Abstract
In October 2021, the American Academy of Pediatrics and other groups declared a national emergency in child and adolescent mental health. Despite this, pediatric mental health services remain largely inaccessible for many families. A major factor contributing to the lack of access is phantom networks, which are insurance company rosters of in-network mental health providers who, in reality, don't see patients in the network. Phantom networks compound barriers to mental health care for children and adolescents. This is particularly problematic for youth, many of whom use Medicaid, who seek time-sensitive care for severe psychiatric conditions such as psychosis or suicidality. We call on US policy makers to support nationwide legislation that establishes high-quality oversight processes for in-network provider lists.
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