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Home- and Community-Based Waivers for Children With Autism: Effects on Service Use and Costs.
- Source :
-
Intellectual & Developmental Disabilities . Aug2014, Vol. 52 Issue 4, p239-248. 10p. - Publication Year :
- 2014
-
Abstract
- We examined (a) the associations between Medicaid home and community-based waiver participation and service use and expenditures among children with ASD; and (b) how states' waiver spending moderates these effects. We used 2005 Medicaid claims to identify a sample of children with autism spectrum disorder (ASD). We selected two comparison groups who had no waiver participation: (a) children who were eligible for Medicaid through disability (disability group), and (b) children who had at least one inpatient/long-term care (IP/LT) episode (IP/LT group). Waiver participants were less likely to use IP/LT services and had lower associated expenditures than the disability group. As states' waiver spending increased, waiver participants became increasingly less likely to use IP/LT services. Waiver participants had more outpatient visits and associated expenditures; this difference increased as state waiver spending increased. Compared with the IP/LT group, waiver participants had lower IP/LT expenditures, more outpatient visits, and associated expenditures. Higher state waiver generosity increased this effect on outpatient visits and expenditures. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 19349491
- Volume :
- 52
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Intellectual & Developmental Disabilities
- Publication Type :
- Academic Journal
- Accession number :
- 97394081
- Full Text :
- https://doi.org/10.1352/1934-9556-52.4.239