Insurance/Medicaid Assistance

GPS SmartSole® is new and innovative wandering assistive tracking and monitoring solution. Like most new technology, being approved for any kind of institutional program requires time. We have worked with Developmental Disability agencies, Department of Health and Human Services, Department of Aging and Disabilities across the country. At GTX Corp, we are applying and enrolling with private and government providers on a continual basis.

The speed of our success is greatly driven by the demand voiced by those most in need of this solution- patients, caregivers, family members and case managers. We respond to inquiries as quickly as possible, and diligently follow through with enrollment procedures. Patients, ask your case managers or insurance membership services about SmartSole reimbursement/ordering eligibility. If you are a provider, please contact us so we may begin working with you.

Insurance & Reimbursement FAQs

Is GPS SmartSole covered by insurance?

Some insurance agencies do cover/reimburse for the GPS SmartSole purchase and/or Monitoring service plan. As with any medical reimbursement, coverage varies based on your specific insurance agency, and policy. You must inquire with your insurance agency directly to learn more. We are willing to enroll as an authorized medical supply provider with your insurance agency.

Do you need a prescription to buy GPS SmartSole?

No, a prescription is not required to purchase GPS SmartSole. Although a doctor may prescribe a GPS wander assistive device for a patient, we do not need to see a copy of the prescription. This prescription, however, may be required to obtain reimbursement through your insurance or government disability assistance agency.

Do you have a CPT code?

Due to the fact that the BLE and GPS SmartSole are a new and innovative caregiving solution, we do not yet have an unique insurance procedure code (CPT) or standardized reimbursement arrangements with insurance companies. However, these Codes may assist you:
• 1447709290 – National Provider Identifier (NPI) Number
• 333300000X – Emergency Response System Companies – Taxonomy
• X5012 Personal emergency response system
• S5160, S5161, S5160: Emergency response system; installation and testing
• S5161: Emergency response system; service fee, per month (Excludes installation & testing)
• S5162: Emergency response system; purchase only
• X5014 DME – personal emergency response system, installation

We welcome your insurance providers to contact us so we can work with them to facilitate the reimbursement process.

Does medicaid reimburse the GPS SmartSole?

Medicaid programs vary state to state, and even department to department. We have worked with agencies in Wisconsin, Ohio, New York, California, Illinois and Maine to provide the GPS SmartSole solution to qualifying clients. We recommend you contact your Case Manager about including the GPS SmartSole into your care program. Case Managers: we are happy to follow your ordering procedure and enroll with your agency to become an authorized vendor/provider as we have done in several other states. We are open to creating custom pricing & billing options. Please see our contact page and click “For U.S. Business Partnership / Reseller Inquiries”

Request Assistance From Your Medicaid/Medicare Agency

Give this list of Medical & Wandering Assistive Technology Codes to your Medicaid/Medicare funded agency Case Worker when you discuss adding the GPS SmartSole® solution to the care plan for your loved one.

Click to view document. Then print or download.

Autism Case Study

The United Kingdom’s NHS in London Borough of Newham shares their summary and outcomes for an internal trial of GPS SmartSole on a young adult with Autism.

Case Study – Mr. M. Miller

M. Miller is a 19 year old male who is living with a learning disability and who also lives at home with his family, Miller is the youngest of 4 children.

The concern:

Miller is living with a learning disability and likes to go out in the community. If his family are unable to take him out Miller will find away to abscond from the family home. This is a cause for concern for his family as Miller puts himself at risk as he has minimal road awareness. Miller is prone to destroying objects including his mobile phone. When Miller absconds he tends to travel far particularly when he has his oyster. At present when Miller absconds his family will contact the police, but Miller has been known to run away from the police disregarding road traffic.

What solutions can be provided to meet Miller’s needs and support his family?

The Solution:

Miller’s parents discussed several options during an assessment with Adult social services. They chose to have a GPS SmartSole device as it was not an obvious device which would be noticed and be likely to be destroyed by Miller. The GPS would allow for Miller to be monitored when he absconds and, his family will be able to respond quickly without involving the police, this alleviates the risk to Miller as he may run when the police arrive.

The GPS SmartSole would reduce any concerns Miller’s parents have when he absconds from the family home, the family will be able to locate Miller by using such devices as a smart phone, ipad, or computer.

The Outcome:

Mrs. & Mr. Miller, including the rest of the family were all very relieved with the assisted technology device provided. The family feels more confident with knowing that when Miller absconds they will have an instant location for him and he can be collected by one of them.