Tell Kentucky’s Leaders Why Your Child’s Therapy Matters

Tell Kentucky’s Leaders Why Your Child’s Therapy Matters

Share your story to help generate a signed advocacy letter for the Governor and legislators.
Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Email
example@example.com
County You Live In
ZIP code
Your home ZIP — used to match you with your state legislators.
City
Child and Therapy Details
Child's First Name or Initials
Child's Age
Provider / practice name
The clinic your child attends.
Therapy Received

Other
Therapy Impact and Advocacy Message
What's at stake for your family
Which Kentucky Medicaid services does your child or family count on? For example: your pediatrician or primary care, specialist doctors, speech, occupational, or physical therapy, mental health or behavioral therapy, ABA, or home and waiver services.
Your child's story
Tell us your child's story. What can your child do today, or what has changed for your whole family because of these services? Think about where your child started and where they are now.
What the cuts would cost you
Starting August 1, most Kentucky Medicaid providers are being cut by 4% on top of a rate reduction earlier this year. If your child's therapist or doctor had to cut back hours, add you to a long waitlist, or close, what would that mean for your child and your family, day to day?
Your message to leaders
If you could say one thing straight to Governor Beshear and Kentucky's lawmakers about these cuts, what would it be? Speak from the heart so this becomes the most powerful line in your letter.
Is there anyone else who could do this?
How long has your child been with this provider, and how far do you drive to get there? If they had to close, is there another provider nearby who could take your child, and how long is the wait?
Electronic Signature and Authorization
Electronic signature (full legal name)

First NameMiddle NameLast Name
Date signed by parent

MonthDayYear
Date
Authorization
Should be Empty:

Tell Kentucky’s Leaders Why Your Child’s Therapy Matters

Parent/Guardian Information

Child and Therapy Details

Therapy Impact and Advocacy Message

Electronic Signature and Authorization