This website describes the Enabling Technology Engagement Network (ETEN), a program connecting technology companies with state agency leaders in the long-term services and supports space. In plain language: ETEN helps technology companies work with state governments that manage care for older adults and people with disabilities. Companies join as members to attend meetings, share their products at conferences, and build relationships with government decision-makers. For questions, email EnablingTech@advancingstates.org.

ETEN
Enabling Technology Engagement Network — a membership program run by ADvancing States.
LTSS
Long-Term Services and Supports — programs that help older adults and people with disabilities live independently.
HCBS
Home and Community-Based Services — care provided in a person's home or community rather than in an institution.
MCO
Managed Care Organization — a health plan that coordinates care delivery for enrolled members.
Enabling Technology
Technology solutions designed to support the delivery of long-term services and supports.
Waiver Negotiation
The process by which states apply for and negotiate federal approval to deliver home and community-based services.
EVV
Electronic Visit Verification — a system that electronically confirms home care service visits.
NASDDDS
National Association of State Directors of Developmental Disabilities Services.
I/DD
Intellectual and Developmental Disabilities.

Where technology
meets policy.

The ETEN brings together technology companies, state agency leaders, and health plan partners to navigate the complexities of the rapidly evolving LTSS landscape.

State Aging &
Disability Leaders


State aging, disability, I/DD, and Medicaid LTSS directors responsible for policy development, program design, financing, and implementation — representing all 56 states and territories.

Technology
Vendors


Companies developing technology solutions — from radar-based fall detection and remote patient monitoring to robotic assistance and smart home devices — that enable older adults and people with disabilities to remain safely and independently engaged in their homes and communities.

Managed Care
Organizations


Health plan partners delivering Medicaid HCBS — collaborating with state policymakers to accelerate innovation and expand access to technology-enabled care.

Is the ETEN Right for You?

If you can answer yes to any of these, your technology solutions are a great fit for the ETEN.

  • Does your technology help people live more independently at home or in the community?
  • Are you looking to enter or expand within the Medicaid LTSS market?
  • Do you need direct access to state agency decision-makers?
  • Would structured feedback from policymakers improve your product-market fit?

The
Opportunity

The Enabling Technology Engagement Network (ETEN), led by ADvancing States and the National Association of State Directors of Developmental Disabilities Services (NASDDDS), brings together state policymakers, health plan partners, and tech vendors to address challenges, accelerate innovation, and open doors to new market opportunities.

For technology companies, Medicaid LTSS represents a large, stable, and expanding market. At the same time, it is one of the most challenging markets to enter due to state-by-state variation, complex policy environments, and procurement processes that require a deep understanding of public-sector operations.

The ETEN is designed to help companies navigate this complexity, address barriers, and increase access to these technologies for individuals who need it most.

1 / 3

What We're Working Toward

  1. Educate states on the latest enabling technology solutions
  2. Guide vendors on navigating Medicaid markets
  3. Bridge knowledge gaps among states, health plans, and vendors
  4. Foster federal solutions to streamline adoption of new technologies
  5. Ensure access to technology for all consumers

State Advisory Group

These states help chart a pathway to expand the availability and access to innovative enabling technologies for older adults, people with disabilities, and individuals with intellectual and developmental disabilities.

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia West Virginia Wisconsin Wyoming District of Columbia District of Columbia District of Columbia DC
DCDistrict of Columbia
ILIllinois
MAMassachusetts
MDMaryland
MOMissouri
NCNorth Carolina
OHOhio
OKOklahoma
PAPennsylvania
TNTennessee
WIWisconsin

Our Partner Organizations

Why Join the ETEN?

Unmatched access to state LTSS leadership

ADvancing States and NASDDDS members include state aging, disability, intellectual and developmental disability, and Medicaid LTSS directors responsible for policy development, program design, financing, and implementation. Together, these associations represent all 56 states and territories, offering unparalleled insight into the full Medicaid LTSS landscape.

Engagement with the right decision-makers

The ETEN connects participating companies with state leaders who influence requirements, funding decisions, and implementation. Rather than navigating fragmented entry points across individual states, members gain a single, structured channel to engage decision-makers across programs and jurisdictions.

A trusted, neutral convening environment

ADvancing States and NASDDDS are nonpartisan, state-driven organizations with longstanding credibility. Engagement occurs in a structured, solutions-oriented forum rather than a sales environment, helping companies build trust and credibility with states.

How Participation Accelerates
Market Entry and ROI

Early, actionable feedback from states

Companies receive structured input from state leaders on operational needs, regulatory considerations, data integration, and implementation challenges, allowing products to be refined before formal procurement decisions are made.

Insight into state variation and scalability

Engaging multiple states simultaneously provides clarity on where flexibility is required and where standardization is possible, supporting scalable product design rather than one-off customization.

Alignment with emerging state priorities

Participation allows companies to anticipate where states are heading and position products to meet future demand rather than reacting to past requirements.

By the Numbers

Combined reach across the HCBS and NASDDDS national conferences.

Membership

ANNUAL MEMBERSHIP

Your membership as a

Strategic Partner

Full engagement across both national conferences with maximum visibility and direct access to state leaders year-round.

Network Engagement

  • Quarterly Collaborative MeetingsFull participation for your team
  • Meeting Summaries & Key TakeawaysDetailed minutes and insights delivered post-meeting
  • Logo on the ETEN WebpageLogo placement on the ETEN Webpage (Partner Section)

Conference Access (HCBS & NASDDDS)

  • HCBS & NASDDDS Conference BoothsDedicated Booths (HCBS: 8'x10', NASDDDS: 10'x6') active during ET Half-Day Intensives
    *Booths are available during the ET Half-Day Workroom session only, not during the general conference exhibit period.
  • Vendor Specific SessionsOne 60-minute State Q&A session per conference
  • 4 Total Full-Conference Registrations2 per event (Inclusive of booth staff allocation)
  • Half-Day Intensive Session ParticipationFull access at both conferences

Strategic Benefits

  • Full Conference Opt-In Registration ListsProvided post-conference for both events (subject to Data Usage Policy)
  • Featured Vendor SpotlightFeatured Vendor Spotlight (150 words + logo) in the ADvancing States Friday Update and NASDDDS newsletter, reaching 15,000+ subscribers
  • Logo on Event SignageBranding recognition at both conferences on ETEN signage
  • Mid-Year Working Session with State LeadersDirect engagement outside of conference settings

Startup Companies meeting early-stage criteria may qualify for adjusted rates. Contact us to learn more.

Apply Now

Get in Touch

Interested in learning more about the ETEN or exploring membership opportunities? Reach out and our team will connect with you.

* Required