The 2024 National Technology Solutions 2.0 Survey of I/DD Service and Supports Providers

In 2021, ANCOR partnered with the State of the States in Intellectual and Developmental Disabilities Project of National Significance at the University of Kansas to assess the usage of enabling technology by community providers of home and community-based services (HCBS).

ANCOR, in collaboration with the State of the States team, launched the second national technology survey in fall 2024. The survey was designed to assess promising practices and strategic approaches to expanding technology use among providers of services for individuals with intellectual and developmental disabilities (I/DD), as well as to examine the evolving access landscape shaped by flexibilities and funding introduced during the COVID-19 pandemic.

The digital survey was completed by two hundred and eighty-three I/DD service providers (N = 283) representing 45 states.

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Key Takeaways

• Applications of Technology as a Direct Workforce Shortage Solution – 84% of ANCOR members believe technology could be a viable solution to address long-term challenges in the workforce.
• Demonstrated ROI – The ability of providers to demonstrate cost savings or increased efficiencies from technology investments rose from 53% in 2021 to 85% in 2024.
• Information Gaps in Technology Funding Authorities – State DD agencies identify a diversified blend of funding authorities for technology solutions, but providers predominantly rely upon three public funding authorities.
• Evolving Technology Solution Adoption – While traditional Medicaid waiver service definitions continue to guide technology investments (e.g., 65% use video conferencing, 41% use electronic/ remote monitoring), providers are increasingly investing independent resources into mainstream tools (computers, tablets, smartphones) and specialized innovations like health sensors and smart home technologies, driven by both demand and transformative potential.
• Motivation to Embrace Cultures of Innovation – 85% of providers are seeking technical assistance in conceptualizing, drafting, or advancing internal technology-related training, policies, or initiatives.
• Technology First Systems Change – 64% of providers seek active engagement in Technology First Systems Change benchmarks relating to technology impact measurements and needs evaluations.