Maryland Speech and Feeding MSF

03/14/2026

Educate yourselves.

A WSJ investigation found providers of autism therapy extracted Medicaid payments as high as $800 an hour for routine therapy that a high-school grad could administer.

🔗 Here's what to know: https://on.wsj.com/40qZyj9

03/14/2026

The global baby feeding product market is about $5 billion today and is projected to reach about $7.5 billion by 2032. Baby feeding accessories alone (cups, utensils, feeding sets, etc.) were worth about $2.6 billion in 2025 and are expected to grow to about $4.6 billion by 2035.

This multi-billion dollar market is largely driven by constant product innovation and marketing—new bottles, cups, utensils, and feeding gadgets are introduced every year, often positioning themselves as ‘must-have solutions.’ While innovation can be helpful, the sheer volume of options can also leave many parents feeling overwhelmed and unsure about what their baby actually needs.

03/04/2026

A message from
Sarah Koehling, MS CCC-SLP
Owner, CEO and SLP

This is a long read, but these things have been heavy on my heart.

Almost 17 years ago, I founded this clinic out of nothing but passion.

I never set out to be a business owner. I set out to help children.

I wanted to sit on the floor, play, problem solve, and walk alongside families navigating developmental challenges. I wanted to celebrate first words, stronger steps, safer feeding, calmer nervous systems, and the tiny breakthroughs that change entire family dynamics.

Business ownership happened out of necessity — not ambition. There was a need in Jenks- so I filled it.

Thr last six years have stretched private practices everywhere- especially ours as I dealt with health issues.

We closed our doors during COVID with no warning and figured out virtual therapy overnight. We navigated staffing shortages that are happening nationwide. We’ve supported clinicians through burnout in a field that is emotionally, physically, and cognitively demanding. We’ve rebuilt, restructured, and recommitted — again and again.

But the hardest battle we fight is one most families never see.

Insurance.

Reimbursements continue to decrease.
Administrative demands continue to increase. (Ask Jessy how many prior auth’s she did last year)
Authorizations become more complex.
Documentation requirements grow heavier.
Phone calls go unanswered.
Emails go in circles.

Insurance Premiums go up… yet the value placed on pediatric therapy continues to go down.

When we choose to go in-network with an insurance company, we accept a discounted rate to make services more accessible for families. In doing so, we also sign contracts agreeing to follow their policies and procedures.

Those policies are not ours.
The insurance plan belongs to the family.

We have been battling an ongoing issue with a federal payer for over a year — something impacting providers across the country.

I have personally spent evenings, weekends, and even time during my family’s vacation trying to fix problems created by systems we do not control.

It is incredibly easy to blame the provider when something goes wrong with insurance.

But I ask you gently — please pause before doing that.

Give us the benefit of the doubt that we have likely already spent hours advocating behind the scenes before ever bringing a concern to families.

One thing that will never change here is this:

We will never sacrifice our ethics.
We will never cut corners.
We will never engage in fraudulent behavior to make a dollar.
And we will never willingly put a child at risk for loss of care unless we are absolutely forced into a position where the financial viability of the clinic leaves no other option.

We will exhaust every possible effort first.
Continuity of care matters too much.

We are a small business. Word of mouth matters. Online comments matter. Reputations can be damaged quickly — sometimes based on incomplete or inaccurate information given by an insurance representative who does not know our contract, our efforts, or our integrity.

People are often quick to share when something feels unfair.
They are less quick to share the years of good.

If our clinic has impacted your child, your family, or our community in a positive way, I hope you’ll remember that before assuming the worst. Please consider a 5 star review.

We are here because we care. We are still here because we fight.
And we will continue advocating — even when it’s exhausting.

Just some honest thoughts from a tired, yet still very committed, clinic owner.

03/04/2026

A lot happening behind the scenes lately.
Planning, dreaming, building.
The future version of this is going to be pretty special.

02/20/2026

02/18/2026

just me, my iced coffee, and my day 1 . *we don’t chase, we choose.

02/05/2026

We are so excited to launch two of our most popular groups for the Winter season.

🌟Baby Bites (4–12 months) 🌟
✨Tiny Tots (18–36 months) ✨

What to expect ➡️ Play-based groups led by pediatric speech language pathologists and occupational therapists that support

* Early development including communication, sensory exploration, and motor development
* Parent education, coaching, and empowerment
* Opportunity for socialization for both caregivers and children

🖤Sign up through the link below. We can’t wait to meet you❣️

https://linktr.ee/marylandmsf_therapy?utm_source=linktree_profile_share<sid=3882ccde-f9e0-4337-9b38-04de8226277d

02/04/2026

Join us for winter groups starting next week! Sign up in bio! 

Baby Bites (4m - 12m) 
Date/Time: Tuesdays at 11am from February 10th through March 17th 
Cost: $60 for 6-week session or drop-in rate of $12/session

Tiny Tots (18m - 36m) 
Date: Thursdays at 10am from February 12th to March 19th
Cost: $60 for 6-week session or drop-in rate of $12/session

01/29/2026

Snowy day plans? We’ve got you ❄️⛄️

Join us tomorrow for a cozy indoor snowy play date! Spots are limited—sign up now 🤍 link in bio

12/26/2025

HIGHLY recommend StemFit Kids Indoor Family Fun Center and Little Scholars Education to anyone who’s looking for compassionate education and care for their little one . Rick Trego and Ashley, I can’t wait to watch you continue to grow.

🎄 Merry Christmas & Happy Holidays!

As we celebrate this season of joy, we’re thrilled to announce that StemFit Kids Pre-K is launching Spring 2026!

Our newest program will blend play, movement, and STEM learning to prepare confident, curious learners for the future.

📩 Questions or interest? Email stemfitkids@gmail.com

Little Scholars Education

12/09/2025

Our family stands by each and every one of these reasons. If you’re thinking about an alternative to traditional public school education, I highly recommend you look Julia Brown Schools. ❌⭕️❌⭕️ Kara

1 Opportunity to Lead For two years your child has been mentored by the Kindergarteners in the JBS mixed ages class. Now in their Kindergarten year, your child has the unique opportunity to lead the class; growing from helping younger students. 2 Valued By StaffOur small class sizes mean that over t...

11/28/2025

⛄️𝙾𝚞𝚛 𝚑𝚘𝚕𝚒𝚍𝚊𝚢 𝚐𝚒𝚏𝚝 𝚐𝚞𝚒𝚍𝚎 𝚒𝚜 𝚑𝚎𝚛𝚎 ✨ 𝙰𝚕𝚕 𝚘𝚞𝚛 𝚏𝚊𝚟𝚘𝚛𝚒𝚝𝚎 𝚒𝚝𝚎𝚖𝚜 𝚙𝚒𝚌𝚔𝚎𝚍 𝚠𝚒𝚝𝚑 𝚙𝚞𝚛𝚙𝚘𝚜𝚎 𝚊𝚗𝚍 𝚕𝚘𝚟𝚎. 𝚈𝚘𝚞 𝚌𝚊𝚗 𝚏𝚒𝚗𝚍 𝚝𝚑𝚎𝚖 𝚒𝚗 𝚘𝚞𝚛 𝙰𝚖𝚊𝚣𝚘𝚗 𝚜𝚝𝚘𝚛𝚎𝚏𝚛𝚘𝚗𝚝— 🎀 𝚓𝚞𝚜𝚝 𝚝𝚊𝚙 𝚝𝚑𝚎 𝚕𝚒𝚗𝚔 𝚒𝚗 𝚘𝚞𝚛 𝚋𝚒𝚘! 🎀