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The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder.
- Source :
-
Journal of Autism & Developmental Disorders . Apr2022, Vol. 52 Issue 4, p1587-1597. 11p. 3 Charts, 1 Graph. - Publication Year :
- 2022
-
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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 01623257
- Volume :
- 52
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Autism & Developmental Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 155888248
- Full Text :
- https://doi.org/10.1007/s10803-021-05060-2