On February 14, 2018, the Missouri Department of Mental Health (DMH) announced that Missouri is becoming a Technology First state. DMH has Medicaid waivers that have allowed the authorization of low- to high-level assistive technology and remote supports for several years, however utilization of these services has been sparse. Becoming a Technology First state means that Missouri will focus on evaluating and implementing technology related solutions when they make sense with an outcome of improving the quality of life for individuals. Missouri DMH intends that "Technology First" designation will support self-directed services. According to Missouri DMH, the goal . . .