05/11/2026
Attention:
Pediatric therapy practices across the state of Georgia are facing extreme challenges with two of the three Medicaid CMO companies: Caresource and Peach State.
Caresource is moving forward with significant reimbursement cuts to providers like us.
When we expressed concerns about whether these rates are sustainable, their response was:
“As outlined in the amendment notice, this adjustment reflects a broader, network-wide alignment to reimbursement methodologies across the Georgia Medicaid program and follows internal review and approval. The amendment was issued in accordance with the terms of the existing Provider Agreement, which permits modifications necessary for program alignment and ongoing plan administration.”
We have notified several state representatives who confirmed that the budget passed by the Georgia General Assembly in April not only fully funded Medicaid services, but actually increased funding to Caresource because more providers were needed to meet the state’s growing demand.
Less than two days after the legislative session ended, Caresource and Peach State began sending letters to providers.
If clinics accept these cuts, many will literally be paid less than the cost of delivering services.
If clinics refuse, contracts will be terminated.
Providers across the state have voiced serious concerns to executive leadership at Medicaid, DCH, Caresource, and Peach State about what this could mean for children who require medically necessary speech, occupational, physical, psychological, and behavioral therapies.
Unfortunately, the response has felt as though the provider network will have to begin breaking before meaningful action is taken.
This situation is heartbreaking!!!!
Caresource does not appear concerned about maintaining enough highly trained, specialized providers to meet the needs of children with delays and disabilities.
They do not appear concerned if families are forced to travel to multiple clinics to receive all the services their child needs.
They do not appear concerned if families must drive 30–45 miles just to access an in-network provider.
Their concern seems to be simply having a provider somewhere within the required coverage radius.
And if you think this does not affect your family because your child has different insurance, unfortunately, it still may.
If provider networks begin to collapse, rural communities will feel the impact first. Over time, clinics across the state could begin closing their doors, creating devastating consequences for children and families who rely on these services.
Most therapists did not choose this profession for financial gain. We chose it because we are deeply passionate about helping vulnerable children live their best lives.
We help children learn to interact with and engage in the world around them. We teach children to crawl, sit, walk, climb, communicate, and connect. We help give children a voice. We help give families hope.
Please help us spread the word.
It only takes a few minutes to send an email, make a call, or share this post.
One voice can be heard. Many voices can create change.
Please stand with us for the future of our children and the professions dedicated to helping them thrive!
Find your local and state legislators here:
You have elected officials who represent you at every level of the government. It’s their job to ensure that your needs are being met during the law-making process. So, how do you know who to contact in state or federal government with questions, comments, or ideas about legislation or public poli...
