This handbook provides answers to questions that state department program access coordinators most frequently ask when involved in evaluating for accessibility for handicapped persons and when developing changes to ensure that departmental programs and activities are equally effective and accessible to persons with disabilities. The handbook covers 12 areas: program accessibility, program access coordinator, program access advisory committee, state employment policies and practices, reasonable accommodations, state service policies and practices, service recipient accommodations, architectural access, grievance procedures on complaints of discrimination based on handicapping conditions, assurance of compliance, funding sources for program access, and legal mandates on program access. Each of these areas is covered in the guide in the following format: definition of the area, discussion of the role of the program access coordinator, and information sheets presented in question-and-answer style in most sections. Information sheets provide essential principles, share exemplary methods, state legal requirements, and list technical assistance resources. (The document contains an extensive list of funding sources such as foundations, government agencies, associations, and private businesses.) (KC)