This analysis observes increased mental health visits in Federally Qualified Health Centers after policy changes, suggesting enhanced accessibility.
Audio-only telehealth appears to serve as a substitute rather than a complementary modality for in-person or video-based mental health services in FQHCs. Providing MAOC increased mental health visit rates at FQHCs without an established telemental health service, indicating improved accessibility. Given the quality concerns surrounding audio-only telehealth, further research is needed to validate this substitution effect and assess the quality of introducing these services as an option for FQHCs.
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Gadag et al. (2026) studied this question.
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