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- Title
The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder.
- Authors
Liu, Guodong; Velott, Diana L.; Kong, Lan; Dick, Andrew W.; Mandell, David S.; Stein, Bradley D.; Murray, Michael J.; Ba, Djibril M.; Cidav, Zuleyha; Leslie, Douglas L.
- Abstract
Using the 2008–2013 Medicaid Analytic eXtract files, this retrospective cohort study was to evaluate the effect of Medicaid home and community-based services (HCBS) waiver programs on emergency department (ED) utilizations among youth with autism spectrum disorder (ASD). Our study showed that the annual ED utilization rates were 13.5% and 18.8% for individuals on autism specific and intellectual and developmental disabilities (IDD) waivers respectively, vs. 28.5% for those without a waiver. Multivariable logistic regression showed that, compared to no waiver, autism specific waivers (adjusted odds ratio: 0.62; 95% Confidence Interval: [0.58–0.66]) and IDD waivers (0.65; [0.64–0.66]) were strongly associated with reduced ED. These findings suggest that HCBS waivers are effective in reducing the incidence of ED visits among youth with ASD.
- Subjects
MEDICAID law; STATISTICAL significance; HOSPITAL emergency services; SAMPLE size (Statistics); CONFIDENCE intervals; RETROSPECTIVE studies; REGRESSION analysis; AUTISM in adolescence; HEALTH insurance; DESCRIPTIVE statistics; SOCIODEMOGRAPHIC factors; POVERTY; DATA analysis software; ODDS ratio; LONGITUDINAL method; ADOLESCENCE
- Publication
Journal of Autism & Developmental Disorders, 2022, Vol 52, Issue 4, p1587
- ISSN
0162-3257
- Publication type
Article
- DOI
10.1007/s10803-021-05060-2