Sports and Leisure 07
Total # of Device Demonstrations 196

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 104 08 112
Family Members, Guardians, and Authorized Representatives 38 11 49
Representatives of Education 16 01 17
Representatives of Employment 02 00 02
Health, Allied Health, Rehabilitation 28 05 33
Representative of Community Living 08 06 14
Representative of Technology 00 00 00
Total 196 31 227

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 00
Service Provider 02
Vendor 02
Repair Service 00
Others 02
Total 06

D. Anecdote

MDTAP was contacted by a service coordinator and direct service professional, seeking communication and sensory engagement ideas for a young man receiving integrated community services. MDTAP staff met with Charles and his team to demonstrate a variety of AAC options. Because Charles had used a TouchChat in school, we started with re-introducing him to this high-tech, dynamic display, 12-cell AAC option. However, it was immediately clear that Charles was not interacting with the device with intention. After further exploration, we found that he was especially responsive to tactile communication switches, with fewer choices. We provided guidance and recommendations on how to establish functional communication training and recommended mands using Talking Brix during the AT demonstration. This successful interaction and subsequent device loan resulted in Charles being able to tell his DSP, for the first time in his adult-services program, when he was hungry, needed to use the bathroom, and answer yes/no questions.

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 21 07 129 157
Decided that an AT device/ service will not meet needs 01 01 11 13
Subtotal 22 08 140 170
Have not made a decision 05 02 13 20
Subtotal 27 10 153 190
Nonrespondent 00 00 06 06
Total 27 10 159 196
Performance on this measure 81.48% 80% 88.05%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 211 92.95%
Satisfied 15 6.61%
Satisfied somewhat 01 0.44%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total 227
Response rate % 100%

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. 17 83 149 249
2. AT was only available through the AT program. 11 01 56 68
3. AT was available through other programs, but the system was too complex or the wait time too long. 01 01 22 24
4. Subtotal 29 85 227 341
5. None of the above 20 02 37 59
6. Subtotal 49 87 264 400
7. Nonrespondent 00 00 00 00
8. Total 49 87 264 400
9. Performance on this measure 57.14% 96.55% 77.65% 79.25%
ACL Performance Measure 85%
Met/Not Met Not 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 38 22 250 310
Decided that an AT device/ service will not meet needs 03 03 29 35
Subtotal 41 25 279 345
Have not made a decision 12 04 22 38
Subtotal 53 29 301 383
Nonrespondent 00 00 13 13
Total 53 29 314 396
Performance on this measure 77.36% 86.21% 90.88% 88.69%
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 99.33% 95% Met
Response Rate 99.67% 90% 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 158
Family Members, Guardians and Authorized Representatives 37
Representatives of Education 193
Representatives of Employment 102
Rep Health, Allied Health, and Rehabilitation 105
Representatives of Community Living 37
Representatives of Technology 145
Unable to Categorize 333
TOTAL 1,110

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
777 231 102 1,110

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities Participants
AT Products/Services 186
AT Funding/Policy/ Practice 98
Combination of any/all of the above 11
Information Technology/Telecommunication Access 784
Transition 31
Total 1,110

C. Description of Educational/Training Activities

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

MDTAP conducted a training on "How to create accessible e-learning modules" for state government learning spaces. 66 people were in attendance. This training has led to multiple consultations with ICT staff on implementing accessibility practices when creating new training content for either in-agency or Workday Learning. As a direct result of this training, we anticipate more sharing of this resource and enforcement of accessibility compliance within the Maryland Department of Budget and Management (DBM) for any content uploaded to Workday Learning.

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

MDTAP staff hosted a training on AT For Emotional and Behavioral Disorders. This session focused on a topic we had not previously covered, emphasizing AT solutions to improve behavioral outcomes for people with disabilities. The content covered a variety of AT as it pertains to characteristics of EBDs, and provided possible solutions for a variety of needs. 49 people registered with 13 attendees; however all registrants received a copy of the slides and the recording of the session. After this session, staff was contacted by two families seeking consultations and demonstrations of AT options. These subsequently resulted in AT device loans.

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

MDTAP provided a training on evaluating and ensuring accessibility in digital procurements, to the Maryland Department of Transportation. Eleven (11) people were in attendance, ranging from leadership to procurement officers. MDOT staff learned about a new process to implement when conducting agency procurements requiring they perform a cursory accessibility check of a product before purchasing, to ensure the product meets Maryland standards. Further, agency staff learned about the ADA Title II Rulemaking, its impact on their agency, and the steps they should start taking to comply. With this high impact training, MDOT leadership noted they would begin implementing checks and best practices with the development of new materials (documents and apps) for accessibility.

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 116
Training or Technical Assistance will be developed or implemented 168
No known outcome at this time 439
Nonrespondent 61
Total 784
Performance Measure Percentage 36.2%
ACL Target Percentage 70%
Met/Not Met Not Met

E. Notes:

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 06%
Employment 24%
Health, Allied Health, Rehabilitation 00%
Community Living 19%
Technology (IT, Telecom, AT) 51%
Total 100%

B. Description of Technical Assistance

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

MDTAP coordinated with the Maryland Statewide EEO Office to determine what guidance was provided to state ADA Coordinators regarding access to and implementation of AT in the workplace. After initial conversations with EEO leadership, we created, presented, and distributed a survey to all state ADA Coordinators to determine how we might collaborate with the EEO Office on ways to build systematic change around the understanding and accessing of AT amongst ADA coordinators. Final results of the survey were presented to the EEO Office, and planning for a 3-part online education module is now in development, to be available in FY26 for all state ADA coordinators. The plan further includes the following objectives that will result in a streamlined process for accessing and implementing AT solutions in state employment: 1. We create a 3-part online training covering: AT Fundamentals (Create a foundational module covering common categories of AT for various disabilities, how to identify po

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

Families were sharing with State Agency Transition Collaborative (SATC) members that they felt overwhelmed by the transition process, and were requesting a tool that would tell them what to do at each age of their youth. IN the state of Maryland, transition services begin at age 14 or 9th grade, whichever comes first. In partnership with agencies involved in the SATC, including Department of Disabilities AT Program, Division of Rehabilitation Services, MSDE, and more, the group created a visual roadmap (age band) to help families. On the back page , the group included a section for families to enter their local contact for each agency that they may be applying for as their youth moves through the transition process. In July, as MDTAP was involved in reviewing this roadmap, we included specific markers around AT considerations and linkage to the "AT in Transition" checklist, to encourage greater use of the checklist in planning for AT needs post-school. By ensuring more direct partner

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. MDTAP staff presented a session at the Maryland Youth Leadership Forum (YLF) hosted by Independence Now, a Center for Independent Living in Maryland. The YLF aims to support youth with disabilities across the state, noting its mission of "Maryland Youth Leadership Forum Delegates build leadership skills and prepare for future employment, higher education, and independent living." This one hour presentation explained the adaptive gaming systems for the Nintendo Switch and the Microsoft Xbox One. Additionally, the presenter explained MDTAP services and shared information on the DSCI Service year option, a new state-facilitated employment-track established at the cabinet-level and utilized to support skill development in youth not attending college. The YLF attendees (transition-age youth with disabilities) had the opportunity to try out adapted gaming systems and ask questions about AT, accessibility, and assistive technology services at the end of the presentation.

2. MDTAP staff presented on "Hearing Assistive Technology Services & Resources" to 68 attendees at the MD State Department of Education State Steering Committee conference for Deaf & Hard of Hearing Students. Attendees were administrators and staff across the state who serve students who are deaf or hard of hearing. Staff reviewed statewide resources, services, a variety of assistive technology solutions as applicable in the classroom, and hosted an in-depth discussion of Hearing AT available in the AT Lending Library. This presentation led to further discussions and device loans to educators seeking greater supports for their students with hearing loss.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service
AT Funding Total
Individuals with Disabilities 220 50 270
Family Members, Guardians and Authorized Representatives 97 30 127
Representative of Education 53 136 189
Representative of Employment 17 206 223
Representative of Health, Allied Health, and Rehabilitation 41 15 56
Representative of Community Living 69 67 136
Representative of Technology 11 04 15
Unable to Categorize 00 03 03
Total 508 511 1,019

Referral Types:

During FY25, MDTAP focused greater outreach to education partners (including the SEA and LEAs) and employment partners (particularly outreach to other state agencies). As a result, we saw a larger source of referrals to the AT program coming from schools and state agencies. This outreach included direct involvement with school transition teams at the LEA level, and outreach to state ADA coordinators and HR staff across executive-level agencies as we evaluated ways in which to best support new and long-term state employees with disabilities.

Referral Sources:

MDTAP coordinates with a variety of referring partners throughout the year. Some of the largest referral sources come from community partners, including the Maryland Development Disabilities Administration (DDA) and their many provider agencies. Through this work and continued presentations to the agencies, CCS , and regional staff meetings, we've substantially increased the number of referrals coming from provider agencies seeking consultations, demonstrations, and device loans for clients. We've also provided intensive case management for those who've been denied AT services & supports within their Medicaid waiver requests.

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Yes
Yes
In collaboration with the Maryland State Department of Education and our partners at the National Federation of the Blind (NFB), MDTAP and NFB led the development and presentation of four 7-910 Equivalent Access (state law requiring all technology procured by local education agencies to be vetted and confirmed accessible) Training Module Videos. These sessions were presented live and made available to all LEA representatives across the state. The sessions were also recorded and hosted on the NFB website.
In January 2025, all LEAs were required to submit reports to MSDE demonstrating adherence to the Equivalent Access Law, and this information was shared with MDTAP and NFB to identify areas for further targeted support, including: (1) The selection, acquisition, equitable distribution, and sustainability of available, quality-assured digital formats of textbooks (i.e., eTextbooks, e-books, or a compilation of OERs), digital devices, and digital learning resources for all students; (2) The selection and availability of equitable Accessible Educational Materials (AEM) to meet the needs of all students; and (3) (C) Each local board of education shall annually train special education directors, principals, and other purchase specialists on the policies and procedures for purchasing and using accessible teaching and learning materials to ensure enforcement of the policies and procedures.' This project continues to evolve as we have begun working with MSDE to turn these modules into CEU-earning lessons for educators. This work falls under ICT services within MDTAP and a portion of the work is funded via AT Act federal funds.
https://www.marylandpublicschools.org/programs/Pages/ITSLM/Accessibility/local-accessibility.aspx

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

Education, Information and Communication Technology/Remote Connectivity,

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

Device Loan, Demo, Training, Information & Assistance, Public Awareness, Technical Assistance,

Yes
Yes
MDTAP and the Maryland Division of Rehabilitation Services collaborates throughout the year to provide custom tours and device demonstrations to clients served within the Office of Blindness and Vision Services (OBVS). This collaboration includes client tours of the AT Lending Library and customized solution exploration based on the employment goals identified by the consumers.
As a result, 5 tours were hosted, which included hands-on opportunities for the clients as well as customized discussion and device borrowing solutions.

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

Employment, Community Participation and Integration,

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

Device Loan, Demo, Information & Assistance, Public Awareness,

Yes
Yes
Using the Johns Hopkins Memory Care Family Checklist, currently being digitally integrated into the Maryland 211 system through a federal grant under the Administration for Community Living, MDoA and MDTAP collaborated on the integration of AT solutions within domains in the tool, including: Healthcare and Care Financing, Home and Personal Safety, Daily Meaningful Activities, Caregiver: Daily Living, and Caregiver: Informal and Emotional Support. This collaboration strengthens the solutions and referrals to the statewide assistive technology program for direct access to consultations, device lending libraries, refurbished AT at no cost, and low-rate financing.
This integration was implemented between August and September 2025, so we have not yet seen a demonstrable increase in dementia-specific services. However, we are currently seeking funding to expand this project. MDTAP and MDoA are proposing a collaboration on statewide professional development for all Maryland Access Point (MAP) staff, providing in-depth training on various technology solutions and statewide resources as they align with the AT solutions integrated into the Memory Care Family Resource Tool. Topics to be included in the professional development training would include social isolation, home accessibility, smart home integration, remote monitoring and support, medication and reminders, daily living and safety, and emotional support. Such training will assist Area Agency on Aging staff working with older adults and caregivers to understand how to sustainably integrate technology solutions into existing aging in place supportive services, including the National Family Caregiving Program, Supporting Older Adults with Resources Program, and Dementia Care Navigation. Specifically, this professional development solution would include virtual presentations, the creation of an online training module available for all MAP staff, and an AT Resource Map, highlighting technology solutions that align with the caregiver checklist domains, made available to both service providers and families. Furthermore, it's expected that this training will lead to increased use of state-funded resources deployed at the local level for enabling technology that supports older Marylanders to age-in-place.
https://211md.org/

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

Housing/Home Automation, Community Participation and Integration, Health, Aging, Transition (school to work or congregate care to community), Aging and Disability Network/No Wrong Door,

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

Device Loan, Demo, Reuse, State Financing, Information & Assistance, Public Awareness,

Yes
Yes
MDTAP has worked closely with the MD Developmental Disabilities Administration (DDA), the state's Medicaid waiver provider for residents with I/DD. Since 2019, MDTAP has partnered with DDA to move the state to a Technology First recognition. Continue efforts during FY25 included the coordinated effort to establish an AT subcommittee of the Technology First Taskforce. The taskforce includes AT specialists, MDTAP staff and DD provider agency representatives collaborating on a framework for educating agencies, CCS's and waiver reviewer on assistive technology. MDTAP also led the way on final recommendations on assistive technology clarifications as the DDA moved to consolidate all 3 waivers into one DDA Community Pathways waiver.
Waiver recommendations specific to assistive technology included eligibility for all applicants to receive AT assessments, inclusion of coverage for warranties, inclusion of remote assessments and training, and the allowability for fewer than 3 vendor bids when there are fewer than 3 vendors available. This continued partnership and collaboration ensures that Marylanders with I/DD will have greater access to assistive technologies and AT services as they use waiver services for AT access. https://health.maryland.gov/dda/Pages/Medicaid_Waiver_Programs.aspx

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

Housing/Home Automation, Community Participation and Integration, Recreation/Leisure, Health, Transition (school to work or congregate care to community),

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

Device Loan, Demo, Technical Assistance,

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? 02

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.

MDOD, specifically the IT Accessibility staff within MDTAP, became an operations partner with the Department of Service and Civic Innovation which runs the Maryland Service Year program. This program is intended to offer Maryland high school graduates a way to build relevant job skills and encourage hiring in the state. Participants will earn the federal 508 Trusted Tester certification and an IT Accessibility apprenticeship credential from the US Dept of Labor. MDOD is hosting two Service Year members in this position; they are expected to complete the program June 2026. There are 4 other participants in this curriculum.


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.)

MDOD created the curriculum for this new Digital Accessibility Track within the Service Year for IT Accessibility. Further details on the curriculum and training can be provided by the Statewide IT Accessibility Initiative team members - Stephen Polacek (stephen.polacek@maryland.gov) and Dan Doggett (dan.doggett@maryland.gov).


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

Employment


B.2 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.

The Maryland AT Program, IT Accessibility staff, developed an online Plain Language module in collaboration with the Plain Language Initiative workgroup in response to the Governor's Executive Order on Plain Language issued last year. The training aims to inform state employees about the importance of using plain language and provides instruction on how to implement it effectively.


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 final training module can be found on the internal state learning hub, Workday. For details on the module and content, questions can be directed to Dan Doggett, dan.doggett@maryland.gov.


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

Technology (ICT accessibility and AT

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
Federal$700,000State FinancingTrue
Amount: $700,000

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.