Gray Matters AllianceGray Matters Alliance
About Gray Matters Alliance

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.

What Guides Our Work
CHOICE & CONTROL

Support begins with the person’s voice, preferences, goals, routines, relationships, and right to choose.

INDEPENDENCE & OPPORTUNITY

The right support should expand what a person can do, decide, experience, and pursue.

QUALITY OF LIFE & BELONGING

Success is reflected in safety, confidence, relationships, meaningful participation, and everyday life as defined by the person.

 
Our Approach

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

Photo: person independently using adaptive equipment outdoors

Adaptive support designed for greater access, participation, and possibility.

Listen First

Understand the person, the goals, and the environment.

Shape the Recommendation

Bring together only the technology, equipment, and services that fit.

Implement With People

Configure, train, and support the people who will use the solution.

Stay Involved

Follow up and refine support as needs, routines, and environments change.

Why GMA

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.

GMA MyCompass System

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.

For Individuals

MyCompass

Personalized daily support for communication, routines, accessibility, health and wellness awareness, connected technology, safety tools, and greater independence.

Explore MyCompass →
For Families & Caregivers

CompassCare

Communication, alerts, check-ins, client information, and coordinated awareness for families, caregivers, and other authorized members of the support team.

Explore CompassCare →
For Organizations

CompassCare Command Center

A centralized operational dashboard for organizations supporting multiple individuals, residences, devices, caregivers, schedules, alerts, and emerging risks.

Explore the Command Center →
Intelligence Across the System

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 →
The Full GMA Approach

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.

Technology & Equipment

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.

Services & Ongoing Support

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

AVAILABLE IN MISSOURI

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.

Our Team

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.

Leadership & Operations
Vicki Spraul

Vicki Spraul

Founder, President

Leads GMA’s mission and long-term vision, with a commitment to creating more personalized opportunities for independence and quality of life.

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Kyle Dortch

Kyle Dortch

Chief Security & Administrative Officer

Leads administration, security, and emergency preparedness, keeping GMA’s growth grounded in responsibility and the needs of the people GMA serves.

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Jennifer Callahan

Jennifer Callahan

Chief Operations Officer

Leads operational coordination from intake through implementation and ongoing support, keeping clients, families, and partners informed and connected.

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Technology & Engineering
Thomas Woodfin

Thomas Woodfin

Chief Software Engineer

Leads software engineering and technical architecture for the GMA MyCompass System, building secure, dependable experiences for individuals and organizations.

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Sean Davis

Sean Davis

Chief Technology & Integrations Officer

Leads technology strategy and systems integrations, helping connected devices and support tools work together reliably across real environments.

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Dylan Hutchinson

Dylan Hutchinson

Quality Assurance Lead

Leads quality assurance by stress testing GMA technology, improving reliability and confidence before solutions reach the people who depend on them.

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Clinical & Person-Centered Services
Zoe Schuver-Lang

Zoe Schuver-Lang

Interim Clinical Officer

Provides interim clinical leadership with an occupational therapy perspective, connecting functional needs, accessibility, and safety to practical recommendations.

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Erin Dwyer-Busch

Erin Dwyer-Busch

SLP, CDP, CSA®

Brings expertise in communication, cognitive support, and aging-related needs, helping individuals and teams strengthen understanding and confidence.

Read Bio

Different experience. One shared purpose. Support built around the person.

Partner With GMA

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 & Integration

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

Community & Mission

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

Provider & Implementation

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

Business & Strategic

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 & Integration

Technology, product, equipment, platform, infrastructure, and integration relationships that may support GMA services, implementation, connected experiences, or the broader MyCompass ecosystem.

Pulse
eBrief
Lotus
Audicin
App2Speak
Hydrostasis
Tochtech Technologies
Smart Steps
SAMi
Apollo
hapbee
OrCam
BoundaryCare
DOSE Health
MedMizer
HERO
GPS SmartSole
Around the Clock Medical Alarms
Medline
Drive DeVilbiss
Rifton
Permobil
Pride Mobility
Graham Field
The Color-Coded Chef
zPods
Be Adaptive Equipment
HyTek
Obi
ELLI-Q
Community, Care & Mission

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

Adam Morgan Foundation
SOH Pediatric Therapy Center
Provider & Implementation

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

Missouri Department of Health & Senior Services
Missouri Department of Elementary and Secondary Education
Missouri Department of Mental Health
Oklahoma Human Services
Health First Colorado
Colorado State University
Easterseals Midwest
UCP Heartland
TRICARE

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 Team

Technical, security, commercial, and implementation details are shared through an appropriate review process based on the purpose and maturity of the relationship.

Access & Responsible Growth

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.

Access Pathways Today

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.

Where & How We Serve

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
How We Grow

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.

Responsible Readiness

GMA must have the people, processes, infrastructure, implementation capacity, and support resources required to serve an environment responsibly.

Regulatory, Security & Quality Alignment

Provider approvals, payer requirements, licensing, privacy, security, contracts, and program expectations must be understood before services are represented as available.

Long-Term Responsibility

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.

  • Active provider state
  • Expansion in progress
  • Nationwide GMA capability

Nationwide capability and state Medicaid or waiver enrollment are not the same thing. A state without a listed program may still have other pathways.

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.

CT DE DC MD MA NH NJ RI VT

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.

Nationwide ATAssistive Technology and related support across all 50 states through applicable services and pathways.
State-specific programsApproved provider participation in select state Medicaid and waiver programs.
Multiple funding pathwaysIncluding TRICARE, private, organizational, and other qualified resources, depending on the person and service.

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

  • 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.
  • 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.
  • Colorado

    • Approved waiver provider participation: Gray Matters Alliance has approved provider participation in Colorado waiver services.

Provider expansion in progress

  • Virginia

    • Provider expansion in progress: Gray Matters Alliance is working toward state provider participation in Virginia. No active Virginia state program is listed yet.
  • 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.

Start a Conversation

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.

For Individuals & Support Networks
Start Your Journey

You do not simply receive technology. You gain a team committed to the journey.

Gray Matters Alliance
Gray Matters Alliance

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

©2026 by Gray Matters Alliance. All Rights Reserved.
Designed, engineered and supported in the United States.