Current through Register Vol. 49, No. 18, September 16, 2024
PURPOSE: This rule establishes the standards and
procedures for the provision of a statewide telecommunications equipment
distribution program providing specialized equipment to eligible individuals
with disabilities. This rule implements section
209.251, RSMo through
209.259, RSMo.
(1) Program
Title. The telecommunication equipment distribution program established by
209.251, RSMo through 209.259, RSMo shall hereinafter be referred to as the
"Telecommunication Access Program (TAP)" with two programmatic components,
known as "TAP for Telephone" and "TAP for Internet."
(2) Definitions. As used in this rule, except
as otherwise required for the context, the following terms have the meanings
ascribed:
(A) Adaptive telecommunications
equipment-is equipment that translates, enhances or otherwise transforms the
receiving or sending of telecommunications into a form accessible to
individuals with disabilities and includes adaptive telephone and adaptive
computer equipment.
1. Adaptive telephone
equipment-is equipment that translates, enhances or otherwise transforms the
receiving or sending of voice calling and associated auditory signaling into a
form accessible to individuals with disabilities.
2. Adaptive computer equipment-is equipment
that translates, enhances or otherwise transforms the receiving or sending of
Internet and electronic mail information into a form accessible to individuals
with disabilities.
(B)
Adjusted gross income-is the amount claimed as adjusted gross income on the
applicant's most recent federal income tax return.
(C) Basic telecommunication service-is a
service that supplies the transmission and reception of information to and from
customer premises equipment and includes basic telephone and Internet services.
1. Basic telephone service-is telephone
service from a telephone company that supplies the transmission and reception
of voice calls to and from customer premises equipment. Basic telephone service
does not include other types of voice communications, such as two-way radio
communication, nor does it include adjunct-to-basic voice communication
services, such as caller identification or voice mail.
2. Basic Internet service-is service from an
Internet service provider that supplies the transmission and reception of
electronic information, web and electronic mail, to and from customer premises
equipment. Basic Internet service does not include other types of electronic
communications such as alpha-numeric paging or facsimile
communication.
(D)
Consumer support services-are services that assist individuals with
disabilities or their families or caregivers in the selection of the most
appropriate adaptive telecommunications equipment to meet their needs and in
the installation and use of such equipment.
(E) Eligible applicants-are individuals with
disabilities who have been certified as unable to use traditional
telecommunication equipment for access to basic telephone or Internet
service.
(F) Program
administrator-is staff of Missouri Assistive Technology or other entity so
designated by the Missouri Assistive Technology Advisory Council.
(G) Qualified agency-is an entity that
regularly works with individuals with disabilities, is familiar with adaptive
telecommunications equipment and resources, and is able to assist individuals
with disabilities in determining equipment needs.
(H) Reasonable access to basic
telecommunications service-is access delivered by cost-effective adaptive
telephone equipment or cost-effective adaptive computer equipment.
(I) Traditional telecommunications
equipment-is customer premises equipment used to access basic
telecommunications service and includes traditional telephone equipment for
telephone service and traditional computer equipment for Internet service.
1. Traditional telephone equipment-is a
typical telephone with dial pad, handset, and audio ringer used to place and
receive voice calls.
2. Traditional
computer equipment-is a typical computer system with keyboard, pointing device,
and visual display monitor used to send and receive electronic
information.
(3) Applicant Eligibility.
(A) Eligible applicants shall:
1. Be certified by a licensed physician,
audiologist, speech pathologist, hearing instrument specialist or qualified
agency as unable to use traditional telecommunications equipment due to
disability;
2. Have specific
adaptive telecommunications equipment designated by an approved
agent;
3. Be residents of
Missouri;
4. Meet financial income
standards;
5. Have access to basic
in-home telephone equipment and service if applying for adaptive telephone
equipment or have access to basic in-home computer equipment and Internet
service if applying for adaptive computer equipment.
(B) Applicants shall be eligible for one (1)
adaptive equipment system that provides access to basic telecommunication.
Applicants shall not be eligible for more than one (1) equipment system to
provide access in more than one (1) location, for example, equipment for both
upstairs and downstairs in a residence.
(C) Applicants who have received equipment
from the program in the past shall be eligible for replacement equipment
according to the time schedule established by the program administrator and
shall be notified of such replacement period when they receive their initial
equipment. The program administrator may also find applicants eligible for
replacement equipment if:
1. The device is
damaged through natural disasters, such as lightning, electrical storms, floods
or other acts of God;
2. There is a
change in disability status rendering the adaptive equipment inappropriate to
meet their needs;
3. A new device
has become available through TAP that is deemed more appropriate to the
applicant's disability than a device previously provided by TAP.
(D) Applicants shall have an
annual adjusted gross income that does not exceed $60,000 for an individual or
an individual plus a second exemption, spouse or dependent. For each additional
dependent claimed, $5,000 shall be added to the $60,000 base level.
(E) Applicants shall be ineligible for
equipment when the applicant has:
1. Sold or
otherwise transferred ownership of equipment received from TAP to an individual
or entity other than the originally authorized applicant;
2. Lost equipment received from TAP through
negligence such as leaving in an unlocked house or unlocked car;
3. Negligently or willfully damaged equipment
received from TAP or violated other provisions of the administrative rules
governing TAP.
(4) General Application and Certification
Procedures.
(A) Individuals shall apply for
equipment from the program, on forms approved by the program administrator,
that include:
1. Applicant name, address, home
and work phone, date of birth, Social Security number;
2. Assurance of Missouri residency, assurance
of current access to basic telecommunications equipment and service, assurance
of income level;
3. Identification
of current or past use of adaptive equipment;
4. Specific request for specialized equipment
or request for assistance in selecting equipment and agreement to allow the
program to release their name, address, and phone number to an agency that
provides consumer support;
5.
Original applicant signature and date.
(B) In addition to information required on
the application and certification form, applicants shall supply any additional
information which the program administrator deems reasonably necessary to
determine the applicant's eligibility and to assist in determining the adaptive
equipment which best meets the applicant's needs.
(C) Certifying agents shall, on forms
approved by the program administrator, certify that the applicant, by name, is
unable to use traditional telecommunications equipment because of a specific
category of disability. The certifying agent shall sign and date the
certification and provide state license number if certifying as a physician,
audiologist, hearing instrument specialist or speech pathologist. Certifiers
shall possess full licensure, not temporary or provisional. Approved agency
representatives certifying shall provide the name of the approved agency. All
certifying agents shall provide their name, address, and phone number to enable
the program administrator to contact them as necessary.
(5) Certifying Agents.
(A) Entities desiring to be approved as a
certifying agency shall request such designation from the program
administrator. The program administrator will review agency qualifications and
may require an agency to complete training provided by the program
administrator prior to approval.
(B) The program administrator will maintain a
list of approved certifying agencies and those personnel of the agency who are
approved to certify.
(C) Agencies
or individuals who charge a fee to sign the certification form identified in
5 CSR
110-1.010(4)(C) shall provide the
applicant with information about certifying agents who will provide that
service free of charge. The program administrator will make a list of such
certifying agents readily available on the Internet or upon request.
(6) Appeals Process. Applicants
may appeal any disapproval of an equipment request by filing a written appeal
with the Missouri Assistive Technology Advisory Council. No specific form shall
be required. The appeal shall describe how the equipment requested is necessary
for basic telecommunications access and conforms with adopted program rules.
The council may hear appeals during any regularly scheduled council meeting or
may call a special meeting of the council for such purpose.
(7) Fraud. If an applicant supplies false
information or obtains adaptive equipment through misrepresentation of facts on
the application and certification form, TAP may demand return of the equipment
and shall declare such applicants ineligible for future equipment from
TAP.
(8) Confidentiality. All
applicant information shall be kept confidential except for approved release of
information for purposes specified on the application form or long-term loan
agreement.
(9) Publicity. Vendors
responsible for distributing adaptive equipment under contract with the
program, certifying agents, and entities providing consumer support services
shall not engage in or be party to any publicity that includes or in any way
references the Telecommunications Access Program or consumer eligibility for
such program without the express written approval of the Missouri Assistive
Technology Advisory Council.
(10)
TAP for Telephone Specific Procedures.
(A)
Equipment Provided-Adaptive telephone equipment shall be provided in sufficient
scope to meet the needs of individuals with all types of disabilities and shall
be procured in a cost-effective manner.
1.
The program administrator shall develop and maintain a list of adaptive
telephone equipment designed to provide reasonable access to basic telephone
service for individuals with a wide range of disabilities. The list will be
provided with the application and certification form. The program will monitor
the market for devices that might be added to the program to better meet
individual needs and will update the list as necessary to remain current with
the market.
2. Adaptive telephones
or adaptive devices that attach to the telephone shall be considered first to
provide access. For the majority of program applicants, adaptive equipment that
attaches to or replaces the typical end-unit telephone will be available on the
approved list to meet their needs. Equipment that does not directly attach to
or replace the phone will be provided by the program when no other device will
deliver the needed access.
3. The
program may provide equipment not on the list if such equipment is necessary
for basic telephone access and is cost effective as compared to devices on the
list.
4. The program shall not
provide adaptive devices needed for one-to-one personal communication such as
hearing aids, artificial larynx, or other augmentative communication
devices.
5. The program shall
maintain a list of vendors with which it has contracted to provide adaptive
telephone equipment in a cost-effective manner.
6. The program shall only provide captioned
telephone voice carry-over equipment when the applicant is unable to
effectively utilize an amplified telephone due to degree of hearing loss and
significantly impaired speech discrimination.
(B) Application Processing-The program
administrator shall process TAP for telephone applications and deliver
equipment and services that assure an appropriate match between an individual
with a disability and adaptive equipment.
1.
Each application shall be reviewed for completeness. If any information is
missing, the applicant will be contacted and requested to supply such
information.
2. Each applicant's
eligibility will be verified by information provided on the application
form.
3. If the application:
A. Requests the same equipment as was
provided by the program at least four (4) years prior to this application, the
prior equipment delivery will be verified and the new equipment request will be
approved without new disability certification needed.
B. Requests equipment on the approved list,
the request will be matched with disability description, as provided by the
application form or equipment worksheet, and approved.
C. Requests equipment not on the approved
list, the explanation will be reviewed to determine if the equipment is
necessary for basic telephone access and is cost effective as compared to
devices on the list. If so, the equipment request will be approved.
4. Upon verification of applicant
eligibility and determination of equipment/disability match, the program
administrator shall order the equipment from an approved vendor.
5. Equipment orders shall include applicant
name, make and model of equipment ordered, applicant shipping address, phone
number, and date of order. The program administrator shall transmit equipment
orders directly to the vendor by facsimile or via other time expedient
mechanism that is mutually agreeable.
6. Applicants will be notified if their
equipment request cannot be approved.
7. Upon receipt of equipment order, the
vendor shall ship the equipment directly to the applicant's Missouri residence
by verifiable delivery mechanism.
8. The vendor shall provide the program
administrator with a monthly invoice of all equipment ordered and
delivered.
9. The program
administrator may establish alternative and pilot programs to increase program
quality and consumer satisfaction.
(C) Consumer Support-The program
administrator shall deliver consumer support services directly or through
contracts or other working relationships with qualified individuals,
organizations, vendors, or other entities.
1.
Consumer support providers shall:
A. Have
expertise and experience of sufficient depth and breadth to assist consumers in
identifying adaptive telephone equipment that will meet their needs;
B. Be able to provide adaptive telephone
equipment orientation and use training;
C. Participate in training activities as may
be required by the program administrator to assure equipment competency;
and
D. Be able to demonstrate
equipment knowledge and competency as requested by the program
administrator.
2.
Agencies desiring to provide consumer support services shall participate in
periodic training as deemed necessary by the program administrator. Such
training shall include specific information about adaptive telephone equipment
necessary to support appropriate equipment selection and use ensuring
appropriate match of person and equipment. Agencies eligible to provide
consumer support include:
A. Non-profit or
public agencies who regularly work with persons with disabilities and/or have
specialized knowledge about adaptive telephone equipment and access to
equipment for demonstration and trial purposes; and
B. Such agencies with narrowly focused
contact with individuals with disabilities can be approved to provide consumer
support limited to that focus.
3. Specific non-profit agencies shall be
designated by the program administrator to provide consumer support for
captioned telephone voice carry-over equipment. Designated agencies shall
satisfactorily participate in periodic training provided by the program
administrator that includes information critical to support appropriate
matching of applicants to this specialized equipment.
4. Only licensed or certified individuals who
were approved to designate equipment prior to July 1, 2007, shall be eligible
to continue in that function provided they participate in all training deemed
necessary by the program administrator and provide all information requested by
the program administrator.
(D) Equipment Ownership, Usage, Repair and
Replacement-
1. Adaptive telephone equipment
purchased for an individual applicant may be owned by that applicant or may be
provided on a long-term loan basis at the discretion of the program
administrator based on determination of effectiveness.
2. Adaptive telephone equipment will be
covered by the product warranty or by a one (1)-year express warranty provided
via the Missouri Lemon Law for Assistive Devices.
3. The program administrator may provide a
repair and replacement program.
4.
Miscellaneous supplies, such as Text Telephone (TTY) paper, are the applicant's
responsibility.
5. An applicant
shall be eligible for replacement equipment every four (4) years, unless their
disability needs change. The program administrator may approve equipment
replacement within this time period for extenuating circumstances.
6. If an applicant's disability changes,
rendering the adaptive telephone equipment inappropriate to meet their needs,
the applicant may reapply for new equipment and shall provide a description of
the disability change.
7. Adaptive
telephone equipment, in particular the captioned telephone voice carry-over
system, shall not be used as an accommodation for in-person communications,
meetings, or other interactions in place of real-time captioning or interpreter
services.
(11) TAP for Internet Specific Procedures.
(A) Equipment Provided-Adaptive equipment
needed for Internet access shall be provided in sufficient scope to meet the
needs of individuals with all types of disabilities and shall be procured in a
cost-effective manner.
1. The program
administrator shall develop and maintain a list of adaptive equipment designed
to provide reasonable access to basic Internet service for individuals with a
wide range of disabilities. The equipment list shall include adaptive computer
equipment that is compatible with a wide range of commonly used computers,
operating systems, browsers and electronic mail applications. The list will be
provided with the application and certification form. The program will monitor
the market for devices that might be added to the program to better meet
individual needs and will update the list as necessary to remain current with
the market.
2. The program may
provide equipment not on the list if such equipment is necessary for basic
Internet access and is cost effective when compared to devices on the
list.
3. The program will not
provide:
A. Base computer equipment or
connection equipment needed for Internet access such as a standard computer,
monitor, keyboard, mouse, modem, dial-up application, browser, electronic mail
application, or other standard Internet related hardware and
software;
B. Service from an
Internet service provider;
C. Print
output devices such as laser printers and braille embossers;
D. Adaptive devices needed for one-to-one
personal communication such as hearing aids, artificial larynx, or other
augmentative communication devices;
E. Devices needed for Internet access beyond
computer adaptations, such as adaptive devices for cable television-based
Internet access;
F. Keyboarding or
other training beyond consumer support in the use of adaptive
equipment.
4. The
program shall not be obligated to provide adaptive equipment necessary for
access to every Internet browser application, electronic mail application,
dial-up application, or other Internet related software.
5. The program shall maintain a list of
vendors with which it has contracted to provide adaptive computer
equipment.
(B)
Application Processing-The program administrator shall process TAP for Internet
applications and deliver equipment and services that assure an appropriate
match between an individual with a disability and adaptive equipment.
1. Each application shall be reviewed for
completeness. If any information is incomplete, the applicant will be contacted
and requested to supply such information.
2. Each applicant's eligibility will be
verified by information provided on the application form.
3. If the application:
A. Requests equipment on the approved list,
and no installation or usage support is needed, the request will be matched
with disability certification and approved;
B. Includes an equipment worksheet completed
by an approved consumer support provider, verifying applicant needs for the
adaptive computer equipment identified, the application will be approved and
authorization for consumer support services provided as needed;
C. Requests equipment not on the approved
list, the explanation will be reviewed to determine if the equipment is
necessary for basic Internet access and is cost effective as compared to
devices on the list. If so, the equipment request will be approved.
4. Upon verification of applicant
eligibility and determination of equipment/disability match, the program
administrator shall order the equipment from an approved vendor and will notify
the applicant that the equipment has been ordered.
5. Equipment orders shall include applicant
name, make and model of equipment ordered, applicant or consumer support
provider shipping address, and date of order. The program administrator shall
transmit equipment orders directly to the vendor by facsimile or via other time
expedient mechanism that is mutually agreeable.
6. Applicants will be notified if their
equipment request cannot be approved as submitted and will be asked to revise
their equipment request accordingly.
7. Upon receipt of equipment order, the
vendor shall ship the equipment directly to the applicant's Missouri residence
or to an approved consumer support provider by verifiable delivery
mechanism.
8. The vendor shall
provide the program administrator with a monthly invoice of all equipment
ordered and delivered.
9. The
program administrator may establish alternative and pilot programs to increase
program quality and consumer satisfaction.
(C) Consumer Support-The program
administrator shall deliver consumer support services directly or through
contracts with individuals, organizations, vendors, or other entities. Consumer
support providers shall:
1. Have expertise
and experience of sufficient depth and breadth to assist consumers in
identifying adaptive computer equipment that will meet their needs for Internet
access;
2. Be able to provide
adaptive computer equipment installation, orientation and use
training;
3. Participate in
training activities as may be required by the program administrator to assure
equipment competency; and
4. Be
able to demonstrate equipment knowledge and competency as required by the
program administrator.
(D) Equipment Ownership, Repair and
Replacement-
1. Adaptive computer equipment
purchased for an individual applicant shall be owned by that applicant and
applicants are in general responsible for service, repair, and
replacement.
2. Configuration and
compatibility adjustments, such as those created by Internet service provider
changes or changes in operating system software, are the applicant's
responsibility.
3. An applicant
shall be eligible for replacement equipment every three (3) years. The program
administrator may approve equipment replacement within this time period for
extenuating circumstances.
4. The
program administrator will regularly review all upgrades to software products
on contract for the program. If the upgrade is determined to be necessary for
product efficiency and is cost effective, the upgrade will be provided
notwithstanding the replacement cycle. All applicants who received a product
eligible for an upgrade will be notified by the program and asked to submit an
upgrade request.
5. If an
applicant's disability changes, rendering the adaptive equipment needed for
Internet access inappropriate to meet their needs, the applicant may reapply
for new equipment and shall provide a description of the disability
change.
*Original authority: 209.253, RSMo 1990, amended 1996,
2000.