1. Accessible Housing & Assistive Technology Marty Exline & David Baker, Missouri Assistive Technology Missouri Inclusive Housing Network Meeting April 24 Columbia, MO

2. Introduction

3. Assistive Technology Devices & Services  Any item, piece of equipment or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve the functional capabilities of children with disabilities.  Any service that directly assists a child with a disability in the selection, acquisition, and use of an assistive technology device.

4. Missouri Assistive Technology The mission of Missouri Assistive Technology is to increase access to assistive technology for Missourians with all types of disabilities of all ages Missouri Assistive Technology is a state agency that provides programs and services that make AT more available. Whether it’s obtaining a no-cost amplified phone, getting low-interest financing for a stair lift or hearing aids. Trying out an augmentative communication device, iPad or more, MoAT offers a variety of options for accessing AT. Individuals access MoAT to:  Borrow and try out AT devices  Get a hands-on demonstration of AT devices  Find gently-used DME items  Receive adaptive telephone equipment  Receive adaptive equipment/software to access the Internet  Finance AT  Receive Training  To learn about AT Resources

5. Larry In nursing home for five years Sat in commode wheelchair Low speech volume/difficulty understanding Very little AT in nursing home Temperamental Borrowed an ECU Recycled Equipment - Sip and Puff Wheelchair Seating Evaluation – Purchased chair Transitioned Out - Purchased an ECU Door opener with numerical keypads Emergency Response System

6. On the Horizon? More likely to be funded by payers like Medicaid? Medicaid waiver amendments from CMS for: Electronic Monitoring, Remote Monitoring or Telecare. Some states have sought specific permission from CMS. More in State Plan Services or Pilots?

7. Telecare Solutions Electronic Monitoring/Communication/Telehealth  Sensors – door, bed, chair, floor, temperature, emergencies, unattended stoves, flood, seizures  Communication Systems  Video Monitoring  Rest Assured Rest Assured  Night Owl Support Systems Night Owl Support Systems  Home for Life Solutions Home for Life Solutions

8. On the Horizon?  Medicaid State Plan Coverage of tablet devices? Colorado, Oklahoma, Vermont All for communication, but…  New Mexico iPad Pilot  Pilot Group  Deaf  Hard of Hearing  Deaf-Blind  Speech Disability

9. AT Solutions that can contribute to inclusive, accessible living environment:  Video Monitoring  Environmental controls  Task management and other cognitive  Vision  Communications  Reading and writing  Accessibility – built in, switches, eye gaze, etc.

10. Remote Video Monitoring +

12. Environmental Controls

13. Task Management Apps

14. Attention/Memory

15. Vision Apps

16. Mood Management

17. Communication Apps

18. Reading/Writing

19. Vision

20. Health Monitoring

21. Presenter Contact Information Marty Exline & David Baker Missouri Assistive Technology 800-647-8557 www.at.mo.gov