Gray Matters AllianceGray Matters Alliance

For Occupational Therapy and Rehabilitation Professionals

Equipment and technology that carry your recommendations into daily life

You assess the person, their occupations, and their environment. We source, set up, and train on the assistive technology and equipment, so strategies built in therapy hold up at home.

Barriers to carryover

From the clinical plan to daily performance

Tap a barrier.

The barrier

Environmental barriers outside the clinic

Entry steps, narrow doors, an unsafe tub.

How GMA helpsMedical equipment →
The barrier

Keeping up with technology

Cognitive supports change fast.

How GMA helps
  • Plain comparison of options
  • Tradeoffs: setup, learning curve, upkeep
Enabling technology →
The barrier

Carryover after discharge

Strategies fade when setups differ.

How GMA helps
  • Setup that matches what was trained
  • Follow-up when it stops working
How it works →
The barrier

More than one learner

Person, spouse, aide, weekend staff.

How GMA helps
  • Consistent training for everyone
  • Refreshers as teams change
The barrier

Device abandonment

Items that miss roles and routines go unused.

How GMA helps
  • Choices built on what the person values
  • Trials or demos where practical
The barrier

Changing performance

Recovery, progression, aging.

How GMA helps
  • Staged changes, now and later
  • Reassessment tied to function

How we support your recommendation

Options matched to the functional goal

Your analysis leads. We weigh setup, learning curve, and upkeep.

Illustrative examples

Clinical scenarios where GMA may help

Composites. Intended benefits are not promised outcomes.

Illustrative · Progressive condition

Staging home changes for Parkinson’s

  1. GoalKeep ADLs at home
  2. ChallengeFreezing at doorways, more change ahead
  3. ApproachNow-and-later changes with the treating OT
  4. BenefitThe home keeps pace in steps
Illustrative · Brain injury

Cognitive supports for IADLs

  1. GoalMeds, appointments, a simple meal
  2. ChallengeProspective memory
  3. ApproachPrompts in the therapist’s words and timing
  4. BenefitA strategy that carries over
Illustrative · Spinal cord injury

Environmental control

  1. GoalLights, temperature, calls
  2. ChallengeSwitches and touchscreens are not usable
  3. ApproachVoice and switch access, configured
  4. BenefitLess waiting for help

Backup control method and aide training.

Illustrative · Your plan

Carrying out the treating therapist’s plan

  1. GoalMake simple meals again
  2. ChallengeNo time to coordinate equipment
  3. ApproachGMA sources, delivers, answers setup questions
  4. BenefitYou stay the therapist, not the coordinator

The process

From functional goal to carryover

No identifying details at first. See our process.

  1. 1
    Understand the pictureOccupational profile and real environment.
  2. 2
    Explore possibilitiesMatched to goal and client factors.
  3. 3
    Configure and implementPositioning, prompts, access methods.
  4. 4
    TrainIn context, for carryover.
  5. 5
    Stay connectedAdjust as function changes.

Scope and responsibility

Clinician to clinician, with clear lines

Our clinicians collaborate wherever the person lives.

Our clinicians

  • Talk through fit with you
  • Missouri: home modification evaluations
  • Missouri: OT assessments, in person or virtual

See the coverage map.

Clinical responsibility

  • GMA does not provide clinical treatment
  • Equipment supports the clinical plan
  • Shared only with approved people

See MyCompass accessibility.

Paying for it

Funding pathways your team may consider

The case manager usually leads the request.

  • Medicaid waiverApproved provider in Missouri, Oklahoma, and Colorado.
  • TRICARETRICARE-authorized non-network provider.
  • Private payBuy directly.
  • Other pathsCase by case.

See the coverage map. The program, plan, or payer decides coverage. We cannot promise funding, eligibility, or payment.

Questions from therapists and rehabilitation professionals

Will GMA change my recommendation?

No. We may raise practical points, such as setup needs or products with similar features. The recommendation and its rationale stay yours.

Can GMA complete a home evaluation for my client?

In Missouri, yes, in person or virtually. In other states, they are glad to collaborate with you and build on your evaluation. Either way, we work together toward the best fit. The coverage map on our About page shows where formal evaluations are offered.

Can GMA train the person on the equipment?

We train the person and supporters to operate and maintain what we provide. Clinical technique, such as transfer methods, stays with the treating clinician.

Can GMA help with trial before a client commits to equipment?

Ask us about the specific item. Where a trial or demonstration is practical, we will say so. Where it is not, we will explain the features and setup in enough detail for you and your client to judge fit.

What should I include when I first reach out?

Your discipline, the state, the functional goal, and the general barrier. Leave out the person’s name, diagnosis, and medical details until authorization and a secure method are in place.

Have a functional goal that needs the right equipment or technology?

Share your discipline, the state, and what the person is working toward. We will follow up to discuss options that fit your plan.

Explore Assistive Technology Options

Please don’t include medical or other sensitive personal details about your client in your first message.

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

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Designed, engineered and supported in the United States.