If you’re running, part of, or starting a practice in Washington, **2026 insurance shifts will change how clients use benefits and how you get paid.** This briefing will help you feel prepared, not blindsided.

We’ll touch on Medicaid reimbursement increases, Cascade Select’s capped rates and growing enrollment, tighter parity enforcement, high-deductible plans, and what’s likely to stick with telehealth. We’ll also look at workforce strain—and how hybrid care can help keep things sustainable.

**You’ll walk away with practical tools and takeaways, including:**

* A **one-page prep checklist** for 2026
* **Three practical tweaks** for pricing, scheduling, and payer mix
* **Conversation scripts** for high-deductible clients
* A short **watch list** of items to confirm with your top payers
* Simple ways **automation** can save you hours each week

We’ll wrap with **10–15 minutes of Q&A** so you can ask what’s on your mind—or just listen in.

**Format & feel**

* 30-min briefing + 10–15 min Q&A
* Business/ops focus (not clinical or legal advice)
* Cameras optional, kindness expected
* Replay for all RSVPs

Nicky Dvorak

Therapist Practice Builders — Washington

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Michelle has worked across practice management, health plans, and network contracting — and has also spent time as a professional biller. That mix gives her a clear view of how payer systems affect providers day to day. Outside of work, she’s a proud mom of two daughters who keep her grounded and remind her why this work matters.

Therapist Practice Builders — Washington

Private Practice Prep: WA Insurance Changes 2026 (Live Q&A)

Therapist Practice Builders — Washington

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