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 Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code - used to match you with state legislators.
County
Email
*
example@example.com
Child and Therapy Details
Child's First Name or Initials
*
Child's Age
*
Provider/Practice Name
*
The Clinic your child attends.
Services Received
*
Occupational Therapy
Speech Therapy
Additional Services Outside of Practice
What is at stake for your family or a family who relies on Medicaid to have access to services?
*
Which Kentucky Medicaid services may be utilized? 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
What would the cuts cost families who rely on Medicaid to have access to services?
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Starting August 1, most Kentucky Medicaid providers are being cut 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.
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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 provide these services for your child?
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How long has your child been with this provider, and how far do you drive to get there? If your provider had to reduce or limit services is there another provider nearby who could take your child? How long is the wait? What would it mean for your child if access to these therapy services was reduced or delayed?
Electronic Signature and Authorization
Electronic Signature (full legal name)
*
First Name
Last Name
Signature
*
Date signed by parent
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Authorization
*
By typing my name above and checking the box, I am electronically signing and authorizing FUNctional Therapy to send my story in a letter format to Kentucky's Governor and Legislators on my behalf.
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