1. The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder.
- Author
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Liu, Guodong, Velott, Diana L., Kong, Lan, Dick, Andrew W., Mandell, David S., Stein, Bradley D., Murray, Michael J., Ba, Djibril M., Cidav, Zuleyha, and Leslie, Douglas L.
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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]
- Published
- 2022
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