Agencies, Payers & Community Programs
An assistive technology partner for public programs and service networks
For agencies, payers, waiver programs, and community networks that need a dependable assistive technology provider. We provide assistive technology nationwide, hold waiver approvals in specific states, and draw a clear line between our role and yours.
Discuss Program ImplementationUnderstanding the program environment
Agencies, payers, and public programs work within laws, rules, waiver documents, contracts, and budgets. Staff answer for how services are authorized, delivered, documented, and paid. They also answer for whether eligible people can reach those services. Nonprofits and networks owe similar duties to funders and boards.
Technology can play a real role, but only when the provider knows how authorization, records, and service definitions work. It must also know what a program covers versus what a vendor can sell. Programs need to trust that new tools will respect choice, privacy, and the workload of providers.
GMA has operated since 2015 and is headquartered in St. Charles, Missouri. We provide assistive technology nationwide, and we hold specific waiver approvals in certain states. Being clear about that difference is part of being a responsible partner. GMA works with DD Resource Boards (DDRB), SB 40 boards and many managed care organizations.
What program administrators are weighing
Service access
A technology service may exist on paper but go unused when people do not know how to reach it.
Provider capacity
Few enrolled providers may be able to supply, set up, train, and follow up across a wide area.
Documentation and accountability
Administrators need clear records of what was provided, why, and how it ties to the participant’s authorized plan.
Responsible adoption
New tools raise questions about consent, privacy, and staff roles. Do they support people or replace them?
Coordination across organizations
Case managers, providers, families, and vendors each hold part of the picture. They need a simple way to work together.
Procurement fit
Buying rules, vendor checks, and contract timelines shape what is possible and how fast a program can move.
What GMA provides, and what stays with your program
We cover the full assistive technology process. How it applies depends on your service rules, approvals, and contracts.
What GMA provides
- Assistive technology, enabling technology, and accessibility solutions chosen around individual goals and authorized services.
- Assistive and adaptive equipment, plus durable and specified medical equipment, where authorized.
- Remote support technology that providers run with their own staff and response steps.
- Advice on service design, referral paths, and practical rollout questions.
- Setup, delivery, and training for participants, families, and staff, with follow-up and ongoing support.
- Records of what was provided, set up, and trained, as agreed in planning.
What programs and providers own
- Eligibility decisions, service authorization, and plan approval.
- Service definitions, rights protections, and plan review rules.
- Required clinical and functional assessments, by the person’s clinicians and your process.
- Staffing, supervision, response operations, and decisions about participants.
- Buying rules, vendor checks, and contract terms.
Geographic reach and current authorizations
GMA provides assistive technology nationwide. Waiver and payer approvals are specific to each state and program, and we add states over time. Rather than list them here, we keep one current source: the coverage map on our About page. In Oklahoma, GMA provides assistive technology, enabling technology and remote supports for eligible waiver participants, including people served through Oklahoma Human Services DDS waivers and the ADvantage waiver.
- Waiver programs: approved provider status for certain programs, including remote support and enabling technology services where approved.
- TRICARE: GMA is a TRICARE-authorized non-network provider in the East and West regions.
- Other pathways: private pay, organizational purchasing and contracting, and other payer pathways may apply case by case.
Provider authorization is not the same as individual eligibility, coverage, or reimbursement. Waiver approval is state-specific, and GMA is not a waiver provider in every state. Programs determine eligibility and authorize services.
Program-level scenarios
Composite scenarios only. They describe no real agency, program, or contract, and they are not promised results.
Illustrative example
Expanding access to an underused technology service
- Setting
- A waiver program that lists enabling technology as a service.
- Objective
- Help more eligible participants and case managers understand and use the service.
- Challenge
- Case managers are unsure how to spot needs or what the service covers, so referrals are low.
- Possible approach
- At the program’s request, GMA joins program-led training on tool types and how needs go into the person-centered plan. Referral choice stays with the participant and case manager.
- Intended benefit
- Clearer pathways for participants whose plans may benefit from the service.
- Implementation considerations
- Eligibility, service authorization, and plan approval stay with the program and case managers. Materials follow the program’s own service rules.
Illustrative example
Supporting a provider network’s adoption of remote supports
- Setting
- A regional network whose providers want to add remote support to the services they offer.
- Objective
- Help providers start remote support in a careful, consistent way.
- Challenge
- Providers differ in size, staff, and tech skills. They need to know who does what.
- Possible approach
- Work with the network and providers on setup, staff training, and records. Each provider sets its own response steps and staffing.
- Intended benefit
- A more consistent rollout, with clear lines of who is responsible.
- Implementation considerations
- Consent, individual settings, and provider response policies come before go-live. Location awareness, where used, is approved one person at a time for elopement or wandering-related needs, never as a network default.
Illustrative example
A nonprofit serving older adults in the community
- Setting
- A community nonprofit that uses grant funds to help older adults stay at home.
- Objective
- Get practical tools to clients who want to keep living at home.
- Challenge
- Staff can spot needs but lack time to find, set up, and train on equipment.
- Possible approach
- Set up a purchasing plan that covers needs review, equipment, setup, and client training. Price it so the nonprofit can report against its grant.
- Intended benefit
- Wider client access to tools, with a clear process and records the nonprofit can report.
- Implementation considerations
- The nonprofit sets eligibility under its grant terms. Clients choose whether to take part and what is shared.
A responsible rollout
Our work follows your review and buying process. It draws on the steps in how GMA works.
- Start with a defined population or pilotAgree on purpose, who is served, service rules, and the problem to solve.
- Explore access and fundingConfirm where GMA is approved, which pathways apply, and what needs enrollment or a contract.
- Configure and implementAgree on roles, referrals, and records. Then deliver within each person’s authorized services.
- TrainTrain participants, families, and provider staff at the level each role needs.
- Stay connected and review before expandingFollow up, share records, and adjust with program staff before you scale.
GMA’s own software: what rights committees and reviewers should know
GMA develops the MyCompass System: MyCompass for the individual, CompassCare for families and authorized caregivers, and the CompassCare Command Center for organizations. Depending on setup, the Command Center can support work across many people and sites.
Nora Caregiver Intelligence, the AI-assisted layer, operates inside set permissions and leaves every decision to people. The system uses data rather than cameras, and it filters what becomes an alert. Enrolled providers and authorized caregivers operate it and keep staffing, supervision, response, and decisions.
Rights reviewers may ask about two features. Fall-related notifications give awareness of a possible fall. They do not prevent falls. Location awareness and geofencing are offered only as a person-centered support for people with elopement or wandering-related needs. Your service rules and plan review would govern consent, approval, and who may see location data.
Governance, accountability, and responsible implementation
Programs answer to participants, oversight bodies, and the public. We try to make that easier.
- Defined roles. We write down what GMA does and what stays with the program, case managers, and providers.
- Participant choice. Technology is an option in a person-centered plan, not a must. Participants have a say in setup.
- Authorized access. Access to information in our software is permission-based and role-appropriate. See MyCompass security and privacy.
- Human responsibility. Technology does not replace staff, clinicians, or human judgment.
- Accurate claims. We describe our approvals and capabilities as they are, and we tell you when something falls outside them.
- Assurance materials. Your procurement or compliance office can request our security, governance, and procurement assurance materials through the organizational contact form.
Funding pathways and procurement considerations
Services may come through Medicaid waivers in states where GMA is an approved provider. They may also come through direct purchase, contracts, grants, or other payer pathways, case by case.
- Waiver-funded services require GMA to be an approved provider for that waiver and the participant’s service to be authorized.
- Contracts and purchasing arrangements follow your procurement rules and timelines.
- Gray Matters Alliance, LLC holds an active registration in SAM.gov. If you are preparing an RFP, solicitation, or teaming opportunity where GMA could fit, we would be glad to review it.
- Where GMA is not enrolled with a program, we are open to discussing what enrollment would involve. That is a willingness to talk, not a statement that enrollment is pending or would be approved.
GMA does not determine eligibility, approve funding, or guarantee coverage or reimbursement. Authorization status can change. Please confirm current details on the coverage map and with the program.
Questions from agencies and payers
Is GMA a waiver provider in every state?
No. GMA provides assistive technology nationwide, but waiver status is state-specific. We hold approvals for certain programs in certain states. The coverage map on our About page has current details.
Does GMA operate a response center for participants?
No. GMA provides remote support technology. The operating organization owns staffing, supervision, response procedures, and decisions.
Can GMA support documentation requirements?
Yes. We can provide records of what was provided, configured, and trained, in the format agreed during planning.
Does GMA conduct the clinical or functional assessments our program requires?
Your program’s required assessments stay with the person’s clinicians and your process, and we work from the needs they find. Where our clinicians are licensed, formal OT and home modification evaluations may be available; see the coverage map.
How do you approach AI and data in your software?
Nora is AI-assisted, works within defined permissions, and supports human judgment without making decisions. Monitoring works from data without cameras. See our Nora overview.
Is GMA registered in SAM.gov, and can we share an RFP with you?
Yes. Gray Matters Alliance, LLC has an active registration in the federal System for Award Management (SAM.gov). If your agency, organization or professional team has a request for proposal (RFP), solicitation, grant or teaming opportunity where assistive technology, enabling technology, remote supports or the GMA MyCompass System could fit, we would be glad to review it.
Send it to info@graymattersalliance.com or use the organizational contact form. SAM.gov registration does not by itself mean GMA is approved for any specific contract or program.
More answers for programs are in the FAQ.
Explore a program partnership
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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
