Important Update About Your Services

Español
Para leer esta carta en español, por favor haga clic en este botón.
Leer en Español

From the desk of

Leisha Vogl, CCC-SLP

Founder & CEO, Sensible Speech & Rehab

When my husband and I founded Sensible Speech & Rehab in 2012, we were driven by a simple belief: that every child in Salem should have access to high-quality speech therapy, regardless of their family’s income. We were proud to be the first private clinic in Salem to accept Oregon Health Plan (OHP), and we have always worked to give children the opportunity to find their own voice—and to be the voice for those who cannot speak for themselves in advocating for the services that we provide.

Since we started accepting OHP in Marion County, our reimbursement rates have increased by only 24 percent, while the cost of living in our community has risen by more than 42 percent. This week we received notice from PacificSource officially terminating our contract unless we agree to a decrease of up to a 27 percent. Accepting such a cut would drop payments below our costs of providing care for your family and would force our therapists to work beyond what is physically sustainable just to support their own families. We understand how difficult this is because according to PSCS provider search we are the last pediatric provider still in-network with PacificSource Community Solutions and accepting patients.

Because of this, I’m heartbroken to share that unless we can cause some sort of change, we will no longer be able to provide services under PacificSource Community Solutions coverage as of January 1, 2026, when those new rates are set to go into effect. This decision was not made lightly; our dedication to your children and to our staff are both very dear to us. However, we cannot continue to operate under rates that fall below the cost to provide the care and are equivalent to what we were paid in 2014. We were already providing Occupational Therapy at a loss in Marion County before this unilateral pay decrease and we have been trying to negotiate behind the scenes to expand access to care that is desperately needed in our community.

However, we are not ready to give up. We are asking each of you to help advocate by completing the JotForm below, which will generate a personalized advocacy message to your legislators, and also file a formal grievance with PSCS. (They are legally required to respond to each grievance.) You may also email a custom letter to info@sensiblerehab.com, and we will add it to our advocacy packet.

If all 230 families affected by this termination of our contract spent just 10 minutes writing a note, that would create more than 1,800 pages delivered to the eight Marion County representatives—and 230 formal complaints for PSCS to process. That volume speaks loudly.

We have already reached out to PSCS and the Oregon Health Authority, but we are not optimistic that they will resolve this without pressure. Your elected representatives, however, can take action. We would love to deliver a huge stack of letters to each of them, showing exactly what access to this medical care means for your family. It only takes one legislator standing up for a small clinic like ours to make a meaningful difference.

Please know that we will continue to remain in-network with Intercommunity Health Network in Linn-Benton County and Yamhill Community Care in Yamhill County, as their OHP reimbursement rates remain much higher than those in Marion County. Families covered by those OHP plans will continue to receive services from us without interruption.

We are deeply grateful for the trust you’ve placed in us. If you have questions or need support, we’re opening 30-minute appointments with our Operations Manager, Randy, from 12/15-12/19 so that you have an opportunity to voice any concerns and speak with someone on the management team, or if you believe you might have contacts within PSCS that could help everyone. We know that this is heavy news for many of our families and we would be happy to discuss in more detail why we can’t continue care under the new rates.

Thank you for being a part of the Sensible Speech & Rehab family. All I feel like doing right now is crying
because of how last minute these things have unfolded as well as I feel like I have failed you and your family! Hopefully this isn’t the end but rather the start of constructive discussions that leads to fair solutions and reimbursements that allow us to increase access to care in Salem!

Warmly,
Leisha Vogl, CCC-SLP
Founder & CEO
Sensible Speech & Rehab

 

Need Help Navigating These Changes or Have Questions?

Schedule a 30-minute conversation with Randy, our Operations Manager, to ask questions and explore your options.


Book Time with Randy

 

STEP 1 – Send Parent Advocacy Letter!

Use our template to file a formal complaint with PSCS and your 8 legislators in Marion County

Parent Advocacy Form Link

OR if you would prefer to write your own letter you can email it to info@sensiblerehab.com and we will mail it out on your behalf. Look below for other ways that you can advocate for your services.

 

STEP 2 – Sign up for You or Your Child to Speak at Salem City Council on 1/12/2026!

City Council doesn’t directly manage Pacific Source Community Solutions, however as a local business that is serving their constituents, we are working on a measured request that the city could do on our behalf to help push this agenda forward. We are also hoping to create enough interest to get media attention around this issue as well and make this a more public issue around PSCS and the way they are treating providers.

We think it would be really powerful to have patients and/or parents take 3 min to share with City Council what Sensible Rehab and our team mean to you and your family before our team gets up to ask for city councils support.

If you are interested or have never done anything like this before but feel called to speak. Please fill out this form below and we will be hosting a video call to help prep parents for their public testimony 

Register to Speak at City Council

 

STEP 3 – Give Public Comment to Pacific Source Community Solutions Managing Board on 1/7/2026 2pm-4pm via Zoom

 We would love families to Join us again to give public comment for the Willamette Valley Health Council’s board meeting. These individuals are local providers and could directly step into this issue to help stabilize care.

We are using the same form for City Council and Willamette Valley Health Council Board Meeting.

Register to Speak at Willamette Valley Health Council

 

📣 Additional Way Parents Can Advocate for Their Child’s Access to Therapy in Marion County

If your child is affected by PacificSource Community Solutions’ decision to reduce reimbursement rates and terminate provider contracts, your voice truly matters. Below are effective ways you can advocate for continued access to care for children in our community.

Overview & Big Picture

We have been negotiating with OHP for over five years to try and secure larger rate increases to help address inflation and to meet the surging demand for our services. Unfortunately, there is nothing further that we as a clinic can do at this point. Now it is time for families to let their voices be heard.

According to Pacific Source Community Solutions provider portal we are the only pediatric network provider that is accepting new OHP patients. This creates a serious **network adequacy and access-to-care issue** for medically necessary pediatric therapy services.

Your outreach can directly influence:

  • PacificSource Community Solutions
  • The Oregon Health Authority
  • The Willamette Health Council
  • State lawmakers

When families speak up, agencies **must respond**.

PLEASE FILL OUT THE ADVOCACY FORM or Email info@sensiblerehab.com with your custom letter.

Parent Advocacy Form – Parent Advocacy Form Link

Detailed Advocacy Steps (Calls, Grievances, Contacts)

 

1️⃣ **Call PacificSource Community Solutions (Most Immediate Impact)** 

📞 503-210-2515 

📞 800-431-4135 

TTY: 800-735-2900 

**What to say:** 

  • Explain how losing Sensible Speech & Rehab will disrupt your child’s medically necessary therapy
  • Ask PacificSource to:

  – Withdraw the proposed reimbursement cuts 

  – Adjust reimbursement for inflation, consistent with other Oregon counties

  • Reference that provider contracts were terminated unless providers accepted cuts of up to 19%

✅ Tip: Ask the representative to document your concerns in your child’s record 

—

3️⃣ **Report the Network Adequacy Problem to the Oregon Health Authority (OHA)** 

📞 OHP Client Services: 1-800-273-0557 

📞 OHA Ombuds Program: 1-877-642-0450 

TTY: 711 

📧 OHA.OmbudsOffice@odhsoha.oregon.gov 

**What to tell them:** 

  • Your child will lose access to therapy due to PacificSource rate cuts
  • Marion County is going to be left without sufficient access to pediatric speech therapy providers
  • This is a network adequacy and access-to-care violation potentially

—

4️⃣ **Contact the Willamette Health Council (Marion-Polk CCO Governing Board)** 

📞 503-584-1303 

📧 info@willamettehealthcouncil.org 

**Additional options:** 

  • Attend a public board meeting
  • Submit written public testimony
  • Request reimbursement parity with neighboring counties

—

5️⃣ **Explore Coverage & Self-Pay Options (If Needed)** 

✅ Sensible Speech & Rehab remains in-network with: 

  • InterCommunity Health Network (Linn-Benton County)
  • Yamhill Community Care (Yamhill County)

If private insurance is unavailable: 

  • Speech Therapy: **$280/month** (up to 4 sessions)
  • Occupational Therapy: **$560/month** (weekly sessions)

You may also explore switching CCOs if eligible.

Sample Advocacy Letter (Parents May Copy & Send)

**Subject:** Urgent Concern: Loss of Pediatric Therapy Access in Marion County 

Dear [PacificSource / OHA / Willamette Health Council / Legislator], 

I am the parent of a child who currently receives medically necessary speech and/or occupational therapy in Marion County through PacificSource Community Solutions.

I was recently informed that our therapy provider will be forced out of network because PacificSource is requiring providers to accept reimbursement cuts of up to 19%. This decision will result in my child losing access to critical services that directly affect communication, development, learning, and quality of life.

From what we understand, this may leave Marion County with no remaining in-network pediatric speech therapy provider. This is deeply concerning and creates a serious network adequacy and access-to-care issue.

Children should not lose medically necessary therapy due to reimbursement policies—especially when neighboring counties are reimbursed at higher and sustainable rates.

I am respectfully asking that: 

  • These reimbursement cuts be reconsidered or reversed
  • Rates be adjusted to reflect inflation and the true cost of providing care
  • Immediate action be taken to preserve pediatric therapy access in Marion County

My child, and many other children, depend on these services to have a voice, succeed in school, and participate fully in their community.

Thank you for your attention and for advocating for Oregon’s children.

Sincerely, 

[Your Name] 

[Your Child’s Name] 

[City, OR] 

[Phone / Email]