##### Part I: Attachments

OMB Control Number: 1820-0664

Expiration Date: 10-31-2008

Attachment 1: Basic Information

Name of Lead Agency: NC Department of Health and Human Services

Name of Applicable Division and/or Subdivision of Lead Agency:

Division of Vocational Rehabilitation Services, NC Assistive Technology
Program

Address of Lead Agency: 1110 Navaho Drive, Suite 101

Raleigh, NC 27609

Name and Title of Certifying Representative for Lead Agency:

Carmen Hooker Odom, Secretary

Department of Health and Human Services

Address for Certifying Representative: 101 Blair Drive

Raleigh, NC 27626

Telephone for Certifying Representative: (919) 733-4534

E-mail for Certifying Representative: Carmen.HookerOdom@ncmail.net

Name and Title of Program Director: Ricki Hiatt, Program Director

NC Assistive Technology Program

Address for Program Director: 1110 Navaho Drive, Suite 101

Raleigh, NC 27609

Telephone for Program Director: (919) 850-2787

E-mail for Program Director: rhiatt@ncatp.org

Name and Title of Program Contact (if different from Program Director):
N/A

Address for Program Director:

Telephone for Program Director:

E-mail for Program Director:

Name of Implementing Entity: N/A

Name of Applicable Division and/or Subdivision of Implementing Entity:

Address of Implementing Entity:

Name and Title of Program Director:

Address for Program Director:

Telephone for Program Director:

E-mail for Program Director:

Name and Title of Program Contact (if different from Program Director):

Address for Program Director:

Telephone for Program Director:

E-mail for Program Director:

Attachment 2: Lead Agency and Implementing Entity

2.1 [Identification and Description of the Lead Agency]{.underline} -
Identify and describe the Lead Agency referred to in section 4(c)(1)(A)
of the AT Act.

2.1A [Identification and Description of Lead Agency if an Implementing
Entity is not Designated]{.underline}

The lead agency for the North Carolina Assistive Technology Program
(NCATP) is the Division of Vocational Rehabilitation Services (DVRS),
Department of Health and Human Services (DHHS). The NC governor
designated the NC Division of Vocational Rehabilitation Services (DVRS)
be the applicant and resulting grantee for the State Program under the
Assistive Technology Act funding.  DVRS is under the NC Department of
Health and Human Services (DHHS).  DHHS policy states that DHHS is
always listed as the recipient of any grant for any division within the
department on such documents as the award notice.  DVRS is a part of
DHHS and therefore no contract or administrative agreement is
necessary.  NCATP is administered through DVRS and no contract or
administrative agreement is necessary.  NCATP is a section within the
organizational structure of DVRS.  For 15 years, DVRS has been the
designated lead agency for the comprehensive statewide assistive
technology program in North Carolina. NCATP is the section within DVRS
that provides the assistive technology services as required under the
Assistive Technology Act. NCATP serves all ages, all disabilities and
across all aspects of life including assistive technology use at home,
school, work, in leisure and recreation, community living and for
independent living. NCATP is administratively housed under Vocational
Rehabilitation, but is in no way limited in meeting the AT Act purpose
and goals of serving people with all disabilities across the human
lifespan. From the outset, 15 years ago, the DVRS Director made a
commitment to meeting the full intent of the AT Act to enable NCATP to
serve people of all ages, all disabilities, and across all aspects of
life. Therefore NCATP will operate under the authority of the
requirements within the Assistive Technology Act, [not]{.underline} the
Vocational Rehabilitation Act or the Workforce Investment Act. DVRS
policies for vocational rehabilitation eligibility and services are
[not]{.underline} applied to NCATP service delivery in any manner.

NCATP has extensive expertise in assistive technology. The program's
purpose is to increase access of assistive technology to people of all
ages and abilities. NCATP has 15 years experience in providing technical
assistive technology consultative services for people with disabilities
and will continue to do so. NCATP services include device demonstration,
device loan, technology exchange post, training and technical
assistance, public awareness and coordination and collaboration.
Services will continue to be available statewide through assistive
technology centers staffed by Assistive Technology Consultants and
Specialists.

NCATP Assistive Technology Consultants and Assistive Technology
Specialists are highly qualified professionals with technical expertise
in the field of Assistive Technology. Staff education and experience are
in the fields of speech language pathology, occupational therapy,
rehabilitation engineering, computer technology, therapeutic recreation
and education. NCATP has a vast amount of expertise and experience, with
a collective 239 years of assistive technology and disability-related
experience by 16 staff. Minimum job requirements for AT Specialists and
AT Consultants are 4 to 8 years of experience, respectively in working
with people with disabilities. Currently five (5) staff hold AT
Practitioner certification through RESNA. NCATP services offered focus
on assistive technology technical expertise. NCATP provides these
services to individuals with disabilities, their family members,
guardians, advocates, as well as other professionals and agencies and
organizations who serve the individual with a disability.

The lead agency promotes NCATP's ability to coordinate, and collaborate
with other public and private entities in the field of assistive
technology and those who serve individuals with disabilities and their
families, guardians, advocates, or other authorized representatives
throughout the State. DVRS and NCATP has existing relationships with key
entities including: Department of Public Instruction, Division of
Services for the Blind, Division of Services for the Deaf and Hard of
Hearing, Workforce Development Commission, Division of Aging, Governor's
Advocacy Council for Person's with Disabilities (P&A), Division of
Public Health/AT Infant & Toddler Program, Partnerships in Assistive
Technology (private nonprofit), Council on Developmental Disabilities,
Division of Mental Health, Development Disabilities, and Substance Abuse
Services, Centers for Independent Living, Autism Society, MS Society,
AgrAbility, Easter Seals United Cerebral Palsy of NC, NC Library for the
Blind and Physically Handicapped, allied health at each State
Universities, community colleges, the Center for Universal Design,
AAC-RERC at Duke University.

The lead agency has a consumer- responsive approach to developing,
planning and implementing assistive technology activities and services.
DVRS and NCATP have policy in place that ensures informed choice is a
central component in the service delivery process. NCATP uses a consumer
centered approach in all services. For example, NCATP staff demonstrates
a wide range of devices to consumers showing them options available from
low tech to high tech and low cost to high cost items. This approach
allows consumers to learn about, touch and try-out a variety of devices
so they can determine what suits them best. Consumers can borrow devices
to try them out at home, work, school or other community setting. Each
year, NCATP purchases new devices for the centers based on consumer
demand and items most requested for short term loan. Satisfaction
surveys are sent out quarterly to gain feedback from consumers and
family members regarding timely and appropriate delivery of services.
DVRS and NCATP provide materials in accessible formats to ensure that
individuals with disabilities have equal access to information. Formats
may include Braille, large print, disc/CD, or advance email of materials
prior to meetings. DVRS and NCATP policy requires that websites meet
accessibility guidelines as well. The lead agency requires that meeting
and training locations must be accessible for DVRS and NCATP sponsored
events. DVRS holds public hearings each year to gain consumer input into
identifying needs, planning and better implementation of services.
People with disabilities and their families represent 64% of the
membership of the NCATP Advisory Council. The Advisory Council meets at
least three (3) times a year and routinely provides input into the
activities of the NCATP.

2.1B [Identification and Description of the Lead Agency if an
Implementing Entity is Designated]{.underline}

Not applicable

2.2 [Identification and Description of the Implementing
Entity]{.underline} -- Identify and describe the Implementing Entity
referred to in section 4(c)(1)(B) of the AT Act, if such an Implementing
Entity is designated by the Governor.

Not applicable

3.  [Show of Good Cause for Change in Lead Agency or Implementing
    Entity]{.underline} -- If the Governor has chosen to change the Lead
    Agency or, if applicable, Implementing Entity as allowed in section
    4(c)(1)(C) of the AT Act, provide an explanation of good cause for
    this redesignation.

Not applicable

Attachment 3: State Advisory Council

3.1 [Membership of the Advisory Council]{.underline} - Identify the
members of the Advisory Council and each member's designation as an
individual with disabilities who uses AT, a family member or guardian of
such individual, or a representative of a State agency or other entity.

The Grant Advisory Council (GAC) of North Carolina is established to
provide consumer-responsive, consumer-driven advice to State planning
of, implementation of, and evaluation of the activities carried out
through the federal grant to the NC Assistive Technology Program. The NC
GAC has thirteen (13) members. The council is geographically
representative of North Carolina and reflects the diversity of NC with
respect to race, ethnicity, type of disability across the age span, and
users of types of services that an individual with a disability may
receive. Sixty-two (62) % of the members of the council are individuals
with disabilities that use assistive technology or represent family
members with a disability. Five (5) members of the Council represent
agencies including the Division of the Services for the Blind,
Vocational Rehabilitation, Center for Independent Living, Department of
Public Instruction and the State Workforce Investment Board.
Representatives from state agencies are not counted in meeting the
requirements for majority membership by people with disabilities and
family members although several agency representatives do have a
disability.

[Members of the Advisory Council:]{.underline}

Individuals with Disabilities: Randy Bachlott, Greg Best, Ruth Haines,
June Moss

Family Members: Matty Lazo-Chadderton, Evelyn Lucas, Sandy McMillan,
Suzanne Meek.

Represent State Agencies: Rene Cummins, Center for Independent Living;
Paula Kuhn, Division of Vocational Rehabilitation; Mary Flanagan,
Division of Services for the Blind; Tamme Reese, Workforce Investment;
Tom Winton, Division of Public Instruction.

2.  [Structure and Operation of the Advisory Council]{.underline} --
    Describe the structure and operations of the Advisory Council.

The GAC will meet three (3) times per year in person at centrally
located meeting sites. The council will be led by a chairperson that is
elected by the members of the council. A vice-chair will also be elected
by membership and serve in the absence of the chairperson. Minutes will
be recorded by staff. The meeting agenda, preview materials and previous
meeting minutes will be sent to each member prior to the meeting. The
members of the advisory council will not receive compensation for their
service on the council, but will be reimbursed for reasonable and
necessary expenses actually incurred in the performance of official
duties for the advisory council.

Council members will provide consumer-responsive, consumer-driven advice
to the State for planning and implementation of the activities carried
out through the federal grant. The GAC will provide input for program
evaluation and setting the measurable goals as described in the AT Act
of 2004. At the chairperson's discretion, council decisions will be made
either through consensus or by member vote. At each meeting, NCATP staff
will update the council on program activities and solicit input from the
members. The chairperson will lead the membership throughout to gain
input and provide advice in planning most appropriate AT activities in
the State. The chairperson and the NCATP Director will set the meeting
agenda topics to ensure that council members are educated about State AT
issues. Presentations and speakers will be selected based on council
members input and staff will develop materials for member packets. NCATP
staff will make the meeting room arrangements, ensuring site and
material accessibility. Council members representing state agencies were
appointed by the directors of each agency. Members with disabilities and
family member's names were solicited from consumer, parent and advocacy
organizations.

## Attachment 4: Measurable Goals 

NCATP will establish a baseline for each of the goals 4.1 through 4.7
during Year Two of the State Plan and will submit after Year Two an
amendment identifying the long term goal and short-term goals set to
improve upon this baseline during Year Three and subsequent years of the
State Plan. This baseline will be established by using a data collection
instrument and procedures to be determined by RSA.

1.  Goal for Improving Access to AT in Education

-   Long-term goal:

    -   Short-term goal for Year 3:

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate and targeted individuals and entities who accessed
        device demonstration programs and/or device loan programs and
        made a decision about an AT device or service for educational
        purposes as a result of the assistance they received.

    -   Short-term goal for Year 1: N/A data collection not established.

    1.  Goal for Improving Access to AT in Employment

-   Long-term goal:

    -   Short-term goal for Year 3:

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate and targeted individuals and entities who accessed
        device demonstration programs and/or device loan programs and
        made a decision about an AT device or service for employment
        purposes as a result of the assistance they received.

    -   Short-term goal for Year 1: N/A data collection not established.

    1.  Goal for Improving Access to AT in Community Living

-   Long-term goal:

    -   Short-term goal for Year 3:

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate and targeted individuals and entities who accessed
        device demonstration programs and/or device loan programs and
        made a decision about an AT device or service for community
        living purposes as a result of the assistance they received.

    -   Short-term goal for Year 1: N/A data collection not established.

    1.  Goal for Improving Access to IT and Telecommunications

-   Long-term goal:

    -   Short-term goal for Year 3:

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate and targeted individuals and entities who accessed
        device demonstration programs and/or device loan programs and
        made a decision about an AT device or service for
        IT/Telecommunication purposes as a result of the assistance they
        received.

    -   Short-term goal for Year 1: N/A data collection not established.

    1.  Goal for Improving Acquisition of AT in Education

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-   Long-term goal:

    -   Short-term goal for Year 3:

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate and targeted individuals and entities who obtained
        devices or services from State Financing activities or
        reutilization programs for educational purposes who would have
        not obtained the AT device or service.

    -   Short-term goal for Year 1: N/A data collection not established.

    1.  Goal for Improving Acquisition of AT in Employment

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-   Long-term goal:

    -   Short-term goal for Year 3:

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate and targeted individuals and entities who obtained
        devices or services from State Financing activities or
        reutilization programs for employment purposes who would have
        not obtained the AT device or service.

    -   Short-term goal for Year 1: N/A data collection not established.

    1.  Goal for Improving Acquisition of AT in Community Living

```{=html}
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```
-   Long-term goal:

    -   Short-term goal for Year 3

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate and targeted individuals and entities who obtained
        devices or services from State Financing activities or
        reutilization programs for community living purposes who would
        have not obtained the AT device or service.

    -   Short-term goal for Year 1: N/A data collection not established.

    1.  [Additional Measurable Goals]{.underline} \-- If applicable,
        describe any measurable goals that

the State has set in addition to the goals established in items 4.1
through 4.7 for

addressing the assistive technology needs of individuals with
disabilities in the State related to education, employment, community
living, and telecommunications and information technology.

Not applicable

#### Attachment 5: State-level Activities

5.1 [State Financing Activities]{.underline} -- Describe how the State
will implement State financing activities as described in section
4(e)(2)(A) of the AT Act.

The North Carolina Assistive Technology Program is invoking State
Flexibility and will not be providing state financing activities. See
Attachment 7 for more specific information.

5.2 [Device Reutilization Program]{.underline} -- Describe how the State
will implement a device reutilization program as described in section
4(e)(2)(B) of the Act.

NCATP will continue to offer device reutilization through the Technology
Exchange Post, a service which has been available to consumers and their
families statewide for over 10 years. The NC Technology Exchange Post
will be expanded to provide a new, improved searchable website. This
will be implemented October 1, 2006. In this new system, consumers and
family members who are potential "sellers" of used assistive technology
can list their items for sell on a designated website available to the
general public. In turn, potential "buyers" of used assistive technology
can search the new website for products they are interested in buying.
The new system will also allow for more complete collection of user data
to enable NCATP to meet the federal reporting requirements. The
Technology Exchange Post is a used equipment database to assist people
with disabilities in obtaining used equipment at lower cost. This
service will help more people get assistive technology devices. It will
help those who might not be able to afford to buy them new or people who
trying to keep their costs down. The Exchange Post is similar to a "want
ad" in that individuals list items they wish to sell. Only people with
disabilities or their family members can list items for sale. They must
be North Carolina residents. No vendors or businesses can post items for
sale. People who are interested in buying used equipment can check the
listing regularly to find items they wish to buy. The listing of used
equipment will be maintained and updated constantly as sellers can enter
new items at any time. It can be accessed on the web at
[www.pat.org](http://www.PAT.org/). If preferred, people can request it
be U.S. mailed directly to them each month. It will also be distributed
statewide to organizations who serve people with disabilities as well as
through various local, state, or regional conferences, workshops,
meetings and fairs/exhibits. Buyers can be anyone who wishes to purchase
the item. The seller and buyer interact directly with each other. A wide
range of used assistive technology devices will be listed in the
categories per the designated, approved federal taxonomy.

The Technology Exchange Post is a subcontract and complies with the
competitive bid State contract policy and process. The Technology
Exchange Post subcontractor will continue to be responsible for
coordination, management and maintenance of the listing. The
subcontractor will review each posting and ensure proper entries and
compliance with program policy, enter the items on the website for
people who do not have Internet access, print hard copies for monthly
mailing or hand-out, mail hard copies to requesting parties, and do a
Spanish translation, conduct follow-up with sellers and buyer and enter
data into the system to meet the federal reporting requirements. The
subcontractor will maintain an email list and a U.S. mailing list, a
website, and conduct outreach and publicity as well as collect
statistical data, report stats to NCATP and manage the subcontract
budget. Outreach will include people with any type of disability, all
ages, across income levels and throughout all 100 counties in North
Carolina. Technology Exchange Post customers are people with
disabilities, their family members, guardians or other representatives.

5.3 [Device Loan Program]{.underline} -- Describe how the State will
implement a device loan program as described in section 4(e)(2)(C) of
the Act.

The device loan program is currently available statewide and will
continue to be provided directly by NCATP staff through NCATP Assistive
Technology Centers and satellite locations across the state. To find the
nearest AT Center location, go to the NCATP website
[www.ncatp.org](http://www.ncatp.org/) Consumers, family members,
professionals, employers and the general public can use the device loan
program simply by contacting staff at any of the NCATP locations. A wide
range of assistive technology devices will be available including
augmentative communication, computer access, low-vision aids, assistive
listening, aids for daily living, switches, environmental controls,
adaptive toys and recreational devices. Services can be borrowed for a
two week period. If no one else is waiting for the borrowed device, then
the loan time can be extended. Borrowers will be responsible for pick up
and return of the device(s). The device loan program will help
individuals try out equipment in the location they will use them: at
home, work, school or recreational activities. It's a "try before you
buy" approach which will help individuals and funding agencies make
wiser choices. Consumers can determine which device(s) best meet their
needs. The devices loans will be tracked and reminder notices generated
to keep equipment available to as many people as possible. The tracking
system will also help identify which devices are the most popular for
loan. This information will help NCATP make purchasing decisions of
which items to add to the loan program each year.

This program will also help: 1) public schools comply with IDEA
requirements which increases device access to students with
disabilities; 2) employers' compliance with ADA requirements thus
improving job opportunities for people with disabilities; 3) improve
compliance with Section 504 of the Rehabilitation Act improving
accessibility. NCATP will continue to collaborate with other public and
private entities to provide closer access in rural areas to device loan
services. NCATP will place devices at various locations for device loan
in addition to the NCATP AT Centers. Collaborating entities will provide
in-kind office space, staff time, and data collection. Collaborating
organizations include: Independent Living, Vocational Rehabilitation,
Regional Resource Centers for the Deaf and Hard of Hearing, community
colleges, private physical rehabilitation centers and Easter Seals UCP.

4.  [Device Demonstration Program]{.underline} -- Describe how the State
    will implement a device demonstration program as described in
    section 4(e)(2)(D) of the Act.

The device demonstration program will continue to be run directly by
NCATP staff through the NCATP Assistive Technology Centers and satellite
locations across the state. To find the nearest AT Center location, go
to the NCATP website [www.ncatp.org](http://www.ncatp.org/) A wide range
of assistive technology devices will be available for demonstration
including augmentative communication, computer access, low-vision aids,
assistive listening, aids for daily living, switches, environmental
controls, adaptive toys and recreational devices. This service will be
offered to individuals with disabilities and their families as well as
the professionals and programs who serve the individuals. Device
demonstration will be provided either on-site in an AT Center or NCATP
staff can go off-site in the individual's home, school, worksite or
other community location upon request. The first preference is to come
to the AT Center because more devices are available there. Often the
individual brings up new needs once they see the wide range of assistive
technology. To access this service, simply contact the closest NCATP
center to set up an appointment. Intake information helps NCATP staff
prepare for the device demonstration and consultation. If an agency or
organization is requesting this service on behalf of an individual, they
should submit background information prior to the device demonstration.

Various devices are demonstrated; basic information on the features is
given; and then the consumer gets a chance to try it out. This is a
hands-on approach for demonstrating devices. NCATP services will be
centered around the consumers, their needs and giving them more choices
for greater independence. Consumers will identify their needs and NCATP
staff will demonstrate the various devices with features and functions
that can help meet those needs. Information will be provided about State
and local vendors, providers and repair services. Individuals will also
be able to borrow devices for try out for a two week period through the
device loan program The device demonstration experience will help
individuals with disabilities select the device(s) that would work best
for them. Purchasers of devices, whether they are consumers, families,
agencies or other funding sources, will obtain critical information to
make wiser purchases. Device demonstrations can be simple or complex. It
may simply involve showing the person how a device works and letting
them try it out.

Consumers or family members are not charged for services, but
organizations may be charged. Typically agencies, school systems or
other organizations require formal written evaluations/assessments to
determine whether to provide specific services (such as purchase
of equipment).  In accordance with federal law, agencies must pay for
these services.

Through the NCATP staff's technical expertise a range of evaluation,
assessment, training and consultation services will be available on a
fee basis to referring agencies, schools and other programs. The
Assistive Technology Act of 1998 as amended (P.L. 108-364) stipulates
that State AT Projects cannot supplant (replace) the responsibilities of
other programs such as special education, vocational rehabilitation,
independent living, veterans administration, etc.  The North Carolina
State Legislative Rules committee approved establishment of the
fee-for-service charges in NC administrative code, Title 10, Chapter 20,
subchapter 20C, section .0125 \"Rates and fees for purchasers of
services\". A written authorization, purchase order or letter
authorizing payment will be necessary prior to scheduling an appointment
for these services.

Fee-Based Services in the area of device demonstration are:

> Assistive Technology Assessment provides an in-depth analysis of
> devices to assist a person with a disability in achieving an
> identified task or goal. This assessment is conducted on-site in an
> Assistive Technology Center in collaboration with the consumer, family
> and related service professionals. A hands-on approach allows
> consumers to try out a variety of devices both low tech and high tech.
> The individual may borrow devices on short term loan to try out at
> school, work, home or another setting at no additional charge. A
> comprehensive written report is provided. Recommendations are given
> for assistive technology devices and related services with equipment
> specifications and information to help funding sources in their
> purchase process.
>
> Community Based Assessment is provided in settings other than an
> Assistive Technology Center. Settings may include: work, home, school,
> group home or other community site. This assessment can be part of a
> multi-disciplinary approach in which devices are tailored to meet the
> needs of a specific setting, task, or situation. A comprehensive
> written report is provided to the party requesting the assessment.
>
> Feature Matching & Device Trial service helps match the best AT device
> to a person's ability. NC Assistive Technology Program staff will work
> with the referral professionals to determine which devices to try
> based on a brief in-house assessment with the input of other referral
> information. A one-page summary of feature matching and summary of
> devices that meet the individual's requirements is provided to the
> referral source.

The intensive hands-on approach with the individual and the equipment
will mean better device identification before purchase decisions are
made by funding sources. It will help people make more informed choices
as they see and learn about device options. Obviously, this can be a
cost effective measure to agencies, schools and other organizations.

Demonstration of devices will continue to be provided by highly
qualified NCATP staff. NCATP Assistive Technology Consultants and
Assistive Technology Specialists have technical expertise in the field
of Assistive Technology. Staff education and experience are in the
fields of speech language pathology, occupational therapy,
rehabilitation engineering, computer technology, therapeutic recreation
and education. NCATP has a vast amount of expertise and experience, with
a collective 239 years of assistive technology and disability-related
experience by 16 staff. Minimum job requirements for AT Specialists and
AT Consultants are 4 to 8 years of experience, respectively in working
with people with disabilities. Currently five (5) staff hold AT
Practitioner certification through RESNA. The device demonstration
services are currently available statewide. NCATP collaborates with
other public and private entities to provide device demonstration
services. Collaborating entities providing in-kind space for
demonstration of devices include: Independent Living, Vocational
Rehabilitation, Regional Resource Centers for the Deaf and Hard of
Hearing, community colleges, private physical rehabilitation centers and
Easter Seal UCP. This helps NCATP reach more people, closer to their
home area.

#### Attachment 6: Comparable Support

Not applicable

6.1 [Source and Amount of Support]{.underline} -- Identify the
State-level activity for which there is comparable support, the source
of this support, the amount of the support, and the project year for
which this support is being provided.

6.2 [Comparability]{.underline} \-- Demonstrate that this support is
comparable in terms of funding and that the activities are comparable in
terms of scope.

6.3 [Coordination and Collaboration]{.underline} -- Describe how the
State will coordinate activities and collaborate with the appropriate
entity, if the comparable funds are provided to, or the activities are
conducted by, an entity other than the Lead Agency or Implementing
Entity.

Attachment 7: State Flexibility

7.1 [Activity]{.underline} -- Identify each State-level activity the
State is choosing not to carry out.

The NC Assistive Technology Program is choosing not to carry out an
alternative financing program as its state financing activity because of
a historical lack of consumer demand for this service. North Carolina
had a statewide adaptive equipment financial loan program provided by
Bank of America and Programs for Accessible Living for eight years
(1994- 2002). Vehicles, CCTVs, specialized computers, and hearing aids
were the most common requests. NCATP provided technical assistance to
Programs for Accessible Living to establish the loan program and
referred people inquiring about funding resources for the purchase of
assistive technology devices. Bank of America stopped the program in
2002 after the demand for the program decreased dramatically -- two (2)
loans in 2001 and three (3) loans in 2002. Only 136 loans (totaling
\$546,245.86) were provided during the eight (8) years of the program.
Many people needing AT had a high debt to income ratio so they did not
qualify financially for the loan program. There is no indication that
this condition has changed. Therefore, resources will be better spent
supporting the device reutilization program, the Technology Exchange
Post (previously described in section 5.2) and activities noted in 7.2
and 7.3 to increase acquisition of AT.

7.2 [Maintenance of Statewideness and Comprehensiveness]{.underline} --
Demonstrate that the Statewide AT Program will continue to be
comprehensive without conducting this activity.

Despite the lack of a dedicated AFP in NC, the NC citizens still can
access loans for certain types of AT through a national program. Bank of
America now has a national loan program called Access Loans. People with
disabilities can apply for a loan for vehicle modifications or home
modifications. While loans for only homes and vehicles is not as
comprehensive as loans for any kind of AT, some of the most common loans
given out under the previous program were for vehicle modifications so
much of the demand can still be met through the national program. The
Access Loan website is:
<http://www.bankofamerica.com/loansandhomes/index.cfm?template=lc_ml_access_loans>

NCATP will refer people to the Bank of America Access Loan Program and
explain how the loan program works. The Bank of America Access Loans for
Vehicles provides loans for the purchase of new or used cars, vans or
light-duty trucks and necessary adaptive equipment. A longer repayment
period lowers monthly payments. New vehicles may be financed up to 100%
of the purchase price of the vehicle (includes adaptive equipment) plus
options, tax, license, documentation fee and service warranty. Used
vehicles may be financed up to 100% of the purchase price plus adaptive
equipment, tax, license, documentation fee, and service warranty.

The Home Improvement Loans provide financing for certain home
modification projects such as building access ramps, installing lifts,
widening doors or lowering cabinets to increase accessibility. The loan
provides a choice of Second Mortgage or Home Equity Loans. The maximum
loan amount is 100% of a home\'s appraised value. Longer repayment
periods lower monthly payments and fixed-interest rates establish stable
monthly payments.

7.3 [Achievement of Measurable Goals]{.underline} - Demonstrate that the
State can reach its measurable education goals, employment goals,
telecommunications and information technology goals, and community
living goals without conducting such activities.

NCATP will provide other services that can help people obtain equipment.
The Technology Exchange Post (previously described in section 5.2) will
help people purchase used equipment at lower cost. Also the sale of
items that are no longer in use can generate funds for the purchase of
other devices. NCATP staff will provide funding information to
individuals with disabilities. The NCATP Funding Specialist and the
Consumer Resource Specialist will help people by phone or in person to
understand where they can go for funding of equipment. They will explain
eligibility requirements, strategies to use in obtaining funding from
the various sources, contact information as well as appeals process
information if the individual is denied funding from state or federally
funded programs.

A list of private foundations and non-profit organizations that provide
funding to individuals will be developed. The list will contain contact
information, specific details on the types of funding available and
directions on how to apply for funds from each organization. NCATP will
work with the Christina Foundation to provide computers to individuals
with disabilities in North Carolina. NCATP staff will continue to work
with members of the NC Assistive Technology Consortium and other
agencies to identify funding resources and to share information with
individuals and disability grassroots organizations.

4.  [Coordination and Collaboration]{.underline} -- Describe how the
    Lead Agency or Implementing Entity will coordinate activities and
    collaborate with entities in the State that do conduct this
    activity, if the State chooses not to conduct this activity because
    another entity already conducts it.

There are no other organizations in NC conducting state financing
activities similar to those required under the AT Act.

## 

## 

## 

## Attachment 8: State Leadership Activities

8.1 [Training and Technical Assistance Activities]{.underline} --
Describe how the State will provide training and technical assistance to
enhance the knowledge, skills, and competencies of individuals from
local settings statewide, including representatives of State and local
educational agencies, other State and local agencies, early intervention
programs, adult service programs, hospitals and other health care
facilities, institutions of higher education and businesses as described
in section 4(e)(3)(B)(i) of the AT Act.

The NC Assistive Technology Program (NCATP) will continue to provide
training and technical assistance to enhance the assistive technology
(AT) knowledge, skills, and competencies of individuals with
disabilities, families, and professionals. People with any type of
disability and people of all ages can use these services through NCATP.
Parents and other family members can also participate in training and
technical assistance. Technical assistance will be offered one-on-one to
individuals or to groups or organizations. Training is usually a group
activity. Many different professionals and programs will be able to use
these services: school systems, early intervention programs, adult
service programs, allied health, hospitals, community colleges,
universities, employers, and job link centers. AT consultants and
specialists will conduct training, develop and disseminate training
materials, and provide technical assistance related to assistive
technology. NCATP staff will respond to individual requests about the
benefits of AT, device options, information on funding resources, and
the use of specific devices. Staff will research the inquiry and provide
the information in person either on-site or in the home, school, work or
community setting or via phone, email or U.S. mail. Consumers or family
members will not be charged for troubleshooting or initial training on a
device.

Organizations requesting training and technical assistance will be
charged a fee. Training and Technical Assistance fee based services
include:

> Training on Specific Devices/Software includes training on use of
> assistive technology devices, equipment or software packages. This
> training can be provided to individuals or groups. Potential
> participants: consumers, family members, professionals, organizations,
> businesses, school systems, government agencies, etc. Examples of
> frequently requested training: Speaking Dynamically Pro, Intellitools,
> Dragon Naturally Speaking.
>
> Consultation Services provide assistive technology expertise by NCATP
> staff to individuals or organizations for a specific need identified
> by the requesting party. Written reports are not provided for
> consultations unless the requesting party pays for the report writing
> time.
>
> Workshops/Seminars are specialized presentations, seminars or
> workshops regarding assistive technology conducted to meet an
> organization's needs.

Organizations often request technical assistance from NCATP to help them
in providing better services to the people they serve. For example, a
school system may have equipment on hand for students with special
needs, but the teachers don't know how to use the devices. They may
request that NCATP come to their school to assess the equipment, check
to see if it is working correctly, identify necessary repairs or
ancillary devices for operation, set up the equipment and show school
staff how to use it. NCATP staff will explain the functions of the AT
and ways it can benefit individuals with different abilities.

Training will continue to be provided at local, regional and statewide
levels based upon demand. NCATP will provide training ranging from an
overview of AT to specific AT skills development training. Regionally,
NCATP will work with schools, community colleges and universities, Job
Link sites and state agencies to provide training. Topics may include:
computer access, environmental controls, augmentative communication, AT
related to hearing loss, low vision aids, and low-tech AT for activities
of daily living, and funding resource information.

On a statewide level, NCATP will continue to co-sponsor the annual NC
Assistive Technology Expo. This two-day conference will offer a wide
array of concurrent AT training sessions for people with disabilities of
all ages, their families and professionals. Tracks will cover AT for
young children, schools, adults and older adults, work, and leisure.
Sessions will offer a concentrated focus for skill development on
specific areas of AT. A vendor exhibit hall, with about 40 vendors will
be open to the public at no charge on the first day of the AT Expo.
Attendees will receive in-depth training on AT and see state of the art
AT in the exhibit hall. Registration fees will be kept low and
affordable. Scholarships to assist with participant cost will be
available to people with disabilities and families. The AT Expo
continues to grow in attendance each year. A special group rate will
continue to be offered to community colleges and universities so they
can sponsor their allied health students to attend. This promotes the
next generation of professionals to achieve a higher level of AT
knowledge. Also, college and university engineering, occupational
therapy and speech language pathology students present poster sessions
on their innovative assistive technology projects. The AT Expo is an
annual event and, as such, will be an excellent vehicle to address
current and future AT training needs. The program is designed each year
to address timely topics on AT across ages and disabilities. Planning is
a ten month effort with sponsorship by public and private agencies.
Topics will be identified based on suggestions from conference
evaluations and input from the Advisory Council, and the AT Expo
Planning and Program Committees. NCATP also will provide training at
other conferences such as Developmental Disabilities Best Practices, NC
Exceptional Children's Conference, NC Rehab Association and conferences
on Aging.

NCATP will continue to give assistance during times of "transition" or
movement from one phase of life to another. This will involve high
school students as well as young children and adults. For the high
school student, transition refers to a process that promotes movement
from school to post school activities. NCATP will address transition
issues through the technical assistance provided students with
disabilities, parents, local schools as well as regional and state
agencies. Services will be provided to identify AT options for further
education, work, community living or other services. NCATP staff will
address AT needs essential to consumers successful movement from one
service area into another. Students with disabilities and their parents
or guardians will receive one-on-one technical consultation regarding
devices and related services that will help them in transition. NCATP
staff will work with the family and the school in the IEP and ITP
process and the selection of appropriate AT to help the student with
schoolwork. Technical consultation with the student, parent, teacher and
related services professionals will be a team approach. AT Consultants
and Specialists will provide technical assistance to the school systems,
vocational rehabilitation, and independent living for more effective
consumers transition planning.

In addition to transition services for older students, NCATP will help
young children in their transition into services for older children.
NCATP will operate three (3) AT Resource Centers (ATRC) for children
birth -- 5 years of age through funding from the Division of Public
Health. These ATRC locations will offer technical expertise in early
intervention AT services. A more extensive array and larger number of
devices will be available for demonstration and loan including adaptive
toys, augmentative communication, seating and positioning, and other
specialized AT for young children. A longer equipment loan period will
be provided so the children will have more time with age appropriate
devices or toys. NCATP will continue collaboration with four other
ATRC's managed by other agencies. Staff from NCATP will train other
early intervention professionals about AT devices and help rural areas
develop better evaluation services. NCATP will help develop local
augmentative communication teams for infants and toddlers.

For adults or older adults maintaining or transitioning to community
living, NCATP will continue to provide AT services beginning where the
person is now. For example, NCATP will go to senior centers, nursing
homes, assisted living facilities or the persons home to help
individuals learn about AT for greater independence. Aids for daily
living is an AT area of particular interest to this group. NCATP staff
will show older adults items they can buy as well as items they can
easily make for low cost. NCATP staff will develop resource and
informational materials to share with older adults educating them about
devices which can make their everyday lives easier. Material will be
available in large print. NCATP will continue to be an active planning
member on on-going statewide initiatives such as the Rebalancing and
Nursing Home Transition and Real Choice Grants which focus on community
living transition. For example, a training module developed by NCATP is
now used to train nurses aides and personal attendants on AT. Transition
will continue to be addressed through the school, work, early
intervention, and older adult tracks at the annual NC Assistive
Technology Expo. Six sessions at the AT Expo in December 2005 dealt with
transition issues.

8.2 [Public Awareness Activities]{.underline} -- Describe how the State
will provide information to targeted individuals and entities relating
to the availability, benefits, appropriateness, and costs of assistive
technology devices and assistive technology services as described in
section 4(e)(3)(B)(ii) of the AT Act.

The NC Assistive Technology Program will continue to conduct
public-awareness activities on the availability, benefit,
appropriateness and cost of assistive technology for the general public
and targeted entities including JobLink Centers, Vocational
Rehabilitation Offices, and public schools. NCATP will participate in
activities such as fairs, exhibits, and presentations on an overview of
assistive technology and the services offered by NCATP. AT Consultants
and Specialists will participate in many local and regional community
events and utilize those occasions as networking opportunities. A Fact
Sheet about the services provided by NCATP and contact information for
site locations will be updated regularly and will be available in large
print and Spanish. NCATP Fact Sheets will be disseminated as part of
public awareness activities. Material will be distributed by NCATP staff
to public and private agencies at local, regional, and state planning
meetings around social, health, education, work and transportation
issues. Information about NCATP services will be tailored for targeted
groups. Display board information will be modified with pictures and
text appropriate to the AT needs of different age groups so that the
targeted groups can better relate to the information. NCATP will
continue to collaborate with entities such as early intervention
agencies, schools, Vocational Rehabilitation and Independent Living
offices and Centers for Independent Living and senior centers to provide
public awareness activities such as early intervention conferences and
meetings of parent; transition fairs for high school students, job fairs
and recreation fairs, and senior center meetings.

NCATP will continue to operate a statewide system for Information and
Referral. Individuals can contact NCATP state or regional offices by
phone (voice/tty), email or on-site. Information is also available on
the NCATP website at [www.ncatp.org](http://www.ncatp.org/) . Anyone can
request NCATP services. They should contact the nearest NCATP center or
office. NCATP staff will provide information on AT devices as well as
information on funding resources and strategies. When an inquiry is
received, NCATP staff will discuss the need and provide the information
needed at that time if it is readily available. If research is needed,
the response will be given in as timely a manner as is possible. Some
inquiries are short and simple and can be handled by phone or email. For
example, someone asks where they can purchase a specific device or they
may want to know where to get AT related services in their home area.
How to get funding for purchase of a device is also a frequently asked
question. Two NCATP staff will continue to specialize in funding
resource information and will help people over the phone, via email and
written correspondence know where to go for funding. They will explain
the eligibility requirements of funding programs and share strategies to
help the individual get through the bureaucratic maze of state and
federal agencies. Additionally, inquiries will be received through the
Careline, a statewide toll-free information and referral service through
the NC Department of Health and Human Services. Individuals with AT
needs will be referred from other public and private agencies such as
the Department of Medical Assistance, Vocational Rehabilitation,
Independent Living, Governor's Advocacy Council for Person's with
Disabilities, Department of Public Health, schools and hospitals, Easter
Seals UCP North Carolina, and Partnerships in Assistive Technology. For
questions about AT devices, the individual will be given additional
information on websites of manufacturer / vendor contact information.
Contact information is gathered from the caller for follow-up
satisfaction surveys.

3.  [Coordination and Collaboration]{.underline} -- Describe how the
    State will coordinate activities among public and private entities
    that are responsible for policies, procedures, or funding for the
    provision of assistive technology devices and assistive technology
    services to individuals with disabilities, service providers, and
    others to improve access to assistive technology devices and
    assistive technology services as described in section
    4(e)(3)(B)(iii) of the AT Act.

The NC Assistive Technology Program will continue to work with agencies
to increase the provision of AT devices and services. Coordination &
Collaboration involves "having a seat at the table" so that AT issues
are included in planning and policy development. Staff will be involved
regionally in interagency work groups related to the schools, early
intervention and older adults. NCATP will continue to be represented
regularly at the state level at the Developmental Disability Consortium,
Senior Driver Task Force, Assistive Technology Consortium, and
Commission for Children with Special Health Care Needs. Examples of
NCATP's current efforts are: the inclusion of AT in the State Plan for
the Division of Aging and Adult Services; expansion of augmentative
communication services in the proposed comprehensive Medicaid waiver for
people with mental retardation/developmental disabilities; planning and
implementation of NC Health Choice so that AT needs are covered;
development of a communication module for Certified Nursing Assistant
training for the Office of Long Term Care; planning with the Real Choice
Grants; collaboration with Sprint to provide Speech to Speech training;
collaboration with the Division of Services to the Deaf and the Hard of
Hearing to provide training on telephone use with devices for people
with communication impairments*;* collaboration with Division of Public
Health to staff the Assistive Technology Resource Centers in Sylva,
Concord and Greensboro; and co-sponsorship of the annual statewide AT
Expo with Partnerships in Assistive Technology (a 501(c)(3)
organization), NC Department of Public Instruction, and NC Office on
Disability and Health. NCATP will continue to work with agencies to
expand access AT services in the state.

Attachment 9: Involvement of Public and Private Entities

9.1 [Nature and Extent of Resources]{.underline} -- Describe the nature
and extent of resources that will be committed by public and private
collaborators to assist in accomplishing identified goals.

NCATP will continue funding agreements with two private nonprofit
physical rehabilitation centers: Whitaker Rehabilitation Center and Wake
Forest University Baptist Medical Center. These organizations will cover
one-half the salary and fringe benefits for a full time AT Consultant at
each site. They also will provide in-kind space for an AT Center. NCATP
will provide the other half of the salary and fringe benefits, equipment
to upgrade the AT Centers, staff travel expenses and other
administrative costs. The services provided through these agreements
include device demonstration, device loan, technical assistance and
training.

NCATP will continue a contract with the NC Division of Public Health,
Women's and Children's Health Section to provide assistive technology
services to young children (birth-5 years) with disabilities and their
families in three regions of the state. The contract will provide each
of the three regions \$68,000 to assist in the costs of staffing,
devices for short-term loan, device demonstration, technical assistance
and training. In addition, the contract will help cover some of the
costs of the Check-It-Out database which helps staff manage and track
the device loan program and other services provided through the AT
Centers.

In-kind space for most of the AT Centers, satellite locations and
offices is provided by a variety of public and private organizations
including: Division of Vocational Rehabilitation Services (six sites),
Independent Living Program (two sites), Children's Developmental
Services Agency (seven sites), Nash Senior Center, Division of Services
for the Blind Rehabilitation Center, Easter Seals UCP, Resource Centers
for the Deaf and the Hard of Hearing (two sites), Whitaker
Rehabilitation Center, Wake Forest University Baptist Medical Center,
Charlotte Institute of Rehabilitation, Sandhills Children's Center,
Early Learning Cooperative, Moses Cone Rehab Center, Millis Center,
Adaptables, and Whitaker Recreation Therapy Department.

9.2 [Mechanisms to Ensure Coordination]{.underline} - Describe the
mechanisms established to ensure coordination of activities and
collaboration between the implementing entity, if any, and the State.

Not Applicable

9.3 [Involvement of State Advisory Council]{.underline} - Describe the
nature and extent of the involvement of the State Advisory Council in
the planning, implementation, and evaluation of the activities carried
out through the grant, including setting the measurable goals required
in section 4(d)(3).

The NCATP State Advisory Council meets three times a year to provide
input into the planning, implementation, and evaluation of the
activities of the North Carolina Assistive Technology Program. The
Council held three face-to-face meetings to learn about the new AT Act
requirements and provide input into the implementation of the State AT
Plan. Information was emailed out to council members in advance of the
meetings. During the meetings, the council members discussed AT needs,
strategies to help meet those needs, and the AT services NCATP will
undertake. Council members who could not attend in person were asked to
provide input via email or telephone.

## 

## Attachment 10: State Support

10.1 [State Support for State-level Activities]{.underline} -- If
applicable, describe how the State will support with State funds any
State-level activities described in section 4(e)(2).

State funding will continue to help support the device demonstration and
device loan services. This state funding is from the state legislature
in the recurring budget to the NC Department of Health and Human
Services. State funding will cover portions of seven (7) Assistive
Technology Consultants and Specialists (5.1 full time equivalency)
salaries and fringe benefits as well as travel expenses. These staff
will conduct device demonstration and device loan services through the
Assistive Technology Centers. State funding also will cover a portion of
the equipment purchases each year to update and upgrade the devices used
for demo and short term loan.

2.  [State Support for State Leadership Activities]{.underline} - If
    applicable, describe how the State will support with State funds any
    State Leadership activities described in section 4(e)(3), if
    applicable.

State funding will continue to help support training, technical
assistance, public awareness, coordination and collaboration activities
provided by NCATP. This state funding is from the state legislature in
the recurring budget to the NC Department of Health and Human Services.
The seven (7) AT Consultants and Specialist described above in section
10.1 will also provide training, technical assistance, public awareness
as well as coordination and collaboration services. In addition, State
funds will cover 100% of the salaries and fringe benefits and travel
expenses for the Funding Specialist (1 FTE), Consumer Resource
Specialist (1 FTE), NCATP Director (1 FTE) and an Administrative
Secretary (.75 FTE). The Funding Specialist, Consumer Resource
Specialist and NCATP Director will provide training, technical
assistance, public awareness, coordination and collaboration activities
statewide. The part-time administrative secretary will provide support
to the overall activities of NCATP. State funding will also continue to
help cover some of the other routine administrative costs such as office
rent, office supplies, telephone, printing, postage, etc.

## 

## 

## Attachment 11: Allocation and Utilization of Funds

11.1 [Tracking Expenditures]{.underline} -- Describe planned procedures
for tracking expenditures for activities described in sections 4(e)(2)
and (3).

The federal AT Act funds will be maintained by the DVRS fiscal office in
a distinct, separate budget account from any other funding administered
under the Division of Vocational Rehabilitation Services (DVRS). The
NCATP Director will review and track the expenditures in the budget (as
outlined in section 11.2 below) through monthly detailed budget reports
from the DVRS fiscal office. NCATP submits invoices to be paid by the
federal grant to the fiscal office. DVRS makes the payment through the
controller's office check writing process. The controller's office draws
down federal funds based on the monthly expenditures.

11.2 [Proposed Budget Allocations]{.underline} -- Attach a budget
containing proposed allocations for activities described in sections
4(e)(2) and (3).

The following are proposed budget allocations for State Leadership and
State Level Activities for Year 2 of the project.

**Proposed Distribution Total Award Amount**

**[Allocation \$ 422,909]{.underline}**

State Level 75% \$ 317,182

State Leadership 25% \$ 105,727

*Leadership Activities 95% (of 25%) \$ 100,692*

*Transition 5% (of 25%) \$ 5,035*

Indirect Costs \$ 0

**TOTAL** **\$ 422,909**

Within the above budget, NCATP proposes to apportion funds for specific
activities in the following manner.

**State Level Activities** **Proposed Allocation**

Device Reutilization Program \$ 27,720

Device Loan Program \$145,231

Device Demonstration Program \$144,231

**State Leadership Activities Proposed Allocation**

Training and Technical Assistance Activities \$ 89,726

Transition \$ 5,035

Public Awareness Activities \$ 8,766

Coordination and Collaboration \$ 2,200