Bibliographic Details
| 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, Guodong1 gliu@phs.psu.edu, Velott, Diana L.1, Kong, Lan1, Dick, Andrew W.2, Mandell, David S.3, Stein, Bradley D.2, Murray, Michael J.4, Ba, Djibril M.1, Cidav, Zuleyha3, Leslie, Douglas L.1 |
| Source: |
Journal of Autism & Developmental Disorders. Apr2022, Vol. 52 Issue 4, p1587-1597. 11p. 3 Charts, 1 Graph. |
| Subject Terms: |
*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 |
| 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. [ABSTRACT FROM AUTHOR] |
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