An Important Announcement from Grow & Tell Therapies

Looking Ahead: Important Changes Beginning December 2026 and Throughout 2027

After 12 wonderful years of serving children and families in our community, Grow & Tell Therapies is preparing for significant changes to our outpatient therapy services. This decision has been incredibly difficult and comes after months of reflection, consideration, and efforts to navigate the growing challenges facing small, independently owned healthcare practices.

Since opening in 2014, our mission has always been to provide compassionate, individualized speech-language therapy services that help children develop confidence, connection, and meaningful communication skills. While our commitment to that mission has not changed, the realities of operating an insurance-based outpatient clinic have become increasingly challenging.

Declining insurance reimbursement rates, rising operational expenses, staffing difficulties, increasing prior authorization requirements, and changes to speech-language therapy billing codes have made it necessary to reevaluate the future of our outpatient services.

Rather than announcing a complete closure, Grow & Tell Therapies will begin transitioning to a significantly reduced outpatient therapy model in December 2026, with additional changes anticipated throughout 2027.

Important Dates and Anticipated Changes

December 2026 | Highmark & UPMC Insurance Participation

Grow & Tell Therapies intends to discontinue its participating provider agreement with Highmark & UPMC by December 31, 2026, subject to contractual termination requirements and confirmation of the effective date. Once the agreement officially ends, we will no longer provide therapy services as a participating Highmark provider.

Beginning December 2026 | Reduced Outpatient Caseloads

Grow & Tell Therapies will begin significantly reducing outpatient therapy caseloads and appointment availability. We anticipate continuing limited outpatient services for eligible patients with Capital Blue Cross and UnitedHealthcare, depending on insurance requirements and therapist availability.

We are not accepting new outpatient therapy patients during this transition.

Winter–Spring 2027 | Insurance Reimbursement Review

Beginning January 1, 2027, significant changes to speech-language therapy CPT codes will affect how services are billed to health insurance companies. We will closely monitor reimbursement rates, insurance policies, authorization requirements, and claims processing for our remaining participating insurance networks.

The results of this review will help determine whether continued participation with these insurance companies and the long-term operation of outpatient services remain sustainable.

Throughout 2027 | Building and Operational Changes

Grow & Tell Therapies is also exploring opportunities to lease additional space within our building at 157 South Hanover Street, Carlisle, Pennsylvania, with the intention of listing the property for sale in 2026-2027.

The eventual sale of the building does not necessarily mean the closure of Grow & Tell Therapies as a business. However, it may affect the location, availability, and continuation of outpatient therapy services. Additional updates will be shared as decisions are finalized.

Information for Current Families

We recognize that changes to therapy services can be difficult, especially for children and families who have developed strong relationships with their therapists.

Every child’s situation is unique.

Current Grow & Tell families should watch for individualized email communications explaining how these changes may affect their child’s therapy services, insurance participation, scheduling, and anticipated next steps. Our priority is to provide clear communication, appropriate transition planning, and continued support for the families we serve.

A Personal Message from Our Founder

Grow & Tell Therapies has been so much more than a business to me. It has been a dream, a passion, and an incredibly meaningful part of my life since 2014. I have had the privilege of watching children find their first words, discover new ways to communicate, overcome challenges, and achieve milestones that once seemed out of reach. Those moments are why I became a speech-language pathologist, and they will always be at the heart of what I do.

Although the future of Grow & Tell Therapies may look different, my commitment to helping children communicate, connect, and grow remains unchanged. To every family who has trusted us, every therapist who has contributed to our mission, and every child who has walked through our doors: thank you for being part of our story.

With heartfelt gratitude,

Jessica Over, M.A., CCC-SLP
Owner & Speech-Language Pathologist
Grow & Tell Therapies

Growing Confidence in Communication!