Every person deserves the opportunity to live life on their own terms.
Gray Matters Alliance partners with people with intellectual and developmental disabilities, traumatic brain injuries, age-related needs, and other complex support needs, along with the families, caregivers, case managers, professionals, and organizations around them.
We bring together personalized technology, equipment, services, professional guidance, and ongoing support around each person’s goals, routines, abilities, relationships, and environment. The purpose is not simply to provide more technology. It is to remove barriers and create more opportunities for independence, safety, confidence, connection, participation, and a better quality of life.
Support begins with the person’s voice, preferences, goals, routines, relationships, and right to choose.
The right support should expand what a person can do, decide, experience, and pursue.
Success is reflected in safety, confidence, relationships, meaningful participation, and everyday life as defined by the person.
Support built around real lives.
No two people, homes, families, routines, or support environments are the same. GMA begins by understanding the person, what matters to them, the people supporting them, and the environments in which life happens.
From there, we bring together the technology, equipment, professional guidance, implementation, training, and ongoing support that fit the situation. The recommendation may be one solution, several coordinated supports, or something different from what was originally expected.
We listen before recommending anything. See how it works, step by step
Adaptive support designed for greater access, participation, and possibility.
Understand the person, the goals, and the environment.
Bring together only the technology, equipment, and services that fit.
Configure, train, and support the people who will use the solution.
Follow up and refine support as needs, routines, and environments change.
Personalized support. Responsible technology. Long-term partnership.
Built Around the Person
Every solution begins with the person’s goals, routines, preferences, abilities, environment, and right to choose.
More Than Equipment
GMA combines technology, equipment, implementation, customization, training, and ongoing support, rather than just a product and a goodbye.
Designed for Real Environments
We support people in independent living, family homes, supported living, group homes, schools, community settings, and organizational programs.
Support That Evolves
Needs, goals, environments, and technology change. GMA continues working with individuals and support teams as circumstances evolve.
One coordinated system. Three distinct experiences.
The GMA MyCompass System connects the individual, their family and caregivers, and provider organizations through three distinct experiences, with Nora Caregiver Intelligence working across authorized parts of the system.
MyCompass
Personalized daily support for communication, routines, accessibility, health and wellness awareness, connected technology, safety tools, and greater independence.
Explore MyCompass →CompassCare
Communication, alerts, check-ins, client information, and coordinated awareness for families, caregivers, and other authorized members of the support team.
Explore CompassCare →CompassCare Command Center
A centralized operational dashboard for organizations supporting multiple individuals, residences, devices, caregivers, schedules, alerts, and emerging risks.
Explore the Command Center →Nora Caregiver Intelligence
The caregiver intelligence layer that works across authorized parts of the system, helping care teams organize context, recognize meaningful changes, and respond with greater confidence. People remain responsible for decisions.
Discover Nora →Support should fit the whole life, not just one need.
Gray Matters Alliance brings together personalized technology, medical and adaptive equipment, professional guidance, implementation, training, and ongoing support around each person’s goals, abilities, relationships, environment, and daily life.
Not every person needs every solution. Recommendations begin with the individual, the people supporting them, and what a better day could look like.
Personalized solutions selected and configured around communication, access, mobility, daily living, wellness, safety, and participation.
Assistive Technology
Personalized technology that may support communication, accessibility, daily living, education, employment, recreation, and participation at home and in the community.
Medical, Mobility & Adaptive Equipment
Durable and specialized equipment for mobility, positioning, personal care, home safety, adaptive recreation, and other individualized needs.
Robotics & Daily Living Aids
Robotic, adaptive, and practical solutions that may support eating, communication, household activities, environmental access, independence, and everyday routines.
Health, Safety & Monitoring
Wearable and non-wearable technology that may support wellness awareness, location awareness, environmental safety, medication routines, and authorized caregiver alerts.
Professional guidance, implementation, education, and long-term support designed around the person, the support network, and the operating environment.
Safety Planning & Emergency Preparedness
Individualized planning, preparedness guidance, and coordination support designed around real environments, routines, risks, and authorized support teams.
OT Home Assessments & Evaluations
Occupational therapy assessments and evaluations that help identify barriers, functional needs, environmental considerations, and appropriate support opportunities.
Training, Onboarding & Ongoing Support
Personalized onboarding, caregiver and team education, configuration support, follow-up, and continued refinement as needs, routines, and environments change.
Consultation & Organizational Programs
Technology planning, program development, implementation guidance, and coordinated support for providers, schools, agencies, employers, and other authorized organizations.
Availability may vary by state, payer, credentialing, program, service type, individual eligibility, and implementation requirements.
The right recommendation may be one solution, several coordinated supports, or something different from what the person originally expected. GMA listens before recommending anything.
Different expertise. One shared responsibility.
Gray Matters Alliance brings together leadership across person-centered services, operations, assistive technology, software engineering, cybersecurity, emergency preparedness, implementation, and quality assurance.
Across every role, the responsibility is the same: understand the person, support the people around them, and help create greater opportunities for independence, safety, dignity, and connection.
Vicki Spraul
Leads GMA’s mission and long-term vision, with a commitment to creating more personalized opportunities for independence and quality of life.
Read BioKyle Dortch
Leads administration, security, and emergency preparedness, keeping GMA’s growth grounded in responsibility and the needs of the people GMA serves.
Read BioJennifer Callahan
Leads operational coordination from intake through implementation and ongoing support, keeping clients, families, and partners informed and connected.
Read BioThomas Woodfin
Leads software engineering and technical architecture for the GMA MyCompass System, building secure, dependable experiences for individuals and organizations.
Read BioSean Davis
Leads technology strategy and systems integrations, helping connected devices and support tools work together reliably across real environments.
Read BioDylan Hutchinson
Leads quality assurance by stress testing GMA technology, improving reliability and confidence before solutions reach the people who depend on them.
Read BioZoe Schuver-Lang
Provides interim clinical leadership with an occupational therapy perspective, connecting functional needs, accessibility, and safety to practical recommendations.
Read BioErin Dwyer-Busch
Brings expertise in communication, cognitive support, and aging-related needs, helping individuals and teams strengthen understanding and confidence.
Read BioDifferent experience. One shared purpose. Support built around the person.
Build what is possible, together.
Since 2015, Gray Matters Alliance has worked alongside organizations that bring specialized technology, community leadership, provider expertise, implementation support, and strategic reach to the people and organizations we serve.
We continue to welcome qualified partnerships that can expand access, strengthen person-centered support, improve service delivery, advance responsible innovation, and create new possibilities for individuals, families, caregivers, providers, and communities.
Partnership opportunities are evaluated for mission alignment, security, privacy, interoperability, service quality, operational readiness, responsible growth, and long-term value.
Technology that can strengthen person-centered support.
GMA considers relationships with organizations whose approved devices, software, services, data capabilities, or specialized technology may responsibly strengthen the broader support ecosystem.
Assistive Technology · Connected Devices · Software · Data Services · Specialized Solutions
Shared purpose can expand opportunity.
GMA welcomes conversations with nonprofit organizations, advocacy groups, foundations, community programs, preparedness organizations, and other mission-aligned groups working to improve inclusion, independence, access, safety, participation, and quality of life.
Nonprofits · Advocacy · Foundations · Community Programs · Preparedness
Partnerships that bring better support into real environments.
Healthcare, disability-support, rehabilitation, aging-services, community-living, remote-support, and other provider organizations may explore deployment, implementation, service, or program relationships with GMA.
Providers · Community Living · Rehabilitation · Aging Services · Remote Support
Responsible growth through aligned relationships.
GMA considers qualified relationships involving distribution, resale, referrals, research, implementation support, contracting, market expansion, and other strategic opportunities that can responsibly increase access to GMA solutions.
Distribution · Reseller Relationships · Referrals · Research · Strategic Growth
Technology, product, equipment, platform, infrastructure, and integration relationships that may support GMA services, implementation, connected experiences, or the broader MyCompass ecosystem.






























Community, care, nonprofit, therapy, advocacy, and mission-aligned relationships that may help strengthen access, education, coordination, local reach, and support around the person.


Provider, program, service-system, public-sector, payer, and implementation relationships connected to access, coordination, service delivery, deployment, or program participation.









Interested in building something meaningful together?
Tell us about your organization, the people you serve, the opportunity you see, and what you believe we could accomplish together. GMA reviews partnership opportunities according to mission alignment, responsible use, security, privacy, service quality, operational readiness, and long-term value.
Explore a Partnership Talk to Our TeamTechnical, security, commercial, and implementation details are shared through an appropriate review process based on the purpose and maturity of the relationship.
Support should expand only where it can be delivered responsibly.
Gray Matters Alliance supports people and organizations through multiple access pathways, service models, and geographic arrangements. Availability depends on the service, location, eligibility, program requirements, professional credentialing, and implementation needs.
Our team can help identify options that may be relevant to the person, organization, and situation being considered.
Different needs may require different pathways.
Depending on the person, service, location, and applicable program requirements, support may be accessed through participating Medicaid waiver programs, military and veteran-related benefits, private pay, financing, organizational funding, grants, or other qualified resources.
- Participating Medicaid waiver programs
- TRICARE East and West (certified non-network provider) and applicable military or veteran pathways
- Private, organizational, financing, grant, and other qualified funding pathways
Availability and eligibility vary. GMA can help identify pathways that may be relevant but does not guarantee funding, authorization, reimbursement, or approval.
Broad reach. Availability shaped by the service and environment.
Assistive technology, DME and related equipment, and the GMA MyCompass System are available nationwide, with consultation, remote implementation, training, and ongoing support. Provider services, installations, funding participation, assessments, and in-person professional services vary by state, program, credentialing, and operational readiness.
- Assistive technology, DME, and MyCompass nationwide, with remote implementation and support
- Provider and funded services in participating states and programs
- Occupational therapy home assessments and evaluations currently available in Missouri
Growth should never outpace readiness.
GMA expands deliberately. New states, programs, partnerships, and service environments are evaluated according to community need, regulatory requirements, operational capacity, security, quality, and the ability to provide dependable long-term support.
GMA must have the people, processes, infrastructure, implementation capacity, and support resources required to serve an environment responsibly.
Provider approvals, payer requirements, licensing, privacy, security, contracts, and program expectations must be understood before services are represented as available.
Expansion should create a dependable relationship, not simply an initial deployment. GMA must be prepared to provide training, follow-up, refinement, and ongoing support.
Available through multiple pathways today. Expanding deliberately for the people and communities we may support next.
Funding & Provider Coverage
Nationwide reach. State-specific funding.
Gray Matters Alliance provides Assistive Technology and related technology, equipment, and support nationwide. State Medicaid and waiver participation varies by location, and other payer and service pathways can extend beyond state programs. Explore the map to see where we hold active provider participation, where we are expanding, and other ways people may access GMA services.
Use the arrow keys to move between states in alphabetical order. Press Enter or Space to show details for a state. The Find your state menu offers the same information.
Nationwide Assistive Technology
Support available across all 50 states through applicable services and pathways.
Active provider states
Expanding provider access
Keyboard help
Tab into the map, then use the arrow keys to move between states in alphabetical order. Press Enter or Space to show details. Find your state offers the same information.
GMA provider & access information
Funding and service availability vary by program, payer, state, service, authorization, eligibility, and individual circumstances.
Start here
Nationwide Assistive Technology
Gray Matters Alliance supports people nationwide. Some states also have state-specific provider participation, and other funding pathways may apply.
Select a state on the map or use Find your state to explore provider participation and potential access pathways.
Funding and service availability vary by program, payer, state, service, authorization, eligibility, and individual circumstances. Talk with our team about the options that may apply.
State reference: provider participation and nationwide pathwaysDetail for every listed state, also available by selecting a state above.
Active provider states
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Missouri
- Missouri Brain Injury Waiver: Gray Matters Alliance is an approved provider.
- Assistive Technology provider: Listed by the Missouri Department of Mental Health, Division of Developmental Disabilities, as an Assistive Technology provider.
- DME provider: Gray Matters Alliance is a DME provider in Missouri. Coverage depends on the item, payer, authorization, and eligibility.
- Occupational therapy home assessments: Home assessments and evaluations are currently available in Missouri.
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Oklahoma
- Oklahoma ADvantage Aging Waiver: Gray Matters Alliance is an approved provider.
- Remote Support and Enabling Technology provider listing: Listed on the Oklahoma Human Services Remote Support and Enabling Technology provider page.
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Colorado
- Approved waiver provider participation: Gray Matters Alliance has approved provider participation in Colorado waiver services.
Provider expansion in progress
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Virginia
- Provider expansion in progress: Gray Matters Alliance is working toward state provider participation in Virginia. No active Virginia state program is listed yet.
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Iowa
- Provider expansion in progress: Gray Matters Alliance is working toward state provider participation in Iowa. No active Iowa state program is listed yet.
Available nationwide, in every state
- Assistive TechnologyNationwide capability, with consultation, remote implementation, training, and ongoing support.
- Enabling Technology and the GMA MyCompass SystemAvailable nationwide. Fit depends on the person, service, and setting.
- Equipment / DMEAvailability varies by product, payer, authorization, eligibility, and service requirements.
- TRICARE East and WestCertified non-network provider. A potential pathway depending on applicable coverage, service, eligibility, and authorization.
- Private, organizational, and other fundingPrivate pay, financing, organizational funding, grants, or other qualified resources may apply.
Not sure which pathway applies?
Our team can help explore options based on the person, location, service, payer, and available funding pathways.
Let’s begin with what a better day could look like.
Tell us about the person, their goals, routines, environment, and support needs. Our team will listen first and help identify meaningful next steps.
You do not simply receive technology. You gain a team committed to the journey.

Person-centered technology, equipment, services, and ongoing support. Every recommendation begins with the person.
Office: 122 S. Main St., St. Charles, MO 63301
Mailing: 119 S. Main St., St. Charles, MO 63301
314-266-2678
info@graymattersalliance.com
