National Assistive Technology Act Data System

Annual Progress Report - Full Report

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Missouri 2025

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 14 09 23
Approved Not made 01 00 01
Rejected 02 02 04
Total 17 11 28

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income: $7,544 Highest Income: $163,303

Average Income
Sum of Incomes Loans Made Average Annual Income
$1,623,372 23 $70,581

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 05 07 02 00 00 09 23
Percentage of Loans 21.74% 30.43% 8.7% 0% 0% 39.13% 100%

3. Loan Type

Loan Type
Type of Loan Number of Loans Percentage of loans
Revolving Loans 23 100%
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 23 100%

Loan Type Summary
Type of Loan Number of Loans Dollar Value of Loans
Revolving Loans 23 $401,311
Partnership Loans 00 $0
Total 23 $401,311

4. Interest Rates

Interest Rates
Lowest 1%
Highest 4%

Interest Rate Summary
Sum of Interest Rates Number of Loans Made Average Interest Rate
80 23 3.47826086956522%

Number of Loans Made by Interest Rate
Interest Rate Number of loans
0.0% to 2.0% 03
2.1% to 4.0% 20
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 23

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 01 $2,140
Hearing 06 $24,250
Speech communication 00 $0
Learning, cognition, and developmental 00 $0
Mobility, seating and positioning 02 $4,700
Daily living 00 $0
Environmental adaptations 03 $48,267
Vehicle modification and transportation 11 $321,954
Computers and related 00 $0
Recreation, sports, and leisure 00 $0
Total 23 $401,311

6. Defaults

Defaults
Number Loans in default 12
Net loss for loans in default $27,444

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?Other: iCanConnect (DeafBlind)

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)42
B. Non-Metro (RUCC 4-9)11
C. Total Served53

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures53

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 57$48,173
Hearing 28$18,168
Speech communication0$0
Learning, cognition, and developmental 0$0
Mobility, seating and positioning0$0
Daily living 0$0
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 52$64,509
Recreation, sports, and leisure0$0
Total137$130,850

Activity 2
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)197
B. Non-Metro (RUCC 4-9)120
C. Total Served317

Performance Measure
D. Excluded from Performance Measure317
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:

School districts have legal obligations to fund AT under IDEA

3. Types and Dollar Amounts of AT Funded

Type of AT Device / ServiceNumber of Devices
Funded		Value of
AT Provided
Vision 67$144,165
Hearing 23$45,248
Speech communication171$378,126
Learning, cognition, and developmental 70$34,695
Mobility, seating and positioning0$0
Daily living 0$0
Environmental adaptations7$3,245
Vehicle modification and transportation 0$0
Computers and related 56$56,871
Recreation, sports, and leisure0$0
Total394$662,350

Activity 3
How would you describe this state financing activity?Other: Missouri Caregiver 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)152
B. Non-Metro (RUCC 4-9)21
C. Total Served173

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures173

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 positioning0$0
Daily living 508$51,308
Environmental adaptations227$12,939
Vehicle modification and transportation 0$0
Computers and related 47$14,100
Recreation, sports, and leisure0$0
Total782$78,347

Activity 4
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)275
B. Non-Metro (RUCC 4-9)92
C. Total Served367

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures367

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 337$219,014
Hearing 129$37,839
Speech communication3$1,989
Learning, cognition, and developmental 17$8,362
Mobility, seating and positioning6$1,767
Daily living 5$8,835
Environmental adaptations0$0
Vehicle modification and transportation 0$0
Computers and related 96$53,954
Recreation, sports, and leisure0$0
Total593$331,760

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)8
B. Non-Metro (RUCC 4-9)14
C. Total Served22

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures22

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 1$3,295
Hearing 0$0
Speech communication1$407
Learning, cognition, and developmental 0$0
Mobility, seating and positioning14$43,228
Daily living 0$0
Environmental adaptations4$45,247
Vehicle modification and transportation 1$4,203
Computers and related 0$0
Recreation, sports, and leisure1$2,253
Total22$98,633



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)133
B. Non-Metro (RUCC 4-9)123
C. Total Served256

Performance Measure
D. Excluded from Performance Measure0
E. Number of Individuals Included in Performance Measures256

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 74$1,332$0$1,332
Hearing 0$0$0$0
Speech communication 0$0$0$0
Learning, cognition, and developmental 15$2,085$0$2,085
Mobility, seating and positioning 0$0$0$0
Daily living 579$7,064$0$7,064
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 2$24$0$24
Total 670$10,505$0$10,505


D. Anecdote

A caregiver in the St. Louis area supporting her husband on hospice found life-changing support through the use of smart home and fall-prevention technology she was able to obtain through the Missouri Caregiver Program. With frequent deliveries of groceries, medications, and essential supplies—and regular visits from hospice nurses—she needed a reliable way to monitor activity at her home and ensure her husband’s safety. Through the program, she received smart home devices, including indoor and outdoor cameras, along with fall-prevention tools. These devices quickly became part of her daily routine, offering not just convenience but real impact. Falls were prevented, visitors and deliveries could be monitored with ease, and the added peace of mind allowed her to focus more fully on caring for her husband. She described the technology as “extremely useful, helpful, and practical,” noting that it made a meaningful difference during an incredibly challenging time. She expressed deep gratitude for the thoughtful use of tax dollars that made this support possible.

Impact Area

A school district participating in Missouri Assistive Technology’s Assistive Technology Reimbursement (ATR) Program shared how transformative the support has been for their students. The program has made it possible for the district to provide the right equipment for each child—tools that truly match individual needs rather than settling for something that is merely “good enough” or temporary. With hearing aids becoming increasingly advanced and wireless, the ATR Program has allowed the district to keep pace with rapid technological changes. Students are now receiving high-quality, up-to-date devices that deliver superior sound and stronger connectivity. This has made a remarkable difference in both access and comfort. Because students are equipped with devices that genuinely help them succeed, their acceptance and continued use of assistive technology has grown—carrying with them not just through elementary years, but into middle school and high school as well.

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 00 662 662
2. AT was only available through the AT program. 00 00 188 188
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 00 850 850
5. None of the above 00 00 00 00
6. Subtotal 00 00 850 850
7. Nonrespondent 00 00 44 44
8. Total 00 00 894 894
9. Performance on this measure NaN% NaN% 95.08%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 691 57.06%
Satisfied 59 4.87%
Satisfied somewhat 19 1.57%
Not at all satisfied 17 1.4%
Nonrespondent 425 35.09%
Total Surveyed 1,211
Response rate % 64.91%

G. Notes:

Reutilization

A. Number of Recipients of Reused Devices

Activity Number of Individuals Receiving a Device from Activity
A. Device Exchange 06
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan 3,126
C. Total 3,132

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 3,132

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 $840 $0 $840
Daily Living 05 $2,225 $0 $2,225
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 10 $3,065 $0 $3,065

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 60 $32,423 $12 $32,411
Hearing 05 $803 $0 $803
Speech Communication 02 $2,295 $0 $2,295
Learning, Cognition and Developmental 03 $688 $0 $688
Mobility, Seating and Positioning 1,930 $1,069,099 $36,007 $1,033,092
Daily Living 2,331 $602,690 $35,419 $567,271
Environmental Adaptations 45 $6,169 $0 $6,169
Vehicle Modification & Transportation 07 $7,325 $0 $7,325
Computers and Related 01 $140 $0 $140
Recreation, Sports and Leisure 20 $9,905 $0 $9,905
Total 4,404 $1,731,537 $71,438 $1,660,099

D. Anecdote

Ellen is a vibrant young woman who had gradually become inactive and isolated because foot pain made it difficult for her to walk any distance. Knowing she needed a solution, she reached out to SIL, where she had previously received a rollator, to ask whether any power scooters or wheelchairs might be available through the Reuse Program. She was added to the waitlist and later visited SIL for a hands-on demonstration to explore which mobility device might best meet her needs. When a few suitable options became available, Ellen returned with her friend Steve to try them out. She ultimately chose a lightweight power scooter that fit her lifestyle and comfort level. By coincidence, Tom—an acquaintance of both Ellen and Steve—was at SIL that day. The three of them celebrated together, and everyone proudly joined in for a group photo to share with MO-AT. The very next day, Ellen contacted SIL to say how much she loves her new scooter—and that her mom loves it too, because it has restored so much independence. “It was worth the wait,” Ellen said. “Now I can go shopping, go to the mall, and do activities outside. I can do so many more things.”

A photo of four individuals smiling. One of the individuals is sitting on a rollator mobility aid she just received at one of MoAT's device re-utilization centes.
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 14 1,563 1,582
2. AT was only available through the AT program. 02 04 1,200 1,206
3. AT was available through other programs, but the system was too complex or the wait time too long. 02 01 224 227
4. Subtotal 09 19 2,987 3,015
5. None of the above 00 00 107 107
6. Subtotal 09 19 3,094 3,122
7. Nonrespondent 00 00 10 10
8. Total 09 19 3,104 3,132
9. Performance on this measure 100% 100% 96.23%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 2,765 88.28%
Satisfied 365 11.65%
Satisfied somewhat 02 0.06%
Not at all satisfied 00 0%
Nonrespondent 00 0%
Total Surveyed 3,132
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) 1,015
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 10
Conduct training, self-education or other professional development activity 17
Total 1,059

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 11 02 13
Family Members, Guardians, and Authorized Representatives 05 03 08
Representative of Education 653 14 667
Representative of Employment 16 05 21
Representatives of Health, Allied Health, and Rehabilitation 283 04 287
Representatives of Community Living 42 09 51
Representatives of Technology 05 07 12
Total 1,015 44 1,059

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 140 12 152
Hearing 58 00 58
Speech Communication 1,341 08 1,349
Learning, Cognition and Developmental 258 02 260
Mobility, Seating and Positioning 00 00 00
Daily Living 56 17 73
Environmental Adaptations 371 03 374
Vehicle Modification and Transportation 03 00 03
Computers and Related 621 16 637
Recreation, Sports and Leisure 00 01 01
Total 2,848 59 2,907

E. Anecdote

Tracy, from Puxico R-8 School District, reached out to Missouri Assistive Technology with a practical question: Was there a way to keep students locked within a communication app on an iPad, or would the district need separate dedicated devices? We walked through how to enable Guided Access, a built-in iPad accessibility feature that keeps students from accidentally exiting their communication app—an easy solution that can have a big impact. To explore communication options further, Tracy borrowed an iPad with the LAMP Words for Life communication app through Missouri Assistive Technology’s device loan program. The program allows districts—especially smaller, rural districts like Puxico R-8—to try specialized devices before committing resources, ensuring students get the right tools for their needs. Tracy implemented the device with three students and later shared the impact: “The AT device was implemented with three different students and had a significant positive impact. It enabled each student to express their wants, needs, and feelings more effectively. As a result, frustration related to communication barriers decreased, allowing the students to engage more successfully with others and experience growth across all areas of development.” For these students, access to the right communication technology didn’t just support classroom success—it reduced frustration, strengthened interactions with teachers and peers, and opened the door for meaningful progress.

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 400 19 210 629
Decided that an AT device/ service will not meet needs 96 01 36 133
Subtotal 496 20 246 762
Have not made a decision 160 03 58 221
Subtotal 656 23 304 983
Nonrespondent 15 00 17 32
Total 671 23 321 1,015
Performance on this measure 75.61% 86.96% 80.92%

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. 16 04 13 33
2. AT was only available through the AT program. 00 01 07 08
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 16 05 20 41
5. None of the above 00 00 00 00
6. Subtotal 16 05 20 41
7. Nonrespondent 00 00 03 03
8. Total 16 05 23 44
9. Performance on this measure 100% 100% 100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 898 84.8%
Satisfied 51 4.82%
Satisfied somewhat 05 0.47%
Not at all satisfied 02 0.19%
Nonrespondent 103 9.73%
Total Surveyed 1,059
Response rate % 90.27%

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 353
Hearing 174
Speech Communication 28
Learning, Cognition and Developmental 15
Mobility, Seating and Positioning 186
Daily Living 229
Environmental Adaptations 51
Vehicle Modification and Transportation 02
Computers and Related 36
Recreation, Sports and Leisure 08
Total # of Device Demonstrations 1,082

B. Types of Participants

Type of Participant Decision-Makers Other Participants Total
Individuals with Disabilities 888 21 909
Family Members, Guardians, and Authorized Representatives 127 214 341
Representatives of Education 16 05 21
Representatives of Employment 23 15 38
Health, Allied Health, Rehabilitation 19 15 34
Representative of Community Living 06 09 15
Representative of Technology 03 02 05
Total 1,082 281 1,363

C. Number of Referrals

Referrals
Type of Entity Number of Referrals
Funding Source (non-AT program) 69
Service Provider 90
Vendor 125
Repair Service 01
Others 12
Total 297

D. Anecdote

Jeff contacted our office as he prepared for upcoming foot surgery and needed equipment that would allow him to return to work safely while following his non–weight-bearing restrictions. I first showed him a set of crutches, but after trying them, Jeff realized they weren’t safe for him because of a recent shoulder surgery. Next, I demonstrated a knee scooter, which offered the stability and mobility he needed without putting weight on his recovering foot. Jeff felt confident this would allow him to continue working while healing. He also needed something to help him shower safely without getting his foot wet. After looking at both a transfer bench and a standard shower chair, Jeff decided the shower chair would meet his needs and allow him to bathe safely and independently. With the knee scooter and shower chair, Jeff was able to return to work and continue his recovery while maintaining both safety and independence.

A man in his office talks on the phone. He's using a knee scooter that he learned about and was provided a demo of by a MoAT demonstration center.
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 79 69 827 975
Decided that an AT device/ service will not meet needs 05 02 26 33
Subtotal 84 71 853 1,008
Have not made a decision 13 05 28 46
Subtotal 97 76 881 1,054
Nonrespondent 03 04 21 28
Total 100 80 902 1,082
Performance on this measure 84% 88.75% 94.57%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services Number of Customers Percent
Highly satisfied 1,022 74.98%
Satisfied 114 8.36%
Satisfied somewhat 37 2.71%
Not at all satisfied 04 0.29%
Nonrespondent 186 13.65%
Total 1,363
Response rate % 86.35%

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. 21 18 2,238 2,277
2. AT was only available through the AT program. 02 05 1,395 1,402
3. AT was available through other programs, but the system was too complex or the wait time too long. 02 01 224 227
4. Subtotal 25 24 3,857 3,906
5. None of the above 00 00 107 107
6. Subtotal 25 24 3,964 4,013
7. Nonrespondent 00 00 57 57
8. Total 25 24 4,021 4,070
9. Performance on this measure 92% 95.83% 90.42% 90.46%
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 479 88 1,037 1,604
Decided that an AT device/ service will not meet needs 101 03 62 166
Subtotal 580 91 1,099 1,770
Have not made a decision 173 08 86 267
Subtotal 753 99 1,185 2,037
Nonrespondent 18 04 38 60
Total 771 103 1,223 2,097
Performance on this measure 76.72% 88.35% 91.13% 85.71%
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 98.58% 95% Met
Response Rate 89.45% 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 471
Family Members, Guardians and Authorized Representatives 87
Representatives of Education 364
Representatives of Employment 221
Rep Health, Allied Health, and Rehabilitation 333
Representatives of Community Living 1,102
Representatives of Technology 298
Unable to Categorize 315
TOTAL 3,191

Geographic Distribution of Participants
Metro Non Metro Unknown TOTAL
2,256 935 00 3,191

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities Participants
AT Products/Services 1,624
AT Funding/Policy/ Practice 247
Combination of any/all of the above 923
Information Technology/Telecommunication Access 366
Transition 31
Total 3,191

C. Description of Educational/Training Activities

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

During this reporting period, Missouri Assistive Technology (MoAT) expanded public awareness of assistive technology through its continued partnership with the Missouri Open Door Technology Series, coordinated by the UMKC Institute for Human Development and aligned with the Charting the LifeCourse (CtLC) Framework. This collaboration provided a statewide platform to introduce assistive technology concepts to individuals with disabilities, families, service coordinators, and professionals. Through presentations and practical demonstrations, the series strengthened understanding of how AT supports autonomy, access, and person-centered planning across home, school, community, and employment settings.

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

MoAT participated in and presented at the yearly Transition Training Institute hosted by the state’s department of education. The session presented focused on practical strategies for planning and integrating assistive technology into the transition from K-12 to adulthood for students with disabilities. The session highlighted best practices for ensuring continuity of technology, promoting student self-advocacy, and preparing families and educators to support successful transitions that include assistive technology. This session was also presented to a parent group in October.

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

In conjunction with the Information Technology Services Division of Missouri’s Office of Administration, we hosted the first Missouri Web Accessibility Summit in Jefferson City in April. This one day event had as its purpose and goal to deepen knowledge and understanding of digital accessibility and strengthen the ability of attendees to implement greater digital accessibility. Approximately 150 individuals attended the event and attended sessions on a broad mix of digital accessibility topics including creating a web accessibility roadmap and plan, vendor accessibility and the procurement process, accessible data visualization and plain language writing. While open to anyone, the primary audience for this event was state and local government staff responsible for web content; educators producing web materials; and leadership/stakeholders in government and educational institutions concerned with digital accessibility compliance and inclusion.

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 152
Training or Technical Assistance will be developed or implemented 174
No known outcome at this time 36
Nonrespondent 04
Total 366
Performance Measure Percentage 89.1%
ACL Target Percentage 70%
Met/Not Met Met

E. Notes:

The decline in training participation this year reflects MoAT’s decision to pause its annual conference.

Technical Assistance

A. Frequency and Nature of Technical Assistance

Technical Assistance by Recipient Type
Education 10%
Employment 10%
Health, Allied Health, Rehabilitation 00%
Community Living 50%
Technology (IT, Telecom, AT) 30%
Total 100%

B. Description of Technical Assistance

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

Missouri is reimagining its State Schools for the Severely Disabled by shifting toward more inclusive, person-centered models that emphasize access to assistive technology, expanded communication supports, and pathways to greater independence and community engagement. Missouri Assistive Technology has been an active partner in this effort offering guidance and support around issues concerning assistive technology selection and implementation.

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. Missouri Assistive Technology (MoAT) expanded public awareness through its partnership with the Missouri Open Door Technology Series, coordinated by UMKC’s Institute for Human Development and aligned with the Charting the LifeCourse (CtLC) Framework. This collaboration provided a statewide platform to share person-centered assistive technology information with individuals with disabilities, family members, support coordinators, and professionals. Content shared focused on practical AT solutions supporting independence, safety, communication, and community participation. MoAT presented on AT within the CtLC Integrated Supports framework; demonstrations of low-, mid-, and high-tech tools; real-world examples across life domains; guidance on matching technology to individual needs; and information on MoAT services including device loans, demonstrations, 3D-printed adaptations, and funding resources. Dissemination occurred through statewide virtual sessions that were recorded and shared on-demand. Sessions were promoted through IHD networks, DMH, schools, Centers for Independent Living, Regional Offices, social media, listservs, and community partners. Reach included hundreds of participants statewide—individuals with disabilities, family caregivers, educators, employment staff, and support coordinators. Recorded content extended reach beyond live events. Outcomes included increased awareness and referrals, greater incorporation of AT into person-centered planning, expanded access to AT education for rural families, and sustained engagement through follow-up demonstrations, device loans, and interest in other MoAT programs.

2.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients AT Device/
Service		 AT Funding Total
Individuals with Disabilities 1,358 422 1,780
Family Members, Guardians and Authorized Representatives 1,102 283 1,385
Representative of Education 1,950 682 2,632
Representative of Employment 149 22 171
Representative of Health, Allied Health, and Rehabilitation 695 114 809
Representative of Community Living 2,042 183 2,225
Representative of Technology 77 16 93
Unable to Categorize 00 00 00
Total 7,373 1,722 9,095

Referral Types:

Raising awareness among seniors and their families has been a priority for us over the past several years. As previously reported, our outreach at conferences and public events geared toward this population has increasingly featured 3D-printed, low-tech devices—such as adapted nail clippers, bottle openers, and pill poppers—as conversation starters. These simple, hands-on tools consistently draw attention and help open discussions about assistive technology in a more approachable way. We also equip all 10 of the state’s Area Agencies on Aging with kits that include 3D-printed devices and MoAT promotional materials, encouraging them to share these resources with the individuals they serve. In addition, through our partnership with organizations administering technology under the Missouri Caregiver Program, we have seen a growing number of family caregivers—particularly those supporting someone with memory loss—spreading the word about the program and MoAT’s services. Collectively, these efforts have contributed to a significant increase in engagement, reflected in the near doubling of family members who contacted us this past year.

Referral Sources:

MoAT’s referral network spans a wide range of organizations across education, healthcare, community living, and senior services. Local Education Agencies, Centers for Independent Living, and key state partners—including the Division of Developmental Disabilities, the Bureau of Special Health Care Needs, and the state education agency—collectively account for more than half of all referrals. These referrals come from every region of the state, demonstrating the strong partnerships and broad reach that underpin our programs. This year, we worked to shift from this provider-focused network by expanding opportunities to connect directly with consumers and their families. These efforts aim to increase awareness of MoAT’s programs and services among the people who benefit from them most.

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Yes
Yes
Missouri Assistive Technology collaborates often and in a variety of ways with Missouri’s state department of education. The most impactful collaboration is the Assistive Technology Reimbursement Program. Through this program, which can be accessed by the state’s public, charter and State Schools for the Severely Disabled, schools who have students that have assistive technology included in their IEP’s are able to seek reimbursement for assistive technology that they purchase for these students. Funds utilized for this program are IDEA Part B funds provided by the state education agency to Missouri Assistive Technology who then administers the program.
The ATR Program this reporting period assisted 317 students in 114 different school districts access 387 devices or AT systems. The most important measurable impact is that increased access to the curriculum these students now have as a result of their access to AT. This program helps us to continue our AT awareness efforts within the states 500+ school districts, many of which are rural. This is a long standing program we anticipate will continue as long as funds are available from the federal level to the state.
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
Missouri has both a regular Vocational Rehabilitation agency and a rehabilitation services for the blind agency. We frequently collaborate with both organizations. Both staff and the consumers served by these agencies benefit from these collaborations. We utilize primarily federal funds for these efforts.
The most impactful outcome has been to increase knowledge and access to assistive technology, primarily among counselors. A training on assistive technology and our services is a "baked-in" element of our state VR agencies new counselor training with approximately 50 new counselors be presented to this past year. These trainings make counselors more comfortable in thinking through assistive technology needs with their clients and being more apt to reach out to us for guidance on the situations that they encounter. This has been a fruitful partnership that has resulted in the provision of additional training on specific AT topics to counselors, working in tandem to fund assistive technology, and greater utilization of our device loan program. This will be on on-going collaboration that we expect to grow each year.

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

Employment,

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

Device Loan, Demo, Training,
Yes
Yes
Missouri’s State Plan on Aging for 2024-2027 includes several direct references to Missouri Assistive Technology. Of most significance, is that it recognizes that assistive technology is a major component of aging in place and it outlines specific objects and strategies with involve MoAT including the establishment of a referral process to help participants obtain assistive technology and that each AAA will provide community education about home modification and assistive technology services available in their planning and service area.
This collaboration is at the early stages so measurable outcomes are minimal, but do include an increase in training to AAA's in the state and an increase in individuals seeking information and assistance on AT for older adults, This collaboration will increase are reach into this demographic and into areas of the state (south central, northwest and northeast) that we have not traditionally had a strong presence in.
https://health.mo.gov/seniors/state-plan-aging.php

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

Aging,

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

Training, Information & Assistance, Public Awareness,
Yes
No
To date, we have not been able to find a common issues around which to develop a collaboration.
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
Federal$174,487State FinancingTrue
Public/State Agency$100,000State FinancingTrue
Public/State Agency$91,279State FinancingTrue
Public/State Agency$700,000State FinancingTrue
State Appropriations$795,751State FinancingTrue
Amount: $1,891,517

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.