##### Part I: Attachments

OMB Control Number: 1820-0664

Expiration Date: 10/31/2008

#### **Attachment 1: Basic Information**

Name of Lead Agency: Missouri Assistive Technology Council

Name of Applicable Department for Lead Agency: Department of Elementary
and Secondary Education

Address of Lead Agency: 4731 South Cochise, Suite 114, Independence, MO
64055

Name and Title of Certifying Representative for Lead Agency: Diane
Golden, Director

Address for Certifying Representative: Missouri Assistive Technology,
4731 South Cochise, Suite 114, Independence, MO 64055

Telephone for Certifying Representative: 816/350-5280

E-mail for Certifying Representative: dcgolden@swbell.net

Name and Title of Program Director: Diane Golden, Director

Address for Program Director: Missouri Assistive Technology, 4731 South
Cochise, Suite 114, Independence, MO 64055

Telephone for Program Director: 816/350-5280

E-mail for Program Director: dcgolden@swbell.net

Name of Implementing Entity: *same as lead agency*

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

Address of Implementing Entity:

Name and Title of Program Director: *same as lead agency*

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 Missouri Assistive Technology Council (herein referred to as the
Council) is the lead agency and the entity responsible for implementing
the AT Act in Missouri. The Council was established by state statute in
1993 and has been the organization responsible for implementing programs
authorized under the Technology-Related Assistance for Individuals with
Disabilities Act, the Assistive Technology Act of 1998, and now the
Assistive Technology Act of 1998, as amended (AT Act).

Council members are governor appointed and include a majority of
individuals with disabilities who use AT (or a family member or guardian
of such individuals) along with representatives of State agencies who
fund or are involved in provision of assistive technology and a State
Senator and State Representative. In addition to implementing the AT
Act, the Council is also statutorily responsible for implementation of
the state's information technology access law, telecommunications
equipment distribution program, and assistive technology financial loan
program. The Council provides consumer oversight for all AT Act programs
and services along with those for which it is responsible under state
law.

Consumer membership on the Council includes representation of a wide
variety of disability groups (deaf, hard-of-hearing, blind, physical
disabilities, and cognitive disabilities) through individuals with such
disabilities and parents of children with such disabilities, along with
geographic representation from across the state. Agency membership on
the Council includes representatives of education, employment, and
community living providers and serves as a natural vehicle for
coordination and collaboration with those agencies responsible for
assistive technology delivery.

The Council, as a unit of state government, employs staff who are
responsible for the day-to-day operation of all programs and services.
Collectively the Council members and paid staff along with the assistive
technology programs and services provided are referred to as Missouri
Assistive Technology (MoAT). MoAT personnel includes 8 full time
employees who have over 75 years combined experience in delivering
assistive technology programs and services as part of Council
operations. Staff expertise includes in-depth knowledge and experience
in a wide range of assistive technology including computer adaptations,
augmentative communication systems, amplification devices, adaptive
telephone equipment, electronic enlarged, etc. Seventy-five percent of
staff members hold graduate degrees in disability and public policy
disciplines (e.g. special education, rehabilitation, audiology, public
administration) and half have personal and/or family experience with
disability.

MoAT contracts with Rockhurst University for services related to the
short-term equipment loan program and with Coalition for Independence
(CFI), Missouri State University (MSU), and Services for Independent
Living to operate a regional equipment demonstration program in Kansas
City, Springfield, and Columbia respectively. MoAT also contracts with
CFI to operate a durable medical equipment and computer recycling
program and with MSU to operate a recycling program for electronic
note-takers, Perkins braillers and other similar devices.

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

Missouri does not have an implementing entity separate from the lead
agency, therefore this item is 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.

Missouri does not have an implementing entity separate from the lead
agency, therefore this item is not applicable.

[2.3 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.

The lead agency has not been re-designated.

#### **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.

Current membership of the Missouri Assistive Technology Council, also
the lead agency for the AT Act of 1998, as amended, is as follows.
Consumer representatives are noted as a person with a disability who
uses AT (PWD) or family member or guardian of such individual (FM).

*Consumer Representatives*:

Deana O'Brien, California (FM) Nolan Crabb, Jefferson City (PWD)

Teddi Brace, Cape Girardeau (PWD) Sharon LaRoussa, Raymore (PWD)

Rita Lynch, Jefferson City (PWD) Kerri Morgan, St. Louis (PWD)

Karen Sack, Joplin (PWD) Marnie Gustafson, Kimberling City (FM)

Marjorie Yates, Liberty (PWD) Chip Haley, Joplin (PWD)

Michael Goad, St. Louis (PWD) 1 consumer awaiting Governor appointment

*Agency Representatives*:

Medicaid, Ed Kniest Special Education, Wayne Goddard

DD Council, Dolores Hampton Insurance, Molly White

Mental Health, Nancy Nickolaus Health and Senior Services, Gary Harbison
(

Independent Living Center, Angie James

Vocational Rehabilitation, Neil Harms

Rehabilitation Services for the Blind, Jim Brinkmann

*Legislative Representatives*:

Representative Kevin Threlkeld

Senator Harry Kennedy

A member of the Missouri Training and Employment Council, which serves
as the Workforce Investment Board in Missouri, has a standing invitation
to the AT Council meetings and is able to provide input on the part of
that agency. Since the Council is established in state law, a statute
change was not sought to add this person as an official voting member to
the Council pursuant to Section 4(c)(2)(E) of the AT Act.

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

Per state statute, the Council operates through formal by-laws, uses
Robert's Rules of Order, and meets at least quarterly. An Executive
Board provides administrative oversight and includes the Chairperson,
Chairperson Elect, Past Chairperson, two consumer representatives and
two agency representatives. The Council has programmatic decision-making
for all services and programs provided by Missouri Assistive Technology
(MoAT), which includes prioritizing activities, goals, and objectives
and making resource allocations to achieve desired outcomes. Per
by-laws, all council decisions are based on official motions and votes
with majority affirmation required for most decisions. The Council has
rule-making authority to enable it to operate programs and services and
members file annually with the Missouri Ethics Commission as part of a
board that controls public money.

Nominations for Council members are solicited continuously through all
MoAT programs and services and nominations are forwarded to the
Governor's office of Boards and Commissions for appointment
consideration. State statute requires the consumer members of the
Council to include "a variety of types of disabilities across the life
span from all geographic areas of the state". As noted by the cities
represented by consumers, all geographic areas of Missouri are included.
Current consumers include individuals with hearing disabilities, vision
disabilities, cognitive disabilities, physical disabilities, and parents
of children with hearing, developmental, and physical disabilities.

#### **Attachment 4: Measurable Goals** 

#### 

A data collection system is under development by the Rehabilitation
Services Administration. Such system was not available for Year 1 of the
Missouri State Plan. As a result, Year 2 will serve as the baseline
year. Missouri will provide Rehabilitation Services Administration with
an amendment identifying Year 3 and Year 4 increase levels, once the
baseline for Year 2 has been established.

[4.1 Goal for Improving Access to AT in Education]{.underline}

> Goal: Percent of appropriate 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.
>
> Objectives for Device Loan and Demonstration Programs
>
> Year 2 -- Establish baseline of the percent of appropriate targeted
> individuals and entities who accessed device demonstration 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.
>
> Year 3 -- Increase in percentage over year 2 (to be established later)
> of appropriate targeted individuals and entities who accessed the
> 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.
>
> Year 4 -- Increase in percentage over year 3 (to be established later)
> of appropriate 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.

[4.2 Goal for Improving Access to AT in Employment]{.underline}

> Goal: Percent of appropriate 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.
>
> Objectives for Device Loan and Demonstration Programs
>
> Year 2-- Establish baseline of the percent of appropriate targeted
> individuals and entities who accessed device demonstration 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.
>
> Year 3 - Increase in percentage over year 2 (to be established later)
> of appropriate targeted individuals and entities who accessed the
> 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.
>
> Year 4 - Increase in percentage over year 3 (to be established later)
> of appropriate 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.

[4.3 Goal for Improving Access to AT in Community Living]{.underline}

> Goal: Percent of appropriate 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 as
> a result of the assistance they received.
>
> Objectives for Device Loan and Demonstration Programs
>
> Year 2 -- Establish baseline of the percent of appropriate targeted
> individuals and entities who accessed device demonstration and/or
> device loan programs and made a decision about an AT device or service
> for community living as a result of the assistance they received.
>
> Year 3 - Increase in percentage over year 2 (to be established later)
> of appropriate targeted individuals and entities who accessed the
> device demonstration programs and/or device loan programs and made a
> decision about an AT device or service for community living as a
> result of the assistance they received.
>
> Year 4 - Increase in percentage over year 3 (to be established later)
> of appropriate 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 as a result of the
> assistance they received.

[4.4 Goal for Improving Access to IT and Telecommunications]{.underline}

> Goal: Percent of appropriate targeted individuals and entities who
> accessed device demonstration programs and/or device loan programs and
> made a decision about an AT device or service that meets an
> IT/telecommunications need as a result of the assistance they
> received.
>
> Objectives for Device Loan and Demonstration Programs
>
> Year 2 -- Establish baseline of the percent of appropriate targeted
> individuals and entities who accessed device demonstration and/or
> device loan programs and made a decision about an AT device or service
> that meets an IT/telecommunications need as a result of the assistance
> they received.
>
> Year 3 - Increase in percentage over year 2 (to be established later)
> of appropriate targeted individuals and entities who accessed the
> device demonstration programs and/or device loan programs and made a
> decision about an AT device or service that meets an
> IT/telecommunications need as a result of the assistance they
> received.
>
> Year 4 - Increase in percentage over year 3 (to be established later)
> of appropriate targeted individuals and entities who accessed device
> demonstration programs and/or device loan programs and made a decision
> about an AT device or service that meets an IT/telecommunications need
> as a result of the assistance they received.

[4.5 Goal for Improving Acquisition of AT in Education]{.underline}

> Goal: Percent of appropriate targeted individuals and entities who
> obtained devices or services from State financing activities or
> reutilization programs for educational purposes who would not have
> obtained the AT device or service.
>
> Objectives for State Financing Activities and Reutilization Programs
>
> Year 2 -- Establish baseline of the percentage of appropriate targeted
> individuals and entities who obtained devices and services from State
> financing activities or reutilization programs for educational
> purposes who would not have obtained the AT device or service.
>
> Year 3 -- Increase in percentage over year 2 (to be established later)
> of appropriate targeted individuals and entities who obtained devices
> or services from State financing activities or reutilization programs
> for educational purposes who would not have obtained the AT device or
> service.
>
> Year 4 -- Increase in percentage over year 3 (to be established later)
> of appropriate targeted individuals and entities who obtained devices
> or services from State financing activities or reutilization programs
> for educational purposes who would not have obtained the AT device or
> service.

# [4.6 Goal for Improving Acquisition of AT in Employment]{.underline}

> Goal: Percent of appropriate targeted individuals and entities who
> obtained devices or services from State financing activities or
> reutilization programs for employment purposes who would not have
> obtained the AT device or service.
>
> Objectives for State Financing Activities and Reutilization Programs
>
> Year 2 - Establish baseline of the percentage of appropriate targeted
> individuals and entities who obtained devices and services from State
> financing activities or reutilization programs for employment purposes
> who would not have obtained the AT device or service.
>
> Year 3 - Increase in percentage over year 2 (to be established later)
> of appropriate targeted individuals and entities who obtained devices
> or services from State financing activities or reutilization programs
> for employment purposes who would not have obtained the AT device or
> service.
>
> Year 4 - Increase in percentage over year 3 (to be established later)
> of appropriate targeted individuals and entities who obtained devices
> or services from State financing activities or reutilization programs
> for employment purposes who would not have obtained the AT device or
> service.

# [4.7 Goal for Improving Acquisition of AT in Community Living]{.underline}

Goal: Percent of appropriate targeted individuals and entities who
obtained devices and services from State financing activities or
reutilization programs for community living purposes who would not have
obtained the AT device or service.

> Objectives for State Financing Activities and Reutilization Programs
>
> Year 2 -- Establish baseline of the percentage of appropriate targeted
> individuals and entities who obtained devices and services from State
> financing activities or reutilization programs for community living
> purposes who would not have obtained the AT device or service.
>
> Year 3 - Increase in percentage over year 2 (to be established later)
> of appropriate targeted individuals and entities who obtained devices
> or services from State financing activities or reutilization programs
> for community living purposes who would not have obtained the AT
> device or service.
>
> Year 4 - Increase in percentage over year 3 (to be established later)
> of appropriate targeted individuals and entities who obtained devices
> or services from State financing activities or reutilization programs
> for community living purposes who would not have obtained the AT
> device or service.

[4.8 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.

None

### Summary of Annual Objective Measures and To Be Determined (TBD) Increases

  ---------------------- ---------- -------- -------- ----------- -------- ---------
                         Device                       Financing &          
                         Loan &                       Recycling            
                         Demo                         Programs             
                         Programs                                          

                         *Yr 2*     *Yr 3*   *Yr 4*   *Yr 2*      *Yr 3*   *Yr 4*

  Education              Baseline   +TBD%    +TBD%    Baseline    +TBD%    +TBD%

  Employment             Baseline   +TBD%    +TBD%    Baseline    +TBD%    +TBD%

  Community Living       Baseline   +TBD%    +TBD%    Baseline    +TBD%    +TBD%

  IT/Telecommunication   Baseline   +TBD%    +TBD%    NA          NA       NA
  ---------------------- ---------- -------- -------- ----------- -------- ---------

#### **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.

Missouri will implement three identifiable state financing activities
with at least some support from federal AT Act dollars. These include
Show-Me Loans (a low interest financial loan program), Kids Assistive
Technology (last resort funding for AT for children), and AT
Reimbursement Program (funding for schools to deliver AT.)

> *Show-Me Loans* is an alternative financing program for individuals
> with disabilities and their families to borrow money at low interest
> rates for the purchase of assistive technology. The program is
> operated through a revolving loan fund administered by MoAT. Families
> of any income level are eligible with interest rates averaging 3%.
> Interest rates may be as low as 0% depending on income and ability to
> repay the loan. Assistive technology eligible for loans includes but
> is not limited to braille equipment, hearing aids, environmental
> controls, housing access modifications and motor vehicle modifications
> for accessibility. Applications can be submitted at any time by mail
> and are available from MoAT and all 21 of Missouri's Centers for
> Independent Living.
>
> *Kids Assistive Technology Program (KAT)* will provide last resort
> funding for assistive technology and housing modifications for
> children under age 21. Funding is limited to items that are not the
> responsibility of any other funding source. High priority items
> include housing access and vehicle modifications and funding is
> prioritized based on family income. Missouri families with home
> access, vehicle modification, or other assistive technology needs that
> are not eligible for any other funding source can complete and submit
> a KAT application at any time by mail. All of the Department of Health
> offices, Division of Mental Retardation/Developmental Disabilities
> regional centers, and local schools are aware of KAT and assist
> families in completing applications.
>
> *AT Reimbursement Program* is designed to assist Missouri public
> school districts in covering the costs of assuring students have the
> assistive technology they need in order to receive a free and
> appropriate education under IDEA. Only school districts can apply for
> this program. A request must be tied to a specific student for whom
> assistive technology is specified in the student\'s IEP. Schools may
> submit applications during the first half of a school year. All
> Missouri public schools are made aware of AT Reimbursement Program
> availability at the beginning of each school year.

All three of these activities will support measurable goals 4.5, 4.6 and
4.7 related to acquisition of assistive technology for education,
employment and community living by directly providing AT or providing
funding for AT for approved applicants resulting in acquisition of
assistive technology. All three programs will be operated by Missouri
Assistive Technology. MoAT staff will process applications, approve and
distribute funding and/or devices services as appropriate for each
program.

All three of these activities will utilize funding in addition to
federal AT Act dollars. The Show-Me Loans fund was originally
capitalized with Title III funds (from the AT Act of 1998) and telework
federal grants and state matching funds. Kids Assistive Technology (KAT)
will be funded through an interagency agreement with the Missouri
Department of Health and Senior Services. The AT Reimbursement Program
will be funded through interagency agreement with the Missouri
Department of Elementary and Secondary Education. Federal AT Act dollars
will be used at least in part to administer these programs, while other
funding is used for the direct purchase or financing of AT.

Show-Me Loans will be available comprehensively statewide to all
qualifying borrowers. KAT will be available statewide for low-income
children with disabilities who have assistive technology needs for which
there is no other funding source available (e.g. Medicaid, private
insurance, etc.). AT Reimbursement will be available statewide to all
school districts with students in need of assistive technology costing
over \$1,000. All three programs will accept applications by mail and AT
Reimbursement will accept applications electronically. A full range of
AT will be eligible under all three programs and there will not be any
disability restrictions for any of the three programs.

While not directly funded with federal AT Act dollars, the
Telecommunications Access Program (TAP) is another state financing
activity administered by Missouri Assistive Technology that directly
purchases and delivers over 9,000 adaptive telephones and computer
adaptations statewide to eligible Missourians with disabilities. This
program is integrated with and in many cases expands the range of other
state level and state leadership activities of Missouri Assistive
Technology.

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

Missouri plans to implement four identifiable device reutilization
programs with at least some support from federal AT Act dollars,
computer recycling, durable medical equipment recycling, non-computer
electronic equipment recycling, and used equipment exchange.

> *Statewide Recycling Program for Computer Equipment* - Through a
> contract with Coalition for Independence and sub-contract to Pan
> Educational Institute, a computer recycling program will be available
> statewide. The program will provide low cost, refurbished computer
> systems (CPU, monitor, keyboard and mouse) to consumers with
> disabilities. These computers are intended to enhance the ability to
> communicate with the world, to obtain information, to access
> government and business services and to support skill development
> and/or academic achievement. If an individual needs computer
> adaptations, in addition to the base computer, they will be referred
> to TAP for Internet for assistance. Applicants for the Statewide
> Recycling Program for Computer Equipment will be assessed a fee (\$60
> to \$300) based on their household income, the number of dependents in
> the home, and the type of computer requested/needed. Applicants will
> be informed of the required fee to be remitted before a computer is
> picked up or shipped. The fee will include any shipping and handling
> costs for the computer. Applications may be submitted at any time to
> MoAT.
>
> *Durable Medicaid Equipment (DME) Recycling* -- Through a contract
> with Coalition for Independence, a durable medical equipment recycling
> program will be available statewide. This program will solicit
> donations of used durable medical equipment and work with local DME
> providers to repair and refurbish such equipment for use by new
> owners. Individuals will be able to apply for recycled DME at any time
> by submitting an application to the Coalition. A nominal fee will be
> charged to individuals obtaining recycled DME. The fee schedule will
> range from \$5 to \$300, based on applicant income, ability to pay and
> the price of the DME recycled item. Fees may be waived completely if
> necessary.
>
> *Other Electronic Equipment Recycling* - Through a contract with
> Missouri State University, a recycling and repair program will be
> available statewide for electronic note-takers and Perkins braillers.
> It is anticipated that schools, rehabilitation providers and
> individuals with disabilities will use this program as a cost
> effective mechanism to maintaining such devices. Again a nominal fee
> will be charged to individuals and agencies seeking recycled and/or
> repaired equipment based on income and ability to pay.
>
> *Swap 'N Shop* -- Missouri Assistive Technology will also provide a
> statewide assistive technology equipment exchange program, Swap 'N
> Shop. Interested individuals and agencies will be able to submit
> information to MoAT about pre-owned equipment for sale and MoAT staff
> will post such information on our web site and send electronically to
> a list of agencies around the state. The web site is not open to
> public postings, as it has been discovered that individuals will post
> information unrelated to assistive technology. Potential buyers will
> be able to purchase listed equipment through direct negotiation with
> the seller. The buyer and seller will agree on a price, which is
> always at substantial savings over a purchase price for new equipment.
> All types of AT are eligible for listing in Swap 'N Shop and buyers
> and sellers pay no fees to use the listing. The Swap 'N Shop web
> listing is linked to other similar AT exchange programs in surrounding
> states (e.g. Nebraska, Kansas, Iowa) to facilitate consumer access to
> items in nearby states that border Missouri.

All four of these re-utilization programs will be available
comprehensively statewide to meet the needs of individuals with all
types of disabilities of all ages. Only the range of devices
donated/listed and the resources needed to refurbish those devices
restricts these programs. All four will support measurable goals 4.5,
4.6 and 4.7 related to acquisition of assistive technology for
education, employment and community living by making available
"pre-owned" devices at a cost that is within the financial reach of
consumers and others.

[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.

Missouri plans to provide short-term device loans through the Equipment
Technology Consortium (ETC) in support of goals 4.1 through 4.4
improving access in education, employment, community living and
information technology and telecommunications. Short-term equipment loan
provides comparable ability to make informed decisions related to the
appropriateness of an assistive technology device for a particular
individual by allowing for data collection and observation regarding
that device usage in real-life contexts and settings.

ETC will be housed on the campus of Rockhurst University, will be
staffed with Missouri Assistive Technology personnel and will utilize
graduate students for support services, such as checking items in and
out of the inventory, maintaining the inventory catalog, etc. Rockhurst
is a local University with graduate programs in speech-language
pathology, occupational therapy and physical therapy. ETC will also
utilizes two distribution sites (Services for Independent Living in
Columbia and Missouri State University in Springfield) to facilitate
access to the inventory in locations across the state.

ETC will make available short-term equipment loans using an inventory of
over 1000 AT devices including a full range of augmentative
communication devices, electronic enlarging systems (portable and free
standing) computer access devices, electronic note-takers, assistive
listening systems, environmental controls, adaptive telecommunications
devices, adaptive toys, switches and even some home modifications like
portable ramps. With the exception of low-tech daily living aids, if an
assistive device can be boxed and shipped statewide, it is likely
already in the ETC inventory. The twenty-one centers for independent
living in the state almost all have a device loan closet that consists
exclusively such aids for daily living. As a result, ETC does not need
to include those items in the inventory.

Schools and other entities (currently over 400) that complete a loan
agreement will be able to borrow from ETC. Devices are frequently
borrowed to conduct device trials to identify what device is or is not
appropriate to meet the needs of an individual with a disability.
Devices may also be borrowed to use as a "loaner" when an item is in for
repair and for training purposes. The standard loan period will be 6
weeks, but can be extended if needed and no waiting list exists for that
device. Entities with a loan agreement on file can request to borrow one
or more devices through a paper or electronic request process. Items
will be shipped to borrowers based on availability and the borrowers
will ship the device back at the end of the loan period.

ETC will be available comprehensively statewide to meet the needs of
individuals with all types of disabilities of all ages. While not
common, waiting lists have developed for high-end augmentative
communication devices and complex vision related equipment (e.g. new
portable electronic enlarging systems) in recent years. Every effort
will be made to expand inventory to eliminate waiting lists dependent on
the availability of resources to do so. Intermittent funding through the
Department of Elementary and Secondary Education has been available over
the past few years to purchase equipment needed to eliminate waiting
lists.

[5.4 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.

Missouri plans to deliver device demonstrations through three regional
centers via contracts with local agencies, Coalition for Independence
(an independence living center) in Kansas City, Missouri State
University (MSU) in Springfield and Services for Independent Living (an
independence living center) in Columbia. Each demonstration center has
and must maintain a wide variety of cross-disability AT available for
demonstration purposes and has significant staff expertise in AT. Two of
the centers are located in centers for independent living and also serve
as demonstration sites for adaptive telecommunications equipment through
the Missouri Telecommunications Access Program (TAP). (TAP utilizes all
twenty-one centers for independent living as demonstration centers,
ensuring each has a full range of adaptive telephone equipment for
consumers to try before completing an application.) In addition, MSU and
Services for Independent Living, serve as distribution sites for ETC.
Each demonstration center is located in an accessible facility, has a
toll free number available, and is able to provide equipment
demonstrations off-site as needed to meet consumer needs.

Each demonstration center will be expected to provide assistive
technology device demonstrations to individuals with disabilities, their
families and caregivers, professionals, and others to increase
awareness, support informed decision-making regarding device selection,
and assist in effective device usage. Device demonstrations include
individual and group exploration of a range of devices to increase
awareness, individual consultations designed to support device trials
and aid in appropriate device selection, and individual and group
training on a particular device to support appropriate usage.

The three demonstration centers will not have a specific geographic
catchment area and will be expected to serve all who come to their
center. Each will be required to use a significant portion of their
contract dollars to annually expand the pool of equipment in their
center to ensure they can continue to meet cross-disability needs. The
demonstration centers support goals 4.1 through 4.4 improving access in
education, employment, community living and information technology and
telecommunications by providing hands-on access to devices with
appropriate technical support available to assist in device exploration
and decision making.

#### 

#### **Attachment 6: Comparable Support**

#### 

[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.

Missouri is not claiming comparable support.

#### 

#### **Attachment 7: State Flexibility**

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

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

[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.

[7.4 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.

Missouri is not utilizing the state flexibility clause of 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.

Missouri plans to continue to provide a statewide assistive technology
conference (Power Up). While other mechanisms for delivery of training
have been considered, one statewide conference continues to be the most
effective and efficient approach as it provides an opportunity for
individuals with disabilities, providers and others to have hands on
experience with new assistive technology on the market. This event
provides a mechanism for cross training and networking of various facets
of the AT community, including all disability groups, age groups and
provider types.

Participants at the conference include individuals with disabilities and
their family members, representatives of state and local education
agencies and other State and local agencies; service providers from
early intervention, adult programs, and health care settings; higher
education personnel, and private agencies and business representatives.
Conference topics have historically included strands focused on AT in
educational settings, accessible information technology including web
accessibility, AT used in employment, accessible textbooks, etc.

A strand focused on transition will continue to be included in annual
Power Up conferences to meet the requirements for a transition training
and technical assistance activity. The training strand will include a
focus on IDEA students transitioning to post-school activities and the
transition of adults with disabilities into community living.

In addition to a comprehensive, statewide AT conference, Missouri plans
to continue delivery of other training and technical assistance to meet
targeted needs and on an as requested basis. Intensive targeted
technical assistance initiatives are described under the subsequent
heading of coordination and collaboration.

[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.

# 

Missouri plans to continue to increase public awareness through
development and dissemination of print products and materials and
through provision of statewide information and referral services.
Missouri Assistive Technology (MoAT) develops print and web based
materials to respond to specific informational needs of Missourians.
Examples of such materials developed include:

*Missouri Alternative Communication Resource Directory* -- provides an
overview of all the major forms of alternative communication (sign
language, real-time captioning, large print, braille, etc. along with
tips for producing alternative communications and resources for
obtaining services to deliver alternative communications.

*Capitol Access Guide* -- provides specific information regarding
accessibility at the state capitol, such as how to request an
interpreter for a hearing, where accessible entrances and disabled
parking are located, etc.

*Disabled Access Tax Credit Guide* -- provides information about who is
eligible for the Missouri disabled access tax credit, what expenses are
eligible, and how to apply.

*Guide to Missouri Assistive Technology Lemon Law* -- provides
information about what is covered under the lemon law and how to file a
complaint with the Attorney General's office.

> *Special Education Issue Papers* -- these papers provide information
> on specific issues related to deliver of AT under IDEA such as use of
> AT experts by schools and parents, school responsibility for computers
> as AT, using school owned AT at home, educational versus medical AT
> under IDEA, etc.

In addition, MoAT plans to continue to respond to requests for
information by telephone (toll free number), email, and mail. In a
typical year, MoAT staff responds to over 16,000 such requests,
resulting in increased awareness of MoAT programs, services and AT
availability statewide.

[8.3 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.

# 

Missouri plans to continue coordination and collaboration with public
and private entities to improve access to AT and other accessible
technologies. The structure of the Missouri Assistive Technology Council
provides a natural mechanism for coordination and collaboration with
those agencies responsible for policies, procedures, funding and
provision of assistive technology devices and services. Policy
improvement initiatives are a standing agenda item for each Council
meeting and new activities are undertaken as opportunities present
themselves. Policy improvement initiatives (that fall under the
coordination and collaboration activity) do not lend themselves to
extensive up-front planning. Instead they tend to be initiatives that
MoAT undertakes given the opportunities and events of circumstance in
the state at that time. Through the Council structure, MoAT is made
aware of such opportunities, issues, and needs and via Council decision;
MoAT staff can implement and/or expand activities.

Specific initiatives currently in process include:

> *Voting Access* -- Missouri Assistive Technology plans to continue to
> work closely with the Secretary of State on implementation of the Help
> America Vote Act (HAVA) requirements for one accessible voting system
> per polling place. MoAT has provided extensive technical assistance to
> that office in the form of drafting the original Section 261 HAVA
> grant, drafting sections of the Missouri HAVA State Plan, serving on
> equipment review committees evaluating product accessibility, and
> developing overview documents comparing accessibility features of
> variety voting systems for use by Missouri election officials. MoAT is
> continuing to provide technical assistance to the Secretary of State's
> office and local election jurisdictions as they begin the procurement
> and deployment process for accessible voting equipment. It is
> anticipated that this work will continue for a number of years.
>
> *IT Access* -- Missouri Assistive Technology in conjunction with the
> office of information technology (OIT) is responsible for
> implementation of Missouri's information technology (IT) access law.
> As such, MoAT plans to continue collaborative work with OIT to update
> IT access standards, refine IT access procurement review procedures,
> and expand web accessibility training and resources through the
> Digital Media Developers Group. Since this is a standing
> responsibility, it is anticipated that this work effort will continue
> indefinitely.
>
> *NIMAS/NIMAC and textbook accessibility* -- Missouri Assistive
> Technology plans to continue to work collaboratively with the Division
> of Special Education to implement the new accessible textbook
> requirements of IDEA. Missouri has a state statute that requires all
> public elementary, secondary and post-secondary schools to procure
> textbooks and other core instructional materials from publishers who
> will provide an electronic format at no additional cost. The Division
> of Special Education is charged with establishing a standard for such
> electronic format. MoAT worked with the Division to adopt the National
> Instructional Materials Accessibility Standards (NIMAS) as the
> standard for the state law and IDEA and the Division has opted to
> coordinate with the National Instructional Materials Accessibility
> Center. MoAT has drafted a number of documents including draft
> contract language to assist with implementation of this new
> requirement. Since this IDEA requirement becomes effective Dec 3,
> 2006, this initiative will be in place for a number of years.

On an ongoing basis, MoAT operates a listserv that provides regular
posting of information regarding assistive technology and disability
related legislative and policy activities. During the state legislative
session, postings provide updates on the current status of AT related
bills. Postings also provide information regarding national issues, such
as invitations to comment on voting equipment accessibility standards,
the publication of the National Instructional Materials Accessibility
Standards, etc. Currently there are close to 400 subscribers to the
listserv representing a wide variety of public and private entities in
Missouri. Many of these individuals forward selected listserv
information to their agency mailing lists.

#### **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.

Missouri Assistive Technology anticipates it will continue to have
available resources from the Department of Health and Department of
Education to provide the Kids Assistive Technology Program and the AT
Reimbursement Program. However, it is important to note that this
funding is not guaranteed in any fiscal year. It is hoped that funding
will also be available from the Department of Education on at least an
intermittent basis to support equipment purchases for ETC.

Missouri Assistive Technology coordinates services with the state's 21
Centers for Independent Living. Each of these centers serves as a
demonstration site for the Telecommunications Access Program (TAP)
administered by MoAT and has available a full range of adaptive
telephone equipment for consumers to try out and obtain assistance in
applying for such equipment through TAP. All of these centers contribute
resources that assist in accomplishing identified goals of increased
access to and acquisition of AT.

[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).

Oversight coordination and planning for all of MoAT activities comes
from the AT Council. As previously noted, critical individuals from AT
related public and private agencies serve on the Council and as a result
coordination with those agencies is a natural part of all activity
planning and implementation. MoAT personnel are directly responsible for
delivery of most of the required state level and state leadership
activities. This structure allows for integration and coordination among
services and programs to provide consumers with a "one-stop" approach to
AT access and acquisition in Missouri.

The Missouri Assistive Technology Council evaluates all programs and
services each year and produces an annual report that documents fiscal
year deliverables. The annual report is used to identify and plan for
program improvement in upcoming years. The annual report is also
provided to the legislature and Governor's office per state statute
requirements. For purposes of State Plan submission, the AT Council
discussed content issues during the June meeting and the Executive Board
reviewed and approved the document prior to submission.

#### 

#### **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 support has been provided for Show-Me Loans through state matching
funds. In addition, while both the AT Reimbursement Program and Kids
Assistive Technology (KAT) are primarily funded with federal dollars
(IDEA and Maternal Child Health Block Grant respectively), each also
includes significant local matching funds. AT Reimbursement is capped at
\$5,000 per student and as a result many AT items purchased include
local school district funding. Similarly with KAT, MoAT leverages
private foundation dollars and other public funding sources with KAT
monies to expand the number of families that can be served.

All of the device re-utilization programs and regional device
demonstration centers are supported in part by non-federal dollars. Such
funding is solicited from local sources and in the case of Missouri
State University is contributed support provided through the Department
of Education at that institution of higher education.

The device loan program, ETC, has always been at least in part funded
through state dollars. In some years that has included state general
revenue appropriations. In other years it has included dollars from
specialized state funds such as the Blind Task Force.

Missouri Assistive Technology anticipates and is hopeful state resources
similar to the above described will be available to support state level
activities in future years.

[10.2 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.

Non-federal resources have been used on an annual basis to support the
statewide assistive technology conference and expo, Power Up, through
fees, contributions, and sponsorship by public and private entities.
State resources are also frequently available to support coordination
and collaboration activities involving other state agencies.
Specifically, the Office of Information Technology provides resources
necessary to hold meetings, disseminate information, or take other
actions necessary to oversee implementation of Missouri's IT access law.
Similarly, the Secretary of State's office has contributed resources to
support accessible voting initiatives.

Missouri Assistive Technology anticipates and is hopeful state resources
similar to the above described will be available to support state
leadership activities in future years.

#### **Attachment 11: Allocation and Utilization of Funds**

#### 

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

Missouri Assistive Technology utilizes the Missouri state accounting
system along with an internal budget system to track all federal AT Act
expenditures. The internal budget system is set up to track expenditures
as "State Level" or "State Leadership" by amount. A standardized report
provides summary data on current expenditure percentages for State Level
and State Leadership activities to ensure the required distribution, at
least 60% State Level, no more than 40% State Leadership, and at least
2% (5% of 40%) for transition, is met at the end of the fiscal year.

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

+--------------------------+------------------+------------------------+
| # Requ                   | **Distribution** | **Applied to Prior     |
| ired Budget Allocations  |                  | Year Award of          |
|                          | **Percent**      | \$458,587**            |
+--------------------------+------------------+------------------------+
| State Level Activities   | At least 60%     | At least \$275,153     |
+--------------------------+------------------+------------------------+
| State Leadership         | No more than 40% | No more than \$183,434 |
| Activities               |                  |                        |
|                          | 38%              | \$174,263              |
| General Leadership       |                  |                        |
|                          | 2%               | At least \$9,171       |
| Transition Activity      |                  |                        |
+--------------------------+------------------+------------------------+
| Indirect Costs           | 0%               | 0                      |
+--------------------------+------------------+------------------------+

The following are projected budgeted amounts within the categories of
State Level and State Leadership activities. It is important to note
that the activities within State Level and State Leadership are not
independent and separate from one another. As such, it is impossible to
accurately attribute certain general expenses to a particular discreet
activity. In many cases such budget projections have been equally
distributed rather than pro-rated among activities. Expenditure tracking
as described in 11.1 above will not provide an audit trail that accounts
for actual expenditures in these discreet categories as compared to the
projected budget.

  --------------------------------------- ------------- -------------------
                                          **Projected   
                                          Budget**      

  State Finance                           \$20,000      

  Device Reutilization                    \$100,000     

  Device Loan                             \$150,587     

  Device Demo                             \$68,000      

  **State Level Total**                                 **\$338,587**

  General Training and TA                 \$50,000      

  Transition Training and TA              \$10,000      

  Awareness                               \$20,000      

  Coordination/Collaboration              \$40,000      

  **State Leadership Total**                            **\$120,000**
  --------------------------------------- ------------- -------------------