Students with physical and health disabilities struggle with basic mathematical concepts. The purpose of this research study was to increase the students' mathematical computation skills through implementing new strategies and/or methods. The strategies implemented with the students was utilizing the ten-frame tiles and technology with the purpose of increasing their understanding of basic mathematical concepts. The methods applied was through individualized instruction to improve the students' abilities to calculate basic mathematical computations. After the instruction utilizing the ten-frame tiles and technology, the students did improve their understanding of basic mathematical computation, however, the gain was modest.