National Assistive Technology Act Data System

Annual Progress Report - Full Report

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Northern Mariana Islands 2025

General Information

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

State AT Program Title:

CNMI Assistive Technology Program

State AT Program Title:

State AT Program URL

cnmicdd.gov.mp

Mailing Address:

P.O. Box 502565

City:

Saipan

State:

Zip Code:

96950

Program Email:

Phone:

670-664-7003

TTY:

670-664-7001

Lead Agency

Agency Name:

CNMI Council on Developmental Disabilities

Mailing Address:

P.O.Box 502565

City:

Saipan

State:

Zip Code:

96950

Program URL:

cnmicdd.gov.mp

Implementing Entity

Does your Lead Agency contract with an Implementing Entity to carry out the Statewide AT Program on its behalf? (Check if Yes)

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):

Sablan, Pamela C.

Title:

CNMI Assistive Technology Program Director

Phone:

670-664-7000

E-mail:

psablan@cnmicdd.gov.mp

Program Director at Lead Agency (last, first):

Title:

Phone:

E-mail:

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):

Tudela, Josephine

Title:

CNMI Assistive Technology Program Manager

Phone:

670-664-7003

E-mail:

jtudela@cnmicdd.gov.mp

Certifying Representative

Name (last, first):

Felipe Aquino Jr.

Title:

CNMI Council/ATP Chairperson

Phone:

670-664-7000

E-mail:

islandernm95@gmail.com

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
	Metro RUCC 1-3	Non-Metro RUCC 4-9	Total
	Area of Residence		Total
Approved Loan made	00	00	00
Approved Not made	00	00	00
Rejected	00	00	00
Total	00	00	00

2. Income of Applicants to Whom Loans Were Made

Lowest/Highest Incomes
Lowest Income:	$0	Highest Income:	$0

Average Income
Sum of Incomes	Loans Made	Average Annual Income
$0	00	$0

Number and Percentage of Loans Made to Applicants by Income Range
	$15,000 or Less	$15,001- $30,000	$30,001- $45,000	$45,001- $60,000	$60,001- $75,000	$75,001 or More	Total
	Income Ranges						Total
Number of Loans	00	00	00	00	00	00	00
Percentage of Loans	0%	0%	0%	0%	0%	0%	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	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	00	100%

Loan Type Summary
Type of Loan	Number of Loans	Dollar Value of Loans
Revolving Loans	00	$0
Partnership Loans	00	$0
Total	00	$0

4. Interest Rates

Interest Rates
Lowest	0%
Highest	0%

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

Number of Loans Made by Interest Rate
Interest Rate	Number of loans
0.0% to 2.0%	00
2.1% to 4.0%	00
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	00

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	00	$0
Speech communication	00	$0
Learning, cognition, and developmental	00	$0
Mobility, seating and positioning	00	$0
Daily living	00	$0
Environmental adaptations	00	$0
Vehicle modification and transportation	00	$0
Computers and related	00	$0
Recreation, sports, and leisure	00	$0
Total	00	$0

6. Defaults

Defaults
Number Loans in default	00
Net loss for loans in default	$0

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?

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?

D. Anecdote

The CNMI Assistive Technology Program did not offer any loans this year.

Impact Area Education Employment Community Living

E. Performance Measures

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

F. Customer Satisfaction

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

G. Notes:

Reutilization

Did your approved State Plan for this reporting period included conducting any device reuse activities?

A. Number of Recipients of Reused Devices

Activity	Number of Individuals Receiving a Device from Activity
A. Device Exchange	00
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan	02
C. Total	02

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	02

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

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	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	$550	$0	$550
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	05	$550	$0	$550

D. Anecdote

During the reporting period, the CNMI Assistive Technology Program provided a total of five mobility devices through its open-ended device loan program to address unmet community needs. These devices included three pediatric mobility devices (children’s walkers) and one wheelchair. The equipment originated from legacy donations made by an international nonprofit organization more than a decade ago and had been retained within the program’s inventory. The Family-to-Family (F2F) Program, operating under early childhood intervention services and serving as a Disability Network Partner, contacted the Assistive Technology Program seeking mobility equipment for young children whose families lacked the financial means to obtain such devices independently. After assessing available inventory, the program identified pediatric walkers requiring only minor repairs. F2F agreed to complete the necessary repairs, allowing the devices to be placed back into service and promptly meet the needs of children and families. Additionally, one older wheelchair that had been scheduled for surplus due to anticipated repair costs was reassessed following a referral from a community partner. The device as loaned to a residential community of retired nuns at Maturana Hill, where many residents experience age-related mobility limitations. The residence maintains on-site support staff capable of refurbishing and maintaining mobility equipment. Although the wheelchair required replacement of front wheels and repair to arm supports, the receiving organization accepted the devices and committed to restoring them for continued use.

Impact Area Education Employment Community Living

E. Performance Measures

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

F. Customer Satisfaction

Satisfaction
Customer Rating of Services	Number of Customers	Percent
Highly satisfied	02	100%
Satisfied	00	0%
Satisfied somewhat	00	0%
Not at all satisfied	00	0%
Nonrespondent	00	0%
Total Surveyed	02
Response rate %	100%

G. Notes:

Device Loan

Did your approved State Plan for this reporting period included conducting Short-Term Device Loans?

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)	33
Serve as loaner during service repair or while waiting for funding	11
Provide an accommodation on a short-term basis for a time-limited event/situation	06
Conduct training, self-education or other professional development activity	01
Total	51

B. Short-Term Device Loan by Type of Borrower

LOANS BY TYPE OF BORROWER
Type of Individual or Entity	Number of Device Borrowers
Type of Individual or Entity	Desicion-making	All other Purposes	Total
Individuals with Disabilities	22	06	28
Family Members, Guardians, and Authorized Representatives	05	02	07
Representative of Education	02	02	04
Representative of Employment	01	02	03
Representatives of Health, Allied Health, and Rehabilitation	02	03	05
Representatives of Community Living	01	03	04
Representatives of Technology	00	00	00
Total	33	18	51

C. Length of Short-Term Device Loans

Length of Short-Term Device Loan in Days	42

D. Types of Devices Loaned

Types of Devices Loaned
Type of AT Device	Number of Devices
Type of AT Device	Desicion-making	All other Purposes	Total
Vision	00	00	00
Hearing	00	00	00
Speech Communication	00	00	00
Learning, Cognition and Developmental	00	00	00
Mobility, Seating and Positioning	36	07	43
Daily Living	05	09	14
Environmental Adaptations	00	00	00
Vehicle Modification and Transportation	00	00	00
Computers and Related	00	03	03
Recreation, Sports and Leisure	00	01	01
Total	41	20	61

E. Anecdote

During the reporting period, the CNMI Assistive Technology Program continued its collaboration with key Disability Network Partners, including Northern Marianas College (NMC), the Office of Vocational Rehabilitation (OVR), and the CNMI Center for Living Independently (CLI), to support access to assistive technology for individuals with disabilities across education, employment, and community participation settings. In partnership with NMC and OVR, the Assistive Technology Program provided short-term laptop loans to students with disabilities who were transitioning into postsecondary education or vocational services while awaiting the issuance of their personal or program-funded devices. These interim loans helped ensure continuity of access to coursework, instructional materials, and vocational preparation activities during critical transition periods. The program also worked closely with CLI to support community-based participation by providing loaner mobility devices to individuals served by the organization. These devices were used both as temporary supports while permanent equipment was being secured and to facilitate participation in off-site activities and field trips. In several instances, alternative mobility devices were provided to replace large motorized wheelchairs that were not practical for transportation or outdoor use, enabling individuals to safely and comfortably participate in community outings. This collaboration highlights the program’s role in reducing access barriers through flexible device loans, cross-agency coordination, and responsive support that promotes independence, inclusion, and full participation in educational and community activities.

CNMI Center for Living Independently Consumer Feild Trip

Impact Area Education Employment Community Living

F. Access Performance Measures

Access Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
Decided that AT device/service will meet needs	01	08	22	31
Decided that an AT device/ service will not meet needs	00	02	00	02
Subtotal	01	10	22	33
Have not made a decision	00	00	00	00
Subtotal	01	10	22	33
Nonrespondent	00	00	00	00
Total	01	10	22	33
Performance on this measure	100%	100%	100%

G. Acquisition Performance Measures

Acquisition Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
1. Could only afford the AT through the AT program.	01	02	07	10
2. AT was only available through the AT program.	00	02	04	06
3. AT was available through other programs, but the system was too complex or the wait time too long.	00	01	01	02
4. Subtotal	01	05	12	18
5. None of the above	00	00	00	00
6. Subtotal	01	05	12	18
7. Nonrespondent	00	00	00	00
8. Total	01	05	12	18
9. Performance on this measure	100%	100%	100%

H. Customer Satisfaction

Satisfaction
Customer Rating of Services	Number of Customers	Percent
Highly satisfied	50	98.04%
Satisfied	01	1.96%
Satisfied somewhat	00	0%
Not at all satisfied	00	0%
Nonrespondent	00	0%
Total Surveyed	51
Response rate %	100%

I. Notes:

The CNMI continues to have issues with shipping and this was evident for 2025 with the rise of individuals needing short term loaner devices due to delays in receiving their new devices. During the reporting period, ongoing shipping and supply chain challenges in the CNMI continued to affect the timely delivery of assistive technology devices. In 2025, these delays resulted in an increased need for short-term loaner devices for individuals who were awaiting the arrival of newly ordered equipment. The CNMI Assistive Technology Program responded by utilizing its device loan inventory to provide temporary assistive technology solutions, ensuring continuity of access and minimizing disruptions to daily activities, education, employment, and community participation. These short-term loans helped bridge gaps caused by external shipping delays and reduced the risk of individuals going without necessary assistive technology supports.

Device Demonstration

A. Number of Device Demonstrations by Device Type

Type of AT Device / Service	Number of Demonstrations of AT Devices / Services
Vision	07
Hearing	02
Speech Communication	32
Learning, Cognition and Developmental	02
Mobility, Seating and Positioning	41
Daily Living	06
Environmental Adaptations	03
Vehicle Modification and Transportation	00
Computers and Related	11
Recreation, Sports and Leisure	01
Total # of Device Demonstrations	105

B. Types of Participants

Type of Participant	Decision-Makers	Total
Individuals with Disabilities	52	52
Family Members, Guardians, and Authorized Representatives	23	23
Representatives of Education	03	03
Representatives of Employment	14	14
Health, Allied Health, Rehabilitation	06	06
Representative of Community Living	06	06
Representative of Technology	01	01
Total	105	105

C. Number of Referrals

Referrals
Type of Entity	Number of Referrals
Funding Source (non-AT program)	13
Service Provider	21
Vendor	04
Repair Service	00
Others	11
Total	49

D. Anecdote

During the reporting period, the CNMI Assistive Technology Program conducted device demonstrations primarily in connection with its device loan services, ensuring that individuals, families, and service providers were able to explore and understand assistive technology options prior to short-term or open-ended use. Device demonstrations were provided to the CNMI Division of Fire and Emergency Management (DFEM) as part of their annual professional development activities. During this training, participants were introduced to a range of assistive technology devices commonly used during emergency response and community support activities, including a wheeled stair climber, communication boards, transport chairs, and portable ramps. These demonstrations increased first responders’ familiarity with assistive technology solutions that support safe evacuation, effective communication, and mobility assistance for individuals with disabilities during emergencies and disasters. Additional device demonstrations were conducted during the 2025 International Day for People with Disabilities, where community members had the opportunity to view and interact with newer assistive technology models, including combination wheelchair-walkers and lightweight travel chairs. These demonstrations allowed individuals, families, and service providers to compare features, understand appropriate use, and identify options that may support greater independence and participation in daily and community activities. Through hands-on demonstrations delivered in both professional and community settings, the Assistive Technology Program increased awareness, informed decision-making, and supported appropriate device selection, reinforcing the program’s role in promoting access to assistive technology.

CNMI Dept. of Fire & Emergency Services Demonstration

Impact Area Education Employment Community Living

E. Performance Measures

Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
Decided that AT device/service will meet needs	44	21	36	101
Decided that an AT device/ service will not meet needs	00	00	00	00
Subtotal	44	21	36	101
Have not made a decision	02	00	02	04
Subtotal	46	21	38	105
Nonrespondent	00	00	00	00
Total	46	21	38	105
Performance on this measure	95.65%	100%	94.74%

F. Customer Satisfaction

Satisfaction
Customer Rating of Services	Number of Customers	Percent
Highly satisfied	98	93.33%
Satisfied	04	3.81%
Satisfied somewhat	00	0%
Not at all satisfied	00	0%
Nonrespondent	03	2.86%
Total	105
Response rate %	97.14%

G. Notes:

Overall Performance Measures

Overall Acquisition Performance Measure

Acquisition Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
1. Could only afford the AT through the AT program.	02	02	08	12
2. AT was only available through the AT program.	00	02	04	06
3. AT was available through other programs, but the system was too complex or the wait time too long.	00	01	01	02
4. Subtotal	02	05	13	20
5. None of the above	00	00	00	00
6. Subtotal	02	05	13	20
7. Nonrespondent	00	00	00	00
8. Total	02	05	13	20
9. Performance on this measure	100%	80%	92.31%	90%
ACL Performance Measure				85%
Met/Not Met				Met

Overall Access Performance Measure

Access Performance Measures
Response	Primary Purpose for Which AT is Needed			Total
Response	Education	Employment	Community Living	Total
Decided that AT device/service will meet needs	45	29	58	132
Decided that an AT device/ service will not meet needs	00	02	00	02
Subtotal	45	31	58	134
Have not made a decision	02	00	02	04
Subtotal	47	31	60	138
Nonrespondent	00	00	00	00
Total	47	31	60	138
Performance on this measure	95.74%	100%	96.67%	97.1%
ACL Performance Measure				90%
Met/Not Met				Met

Overall Satisfaction Rating

Customer Rating of Services	Percent	ACL Target	Met/Not Met
Highly satisfied and satisfied	100%	95%	Met
Response Rate	98.10%	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	252
Family Members, Guardians and Authorized Representatives	159
Representatives of Education	199
Representatives of Employment	50
Rep Health, Allied Health, and Rehabilitation	108
Representatives of Community Living	25
Representatives of Technology	16
Unable to Categorize	109
TOTAL	918

Geographic Distribution of Participants
Metro	Non Metro	Unknown	TOTAL
00	918	00	918

B. Educational/Training Activity Topics

Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities	Participants
AT Products/Services	00
AT Funding/Policy/ Practice	00
Combination of any/all of the above	725
Information Technology/Telecommunication Access	02
Transition	191
Total	918

C. Description of Educational/Training Activities

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

During the reporting period, the CNMI Assistive Technology Program, in collaboration with Disability Network Partners, delivered the Family Transition Symposium across Saipan, Tinian, and Rota. This multi-island, multi-day symposium provided families, students with disabilities, and service providers with coordinated training on transition planning, assistive technology, and community supports. The symposium integrated assistive technology education into sessions focused on postsecondary education, employment readiness, and independent living, allowing participants to explore how AT can support successful transitions across life stages. The geographic reach, cross-agency collaboration, and integration of AT into transition planning made this a high-impact and innovative training activity for the CNMI.

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

The CNMI Assistive Technology Program supported transition-focused education through its participation in the 2025 Family Transition Symposium, held on Saipan, Tinian, and Rota. The training provided students with disabilities and their families with information on assistive technology options that support the transition from secondary education to postsecondary education, employment, and community living. Participants learned how AT can improve access to education, workplace tasks, and daily living activities, while also connecting with partner agencies involved in transition services.

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

During the reporting period, the Assistive Technology Program provided training and demonstrations focused on Information and Communication Technology (ICT) accessibility during postsecondary and community-based educational activities. Trainings conducted with Northern Marianas College staff and student tutors included overviews of assistive technology requirements in higher education and demonstrations of accessible software, applications, and devices that support students with disabilities. These activities increased awareness of accessible ICT tools and promoted inclusive instructional practices within postsecondary education settings.

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	02
Training or Technical Assistance will be developed or implemented	00
No known outcome at this time	00
Nonrespondent	00
Total	02
Performance Measure Percentage	100%
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	12%
Employment	34%
Health, Allied Health, Rehabilitation	22%
Community Living	29%
Technology (IT, Telecom, AT)	03%
Total	100%

B. Description of Technical Assistance

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

The CNMI Assistive Technology Program provided high-impact technical assistance to the CNMI Division of Fire and Emergency Management and Department of Public Safety through disability sensitivity and emergency preparedness activities. Technical assistance included hands-on demonstrations of assistive technology devices such as communication boards, wheeled stair climbers, transport chairs, and portable ramps. This assistance strengthened first responders’ capacity to safely support individuals with disabilities during emergencies and disasters, representing an innovative application of assistive technology within public safety and emergency response systems.

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

The Assistive Technology Program provided transition-related technical assistance through collaboration with Northern Marianas College and the Office of Vocational Rehabilitation, offering short-term device loans and individualized guidance to students with disabilities transitioning into postsecondary education or vocational services. Technical assistance focused on identifying appropriate technology solutions, ensuring interim access to laptops and other devices, and coordinating with partner agencies to support continuity of education and employment preparation while permanent accommodations or equipment were being secured.

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. 2025 International Day for People with Disabilities – Assistive Technology Awareness During the reporting period, the CNMI Assistive Technology Program participated in the 2025 International Day for People with Disabilities as a public awareness activity focused on increasing community understanding of assistive technology and its role in promoting independence and inclusion. The awareness information shared highlighted practical assistive technology solutions for mobility, communication, and daily living, including demonstrations of combination wheelchair-walkers, lightweight travel chairs, and low-tech communication supports. The activity was conducted through an in-person community event featuring interactive exhibits and hands-on demonstrations. Assistive Technology Program staff engaged directly with individuals with disabilities, family members, service providers, and community stakeholders, providing explanations of device features, appropriate use, and pathways to access assistive technology services through the CNMI AT Program. The event reached a broad cross-section of the community, including individuals with disabilities of all ages, families, and representatives from government and nonprofit organizations. As a result of this activity, participants reported increased awareness of available assistive technology options and a better understanding of how AT can support participation in community life. The event also resulted in follow-up inquiries regarding device demonstrations, loans, and referrals, indicating positive outcomes related to increased access and service engagement.

2. Autism Awareness Family Fun Day – Community-Based Assistive Technology Outreach The CNMI Assistive Technology Program conducted a high-impact public awareness activity through its participation in the 2025 Autism Awareness Family Fun Day held at Sugar King Park in Garapan, Saipan. This community-based outreach event focused on increasing awareness of assistive technology tools that support communication, sensory regulation, and participation for children with autism and their families. Awareness information was shared through interactive exhibits and hands-on demonstrations of sensory tools, communication boards, and other low-tech assistive technology devices. Program staff provided families with information on how these tools can be used at home, in school, and in community settings, as well as guidance on accessing assistive technology services and supports. The event reached approximately 190 participants, including children with autism, family members, caregivers, and representatives from partner agencies. Positive outcomes included increased family awareness of assistive technology options, strengthened connections between families and service providers, and improved understanding of how assistive technology can enhance daily routines and community participation. Families expressed appreciation for the practical information and hands-on exposure provided during the event, reinforcing the value of community-based AT awareness activities.

Information And Assistance

Information And Assistance Activities by Recipient
Types of Recipients	AT Device/ Service	AT Funding	Total
Individuals with Disabilities	349	102	451
Family Members, Guardians and Authorized Representatives	201	61	262
Representative of Education	43	00	43
Representative of Employment	54	00	54
Representative of Health, Allied Health, and Rehabilitation	56	00	56
Representative of Community Living	38	00	38
Representative of Technology	02	00	02
Unable to Categorize	192	00	192
Total	935	163	1,098

Referral Types:

During the reporting period, the CNMI Assistive Technology Program implemented targeted outreach and education strategies that strengthened referral pathways and increased awareness of assistive technology services across multiple service systems. A key strategy involved leveraging existing Disability Network Partner relationships to embed assistive technology information within broader community events, trainings, and service delivery settings rather than relying solely on standalone AT outreach. Strategic partnerships with agencies such as the CNMI Center for Living Independently (CLI), Family-to-Family Health Information Center (F2F), CNMI University Center for Excellence in Developmental Disabilities (UCEDD), Office of Vocational Rehabilitation (OVR), Northern Marianas College (NMC), Division of Youth Services (DYS), healthcare providers, and emergency response agencies proved particularly effective. By co-hosting trainings, participating in large community events, and providing hands-on demonstrations and technical assistance within partner-led activities, the Assistive Technology Program increased visibility among individuals who may not have otherwise sought out AT services. Public awareness events such as the International Day for People with Disabilities and the Autism Awareness Family Fun Day allowed the program to reach individuals with disabilities, families, caregivers, and service providers in accessible, community-based settings. These events generated follow-up inquiries and referrals related to device demonstrations, short-term loans, and information on accessing assistive technology services. Similarly, training and technical assistance activities delivered to first responders, educators, healthcare workers, and postsecondary institutions increased referrals from professional service providers who gained a clearer understanding of how and when to connect individuals to the AT Program. As a result of these outreach efforts, the program observed increased referrals from Disability Network Partners, education agencies, independent living services, vocational rehabilitation, healthcare providers, and family support organizations, as well as self-referrals from individuals with disabilities and their family members. These referrals were often tied to specific outreach activities where assistive technology was demonstrated, discussed in practical terms, or directly linked to real-world needs such as education access, mobility, communication, emergency preparedness, and community participation. Overall, the integration of assistive technology outreach into cross-agency activities, combined with long-standing partnerships and community-based engagement, strengthened referral networks and improved pathways for individuals and families to access assistive technology services in the CNMI.

Referral Sources:

During the reporting period, the majority of referrals to the CNMI Assistive Technology Program for Information and Assistance originated from healthcare service providers, accounting for an estimated at least 60% of total referrals. The program works closely with the Commonwealth’s only hospital as well as multiple community-based clinics across the island. Referrals are most frequently initiated by hospital and clinic social services staff, particularly during patient discharge planning when individuals require temporary or short-term access to assistive technology devices while awaiting delivery of newly ordered equipment. These healthcare-based referrals provide CNMI-wide coverage and play a critical role in ensuring continuity of care and safe transitions from clinical settings to home and community environments. The remaining referrals are distributed across education, employment, and community living systems. Education-related referrals are received from public schools and postsecondary institutions, including Northern Marianas College, often in connection with students with disabilities requiring assistive technology to support learning, communication, or transition to postsecondary education. Employment-related referrals primarily originate from the Office of Vocational Rehabilitation and partner service providers supporting individuals seeking or maintaining employment. Community living referrals are received from organizations such as the CNMI Center for Living Independently, family support programs, and other Disability Network Partners assisting individuals with mobility, communication, or daily living needs. Collectively, these referral sources reflect strong cross-sector collaboration and provide broad geographic reach across the CNMI. The concentration of referrals from healthcare providers highlights the importance of continued partnership with medical and clinical systems, while the diversity of referrals from education, employment, and community-based organizations underscores opportunities to further strengthen awareness and integration of assistive technology services across all service sectors.

Notes:

Coordination/Collaboration and State Improvement Outcomes

Overview of Coordination/Collaboration Activities

Outreach was conducted with the State Education Agency *

Yes

Was collaboration implemented? *

Yes

1. As concisely as possible, describe the partnership initiative. What activities/services were provided? Who are the major collaborating organizations and what is their role? Who is served/benefited? What funding was used to implement the initiative?

During the reporting period, the CNMI Assistive Technology Program implemented an outreach and coordination initiative with education agencies to increase awareness and use of assistive technology (AT) among students with disabilities and the professionals who support them. The initiative focused on integrating AT information, demonstrations, and short-term device access into existing education and transition activities rather than creating stand-alone outreach events. Major collaborating organizations included the CNMI Public School System (PSS), Northern Marianas College (NMC), the Office of Vocational Rehabilitation (OVR), and the CNMI University Center for Excellence in Developmental Disabilities (UCEDD). The Assistive Technology Program provided AT demonstrations, information and assistance, short-term device loans (such as laptops and mobility devices), and technical guidance related to accessible educational technology and transition planning. Education partners supported outreach by hosting trainings, identifying students in need of AT support, and facilitating referrals. Individuals served through this initiative included students with disabilities, transition-age youth, family members, educators, student tutors, and disability support staff. Activities were implemented using federal Assistive Technology Act funding, with support and coordination from Disability Network Partners.

2. As concisely as possible, describe the measurable results of the initiative and any lessons learned. How did access to AT change as a result of the coordination/collaboration/partnership? How did awareness of AT change as a result of the partnership? How did the reach of the state AT program change as a result of the partnership? What made the partnership successful? What would you change or wish you had done differently? Provided funding/resources are available, will the initiative continue or is this a one-time event? What advice would you give for replication of the initiative?

As a result of this partnership initiative, access to assistive technology improved for students with disabilities by reducing gaps caused by delays in equipment procurement and by increasing awareness of available AT services and supports. Short-term device loans and demonstrations allowed students to maintain access to coursework and transition-related activities while awaiting permanent accommodations or equipment. Awareness of assistive technology increased among educators, postsecondary staff, and transition service providers, resulting in more informed referrals and earlier identification of AT needs. The reach of the Assistive Technology Program expanded through education-based referral pathways, particularly through postsecondary institutions and transition-focused activities such as the Family Transition Symposium. The partnership was successful because it leveraged existing education and transition structures, emphasized practical and immediate AT solutions, and relied on consistent communication between agencies. One key lesson learned was the value of embedding AT outreach into routine education and transition activities rather than relying on one-time presentations. Given available funding and ongoing partner engagement, this initiative is expected to continue as part of the program’s regular outreach and education strategy. For replication, programs are encouraged to establish clear points of contact within education agencies, integrate AT information into transition planning activities, and maintain flexible device loan options to address short-term needs while long-term solutions are being arranged.

2.a Please include URL for initiative if available

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

Education, Employment, Community Participation and Integration, Transition (school to work or congregate care to community), Information and Communication Technology/Remote Connectivity,

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

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

Outreach was conducted with the Vocational Rehabilitation Agency *

Yes

Was collaboration implemented? *

Yes

During the reporting period, the CNMI Assistive Technology Program partnered with the Office of Vocational Rehabilitation (OVR) to integrate assistive technology into employment and transition-related services. Activities included AT demonstrations, information and assistance, and short-term device loans (e.g., laptops and mobility devices) to support individuals with disabilities preparing for or maintaining employment. The AT Program provided technical guidance on identifying appropriate technology and interim access while permanent equipment or accommodations were being arranged. OVR staff identified participants, coordinated referrals, and incorporated AT considerations into individualized employment planning. Individuals served included transition-age youth and adults with disabilities seeking employment. Activities were supported with federal Assistive Technology Act funding.

The partnership improved timely access to AT by bridging gaps during procurement and assessment periods, reducing interruptions to training, education, and employment preparation. Awareness of AT increased among VR counselors, resulting in earlier referrals and more targeted use of AT in employment planning. The reach of the AT Program expanded through VR referral pathways across the CNMI. The partnership was successful due to regular communication, shared problem-solving, and flexible device loan options. The initiative is expected to continue as part of routine coordination. For replication, programs should embed AT discussions into VR intake and planning processes and maintain rapid-response loan inventories.

2.a Please include URL for initiative if available

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

Education, Employment, Housing/Home Automation, Transportation, Community Participation and Integration, Recreation/Leisure, Health, Aging, Transition (school to work or congregate care to community), Aging and Disability Network/No Wrong Door, Veterans, Information and Communication Technology/Remote Connectivity,

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

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

Outreach was conducted with the Aging Agency *

Yes

Was collaboration implemented? *

Yes

The CNMI Assistive Technology Program collaborated with aging and community living service providers, including independent living partners, to support older adults with mobility and daily living needs. Activities focused on information and assistance, AT demonstrations, and open-ended or short-term device loans to address immediate safety and access needs. The AT Program provided guidance on appropriate device selection and reuse, while partner agencies identified individuals, facilitated referrals, and supported follow-up. Individuals served included older adults aging in place and those transitioning from clinical or congregate settings. Activities were implemented using federal Assistive Technology Act funding in coordination with community partners. The AT Program provides annual presentations at the Man’amko Centers (Aging Centers) on the respective islands.

Access to AT improved by enabling older adults to receive timely mobility and access solutions, often using refurbished or loaned devices when permanent equipment was delayed or unavailable. Awareness of AT increased among aging service providers, leading to more consistent referrals and better alignment of AT with aging-in-place goals. The reach of the AT Program expanded through community living and aging networks. The partnership succeeded due to practical device reuse strategies and trusted community relationships. The initiative is expected to continue. For replication, programs should pair AT reuse with aging services and ensure clear referral pathways for rapid response.

2.a Please include URL for initiative if available

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

Housing/Home Automation, Transportation, Community Participation and Integration, Recreation/Leisure, Health, Aging, Aging and Disability Network/No Wrong Door, Veterans, Information and Communication Technology/Remote Connectivity,

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

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

Outreach was conducted with the Medicaid Agency *

Yes

Was collaboration implemented? *

Yes

During the reporting period, the CNMI Assistive Technology Program worked closely with Medicaid-related healthcare systems, including the Commonwealth’s hospital and community clinics, to support individuals requiring assistive technology during care transitions. Activities included information and assistance, assistive technology demonstrations and short-term device loans coordinated through hospital and clinic social services teams, particularly during discharge planning when individuals required interim access to mobility or communication devices while permanent equipment was pending. In addition, the partnership was strengthened by the Director of Medicaid serving as a member of the Council’s Advisory Council, which facilitated regular information sharing and coordination between the Assistive Technology Program and Medicaid leadership. Through this structure, information related to assistive technology services, device access, and system-level barriers was shared consistently, supporting alignment between Medicaid processes and assistive technology service delivery. Activities were implemented using federal Assistive Technology Act funding, in coordination with healthcare and Medicaid partners. Individuals served through this initiative included patients transitioning from inpatient or outpatient care to home and community-based settings, as well as individuals experiencing delays in receiving Medicaid-funded assistive technology devices.

As a result of this partnership, access to assistive technology improved by reducing gaps during hospital discharge and recovery periods, ensuring individuals had interim access to necessary devices while awaiting permanent equipment. Awareness of assistive technology increased among Medicaid leadership, healthcare administrators, and social services staff through regular information exchange and participation in advisory activities, leading to more informed referrals and improved coordination. The reach of the Assistive Technology Program expanded through Medicaid and healthcare referral pathways across the CNMI. The partnership was successful due to embedded leadership participation, ongoing communication, and the availability of flexible device loan options. Given continued funding and leadership engagement, this initiative is expected to continue. For replication, programs are encouraged to include Medicaid leadership in advisory structures and establish routine information-sharing mechanisms to align assistive technology services with Medicaid systems and discharge planning processes.

2.a Please include URL for initiative if available

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

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

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

Additional Coordination/Collaboration activities

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?

Additional And Leveraged Funds

A. Leveraged Funding for State Plan Activities

Fund Source	Amount	Use of Funds	Data Reported
Federal	$2,067	Training	True
Federal	$2,473	Public Awareness, I&A	True
	Amount: $4,540

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.

During the reporting period, the CNMI Assistive Technology Program continued to leverage funding and in-kind support from partners reported in the 2024 NATADS and expanded collaboration in 2025 to include additional partners such as the CNMI Center for Living Independently (CLI) and the Division of Youth Services (DYS). Leveraged resources supported joint outreach, training, technical assistance, and community-based activities aligned with the State Plan for Assistive Technology. In some cases, complete quantitative data associated with leveraged funding could not be fully reported due to differences in partner data-tracking systems, reporting timelines, and the use of shared or in-kind resources that were not easily disaggregated at the activity level. Several collaborative activities involved blended staffing or shared venues, limiting the ability to attribute costs and outcomes to a single funding source during this reporting period.

B. Public Health Workforce Grant Award

All Section 4 AT Act grantees were awarded $80,000.00 in supplemental Public Health Workforce grant funding to increase the number of positions within the disability and aging network for public health professionals. Please document below the cumulative status of these funds, FY22 through FY25, as a final closeout report.

The status of these funds at the end of the FY25 (September 30, 2025) is as follows: (Check one) We did not utilize this funding. (Do not complete this section.)
We expended all or some of this funding (Complete the section below)

Please report the total amount expended (drawn down and liquidated) from FY22 through FY25:

$77,974.00

Please check all position types that were supported with these funds over the period of FY22-25. This can be a direct employee or contractual position.

Please describe the activities of the above FTE and how such activities advance public health.

During the reporting period, the CNMI Assistive Technology Program FTE supported public health advancement through continued collaboration with the Commonwealth Healthcare Corporation (CHCC) and private clinics, building on activities reported in 2024. Key activities included the development and dissemination of printed materials and video resources in seven languages, improving access to health and assistive technology information for culturally and linguistically diverse populations. The partially funded FTE also provided training and technical assistance to CHCC and private clinic staff, focusing on effective communication, assistive technology awareness, and accessibility considerations for individuals with disabilities. These activities strengthened healthcare providers’ capacity to support patients with diverse communication and access needs, promoted equitable access to health information, and supported safer transitions from clinical settings to home and community environments. Through multilingual outreach and provider training, the FTE contributed to improved health communication, reduced access barriers, and increased awareness of assistive technology as a public health support across the CNMI.

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).