Part I:  Attachments

OMB Control Number:  1820-0664

Expiration Date:  10/31/2008

Attachment 1: Basic Information

Name of Lead Agency: Institute on Disabilities/UCEDD

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

Address of Lead Agency: Temple University

1601 North Broad Street

USB Suite 610

Philadelphia, PA 19122

Name and Title of Certifying Representative for Lead Agency: Kenneth J.
Soprano,

Ph.D.

Vice President for Research

Address for Certifying Representative: Office of the Vice President for
Research and Graduate Studies

> 406 University Services Building (093-45)
>
> Temple University
>
> 1601 North Broad Street
>
> Philadelphia, PA 19122-6099

Telephone for Certifying Representative: 215-204-7454

E-mail for Certifying Representative: rwallen@temple.edu

Name and Title of Program Director: Diane Nelson Bryen, Ph.D.

Executive Director, Institute on Disabilities

Address for Program Director: Institute on Disabilities/UCEDD

1601 North Broad Street

USB Suite 610

Philadelphia, PA 19122

Telephone for Program Director: 215-204-1356

E-mail for Program Director: dianeb@temple.edu

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

Amy S. Goldman

Associate Director, Institute on Disabilities

Address for Program Director: Institute on Disabilities/UCEDD

1601 North Broad Street

USB Suite 610

Philadelphia, PA 19122

Telephone for Program Director: 215-204-3862

E-mail for Program Director: piat@temple.edu

Name of Implementing Entity: N/A

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

Address of Implementing Entity: N/A

Name and Title of Program Director: N/A

Address for Program Director: N/A

Telephone for Program Director: N/A

E-mail for Program Director: N/A

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

Address for Program Director: N/A

Telephone for Program Director: N/A

E-mail for Program Director: N/A

# 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}

Over the next two years of Pennsylvania's State Plan for Assistive
Technology the Institute on Disabilities at Temple University will
continue to serve as the lead agency, directly responsible for
conducting and overseeing the activities of Pennsylvania's Initiative on
Assistive Technology (PIAT), the Statewide AT Program for Pennsylvania.
Because the Institute on Disabilities is not a state agency dedicated to
specific programs that promote limited activities or serve limited
populations, PIAT has the flexibility to assist individuals with AT
needs across the lifespan and in any environment or for any purpose.
This flexibility also means that access to PIAT's programs will not be
limited by eligibility criteria such as income, age, type of disability,
or the reason that an individual needs AT. Despite being located in the
southeastern corner of Pennsylvania, PIAT's activities will be available
statewide through a toll-free number, an accessible website, activities
that will be conducted in all regions of the state on a periodic basis,
and the use of its regional Assistive Technology Resource Centers.

The Institute on Disabilities has been the University Center of
Excellence in Developmental Disabilities ("UCEDD") for Pennsylvania
since 1973 (currently authorized under the Developmental Disabilities
Assistance and Bill of Rights Act as amended \[2000\]). As well as being
part of the national network of 61 UCEDDs, the Institute has close
relationships with other Commonwealth programs authorized under the
Developmental Disabilities Act (the Developmental Disabilities Planning
Council and the Pennsylvania Protection and Advocacy, Inc.).

The resources of the Institute on Disabilities, the College of Education
and Temple University are sufficient to support the continued
implementation of the Statewide Assistive Technology Act Program for
Pennsylvania. The physical plant is fully accessible, and information
technology is state of the art and accessible. To ensure that parents
and people with disabilities are successfully involved in all activities
of the Institute on Disabilities, we have a strong commitment to
providing physical and programmatic accessibility. Our written policy
affirms that all activities and publications of the Institute on
Disabilities are accessible to people with disabilities. In accordance
with Section 427 of GEPA, the Institute on Disabilities ensures
equitable access to and participation in any activities of
Pennsylvania's Initiative on Assistive Technology by all Pennsylvanians
with disabilities, regardless of gender, race, national origin, color,
disability, or age. Personal assistance services, respite care,
assistive technology devices and services, procurement of accessible
information technology and other needed supports are routinely provided
to staff and consumers of the Institute on Disabilities and all of its
programs. Materials and services are available in alternate languages
are upon request.

The Institute on Disabilities has sufficient resources in terms of staff
who are experienced and fully qualified to implement the AT Act Program
in Pennsylvania. These include licensed speech-language pathologists,
evaluators and researchers, social workers, "regular" and special
educators, information technology specialists and certified therapeutic
recreation specialists. Over the last eighteen years, the Institute has
developed a national and international reputation for its work in
assistive technology, especially augmentative and alternative
communication (AAC). The Institute is a partner in federally-funded
initiatives including the National Research Institute on Cognitive
Disabilities and Assistive Technology and the Rehabilitation Engineering
Research Center for Communication Enhancement, and has participated in
other efforts such as collaboration with a communication device
manufacturer to make improvements in its vocabulary software. The
Institute has received funding from the City of Philadelphia to provide
technical assistance to early intervention teams, to help them develop
their capacity to provide AT to infants and toddlers with disabilities
and their families, and to provide assessments to adults with
developmental disabilities. The state Office of Mental Retardation has
funded a statewide training program to develop the capacity of
community-based speech-language pathologists to provide AAC services to
individuals with intellectual disabilities. The state Office of
Vocational Rehabilitation has funded the Institute's Augmentative
Communication Empowerment Supports (ACES) program, providing intensive
AT and independent living experiences to adults who are AAC users.

The vision of the Institute on Disabilities is that *"Pennsylvania will
be a state where all people of diverse cultures and abilities are
included, recognizing that all are interdependent and bring gifts and
talents."* The Institute's mission is *\"In partnership with people with
disabilities, families and allies from diverse cultures, the Institute
on Disabilities works to influence and change systems so that people can
live, learn, work and play in communities of their choice. The Institute
on Disabilities is committed to supporting individuals with disabilities
in their pursuit of interdependence, contribution, and inclusion. This
mission is accomplished through training, technical assistance, services
and supports, research and dissemination, and policy and advocacy."*

In 1991, then-Governor Casey designated the Institute on Disabilities at
Temple University as the lead agency for the statewide assistive
technology program for the Commonwealth of Pennsylvania under the
Technology-Related Assistance for Individuals with Disabilities Act.
Since 1992, through Pennsylvania's Initiative on Assistive Technology
(PIAT), the Institute on Disabilities has provided Pennsylvanians with
disabilities of all ages, types of disabilities, and from all areas of
the state, a variety of services and supports to facilitate their access
to and acquisition of assistive technology. These activities include
information and referral regarding AT devices and services (through
toll-free telephone, TTY, email, and web); assistance in procuring
funding for assistive technology (AT); access to short-term equipment
loans; information about and access to electronic and information
technology; and opportunities to learn about assistive technology
through presentations, demonstrations, expos, and other AT events. As
necessary, materials and services are provided in alternate languages.

In 1997, PIAT's Advisory Board developed its vision of *"a system to
assure easy access and availability of assistive technology to all
Pennsylvanians with disabilities and older Pennsylvanians...supported by
the coordinated resources of public and private entities."*

Over the past thirteen years, PIAT has achieved many accomplishments
that move the Commonwealth towards a realization of that vision. Key
among these are the establishment of an independent, 501(c)(3), the
Pennsylvania Assistive Technology Foundation, a community-based
organization developed to provide for alternate financing for assistive
technology; the establishment of Pennsylvania's Assistive Technology
Lending Library, a cross-age, cross disability resource for short-term
loans of assistive technology; passage of several pieces of legislation
that provide for increased access to assistive technology, including the
establishment of a telecommunication device distribution program; and
the development of a statewide infrastructure for assistive technology
through its Assistive Technology Resource Centers (ATRCs).

Building on the Institute's thirty-year history of established
relationships with public and private entities in Pennsylvania, PIAT
staff members participate on boards, advisory councils, workgroups,
committees, and commissions that address the assistive
technology-related needs of Pennsylvanians with disabilities across the
life span. These include the advisory boards of AgrAbility for
Pennsylvanians and the National Research Institute on AT and Infants and
Toddlers; the Planning Advisory Committee of the Office of Mental
Retardation (including its subcommittees on Assistive Technology and
Communication); the Mayor's Commission on Persons with Disabilities
(Philadelphia); and the Statewide Planning and Implementation Team
(Department of Public Welfare).

During the two remaining years of this Plan, eight regional Assistive
Technology Resource Centers (ATRCs) will be subcontracted by the
Institute on Disabilities and a ninth ATRC will be directly operated by
the Institute, to form the statewide infrastructure for Pennsylvania's
Initiative on Assistive Technology. ATRCs have responsibilities for
state financing activities, device demonstration, device recycling, and
short-term loan programs as well as state leadership activities
including training and technical assistance, public awareness, and
collaboration (refer to those sections of the State Plan Application for
additional detail about the role of the ATRC). Through its ATRCs, PIAT
assures that programs are available locally to individuals with
disabilities and their family members. The system of ATRCs is key to
assuring accessibility of the program to those who live in the most
rural areas of the Commonwealth.

Subcontracted ATRCs are currently comprised of five centers for
independent living and three nonprofit disability organizations:

-   Center for Independent Living of North Central PA

-   Life and Independence for Today (Center for Independent Living)

-   Three Rivers Center for Independent Living

-   Community Resources for Independence (Center for Independent Living)

-   Tri-County Patriots for Independent Living

-   United Cerebral Palsy of Central Pennsylvania

-   United Cerebral Palsy of Northeastern Pennsylvania

-   United Disability Services

In addition to their roles as ATRCs, Three Rivers Center for Independent
Living and United Cerebral Palsy of Central Pennsylvania receive funds
to operate extensive demonstration centers, and Three Rivers receives
funds for Into New Hands and PIAT's reutilization "classifieds" listing
as described in Attachment 5 of this plan.

During Year 1, efforts described in the original state plan to contract
with the Pennsylvania Assistive Technology Foundation (PATF) to expand
its ability to facilitate alternate financing options to Pennsylvanians
with disabilities were unsuccessful, despite prolonged negotiations.
Those funds were reallocated to other state level activities
(reutilization; demonstration) as described in Attachments 5 and 11.

In addition to the Advisory Council described in Attachment 3 of this
Plan, Pennsylvania's Initiative on Assistive Technology works to ensure
that its programs and services are consumer responsive by seeking direct
feedback from those who access the program, either through interviews
with participants or follow-up surveys. PIAT will utilize other
opportunities as they become available.

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

N/A

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.

N/A

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.

N/A

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 an individual, or a representative of a State agency or other
entity.

The Community Advisory Council for the Institute on Disabilities serves
as the Advisory Council for Pennsylvania's Initiative on Assistive
Technology, and conforms to the requirements of the Assistive Technology
Act of 1998, as amended. The Advisory Council will guide the program in
the planning and implementation of consumer-driven and
consumer-responsive programs and services for Pennsylvanians. The
expertise of its diverse membership, including the personal experiences
with assistive technology of its members, will prove invaluable to the
program.

In order to comply with the composition of the Advisory Council under
the Assistive Technology Act as amended, additional members to the
Community Advisory Council were recently recruited. For example, a
representative from Workforce Development was invited and appointed by
the Department of Labor and Industry. Additional individuals known to
program staff as users of assistive technology were asked to join
because of their proven ability to represent the AT interests of diverse
Pennsylvanians with disabilities.

There are 24 members on the Advisory Council, ten of whom are people
with disabilities who use assistive technology, four of whom are family
members of people who use assistive technology, and ten individuals who
represent various state agencies and organizations, including: PA Office
of Vocational Rehabilitation (required), Center for Independent Living
(required), PA Department of Education (required), PA State Workforce
Investment Program (required), Temple University Disability Resources
and Services, Temple University Computer Services, PA Coalition Against
Rape, ARC of PA, Developmental Disabilities Planning Council and
Children's Hospital of Philadelphia.

Members who are persons with disabilities who use AT or who are family
members of persons with disabilities who use AT employ a variety of
devices including mobility aids, computer adaptations, augmentative
communication devices, vehicle modifications, telecommunications devices
and sensory aids. Membership reflects the geography of the state, with
representation from the rural and urban areas in the eastern, central
and western parts of the Commonwealth. The CAC is representative of the
diversity of the state, and includes members who are African-American.

[Members of the Advisory Council]{.underline}

I. Individuals with Disabilities who use AT:

> 1\. Michael Adamus (\*) (note: employed by Pennsylvania Protection and
> Advocacy, Inc.)

2\. Oscar Drummond (\*)

3\. Leila Johnson (\*)

4\. Jennifer Lowe (\*) (note: Executive Director, SHOUT)

5.  Roger Margulies (\*) (note: Assistant Deputy Mayor, Mayor's
    Commission for Persons with Disabilities

6\. Solomon Rakhman (\*)

7\. Dan Sullivan (\*) (note: Executive Director, Projects with Industry)

8\. Mark Senk (\*)

9\. Pamela Shaw (\*) (note: Bureau of Workforce Development Partnership)
(new)

10\. Katherine Seelman (\*) (new)

II\. Family Members of People with Disabilities who use AT:

1.  Audrey Badger (\*)

2.  Betsy Leebron (\*)

3.  Hana Sabree (\*)

4.  Colleen Tomko (\*)

III\. Required State Agency Representatives:

> 1\. Office of Vocational Rehabilitation (which includes Bureau of
> Blindness and Visual Services) - William Gannon (\*)
>
> 2\. Bureau of Special Education, PA Department of Education - Linda
> Rhen

3.  PA Workforce Investment Board - Autro Heath

4.  Center for Independent Living (Liberty Resources) - Karin DiNardi
    (\*)

IV\. Other members

> 1\. Graham Mulholland (\*\*), PA Developmental Disabilities Planning
> Council

2.  Steven Suroviec (\*\*), Executive Director, PA ARC

3.  (Vacant), Director, Temple University Disability Resources and
    Services

4.  Karl Horvath, Temple University Computer Services

5.  Delilah Rumburg, PA Coalition Against Rape

6.  Symme Trachtenberg, Children's Hospital of Philadelphia

(\* a person with a disability or family member of a person with a
disability who uses AT)

(\*\* a person with a disability or family member of a person with a
disability but who does not use AT)

The total number of persons with disabilities who use assistive
technology or family members of people who use assistive technology, not
including individuals who are counted in other categories, is fourteen
(14). The total membership of the Community Advisory Council is
twenty-four (24). The Council is 58% individuals with disabilities that
use AT or their family members.

In addition to full members of the Community Advisory Council, the
Institute on Disabilities has identified four individuals who serve as
"ad hoc" members of the Assistive and Accessible Technologies committee
of the Council. These individuals, users of AT and/or family members of
AT users, are additional sources of input and guidance in developing and
implementing the AT Act program. This strategy will also assist in
developing "new leaders" and preparing individuals who can rotate onto
the Council, in the case of resignation from appointed Council consumer
members.

[Members of the Ad Hoc Assistive and Accessible Technologies
Committee]{.underline}

1\. Alicia Felton (\*)

2\. Shelley Nixon (\*)

3\. Dee Lesneski (\*)

4\. PJ Mattiacci (\*)

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

The Advisory Council meets a minimum of two times per year, with one
meeting in person at Temple University, and other meetings via
teleconference or other electronic means as appropriate to effectively
conduct Council business. Additional meetings may be scheduled as needed
to conduct Council business. Staff of the Institute on Disabilities will
make the meeting room arrangements, develop materials for information
packets for members, and ensure site and material accessibility. The
Executive Director of the Institute on Disabilities will set the agenda
for Community Advisory Council meetings, with input from the PIAT
project director, to ensure that council members are informed about
state AT issues. The Executive Director will facilitate discussion
throughout the meeting to gain input and advice in planning program
activities. Minutes of the meeting will be recorded by staff.

Advisory Council members and members of the Ad Hoc committee are
routinely updated on AT Act matters by staff of the State AT Program,
and staff seek their feedback on how to improve existing programs or
begin new activities which better meet the AT needs of Pennsylvanians.

The Community Advisory Council participates in an annual review of and
provides feedback on the three-year State Plan for Pennsylvania's
Initiative on Assistive Technology, as well as the overarching five-year
plan of the Institute on Disabilities. Of particular importance will be
the Council's input in reviewing baseline data obtained in the first
three quarters of Year 2 and setting Year 3 goals for Access and
Acquisition in Education, Work and Community Living. The Council makes
recommendations by consensus to the Executive Director of the Institute
on Disabilities and the PIAT Program Director regarding any revisions of
the plan that might be necessary.  The Council engages in
problem-solving and technical assistance related to key issues and
activities of PIAT. Members also serve as ambassadors for PIAT
throughout the Commonwealth of Pennsylvania, to assist in informing the
public of its mission and services. This year, meetings were held
November 22, 2005 (in person/teleconference); March 7, 2006 (in
person/teleconference); and July 12, 2006 (teleconference).

Attachment 4: Measurable Goals

For each goal in this section, PIAT will establish a baseline during
Year 2 of this Plan. After Year 2, PIAT will submit an amendment to the
State Plan for Assistive Technology that identifies the long-term goal
and short-term goals set to improve upon the baseline during Year 3 and
subsequent years of the State Plan. The baseline will be established by
using data collection instruments and procedures as determined by RSA.
Short-term goals for Years 2 and 3 will be set in collaboration with the
Community Advisory Council.

4.1 Goal for Improving Access to AT in Education

-   Long-term goal:

    -   Short-term goal for Year 3: To be determined

    -   Short-term goal for Year 2: Establish baseline of the 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.

    -   Short-term goal for Year 1: N/A: Data collection system not
        established by RSA.

4.2 Goal for Improving Access to AT in Employment

-   Long-term goal:

    -   Short-term goal for Year 3: To be determined

    -   Short-term goal for Year 2: Establish baseline of the 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.

    -   Short-term goal for Year 1: N/A: Data collection system not
        established by RSA.

4.3 Goal for Improving Access to AT in Community Living

-   Long-term goal:

    -   Short-term goal for Year 3: To be determined

    -   Short-term goal for Year 2: Establish baseline of the 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.

    -   Short-term goal for Year 1: N/A: Data collection system not
        established by RSA.

    -   

4.4 Goal for Improving Access to IT and Telecommunications

-   Long-term goal:

    -   Short-term goal for Year 3: To be determined

    -   Short-term goal for Year 2: Establish baseline of the 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.

    -   Short-term goal for Year 1: N/A: Data collection system not
        established by RSA.

4.5 Goal for Improving Acquisition of AT in Education

-   Long-term goal:

    -   Short-term goal for Year 3: To be determined

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate targeted individuals and entities who obtained
        devices or services for educational purposes, as a result of
        state financing activities or reutilization programs who would
        not have obtained the AT device or service.

    -   Short-term goal for Year 1: N/A: Data collection system not
        established by RSA.

4.6 Goal for Improving Acquisition of AT in Employment

-   Long-term goal:

    -   Short-term goal for Year 3: To be determined

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate targeted individuals and entities who obtained
        devices or services for employment, as a result of state
        financing activities or reutilization programs who would not
        have obtained the AT device or service

    -   Short-term goal for Year 1: N/A: Data collection system not
        established by RSA.

> .

4.7 Goal for Improving Acquisition of AT in Community Living

-   Long-term goal:

    -   Short-term goal for Year 3: To be determined

    -   Short-term goal for Year 2: Establish baseline of the percent of
        appropriate targeted individuals and entities who obtained
        devices or services for community living, as a result of state
        financing activities or reutilization programs who would not
        have obtained the AT device or service.

    -   Short-term goal for Year 1: N/A: Data collection system not
        established by RSA.

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.

No additional goals have been formulated at this time.

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.

During the first year, PIAT planned to undertake two strategies to
improve the ability of Pennsylvanians with disabilities and older
Pennsylvanians to acquire assistive technology. These included (1)
funding to support the Alternative Financing Program (AFP) and other
loan or grant programs administered by the Pennsylvania Assistive
Technology Foundation and (2) development of a statewide system to
provide intensive individualized assistance in locating funding for
assistive technology devices and services for Pennsylvanians with
disabilities, especially those who are not eligible for or who choose
not to obtain a loan. Our experiences during the first three quarters of
Year 1 have influenced our decision to modify our plan, as described
later in this section.

**Pennsylvania Assistive Technology Foundation -- discontinued for Year
2**

The Institute on Disabilities at Temple University, the lead agency for
PIAT, had planned to contract with the Pennsylvania Assistive Technology
Foundation (PATF) to increase access to and funding for assistive
technology devices and services for Pennsylvanians of all ages,
disabilities and income levels throughout the state. PATF is a private,
non-profit organization, initially established by PIAT with dollars from
Title I of the Technology-Related Assistance to Individuals with
Disabilities Act and later assisted with dollars from two Title III
grants obtained by PIAT.

PATF is now a completely independent, self-sufficient organization,
providing low-interest and 0% interest mini loans, and some grants in
combination with 0% interest loans, for the purchase of assistive
technology devices and services. PATF partners with Sovereign Bank to
provide the cash loan portion of the loan program, and works through the
Pennsylvania Department of Community and Economic Development for other
sources of program funds, including loan guarantees. PATF has developed
unique strategies for funding its programs and has a large and growing
portfolio of loans to Pennsylvanians with disabilities and their
families. PIAT values the role the PATF plays in helping interested and
eligible borrowers in obtaining the AT devices and services they needs.
PIAT staff at the Institute on Disabilities as well as PIAT's
subcontractors refer to and promote the PATF's programs.

As described in the original submission of this Plan, PIAT had planned
to provide \$75,000 to the PATF for administrative support and to
increase the availability of loan guarantees, with 75% designed for
staff support (processing consumer loans, reviewing credit history,
assisting with consumer credit counseling, providing funding assistance,
conducting follow-up services) and 25% designated for the provision of
loan guarantees for home or vehicle modifications.

After extensive negotiations, the PATF was unable to agree to the terms
of a contract. Accordingly, these funds have been re-distributed to
other state level activities (reutilization and device demonstration)
for Year 1.

**Individualized Assistance to Obtain Funding for Assistive Technology
-- discontinued for Year 2**

During Year 1, Pennsylvania's Initiative on Assistive Technology
supported and administered a statewide system of specialized case
management described as "individualized assistance to obtain funding for
assistive technology", expanding statewide capacity to locate and
procure funding for assistive technology devices and services for
Pennsylvanians with disabilities. Through this system, PIAT staff as
well as subcontracted regional center staff provided extensive
assistance to Pennsylvanians with disabilities who are seeking payment
for the purchase or lease of the AT they need, regardless of type of AT
needed, income level, race, gender, disability type, geographic location
or type of residence. This system was primarily aimed at individuals who
are not eligible for a program of the PATF, who choose not to
participate in a program of the PATF (e.g. they could qualify for a loan
but choose to find a source of funding other than a loan), who need
assistance in developing a funding "package" comprised of funds from a
variety of sources (which may or may not include a cash loan), and other
individual situations where the consumer is unable to find an "easy"
solution for the procurement of the AT devices and services s/he needs.

Individualized assistance was defined as repeated, periodic contacts of
at least 15 minutes duration each, extending over several weeks or even
months until the individual obtains the needed AT or it is mutually
concluded that there is no source that is affordable or appropriate
through which the consumer can acquire the AT. The frequency and
duration of these contacts, the ongoing relationship between the ATRC
and/or PIAT's Funding Coordinator, and the total staff time used in
providing follow along and follow up services (a total of 15-20 hours of
service) distinguished individualized assistance for funding from
"information and referral" activities.

Data from the first nine months of the program indicated relatively few
consumers were provided with the threshold level of service to be
counted as "individualized assistance for funding AT". Preliminary
analysis of the data indicates that at the point of 5-7 hours of
assistance, most consumers either had a successful resolution or decided
to abandon the efforts to obtain the device or service.

It is recognized that the provision of funding-related information and
assistance is a critical service; in many cases, consumers reported that
they would not have known where else to go for this information or help
and, without PIAT's assistance, they would not have been able to obtain
the AT devices and services they need. In Year 2, funding assistance
that is several hours in length will be classified as an "individual
assistance" activity and recorded as part of the state leadership
"public awareness" function, in accordance with RSA's proposed (June
2006) data collection system .

**New for Year 2: Administration of the Pennsylvania Telecommunications
Device Distribution Program (TDDP)**

In Year 2, PIAT will provide support for and administer a system of
distributing adapted telecommunications devices through Pennsylvania's
Telecommunications Device Distribution Program (TDDP). This system will
provide free telecommunications devices for eligible individuals who
have disabilities that interfere with their ability to independently use
the telephone. The devices offered will include TTYs, voice-carry over
telephones including CapTel, amplified phones, phone-ring flashers,
"talking keyboards", cordless phones, wireless headsets, etc.  Eligible
recipients will be encouraged to borrow identified devices prior to
requesting the device funded by the program, and as necessary may be
provided with one-on-one training in their home to ensure they can
successfully use the AT device for telephone access.

This program is authorized by Pennsylvania's Act 34 of 1995, as amended
by Act 181 of 2002, and provides for the collection of telephone
surcharges by the Public Utilities Commission (PUC) in order to purchase
devices for eligible individuals with disabilities who require assistive
technology for telephone access. The Act also designates the
Pennsylvania Department of Labor and Industry, Office of Vocational
Rehabilitation (OVR) as the responsible state entity, but expressly
prohibits the use of surcharge funds for the administration of the
program. For several years, OVR utilized Independent Living funds to
operate the program, through a contract to the Statewide Independent
Living Council. Since October 2004, OVR has been operating a "bare
bones" program, and has expended virtually no dollars on this activity.
There is no program brochure; no website; no outreach; no advisory
committee representing those who can benefit from the program; no
consumer assistance in the selection of devices or training in the set
up or use of devices, etc.

PIAT will use federal dollars to administer a consumer-responsive,
statewide program to meet the telecommunication needs of eligible
Pennsylvanians with disabilities and older Pennsylvanians, and establish
a mechanism to draw non-federal, surcharge funds to purchase devices and
provide consumer education.

To be eligible for the program, a Pennsylvania resident must complete an
application that documents s/he:\
· has a disability that interferes with telephone access, as certified
to by specified professionals

· has a need for the requested equipment and the potential to learn how
to use it, as certified to by specified professionals

· is six years old, or older

· has telephone service

· has income not exceeding 200% of poverty.

After an application is approved by PIAT, PIAT will order the equipment
and the PUC will be directed to release funds to the designated vendor.
The telecommunications device is then shipped by the vendor to the
consumer.

Because OVR is ultimately responsible for the program, a memorandum of
understanding will be developed to set forth the responsibilities of the
parties. For example, PIAT will recommend program policies and
procedures to OVR, but final decisions are up to the Executive Director
of OVR. PIAT will coordinate logistics for an advisory panel to the
program (and make recommendations for panel membership, set meeting
dates and locations, communicate with panel members, determine meeting
agenda, maintain a record of the meetings) but such a panel will be
formally convened by OVR.

Key administrative tasks to be performed by PIAT staff and/or
subcontractors funded through this activity are as follows:

(1) Develop, distribute, receive, and review applications for the TDDP;
    determine eligibility of the persons submitting applications within
    five business days of receipt of completed application. Applications
    will be available in all formats (including accessible,
    download-able web) and at least one other language (Spanish).
    Applications will be distributed through a network of volunteer
    information centers recruited by staff and subcontractors, or by
    request (email, toll-free TTY, toll-free voice, US mail).
    Applications will be updated as necessary, pending changes in income
    eligibility, scope of equipment, or other program features.
    Assistance in completing applications will be available from PIAT
    staff and subcontractors.

(2) After eligibility has been determined, place the order for specified
    equipment with approved vendor. Authorize release of surcharge funds
    from the PUC to the vendor, who then ships the item directly to the
    consumer or his/her representative.

(3) Arrange for consumer to receive support in the use of the product,
    as needed.

(4) For ineligible applicants: Staff and subcontractors will provide
    ineligible applicants with appropriate referrals to other sources of
    funding or financing (e.g. Pennsylvania Assistive Technology
    Foundation). Data will be collected regarding the numbers of
    applications submitted, the number never completed, the number of
    denials and reason, type of equipment ordered, county of residence
    and urban/rural determination, etc.

(5) Develop and maintain a list of telecommunications equipment useful
    for individuals with disabilities. Develop protocol for matching
    equipment to consumer characteristics. Develop and implement
    "exceptions" process. In collaboration with the Advisory Panel, make
    recommendations to OVR and the PUC to expand products available
    through the program.

(6) Leverage/obtain surcharge funds available from the PUC for "consumer
    education", to assist consumers in appropriate use of equipment.

(7) Develop and implement processes for bidding, ordering and
    distributing equipment to eligible persons, and a system for
    authorizing release of funds from the PUC to vendors.

(8) Annually, evaluate consumer satisfaction with the program, including
    outcome of device use (e.g. improved ability to use the telephone),
    satisfaction with the vendor/product (e.g. all components
    delivered), as well as program responsiveness (e.g. timely review of
    eligibility determination, etc.).

(9) In collaboration with OVR, facilitate at least two meetings of the
    TDDP Advisory Panel. (The program activities and progress will also
    be reviewed with the Institute on Disabilities' Consumer Advisory
    Committee).

> (10)Annually, draft a budget for the PUC reflecting (1) estimated
> funds required for equipment during the next year and (2) estimated
> funds required for consumer education.
>
> (11)Prepare and submit required reports, invoices, and other program
> documents to stakeholders, including but not limited to OVR, PUC, and
> the General Assembly.

The TDDP program will interface seamlessly with other assistive
technology activities in the Pennsylvania state plan, including but not
limited to device demonstration, device loans, training, information and
referral and other public awareness activities. In addition, recipients
or their families will be encouraged to donate telecommunications
devices that are in working order but no longer needed to one or more of
PIAT's device reutilization programs.

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.

Pennsylvania's Initiative on Assistive Technology will continue to
implement a variety of strategies to increase the availability of
"previously owned" assistive devices. Reuse programs increase the
ability of Pennsylvanians with disabilities and older Pennsylvanians to
acquire AT by identifying free or lower price devices that are possible
alternatives to new purchases. Reutilization programs are solutions for
individuals with disabilities who need items for which public sources
will not pay; who need a device that is no longer manufactured; or who
have an acute need for a device while they pursue funding through other
strategies. The devices available as a result of activities described in
this section will be available throughout the Commonwealth, without any
eligibility considerations other than the fact that they are a
Pennsylvanian with a disability in need of AT and have no other way to
get it.

PIAT's multi-pronged approach includes an on-line classifieds listing;
participation in ATMATCH.com and support to establish and/or "grow"
Pennsylvania programs for equipment repair and refurbishment . These
activities are designed to increase the acquisition of AT for those who
would not be able to obtain the devices they need, when they need it.
Beginning in Year 2, these activities will be described as the *Recycled
and Exchanged Equipment Partnership.* The existing acronym REEP (one
that has some "name recognition" in the Commonwealth) will now represent
all of PIAT's reuse activities, both the "classifieds" approach as well
as a variety of recycling programs.

I. Classifieds listing

During Year 1, PIAT maintained its Recycled Equipment Exchange Program
(REEP), a free, statewide "classifieds" listing of previously-owned
equipment through which Pennsylvanians with disabilities and their
families can locate such equipment available for donation or sale. There
are no limitations to the type of assistive technology devices that may
be listed. PIAT does not physically receive, store, handle, or
recondition the equipment. The buyer and seller negotiate directly and
agree on the price, which is always much less than the "new" purchase
price.

Historically, the REEP program has been operated for PIAT by its
subcontractor, Three Rivers Center for Independent Living (TRCIL).
Sellers contact PIAT, TRCIL, or other ATRCs by phone, fax, or email, and
complete and submit a paper form to TRCIL specifying information about
the product and the seller. The seller agrees to notify REEP when the
product is sold, and to have their name and phone number published in
the listing and on the website.

Every quarter, a comprehensive listing is produced by TRCIL. PIAT
"central office" staff post the listing on the PIAT website and
disseminate hard copies to a mailing list comprised of those individuals
who have requested print formats. TRCIL staff are responsible for
following up with sellers, and maintaining current information in the
listing. Each month between the quarterly publication of the complete
listing, a "monthly update" is produced with new additions and items
that have already sold or whose six-month listing period has ended
without renewal are deleted.

In Year 1, PIAT contracted with AgoraNet, an IT company with expertise
in accessible, on-line solutions to develop a website with a variety of
features designed to improve usability, increase the number of items
that are available for sale or donation, and increase the number of
consumers who will learn about and find used equipment. In addition,
enhancements can facilitate identification of outcomes and follow-up
(e.g. customer satisfaction). Features will include:

\(a\) On-line submission of listing information (e.g. information about
the seller/donor, description of the product and its condition, asking
price, etc.)

\(b\) Ability of individuals who are searching for items to email the
seller through the web page and negotiate on-line (when the seller has
agreed to be contacted via email).

\(c\) Automatic e-mail alerts sent to sellers that provide a reminder of
the expiration of their listing period, a way for them to renew the
listing electronically, and a link to an electronic form to contact the
REEP administrator if the item has been sold.

\(d\) Database of equipment searchable by product name and other device
descriptors.

\(e\) Database of equipment location, searchable by zip code (e.g. to
identify the specified product that is geographically closest to the
individual looking for the item).

\(f\) Sign in form for individuals seeking equipment, to capture key
data that can be used to evaluate the success of the program (e.g.
county, in order to evaluate statewide outreach efforts).

\(g\) On-line satisfaction survey for "shoppers", reflecting ease of use
and success in locating desired product.

This site should be fully developed by September 30, 2006. By that time,
PIAT also hopes to have finalized regional collaboration with three
states bordering Pennsylvania (New Jersey, Delaware, and Maryland) that
are participating in the same web infrastructure, enabling individuals
using the web-based classifieds listing to find the closest item
available even if it is in another state.

During Year 2, PIAT will continue to provide support (\$4000) to Three
Rivers Center for Independent Living as the transition to the web-based
(and printable) listing is made. Three Rivers' staff will assist in
follow-up efforts with sellers in order to identify buyers and obtain
outcome data. In addition, PIAT staff will serve as "administrator" of
the web-based system, performing functions such as approving listings
before they go "live".

PIAT will continue the web-based program for Years 2 and 3, to pilot the
ability of the program to provide sufficient outcome data as required by
RSA to justify the continuation of this service.

II\. Recycling/Refurbishment

A. Into New Hands (INH)

In Year 1, PIAT provided funds (\$2500) to the "Into New Hands" (INH)
program operated by TRCIL in order to develop a database system for
defining and tracking its inventory of reconditioned items. This
well-established program obtains devices that are no longer used and
reconditions and redistributes them, at no cost, to consumers in need.
Consumers may retain the item as long as they need it, and are
encouraged to return it to the program when it is no longer required. As
a result of an efficient, electronic system, TRCIL will be able to more
accurately promote what the INH program does (or does not) have
available, assess AT types that are in short supply and develop
strategies to recruit additional donations in response to that
particular need, and determine the location of program users (both
donors and beneficiaries). Accordingly, in subsequent years of this
plan, TRCIL will be able to provide data on program utilization and the
impact of the program on Pennsylvanians with disabilities, as required
for PIAT's reporting to RSA. As a condition of PIAT support, TRCIL will
expand promotion of INH beyond its region of southwestern PA, and will
be available statewide.

With the availability of funds to be redistributed from the originally
planned Alternate Financing activities, PIAT determined that a greater
investment in recycling (which, like alternate financing, is an
"acquisition" activity) was warranted. Funding (\$13,400.00) was
provided to enable INH to promote its program (soliciting donations of
equipment as well as locating individuals in need of equipment) and
expand its capabilities by purchasing equipment for sanitizing and
refurbishing devices.

In Year 2 of this plan, pending satisfactory performance in Year 1, PIAT
will provide continued support to INH as a "partner" in REEP In
addition, PIAT will request that INH provide technical assistance as
requested to other PIAT recycling subcontractors.

B. Liberty Wheels

Liberty Wheels is a recycling/refurbishment program that has been
operated in a limited way by Liberty Resources, a Center for Independent
Living serving the greater Philadelphia area. With the availability of
funds to be redistributed from the originally planned Alternate
Financing activities, PIAT determined that an increased investment in
recycling in southeastern Pennsylvania was warranted, and identified the
Liberty Wheels program as an opportunity to enhance recycling resources.
Liberty Wheels was established in 2003, and offers refurbishment and
repair of (primarily) mobility equipment, including but not limited to
power and manual wheelchairs. Devices are often provided on "open-ended"
loan, e.g. the consumer may use the item for as long as needed, but
understands that the device must be returned to Liberty Wheels when no
longer required (e.g. the consumer has located a source of funding for
"her own" device).

In Year 1 of this plan, PIAT will provide Liberty Wheels with \$10,000
to expand and further develop its program, including refurbishment and
redistribution of additional equipment.

In Year 2 of this plan, pending satisfactory performance, PIAT will
provide continued support to Liberty Wheels as a "partner" in REEP.

C. Interfaith Specialty Services "Widow's Mite" Project

Interfaith Specialty Services is a not-for-profit, faith-based,
grassroots, consumer-controlled organization that has been a 501(c)(3)
organization since May, 2005. Interfaith Specialty Services provides
non‑denominational consultation services designed to meet the needs of
people with disabilities who desire participation in communities of
faith. ISS provides training to churches, seminaries and community
groups, with the goal of eliminating isolation of people with
disabilities and inclusion, if they choose, in every aspect of society.
ISS was founded by, is operated by, and dedicated to supporting,
individuals with disabilities; consumer choice is inherent in its
philosophy and delivery of services.

ISS will use funding received under this grant to establish "Widow's
Mite", a program to accept and redistribute "previously owned" durable
medical equipment to individuals with disabilities who need this
equipment. With the availability of funds to be redistributed from the
originally planned Alternate Financing activities, PIAT will build this
organization's capacity to provide "recycled" AT to Philadelphia-area
individuals with disabilities.

In Year 2 of this plan, pending satisfactory performance, PIAT will
provide continued support to Interfaith Specialty Services as a
"partner" in REEP.

D. Recycling/Refurbishing: Additional New "Partners"

During Years 2 and 3, PIAT will issue a Request for Proposal for at
least one additional grassroots organization that plans to develop or
expand its device recycling or refurbishing program. A plan for
sustainability as well as promotion of PIAT's Recycled and Exchanged
Equipment Partnership will be required of all recycling subcontractors.

IV\. ATMATCH.com

During the three years of this Plan, PIAT will participate in the
national internet auction program established by AT for Kansans.
ATMATCH.com is a fully accessible auction site that serves as a
comprehensive entry point for AT equipment and services. Users can find
specific AT devices at reasonable prices, post equipment for sale, and
locate state AT resources. By the end of Year 1, PIAT will link its
website to the online auction. PIAT continues to promote ATMATCH.com as
an alternative venue for Pennsylvanians with disabilities to learn about
and obtain previously owned equipment. PIAT has informed vendors with
whom PIAT "central" and its ATRCs work about the opportunities to
advertise equipment at the AT Store link on the ATMATCH site.
Pennsylvania will receive data regarding the number of people registered
from the state, the number of items registered for sale, and the number
of items acquired; data is not available at this time.

V.  Reutilization activities by ATRCs

Through the three years of this plan, as part of the state system for
device re-utilization, all ATRCs are required to

(1) have a direct link on the ATRC agency website to the REEP
    classifieds listing on the PIAT website;

(2) Contact individuals who advertise in the ATRC's newsletter or other
    mechanism operated by the ATRC's agency, to invite the listing in
    REEP;

(3) Promote REEP and equipment reutilization in the ATRC agency's
    newsletter and through the distribution of REEP, Into New Hands,
    ATMatch and PIAT brochures;

(4) Contact agencies and organizations in its counties identified as
    maintaining formal or informal re-use programs, to develop Memoranda
    of Understanding to promote interactions between the programs,
    including mutual promotion of recycling programs. Where agreed to by
    those agencies and organizations (and the sellers in their
    programs), ATRC staff shall directly list items in REEP;

(5) Where the ATRC agency has a "loan closet" that provides for
    open-ended equipment loans that are equivalent to donations (e.g.
    until the consumer no longer needs it, at which time it is returned
    to the loan closet) or direct donations to consumers, the ATRC will
    provide a description of its program (scope; means of operation;
    types of equipment; eligibility; contact information) for the
    "equipment reutilization" section of the PIAT website;

(6) Collect and submit requisite data regarding consumers who access the
    ATRC's reutilization program(s); and

(7) Expend 20% of ATRC funds on reuse efforts, as described.

VI\. Reuse of equipment from other State programs

For the duration of this plan, PIAT will work with the State so that
equipment that is returned to the Telecommunications Device Distribution
Program (funded through telephone surcharges and operated by the Office
of Vocational Rehabilitation) because it is no longer needed or
appropriate can be donated and listed on "REEP". Similarly, equipment
that is removed from the inventory of Pennsylvania's Assistive
Technology Lending Library because it is outdated will be available
through the REEP classifieds.

In Year 1, 15 items that were discontinued and no longer sold by
manufacturers but that were still in operating order were "recycled" to
consumers with disabilities. One device was for vision, two for seating,
positioning, and mobility, and 12 were communication devices. Eight
consumers reported that obtaining recycled equipment was the only option
by which they could get the AT they needed; seven said they needed the
equipment and this was a more timely way to obtain it (e.g. some of the
consumers were in the middle of appealing denials from other funding
sources). Three of the recipients said the equipment would help them in
education, and 12 said the AT was for community living. The combined
value (manufacturer's suggested retail price) of the devices was
\$84,239; consumers paid for the shipping of the device (\$231). Three
consumers identified themselves as "rural" and 12 "non-rural".

During Year 1, PIAT met with the Office of Medical Assistance Programs
(OMAP) in the Department of Public Welfare, to determine their interest
in developing programs for the re-utilization of equipment purchased by
Medical Assistance (MA), the Commonwealth's Medicaid program. While OMAP
is clearly not interested in physically tracking or (re) possessing
MA-funded equipment, they are open to further discussions regarding the
use of stickers on Medicaid-funded equipment that say "call this number
(PIAT's 800 number) when you no longer need or use this item". Because
this will rely on the cooperation of MA vendors, and with OMAP's
beginning efforts to use "selective contracting" (using only a limited
number of "preferred vendors" for DME), additional discussions and
planning is deferred until Years 2 and 3 of this plan.

During Year 1, PIAT met with the Executive Director of the Office of
Vocational Rehabilitation to determine his interest in developing a
model for the re-use of equipment purchased by OVR. Items purchased by
OVR that are less than three years old and no longer needed or used are
typically reclaimed by district offices so they can be provided to other
OVR consumers. However, older equipment becomes the property and
responsibility of the consumer. As a result of his initial interest in
this endeavor, additional discussions and planning will occur during
Year 2 of this plan.

V. Other state and regional collaborations to increase device
reutilization

In Year 1, PIAT met with the Executive Director of the Pennsylvania
Association of Medical Suppliers, to explore their interest in
collaborating on efforts to develop refurbishment models, or other
efforts to expand the availability of free or lower-cost used and usable
AT devices. At this time, PAMS is not interested in refurbishment, as
there is no "pay-off" to its membership.

At this point, discussions with nearby states that border Pennsylvania
(Ohio, New York, Delaware, New Jersey, West Virginia, and Maryland) to
explore re-use program linkages have been limited to linking access to
classifieds listings in Delaware, Maryland, and New Jersey; we look
forward to agreement in this regard by the end of Year 1. In Year 2, we
will approach all of the bordering states regarding recycling programs
in order to reduce the barrier that distance poses for consumers (in
cost or ability to travel) when seeking to obtain recycled equipment.
Additionally, linking these programs greatly expands the availability
and type of AT devices.

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.

In Years 2 and 3, PIAT will continue its operation of Pennsylvania's
Assistive Technology Lending Library, an AT device loan program for all
Pennsylvanians with disabilities. This program provides short-term
(generally for periods up to eight weeks) of assistive technology
devices to individuals, employers, public agencies, or others seeking to
meet the needs of people with disabilities and their families.
Pennsylvania's Assistive Technology Lending Library is the only
statewide program for AT device loans that is consumer-responsive,
cross-age and cross-disability. Short-term equipment loans provide
Pennsylvanians with disabilities and older Pennsylvanians with the
ability to make informed decisions about the appropriateness of a given
AT device by providing experiences related to the use of the device in
the individual's "real life" context and settings.

Items in the inventory are useful to infants and toddlers, young
children, students, adults, and/or older Pennsylvanians, and may be used
in a variety of settings (home, community, school, work). Devices range
from high-tech to low tech, and include even generic items (such as
electric staplers and collators) that may meet the definition of AT when
used by persons with disabilities. The inventory includes AT devices
that are useful to individuals with physical, sensory, and/or
intellectual disabilities. Most categories of AT are represented, with
the exception of mobility and weight-bearing devices (except for
portable ramps). Devices are included if they can be readily shipped, do
not require installation, do not require permanent customization, and
are not personal in nature (e.g. commodes). Items can be borrowed for
assessment, trial use, training, and as a "loaner" when a consumer's
device is out for repair. Items can be borrowed by employers, public
agencies, and other entities as a temporary accommodation. Items can be
borrowed by faculty who prepare individuals who will work with persons
with disabilities, or by students in those programs who want to become
more familiar with AT devices.

Pennsylvania's Assistive Technology Lending Library (the "Lending
Library") is primarily supported with state appropriations. The program
was initially established with dollars under the Technology-Related
Assistance Act for Individuals with Disabilities (the "Tech Act") as a
pilot program serving adults with disabilities. During the operation of
the pilot, we learned that families needed a way to borrow devices
directly, and that the program operated by the PA Department of
Education was not always able to meet the AT needs of young children and
students with disabilities. Year 1 marked the completion of PIAT's ninth
year of operating the Lending Library, the fifth year of the program
under an Interagency Agreement with the Office of Vocational
Rehabilitation

Pennsylvania\'s Assistive Technology Lending Library is designed to
assure equal access to [all]{.underline} Pennsylvanians with
disabilities by providing points of entry and information throughout the
Commonwealth. PIAT's Assistive Technology Resource Centers (ATRCs) help
borrowers select appropriate equipment for trial, select appropriate
alternatives when the first choice is not available, refer to other
sources for loan or rental as necessary, refer to service providers for
assistance and support with the device during the loan period, and
facilitate the shipping and return of devices. In addition to ATRCs,
PIAT has developed a network of almost 180 "local branches". These
agencies and organizations volunteer to promote the program and provide
assistance to Pennsylvanians with disabilities and older Pennsylvanians
wishing to access the program. Local branches include generic community
organizations like public libraries, as well as colleges and
universities; organizations serving people with sensory impairments;
centers for independent living; disability organizations like the ARC,
Easter Seals, and United Cerebral Palsy associations; rehabilitation
hospitals and similar facilities; area agencies on aging and senior
centers; state Offices of Vocational Rehabilitation and Bureau of
Blindness and Visual Services; and more. This structure further promotes
program access for individuals with disabilities and older
Pennsylvanians.

More than 4000 items in the circulating inventory are housed at the
Hiram G. Andrews Center (HGA), a program of the Pennsylvania Department
of Labor and Industry, Office of Vocational Rehabilitation and
subcontractor to the Institute on Disabilities for the Lending Library.
Staff at HGA are responsible for the maintenance and circulation of the
devices as well as activities related to intake and processing of loan
applications and data collection on utilization. .

In the 12 months ending June 30, 2006, Pennsylvania's Assistive
Technology Lending Library served individuals with a range of
disabilities and ages and has reached individuals in 63 of the
Commonwealth's 67 counties. This year almost 6300 devices were shipped
from the centralized inventory subcontractor at Hiram G. Andrews Center,
in response to more than 4100 requests from 1481 different borrowers
(including almost 1200 first-time borrowers).

Over the next two years, efforts will be on-going to assure an inventory
that reflects currently available technologies and that has a sufficient
supply of diverse items to meet demand.

Federal funds under the AT Act provide partial support to device lending
activities provided by ATRCs, including PIAT staff in their role as an
Assistive Technology Resource Center serving southeastern Pennsylvania.
In addition, the federal funds support the evaluation component of the
program. PIAT will continue to collect and analyze data on the users of
program, and, using the RSA approved data collection measures, report on
consumer satisfaction and the ability of the program to help
Pennsylvanians with disabilities make a decision about the assistive
devices that will help them.

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.

Pennsylvania's device demonstration program is available for all
residents of the state, regardless of age, disability, type of AT
needed, or the individual's location or type of residence. Under the AT
Act of 1998 as amended, device demonstrations are available to provide
individuals with disabilities and their families the opportunity for
"guided exploration" of the specific device or category of devices in
which they are interested. While device demonstrations may provide the
information needed to make appropriate use of the device during a device
loan period (especially for those devices that are "plug and play", and
don't require programming or complex set-up), device demonstrations are
not intended to instruct the end-user to a point of "mastery" in
operating the device, nor are device demonstrations designed to take the
place of full-scale evaluations. The purposes of device demonstrations
include (a) increasing the participant's understanding of the range and
scope of devices that can assist with an identified function (e.g. IT
and telecommunications access), (b) improving the participant's
knowledge of the device's features (e.g. the Pathfinder) and how those
features distinguish it from other devices that perform the same
function, and (c) increasing the participant's understanding of the ways
in which the device (or class of devices, e.g. note-takers for people
who are blind) can contribute to the education, employment or community
living goals of persons with disabilities. The primary goal of device
demonstration activities is to assist a consumer or family member (or
service provider representing a consumer) in making a decision about
assistive technology. Device demonstrations are likely to result in
additional efforts to find the "right" device, including device loans
and experience in using the device in the consumer's typical settings.

When a consumer or family member requests a demonstration and specifies
the device or device category of interest, an appointment will be made
for a mutually convenient time and place, and PIAT and/or the
responsible ATRC will conduct (or arrange for) the demonstration of the
device(s). In addition to individualized "consumer-driven"
demonstrations, from time to time ATRCs may collaborate with device
manufacturers and vendors to conduct demonstrations of newly available
products.

In addition to experiences with devices and services, individuals
receive, to the extent practicable, comprehensive information about
State and local assistive technology vendors, providers, and repair
services. Demonstration participants also receive information about
funding, including referral to the Pennsylvania Assistive Technology
Foundation, as appropriate. The primary focus of the device
demonstration program is the provision of these services to individuals
with disabilities and their family members, although providers of
education, health and related services as well as faculty responsible
for preparing such providers for those professions, will be encouraged
to participate, as appropriate.

PIAT and its eight subcontracted Assistive Technology Resource Centers
(ATRCs) will provide the infrastructure of the statewide system for
device demonstrations. Each of the nine ATRC regions is comprised of
five to twelve counties, encompassing all 67 counties in Pennsylvania.
Each ATRC is located in an accessible facility, has a toll-free number,
has an accessible website, and is able to provide equipment
demonstrations both on- and off-site, to meet consumer needs.

The ATRCs are staffed with knowledgeable professionals (including
individuals with degrees in special education, speech-language
pathology, therapeutic recreation and related areas, and includes those
who have earned the "Assistive Technology Practitioner" credential from
RESNA) who are able to provide demonstrations for a range of different
devices. Certain ATRC staff are users of AT themselves, or have learned
about AT through the applications of assistive technology devices and
services for a child or other family member. Where there is a request
for a demonstration of equipment with which PIAT-funded ATRC staff is
less familiar, there is frequently other agency staff (e.g. occupational
therapists, physical therapists, teachers of the deaf/hearing impaired)
located at the ATRC with the capacity to assist consumers.

As a "good customer", PIAT has relationships with many different vendors
from whom we purchase and maintain the devices in the Lending Library.
Similarly, ATRCs have strong relationships with AT vendors, and as
needed, will be able to arrange for and "moderate" demonstrations by
vendors to assure a meaningful orientation to equipment that is NOT a
high-pressure sales pitch. ATRCs know the local businesses that sell,
train and support AT, and can readily combine this information into a
reasonable resource packet for consumers, customized for the
demonstration, devices and participants.

We also have established relationships throughout the state with
professionals who evaluate, train and support AT for people with
disabilities. ATRCs collaborate with rehabilitation agencies and other
AT service providers within their region, and build on those
relationships to assure access to demonstrations to a range of AT types,
conducted by individuals who are proficient in operating and explaining
those devices and comparing and contrasting devices within the same
category of item.

ATRCs are connected to "local branches" of Pennsylvania's Assistive
Technology Lending Library, several of which have equipment located at
their agency as part of the Lending Library's 2003-2004 "on-site
long-term equipment loan program". For example, PIAT staff at the
Institute on Disabilities who serve as the ATRC for southeastern PA,
work closely with staff at the Center for Hearing and Deafness (CHAD), a
local branch serving people who are deaf and hard of hearing. CHAD
welcomes referrals for and are experienced in providing demonstrations
of equipment focused on amplified and adapted telephones, assistive
listening, and other AT frequently used by their target population.

PIAT has used federal funds from prior years to provide demonstration
devices to other "expert" community AT providers such as the Hearing
Discovery Center. As an "affiliate" demonstration center, Hearing
Discovery Center will provide PIAT with demonstration data as required
by RSA.

Where PIAT and ATRC staff determine that a referral to another agency
for device demonstration is indicated, they will assist individuals with
disabilities and family members by locating and facilitating the
arrangements for such demonstrations.

Through our ATRCs and other partners, we can outreach across the state
and provide demonstrations in agencies, at nursing homes, in staff
offices, at conferences and exhibitions, for parents' groups at their
meeting location, in consumers' homes and in other environments where an
individual or groups need demonstrations, addressing their AT needs for
work, school community, telecommunication and computer access.

Demonstrations of equipment used to help consumers (or family members or
providers on their behalf) make decisions about AT is a new activity for
PIAT. During the first eight months of Year 1 there was a lower than
anticipated number of individuals to whom device demonstrations were
provided. Accordingly, we identified the need to do more promotion and
outreach regarding the availability of device demonstrations, and to
consider additional strategies for improving access to AT through this
activity.

In Year 1, a portion of the funds originally allocated for the State
Financing acquisition activity (\$46,600) has been redistributed to the
"access function" of device demonstration. With these funds, PIAT will
establish two permanent "demonstration centers". These centers, located
at United Cerebral Palsy of Central Pennsylvania and Three Rivers Center
for Independent Living, will be up and running by the end of Year 1 and
will function throughout Years 2 and 3. UCP CPA and Three Rivers are
among PIAT's best-performing regional subcontractors. Each of these
organizations engages in multiple assistive technology endeavors, in
addition to those funded through PIAT and the Lending Library. These
centers will serve any Pennsylvanians (not just those in the particular
ATRC regions) who seek a demonstration of AT devices.

In Year 1, PIAT was named a participant in a pilot initiative between
the Association of Assistive Technology Act Programs (ATAP) and
Recording for the Blind and Dyslexic (RFBD). As a result of this
collaboration, PIAT and all of its ATRCs will receive a sampling of RFBD
equipment for demonstration purposes.

In addition, in recognition of its strategic importance as the lead
agency for Pennsylvania's Assistive Technology Act Program, in Year 1
Temple University was designated as a "Microsoft Accessibility Resource
Center" (MARC). Microsoft accessibility software will be loaded on
approximately 30 computers; as such, in Years 2 and 3, PIAT will have
the capacity to conduct large scale demonstrations of accessible IT as a
complement to demonstrations of assistive devices for computer access.

In Year 1, PIAT was instrumental in obtaining a University grant for an
assistive technology/adapted computing demonstration laboratory in the
College of Education. By the middle of Year 2, it is anticipated the lab
will be operational. Although the primary focus of the lab is for the
use of Temple University students, there is no prohibition against the
use of the lab for demonstrations for the community at large.

[Access to Devices for Demonstration]{.underline}

Devices for demonstrations are readily available through Pennsylvania's
Assistive Technology Lending Library (also operated by PIAT). With over
4000 individual devices in the Library, groups of devices may be
borrowed by the ATRCs and their collaborators for demonstrations. Most
of the ATRCs have their own inventory of AT on-site, and our new
Demonstration Centers will have a large and comprehensive selection of
devices. All but one of the ATRCs has a selection of devices located at
their agency from the "on-site long term loan program" of the Lending
Library. ATRCs can also borrow devices from the general circulating
inventory of the Lending Library. Typical turn-around time for receiving
devices is 3-5 days. Access to the entire device inventory will benefit
the consumer as well as the presenter, and allow for a greater selection
of device options to be utilized for demonstration. Once consumers have
participated in a demonstration and selected a potential device to meet
a particular need, they can borrow the device for additional trial use
at home, work, school, or in their community.

[Demonstration Promotion]{.underline}

To inform the general public about the opportunities for device
demonstrations offered statewide, we will implement several strategies
over the three years of this State Plan. By the end of the first quarter
in Year 2, we will provide a link on our website to generate an email to
request device demonstrations. Consumers will be able to choose to
either go to one of the comprehensive demonstration centers (regardless
of the ATRC region in which they reside) or arrange for a demonstration
by or with their ATRC.

#### Attachment 6: Comparable Support

Pennsylvania is not claiming 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.

N/A

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

N/A

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.

N/A

Attachment 7: State Flexibility

Pennsylvania is not invoking the State Flexibility clause. All
state-level activities will be implemented, as described in Attachment
5.

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

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

N/A

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.

N/A

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.

N/A

## 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, skill 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.

In Years 2 and 3 of this Plan, Pennsylvania's Initiative on Assistive
Technology will continue to provide training and technical assistance in
several ways. PIAT staff and subcontractors will participate in
statewide conferences as both exhibitors and presenters (Pennsylvania
Training and Technical Assistance Network of the Pennsylvania Department
of Education, Pennsylvania Educational Technology Expo and Conference,
World Disability Congress and Expo, Pennsylvania Speech-Language-Hearing
Association, Statewide Independent Living Council Conference). PIAT
staff and subcontractors respond to requests from local hospitals,
nursing facilities, schools, parent groups, professional associations,
and colleges and rehabilitation facilities who request customized
sessions ranging from general overviews of AT and Pennsylvania's AT
resources to sessions about specific devices for specific populations
(e.g. medication reminder systems for older Pennsylvanians, requested by
PA Rehabilitation Nurses Association) or topics relating to the funding
and implementation of AT (e.g. writing letters of medical necessity for
AAC; the inclusion of AT in service plans; AT and transition; Speech
Generating Device Features \[for Medicaid Fee-for-Service staff\]).
Participants at these events may be providers of AT services (including
educational, medical and allied health, and other human service
providers), consumers of AT devices and services and their family
members, and students and faculty in personnel preparation programs from
Pennsylvania's many colleges and universities. Where necessary, PIAT
staff will accommodate requests for such events on weekends or in the
evening.

PIAT will continue to provide training opportunities across the
Commonwealth, for all Pennsylvanians, regardless of disability, age,
income level, or type of AT device or service required. Through the
ATRCs, we are able to provide training and technical assistance to
targeted Pennsylvanians in all 67 counties.

Certain training and technical assistance activities are supported by
other sources (e.g. City of Philadelphia Mental Retardation Services;
Office of Mental Retardation) for special topics (e.g. augmentative and
alternative communication; adapted toys and switches) and audiences
(service providers and "teams" in the early intervention \["EI"\] for
infants and toddlers system; family members of individuals served by the
mental retardation system, service coordinators in the mental
retardation system).

It is anticipated that funding for technical assistance for infants and
toddlers with disabilities and their families will continue for Years 2
and 3 of this Plan. The technical assistance initiative for early
intervention will respond to requests for consultation from
Philadelphia's early intervention service coordinators, family members,
and other service providers. Once an EI team member forwards a referral
form to PIAT, staff will go to the child's natural environment (day
care; home), observe the child, and in consultation with the family and
other team members, identify AT devices and services that should be
considered as a part of the child's Individualized Family Service Plan.
Follow-up technical assistance will be offered as the team implements
recommendations made in PIAT's technical assistance written report.

Technical assistance will be available to agencies and organizations
that are seeking to enhance their AT-related capacity, or who are
formulating policies and procedures that may impact access to or
acquisition of AT. For example, PIAT staff provided technical assistance
to the Office of Mental Retardation in the development of their
"Handbook for Supports Coordinators". Although these opportunities
cannot always be anticipated, PIAT will provide technical assistance in
these instances, as resources permit.

# Transition

The AT Act requires the state AT program to specifically focus on
training and technical assistance around transition. This includes
transition for students with disabilities who are leaving high school
for employment or post-secondary education and transition for those
entering or maintaining community living. During Year 2 (and 3, if the
committee persists), appointed staff will continue to participate in the
bi-monthly meetings of the Statewide Planning Team, addressing the needs
of persons with disabilities served by the Department of Public Welfare
with an emphasis on those who are transitioning from nursing facilities
to community living. In Year 1, staff participated in bi-monthly
meetings of a committee funded by the state Office on Mental Retardation
to develop and implement a manual addressing best practices in the
transition from school to work for individuals with mental retardation
(this activity has been completed).

In Year 1, the Program Director was appointed to the State Leadership
Team for Transition, an interagency group (including representatives
from the Departments of Public Welfare, Health, Education, and Labor and
Industry) working to develop transition practices that work for
Pennsylvania's young adults with disabilities. This activity will
continue in Years 2 and 3 of this plan.

In Year 1, staff presented at the statewide Transition Conference on
"Lost in Transition", a presentation on keeping or obtaining AT devices
and services during the transition from school to adult life. Staff are
also scheduled to present on this topic at the statewide Independent
Living conference in September, 2006, as well as at the World Congress
on Disability and Expo in Year 2.

In Year 2, staff will prepare and conduct 7-10 hours of assistive
technology training for participants in "Partners in Policymaking:
Confidence and Competence in Transition from School to Work". This
year-long program, based on the nationally-recognized Partners in
Policymaking leadership training program, has been developed by the
Institute on Disabilities for families (parents and their transitioning
student, aged 14-21) recruited from across Pennsylvania.

The estimated cost of staff time and travel on these transition
activities is projected to be 5% of total state leadership expenditures.

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 services as described in section 4(e)(3)(B)(ii)
of the AT Act.

During the three years of this State Plan, PIAT will engage in a variety
of activities to promote the availability of PIAT's statewide
activities, other state resources for AT, and increase public awareness
of the scope and potential of AT for education, employment, and
community living.

**AT Awareness Month:** PIAT will continue have November proclaimed "AT
Awareness Month" by the Governor of Pennsylvania and Mayor of
Philadelphia. ATRCs and local branches will use that month to focus
public attention on AT and the people who benefit from AT by scheduling
AT displays in public locations (e.g. libraries), putting articles in
local newspapers and agency publications, etc.

**Publications:** PIAT will produce and assure supplies of a variety of
publications, updated regularly and available electronically, on the
web, in alternative formats, as well as in traditional print. These
include:

> *AT Focus* - is a quarterly newsletter, which will be mailed to ATRCs,
> local branches of Pennsylvania's AT Lending Library, and other
> interested providers and consumers. Each issue will be dedicated to a
> specific category of AT available in the Lending Library, and will
> include information on funding and other resources for learning more
> or obtaining the featured devices. Funding for this publication is
> primarily supported through state funds.
>
> *Funding Fact Sheets* -- are detailed descriptions of specific funding
> resources for consumers, such as *Funding AT through Medicare* and
> *Funding AT through Vocational Rehabilitation.* Funding Facts Sheets
> will be shared with consumers, families, providers and educators. In
> Year 2, these Fact Sheets will be updated based on the revisions of
> the "*Guide to Funding Assistive Technology in Pennsylvania."*
>
> *Helpful Hints* -- are informational guides that provide detailed
> suggestions and strategies for obtaining AT for education, employment,
> and community living. They provide useful reminders of who, what,
> when, where, and how, to help consumers acquire the AT they need.
> Other publications in this series include *Home Modifications; Vehicle
> Modifications;* and *Non-Governmental Resources for Funding Assistive
> Technology.*
>
> *Poster: "AT can help you do the things you want to do"* -- an
> attractive poster featuring diverse Pennsylvanians with disabilities
> utilizing AT, and providing contact information on the program. The
> poster, with the addition of a sticker proclaiming "November is AT
> Awareness Month!" is an important component to the November
> "celebration".

**Website:** We have a dynamic, accessible website, under constant
review and updated regularly to have the most current information and
resources available for consumers, families, students, educators and
providers. Housed within the Institute on Disabilities' site, there are
easy links to all of the AT and accessible IT activities of the
Institute. By the end of Year 1, the website will be reorganized to
feature the state level and state leadership activities required by the
AT Act, and will include enhancements to facilitate access to those
activities. A new framework for the web pages for Pennsylvania's
Assistive Technology Lending Library will be launched early in Year 2,
as well as the on-line classifieds listing. We also anticipate posting
an electronic version of the newly revised "*Guide to Funding Assistive
Technology in Pennsylvania*" by the end of the first quarter of Year 2.
The website will contain current contact information for the state AT
program offices as well as the regional ATRCs. During the remaining two
years of the plan, the website will continue to be updated as new
activities, products and partnerships are launched. The website will
include a brief description and a link to the Pennsylvania Assistive
Technology Foundation.

**Information and Referral:** PIAT will maintain its statewide toll-free
number, as will the ATRCs, and each office will provide daily
information and referral services to callers regarding AT devices and
services, availability of devices and services within PA, and
information regarding the availability of funding and other acquisition
resources. Information and referral will be provided via email, fax and
mail as well as phone, by knowledgeable staff. In Year 1, it is
projected that PIAT staff and subcontractors will have responded to more
than 11,000 telephone and electronic requests for AT information,
continuously enhancing the general awareness of Pennsylvanians about the
availability, benefits, appropriateness and cost of AT devices and
services. The toll-free numbers for the state program and the website
will be on all electronic and print materials.

**Mailing Lists:** PIAT will distribute print and electronic materials
in a variety of ways. Staff and ATRCs will use local, statewide, and
regional listservs to which they belong to promote PIAT's activities and
services. Information will be routinely sent to service providers, Area
Agencies on Aging, county Offices of Mental Retardation, school
districts and Intermediate Units, and other targeted individuals and
organizations. Materials will be disseminated to local branches of
Pennsylvania's Assistive Technology Lending Library, and they will be
encouraged to distribute them to their constituents.

We anticipate continuation, with yearly updates and enhancements, of all
these public awareness activities, as well as development of new
materials in response to consumer requests and new activities (e.g. new
recycling partners; Telecommunications Device Distribution Program).

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
AT devices and services to individuals with disabilities, service
providers and other to improve access to AT devices and services as
described in section 4(e)(3)(B)(iii) at the AT Act.

Pennsylvania will continue its coordination and collaboration with
public and private entities to improve access to AT and other accessible
technologies. Opportunities for coordination and collaboration arise
from a variety of formal and informal relationships with agencies
responsible for policies, procedures, funding and provision of assistive
technology devices and services. We anticipate these relationships
continuing throughout the three years of this Plan. PIAT will be
responsive to requests for new collaborations as they arise, and will
welcome partnerships with agencies and state offices which share common
philosophies, missions, and goals.

Examples of coordination and collaboration include:

*PA* *Department of Public Welfare, Office of Mental Retardation (OMR)*
-- PIAT staff will continue serve on the Communication subcommittee of
OMR's Planning Advisory Committee (PAC). This committee plays an active
role in advocating for policies to increase access to augmentative
communication supports for people with developmental disabilities. In
Year 2, PIAT staff will participate as a member of OMR's Quality
Improvement in Assistive Technology Sub-committee, identifying the AT
needs of and solutions for individuals served by OMR, including those in
state centers as well as community living settings.

*PA Department of Education* -- The Principal Investigator for PIAT is a
member of the select "Gaskin Panel" overseeing the implementation of a
settlement in an inclusive education case that will affect the way
supports and services (including assistive technology devices and
services) are provided to students with disabilities throughout
Pennsylvania.

*PA Department of Education, Office of Commonwealth Libraries* -- PIAT
has a long-standing relationship with the Office of Commonwealth
Libraries. As in Year 1 of this plan, in Year 2 PIAT will participate in
grant reviews to determine the distribution of assistive and accessible
technologies to community libraries, as well as those in K-12 and higher
education. Many libraries serve as local branches of Pennsylvania's
Assistive Technology Lending Library, recognizing their importance as
sources of information to Pennsylvania's citizens, and we will continue
to encourage more libraries to become local branches. PIAT will continue
to provide training and technical assistance (e.g. through participation
with the Pennsylvania Library Association \[PaLA\] in its annual
conference) as requested.

*PA Department of Health --* In Year 1, with approval from the
Department of Health, PIAT developed an assistive technology "Companion
Guide" to the "Healthcare Transition Checklist" developed by the
Pennsylvania Department of Health
www.dsf.health.state.pa.us/health/lib/health/email_web_proof_03-27final.pdf

In Year 2, PIAT will work with the Department of Health on linking the
Companion Guide to the Department of Health website.

*Pennsylvania Protection and Advocacy, Inc. (PP&A)* ­-- The PP&A is a
"sister" program in that it, like the Institute on Disabilities,
receives funding under both the Developmental Disabilities Act and the
Assistive Technology Act. Representatives from each agency serve on the
other's advisory or governing board, providing opportunities to share
information and collaboratively plan and coordinate activities. PP&A
coordinates a statewide task force on accessible voting, on which PIAT
staff will serve. PP&A and/or subcontractors will attend or present at
meetings of PIAT's ATRCs. During Years 2 and 3 of this plan (as in Year
1), key PP&A staff and/or subcontractors will teleconference bi-monthly
to assure non-duplication of efforts regarding assistive technology, and
identify areas where their respective talents might be best utilized. In
addition, the Pennsylvania Assistive Technology Foundation will be
involved in these calls when issues related to state systems for funding
AT, and other opportunities for collaboration, are addressed.

In Year 1, PP&A staff /subcontractors and PIAT coordinated efforts in
advising the Department of Public Welfare of our respective concerns
regarding proposed changes to Medicaid Waivers that would restrict
access to assistive technology (especially home modifications).
Similarly, PIAT, PP&A, and PATF developed issues of concern regarding
proposed "selective contracting" of durable medical equipment; each then
provided written and/or in person testimony on the impact of these
proposed changes on people with disabilities who use DME.

*Developmental Disabilities Council* -- The DD Council is also a
"sister" program to the Institute on Disabilities. Representatives from
each agency serve on the other's advisory or governing board, providing
opportunities to share information and collaboratively plan and
coordinate activities.

*Disability Budget Coalition* -- PIAT will continue to participate as a
member of the Disability Budget Coalition, which creates and presents to
the General Assembly and the Administration a "wish list" of programs
that can improve the lives of Pennsylvanians with disabilities. This
Coalition of more than seventy groups representing people with physical
and sensory disabilities has been instrumental in advancing programs
that can improve access to and acquisition of AT, including
Pennsylvania's AT Lending Library, the Assistive Technology Cash Loan
Program administered by the PA Assistive Technology Foundation, the
Access Home Modification Program, and the ICAN program that provides
grants to employers so they can acquire AT to hire or retain persons
with disabilities. Collaboration with the Disability Budget Coalition is
a key factor in obtaining continued state support for these programs,
which are important resources for accessing and acquiring assistive
technology.

*IT Access* -- In its role as the coordinating entity for the
Mid-Atlantic Consortium on Accessible Electronic and Information
Technology in Education (under a contract with Transcen, the
Mid-Atlantic ADA and IT Information Center), PIAT staff completed work
to enhance web accessibility in k-12 and community colleges. In Year 1,
staff renewed PIAT's contacts in the Office of Education Technology in
the PA Department of Education, and in Year 2 will work with the
Director of that office (as will as the Office of Information Technology
in the Department of Administration) in the implementation web
accessibility.

*Pennsylvania Assistive Technology Foundation* -- In Year 2, PIAT will
continue its efforts to establish a written Memorandum of Understanding
with the PATF, to facilitate acquisition of assistive technology for
Pennsylvanians with disabilities and older Pennsylvanians. These efforts
may require participation in "independent" mediation. Pending agreement
and successful implementation of an MOU, additional planning will occur
regarding collaboration in Year 3.

In addition to these collaborations, PIAT will engage in efforts to
increase the availability of certain AT devices for specific populations
and purposes during the three years of this Plan. In Year 2, PIAT will
collaborate with disability organizations and other stakeholders in
efforts to expand the income eligibility for free telecommunications
equipment for individuals with disabilities and/or the types of
equipment supplied, so that more Pennsylvanians will have access to
devices and services necessary for telecommunications access. In Year 3,
PIAT will develop a proposal to the Departments of Aging, Health, and
/or the Department of Public Welfare for the free distribution of
medication management systems (e.g. for older Pennsylvanians with
disabilities). PIAT will seek public and/or private funding for a
program to distribute free strobe fire/smoke/carbon monoxide alerting
systems for individuals who are Deaf, modeled after a successful program
funded by a local TV station to distribute smoke alarms to people who
are low income.

PIAT anticipates continued success over the next two years of this plan
in its coordination and collaboration with these agencies, and new
partners as opportunities arise, on policies, procedures and resources
that improve access to and acquisition of AT for Pennsylvanians of all
ages.

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.

In addition to state support identified in Attachment 10.1, PIAT
anticipates continued funding in Year 2 from the City of Philadelphia
Mental Retardation Services to conduct training and provide technical
assistance to interdisciplinary teams serving infants and toddlers with
disabilities and their families.

During Year 1, PIAT continued its work with TransCen, the Mid-Atlantic
ADA and IT Information Center, promoting IT accessibility in education
and the range and scope of AT devices and services for IT and
telecommunications access through demonstration, training, and technical
assistance activities. At this point, it appears unlikely there will be
similar funds for these activities in Year 2 or beyond.

Pending transfer of the implementation of the Telecommunications Device
Distribution Program to PIAT in Year 2, we will seek additional funds
for "consumer education" from the Public Utilities Commission, as
generated by the telephone surcharge for this program. These funds will
support travel for ATRCs as they provide equipment set-up for TDDP
device recipients, as well as additional support for outreach
activities.

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.

N/A

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).

In Year 1, meetings were held November 22, 2005 (in
person/teleconference); March 7, 2006 (in person/teleconference); and
July 12, 2006 (teleconference). The purposes of the meetings were to
inform the Community Advisory Council (CAC) members and the "ad hoc"
members of the Assistive and Accessible Technologies Committee of the
activities as approved in the State Plan, to evaluate progress, and to
discuss and seek advice related to activities for Year 2 of the Plan.

Two or three meetings, including one in-person meeting, are planned for
Year 2. In late Spring 2007, the Advisory Council will convene (either
in person or by teleconference) to review projected baseline data (based
on data from the first seven or eight months of Year 2) and to set
achievable, measurable goals for Year 3 based on that data. Progress
will be assessed, and any changes to the State Plan for AT will also be
proposed and reviewed at that time. Input and guidance from the CAC will
be of particular importance, as several new initiatives were begun late
in Year 1 or are beginning in Year 2.

## 

## 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).

It is anticipated that State support, through the budget of the Office
of Vocational Rehabilitation, will continue to fund Pennsylvania's
Assistive Technology Lending Library. These funds are provided to
Pennsylvania's Initiative on Assistive Technology at the Institute on
Disabilities to operate the program (including coordination of the
Lending Library activities of PIAT's Assistive Technology Resource
Centers; development and implementation of policies and procedures,
including those to assure cost efficiencies while maintaining high
customer satisfaction; coordination and oversight of the activities of
the subcontractor responsible for inventory maintenance and circulation;
identification and procurement of devices; and outreach and promotion of
the program).

During Year 1, support was provided to Pennsylvania's Assistive
Technology Lending Library at \$801,000. During Year 2, state support
has been increased to \$1,001,000.

This funding is available based on state appropriations and is not
guaranteed.

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.

Through the Department of Public Welfare, Office of Mental Retardation
(OMR), there are funds provided to support training and technical
assistance. However, unlike most of PIAT's activities, these are focused
on only one type of AT (augmentative and alternative communication
\[AAC\]) rather than the spectrum of AT possibilities, and the
implementation of AAC specifically with individuals with intellectual
disabilities. These funds offset salaries, fringe, and travel expenses
for designated staff. This support was provided during Year 1 and is
expected to continue during Year 2. Funding is available based on OMR
appropriations and is not guaranteed.

## 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).

Pennsylvania's Initiative on Assistive Technology, a program of the
Institute on Disabilities at Temple University, uses Temple University's
accounting system along with an internal departmental system to track
all federal AT Act grant expenditures. The University's grant accounting
department assigns a specific cost center number to the grant to track
expenditures and revenues that are specific to the AT program. The
internal budget system tracks expenditures as "state level" or "state
leadership" by amount. In addition, expenditures related to transition
training and technical assistance are tracked. A standardized report
provides summary data on expenditure percentages to ensure the required
distribution is met at the end of each fiscal year. The Program Director
and Administrator will review and monitor expenditures on a quarterly
basis, although more frequent reviews may be conducted as necessary
(especially in the last quarter).

Assistive Technology Resource Centers will assure their compliance with
proportional distribution of expenditures (60% on state level activities
and 40% on state leadership activities) as stipulated in their
subcontracts with the Institute on Disabilities.

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

Due to changes in the activities initially planned for Year 1, this
section includes revisions in the distribution of funds within the State
Level activities. Note the proportion of expenditures on state level and
state leadership activities is unchanged.

In addition, proposed budget allocations for Year 2, along with an
explanation of expenditures within the categories of State Level and
State Leadership activities is provided. These numbers will serve as an
estimate only for Year 3 of this State Plan.

Where expenditures are related to the total operation of the State AT
Act Program (such as telephone, postage, duplicating/printing), they
have been equally allocated (except for supplies, which are not
attributed to device lending in Year 2) rather than pro-rated among
activities. Percentages are calculated based on the total of "direct"
expenditures in each category. Indirect is calculated at 10% on all
lines; however, in accordance with Temple University policy, indirect is
excluded from equipment and the portion of each subcontract in excess of
\$25,000. Thus, the total indirect amount for the entire grant is
actually less than 10% (approximately 7% in Year 2).

**Total Award for Year 1: \$514,074**

Total Direct: \$472,568

Total Indirect \$ 41,506

**Total Award for Year 2: \$545,247**

Total Direct: \$505,225

Total Indirect \$ 40,022

  --------------------- ------------ ---------------- ----------- --------------
  **Year 1 State Level  **Amount**   **Revised        **% of      **Revised %**
  Activities**                       Amount**         Award**     

  State Financing       \$128,234    \$53,234         27%         11%

  Device Reutilization  \$69,245     \$97,645         15%         21%

  Device Loan           \$52,019     \$52,019         11%         11%

  Device Demonstration: \$67,550     \$114,150        14%         24%

  **TOTAL**             \$317,048    \$317,048        **67%\***   67%
                                     (unchanged)                  (unchanged)
  --------------------- ------------ ---------------- ----------- --------------

  ----------------------------------------- --------------- ---------------
  **Year 1 State Leadership Activities**    **Amount**      **% of Award**

  Training/TA                               \$47,782        10%

  *Transition*                              *\$ 7,776*      *5% of
                                                            leadership*

  Public Awareness                          \$70,998        15%

  Coordination/Collaboration                \$36,738        8%

                                            **\$155,520**   **33%\***
  ----------------------------------------- --------------- ---------------

+----------------------------------------+-------------+---------------+
| **Projected Year 2**                   | **Amount**  | **% of        |
|                                        |             | Award**       |
| **State Level Activities**             |             |               |
+----------------------------------------+-------------+---------------+
| State Financing                        | \$107,582   | 21%           |
+----------------------------------------+-------------+---------------+
| Device Reutilization                   | \$63,313    | 13%           |
+----------------------------------------+-------------+---------------+
| Device Loan                            | \$42,490    | 8%            |
+----------------------------------------+-------------+---------------+
| Device Demonstration                   | \$90,168    | 18%           |
+----------------------------------------+-------------+---------------+
|                                        | **          | **60%\***     |
|                                        | \$303,553** |               |
+----------------------------------------+-------------+---------------+

+----------------------------------------+-------------+---------------+
| **Projected Year 2**                   | **Amount**  | **% of        |
|                                        |             | Award**       |
| **State Leadership Activities**        |             |               |
+----------------------------------------+-------------+---------------+
| Training/TA                            | \$88,134    | 17%           |
+----------------------------------------+-------------+---------------+
| *Transition*                           | *\$ 10,083* | *5% of        |
|                                        |             | leadership*   |
+----------------------------------------+-------------+---------------+
| Public Awareness                       | \$71,577    | 14%           |
+----------------------------------------+-------------+---------------+
| Coordination/Collaboration             | \$41,961    | 9%            |
+----------------------------------------+-------------+---------------+
| **TOTAL**                              | **          | **40%\***     |
|                                        | \$201,672** |               |
+----------------------------------------+-------------+---------------+

*[\*Percentages are rounded, and are based on per cent of total grant
award exclusive of indirect (\$ 472,568 for Year 1 and \$505,225 for
Year 2).]{.underline}*

*Revised 9/13/2006*