3710 LANDMARK DRIVE, SUITE 208, COLUMBIA, SC 29204 (803) 782 – 0639; FAX (803) 790-1946 1-866-275-7273 (VOICE AND LANGUAGE LINE) AND 1-866-232-4525 (TTY) E-mail: info@protectionandadvocacy-sc.org Website: www.protectionandadvocacy-sc.org HAND OUT March 30, 2006 EXHAUSTING FUNDING RESOURCES ASSISTIVE TECHNOLOGY (AT) FOR The most common sources of funding for Assistive Technology (AT) are commonly referred to as the BIG 5 of AT funding. These sources are: Medicaid Medicare State Agencies such Vocational Rehabilitation, Commission for the Blind, and Dept. of Disabilities and Special Needs Private Insurance Schools If the person in need of AT is eligible for any of these resources, the first place to start is to request an AT assessment utilizing these sources. If the person is not eligible for these resources and/or they have exhausted their appeals regarding the denials, they will turn to alternative funding sources. THINK LOW TECH Not every AT device has to be a technological wonder. Rubber handle knob cooking and eating utensils Rubber handle faucet grips Dishes with raised edges for Rocker knife better scooping Drinking straw holder Weighted utensils Foam Rubber on handles of Automatic Eye Drop Dispenser Page 1 of 13 Flashing kitchen timer Talking pill box organizer Magnifier nail clippers Check writing guides Vibration Timer LARGE numbers on Thermostat Magnifying glass Electric seat lift Wheel chair umbrella Car Caddie Raised toilet seat Wireless motion alert sensor Low Tech may mean lower price. Many of these devices are available for $100 or less. EXAMPLES: 1. Foam tubing for kitchen utensils is available for online for as low as $13.95 for 6 pieces. (http://www.lifesolutionsplus.com/colored-foam-tubing-p420.html) 2. Magnifying glass worn around the next is available for $4.99 each. (http://www.lifesolutionsplus.com/powerful-4x-over-the-neck-ultraloupep-320.html). 3. Car Caddie is available for $19.99. (http://www.wellhaven.com/s.nl/category.199/it.A/id.155/.f ) ALTERNATIVE FUNDING SOURCES VETERAN’S HEALTH ADMINISTRATION REVERSE MORTGAGE PROGRAM. A reverse mortgage enables senior homeowners (62 + years old) to convert part of the equity in their homes into taxfree income without having to sell the home, give up title, or take on a new monthly mortgage payment. No mortgage payments are due during the life of the loan. Seniors may use the funds for assistive technology devices or services as well as home modifications. A reverse mortgage becomes repayable when the borrower sells the home or permanently moves out. The repayment amount can’t exceed the current value of the home. Reverse mortgages are originated largely by private lenders. SC TELECOMMUNICATIONS EQUIPMENT DISTRIBUTION PROGRAM (SCTEDP). SCTEDP distributes amplified telephones, voice carry over telephones, tty machines, large vision tty machines and telephones, alarm alerts, in-line amplifiers, 2-way pagers, weather alert radios, artificial larynx, hands free phones with amplification, and Dynamos. SCTEDP equipment is always considered the property of the State of South Carolina. The equipment is distributed only to qualifying individuals as long as they remain in the state of Page 2 of 13 South Carolina. Eligibility Requirements: Must be a South Carolina resident; Must have a hearing or speech impairment; Must furnish an ID; and Must furnish proof of a phone line in residence. For more information, contact: SCTEDP 100 Executive Center Drive Suite A-100 Senate Building Columbia, SC 29210 Toll-free 1-877-225-8337 Voice/1-877-889-8337 TTY Local in Columbia: 803-896-8337 Voice/803-896-8334 TTY http://www.scsdb.k12.sc.us/TEDP/TEDP%20Instructions.htm EQUIPMENT LOAN PROGRAMS South Carolina operates an AT/equipment loan program, offering low-cost loans to persons with disabilities who meet the criteria of the program. In South Carolina, this program is called the South Carolina Assistive Technology Loan Program and operates out of the SC Vocational Rehabilitation Department. This program offers loan guarantees and interest rate subsidies to qualifying South Carolinians with disabilities, their families and authorized representatives to purchase equipment needed to become more independent and to enhance quality of life. The costs of training to use the equipment, insurance, extended warranties and maintenance plans may be included in the loan. Who can apply? Anyone who intends to use the loan to buy assistive technology for a South Carolina resident with a disability may apply. That includes people with disabilities, family members, employers or friends on behalf of an individual with a disability. Allowable equipment shall include, but is not limited to: Wheelchairs Motorized Scooters Page 3 of 13 Braille equipment Voice simulation systems Scanners Assistive listening devices Environmental control units Telecommunications devices for the deaf Augmentative communication systems Computers and adaptive peripherals Building modifications for accessibility Motor vehicles and vehicle modifications Not everyone is eligible for a loan. There must be a good likelihood of repaying the loan. The program reviews income compared with debt, stability in residence/job, and credit history. Some applicants maybe declined. But the program’s criteria (much less stringent than most banks use) often will enable many people to get loans who otherwise would not qualify. Loans may range from $1,000 to $30,000. Rates may vary, but are generally lower than most loans for the same type of purchases. Contact information S.C. Assistive Technology Loan Program c/o Denise Koon 1410 Boston Ave., P.O. Box 15 West Columbia, SC 29171-0015 896-6374 in the Columbia, SC area or 1-866-247-8354, toll free http://www.scvrd.net/i_assist_tech.html THE FEDERAL ADOPTION ASSISTANCE PROGRAM States are authorized to enter into adoption assistance agreements with parents who adopt a child with special needs. Id. §§ 673(a)(1)(B), 675(3). For children with disabilities, the child is held to meet the criteria as a child with special needs if the child meets all the eligibility requirements for SSI. Id. § 673(a)(2)(A)(ii). o The state may make adoption assistance payments to the adoptive parents directly through the State agency or through another public or nonprofit agency, in amounts to be determined. The assistance payments may not be higher than foster care payments would have been if the child had remained in or entered a foster home. Id. § 673(a)(3). States may continue the adoption assistance payments until Page 4 of 13 the child is 21. NOTE: The law specifically provides that a child with a disability will not be considered a child with special needs unless: (a) the state has determined that the child cannot or should not return to the home of his or her natural parents; (b) the state has determined that because of the child's disability or other special factors it is reasonable to conclude that the child cannot be adopted without adoption assistance; and (c) a reasonable but unsuccessful effort has been made to place the child without providing adoption assistance or Medicaid. Id. § 673(c). Automatic Medicaid eligibility. If specific criteria is met, the adopted child with a disability is automatically eligible for Medicaid Additional services to adoptive parents will vary from state to state. o Advocates will need to become familiar with what special services are available under state law and policy. THE CRIME VICTIMS COMPENSATION FUND This program, operated through each state by a federal grant, is authorized by the Victims of Crime Act of 1984 (VOCA). VOCA authorizes federal financial assistance to states (up to 40 percent reimbursement for approved expenditures) for the purposes of compensating and assisting crime victims, and funding training and technical assistance. South Carolina Offices: State Office of Victim Assistance 1205 Pendleton Street Edgar A. Brown Building, Room 401 Columbia, SC 29201 sova@oepp.sc.gov Phone: (803) 734-1900 Fax: (803) 734-1708 Victims Only: 1 (800) 220-5370 1st Circuit Office (serving Calhoun, Dorchester, & Orangeburg counties) State Office of Victim Assistance P.O. Box 2809 Orangeburg, SC 29116 Tel: (803) 531-8149 Fax: (803) 531-5366 Page 5 of 13 2nd Circuit Office (serving Aiken, Bamberg & Barnwell counties) State Office of Victim Assistance P.O. Box 502 Bamberg, SC 29003 Tel: (803) 245-4994 Fax: (803) 245-3375 4th Circuit Office (serving Chesterfield, Darlington, Dillon, & Marlboro counties) State Office of Victim Assistance P.O. Box 439 Bennettsville, SC 29512 Tel: (843) 479-2021 Fax: (843) 479-2022 There are specific eligibility guidelines for victim compensation and compensable expenses. At a minimum, states must award compensation for a list of expenses when they are attributable to a physical injury resulting from a compensable crime. These include: Medical expenses, including eyeglasses and other corrective lenses, dental services, prosthetic or other devices. Necessary building modification and equipment to accommodate physical disabilities resulting from a compensable crime. The federal guidelines provide that the compensation program is the payor of last resort with regard to federal or federally financed programs. The maximum amount payable is a total of $15,000. IMPAIRMENT-RELATED WORK EXPENSE (IRWE) If you work and have a physical or mental disability that functionally limits your employment, or a physical or mental disability that substantially limits one or more of your major life activities, you may be able to claim impairment related work expenses. These are allowable business expenses for attendant care at your workplace and other expenses that allow you to work. Impairment-related work expenses are not subject to the 2% of adjusted gross income limit that applies to most other employee business expenses. To claim this deduction, complete IRS Forms 2106 or 2106-EZ. Page 6 of 13 INDEPENDENT LIVING CENTERS – in South Carolina, these are the Disability Action Centers and Walton Options. They may be able to offer assistance with home modifications and securing some assistive technology devices. THE SSI PLAN FOR ACHIEVING SELF SUPPORT PROGRAM (PASS PLAN) A PASS is a tool that a person with a disability or blindness uses to set aside income or resources to reach a work goal. For example, a person may set aside money for an educational or training program or to start a business. A person may have a PASS if s/he receives or is eligible for SSI benefits and has income or resources, other than those needed for living expenses, which can be set aside to pay for items or services needed to reach the work goal. Money saved under an approved plan will not count against the resource limit of $2,000 for an individual or $3,000 for a couple. A person who sets aside income under a plan may receive a higher SSI benefit than without a plan. A PASS will not increase SSI benefit if the person already receives the full SSI benefit amount. This also may mean that a person who would not otherwise be eligible for SSI benefits can set aside income and resources under an approved plan to become eligible for SSI benefits. A plan must: (minimum requirements) be in writing and be approved by SSA; have a specific work goal which the person can probably reach; say how long it will take for the person to reach the goal; say what income or resources will be set aside and how they will be spent; explain how the income or resources will be kept separate from other money; and describe any goods and services needed to reach the goal and explain why they are needed. The PASS application Form SSA–545–BK is available from the local Social Security office or online at www.socialsecurity.gov/online/ssa-545.html. SOUTH CAROLINA ASSISTIVE TECHNOLOGY LOAN PROGRAM SC CHILDREN’S REHABILITATIVE SERVICES DEPARTMENT OF VETERANS AFFAIRS UNCONVENTIONAL RESOURCES THE FLEXIBLE SPENDING ACCOUNT UNDER FEDERAL TAX LAW Page 7 of 13 This may include medical expenses for eyeglasses and hearing aids; and cost and maintenance of a wheelchair to name a few. CREATIVE STRUCTURING/RESTRUCTURING OF A CHILD SUPPORT OR ALIMONY AGREEMENT TO OBTAIN OR RETAIN SSI AND MEDICAID WORKERS COMPENSATION FAIR HOUSING ACT – modifications to rental units, common areas WORK CREATIVELY WITHIN EXISTING FRAMEWORKS: CIVIC ORGANIZATIONS including professional associations such as: •South Carolina Bar Association •National Association of Social Workers – SC Chapter FOUNDATIONS – for a start, look at: •The Foundation Directory •Grants for the Physically & Mentally Disabled •Directory of Financial Aids for Minorities •National Directory of Corporate Giving •Taft Corporate Giving Directory •Hispanic Americans Information Directory TRUST FUNDS PRIVATE CORPORATIONS AND BUSINESSES HOSPITAL DEVELOPMENT OFFICES GRANTS USED EQUIPMENT BROKERS UNIVERSITY RESOURCES NEXUSKIDS COMPUTER BUDDIES BANKS, CREDIT UNIONS & LOAN PROGRAMS ASSISTIVE FINANCING THROUGH LOAN GUARANTEES The Mitarai/Canon Optacon Financing Program the first nationwide program using a large consumer credit system to finance technological aids for individuals with disabilities Telesensory Systems, Inc., P.O. Box 7455, Mountain, View, CA 94039-7455. (415) 960-0920 EASTER SEAL NATIONAL LOAN PROGRAM, South Carolina Services Financial assistance in limited instances for the purchase of: Page 8 of 13 Orthopedic Appliances - prescribed orthopedic appliances such as braces and shoes. Durable Medical Equipment (DME)- prescribed DME such as wheelchairs, walkers, bath equipment, etc. Transportation Assistance - Reimbursement of transportation may be provided for medical appointments. Equipment Loan Program – Some locations maintain an equipment loan closet. o Medical and mobility equipment may be borrowed for short-term use when authorized by a physician. o Available for individuals seeking temporary use of wheelchairs, transfer benches, walkers, and other durable medical equipment. o Available to anyone living in South Carolina, regardless of age or disability. Contact Easter Seals for more information: o By phone at 1-800-951-4090 (toll-free), 803-256-0735 (voice) or by fax at 803-765-9765. o By U.S. Mail at 3020 Farrow Road, Columbia, SC 29203 Easter Seals Locations in South Carolina State Headquarters – Rose M. Lowe Rehabilitation Center 3020 Farrow Road Columbia, SC 29203 800-951-4090 (toll free) 803-256-0735 803-765-9765 fax Anderson/Oconee 1104 Ella Street Anderson, SC 29621 864-225-1371 Email essand@nuvox.net Greenville 1100-B Rutherford Road Greenville, SC 29609 864-232-4185 Page 9 of 13 eastersgvl@aol.com Spartanburg 1004 South Pine Street Spartanburg, SC 29302 864-582-8050 http://www.eastersealsspartanburg.org/ director@eastersealsspartanburg.org Florence/Darlington PO Box 3209 Florence, SC 29502-3209 843-661-6909 SUBSIDY PROGRAMS COMPETITIVE SUBSIDIES PRIVATE, NON- PROFIT ORGANIZATIONS ASSISTIVE DEVICE MANUFACTURERS. COLLABORATIVE EFFORTS OF BUSINESS AND VOLUNTARY ORGANIZATIONS including: formalized partnerships voluntary organization initiatives subsidies available through membership discounts non-competitive subsidies offered by private non-profit organizations created to market discounted equipment REBATES FOR A PARTICULAR PRODUCT OR PRODUCT LINE DISCOUNTS ON TELECOMMUNICATIONS DEVICES AND SERVICES o www.UnitedTTY.com o Special events where manufacturers offer discounts SERVICE CLUBS & ORGANIZATIONS: Lions - In their efforts to advocate for the blind and visually impaired, Lions clubs often purchase white canes. Quota International Shriners Kiwanis International Knights of Columbus Page 10 of 13 Optimist International - Provides aids and services to hearing impaired youth. Contact your local Optimists Club. Sertoma International – S.H.A.R.P.S.: Sertoma Hearing Aid Recycling Program. This program provides hearing aids for low-income individuals. Elks Rotary International MORE RESOURCES: United Cerebral Palsy - Bellows Fund. The Bellows Fund is able to provide assistive technology devices to individuals with disabilities in financial need. The annual income generated from the Charitable Fund is utilized to purchase assistive technology equipment for individuals with disabilities. This program is available only through UCP affiliates. Churches College fraternities and sororities Grants – use your public library Fundraisers – local radio, television, and newspapers will sometimes sponsor fundraising events Non-profit organizations Muscular Dystrophy Association - MEDICAL EQUIPMENT & SUPPLIES. Medical equipment including gently-used wheelchairs, hospital beds, walkers, communication devices, etc. are made available at no cost to individuals with neuromuscular disease. Muscular Dystrophy Association - USA National Headquarters 3300 E. Sunrise Drive Tucson, AZ 85718 1-800-FIGHT-MD (344-4863) mda@mdausa.org http://www.mdausa.org/help/products.cfm USE THE WEB http://www.sightexchange.com/ give and receive items that serve the needs of the blind, low vision or Page 11 of 13 visually impaired population www.freecycle.org - Freecycle Network™ Worldwide. Membership is free. Started in May 2003 to promote waste reduction in Tucson's downtown & help save desert landscape from being taken over by landfills. RULE: Everything posted must be free, legal, & appropriate for all ages. Open to all communities and individuals who want to participate. There are currently 45 Freecycle Network™ sites available in SC. In some of the more urban areas there may be more sites. FOR OTHERS: Funding Strategies for employers Small Business Tax Credit – available to small businesses for 50% of its eligible expenditures to make the business accessible. The expenses must exceed $250 but not exceed $10,000 per year. A business is eligible for the credit each year that it makes eligible expenditure for access. ElderCare Trust Fund - grants to public and private nonprofit agencies and organizations to establish and administer innovative programs and activities that assist older South Carolinians to live with dignity and vitality in their communities." KEEP IN MIND THE FOLLOWING: Be creative. Don’t be afraid to ask friends, families and organizations for help locating what you need. Don’t give up. SPECIAL THANKS to Neighborhood Legal Services, Inc.; RESNA (Rehabilitation Engineering and Assistive Technology Society of North America); and Easter Seals. This publication provides legal information, but is not intended to be legal advice. The information was based on the law at the time it was written. As the law may change, please contact P&A for updates. This publication is funded by the U.S. Department of Education. It does not necessarily represent the official views of the funding authorities. P&A does not discriminate on the basis of disability, race, gender, or national origin in Page 12 of 13 the provision of its programs or services. Pete Cantrell is P&A’s designated coordinator for Sec. 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. March 2006. © Protection and Advocacy for People with Disabilities, Inc. Page 13 of 13