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The Effects of Medicaid Home and Community-based Services Waivers on Unmet Needs Among Children With Autism Spectrum Disorder.
- Source :
-
Medical care [Med Care] 2017 Jan; Vol. 55 (1), pp. 57-63. - Publication Year :
- 2017
-
Abstract
- Background: Several states have passed Medicaid Home and Community-based Services (HCBS) waivers that expand eligibility criteria and available services for children with autism spectrum disorder (ASD). Previous research has shown considerable variation in these waivers, but little is known about the extent to which they address the health care needs of children with ASD.<br />Objective: To determine the effects of Medicaid HCBS waivers, and their characteristics, on unmet health care needs among children with ASD.<br />Methods: We used data from the 2003, 2007, and 2011 waves of the National Survey of Children's Health with detailed information on the Medicaid HCBS waiver programs of 35 states. Quasi-difference-in-difference-in-differences models were used to determine the effects of waivers and their characteristics on parent report of unmet health care needs of children with ASD compared with children without ASD.<br />Results: Greater waiver cost limits per child, estimated costs of services, and enrollment limits were associated with significant decreases in the adjusted rate of unmet health care needs, with considerable variation by household income level.<br />Conclusions: These findings suggest that Medicaid HCBS waivers significantly decrease the unmet need for health care among children with ASD, most substantially among those who would not otherwise qualify for Medicaid. The findings regarding the effects of specific aspects of these waivers can inform the development of insurance policies in other states to address the needs of children with ASD.
- Subjects :
- Adolescent
Child
Child, Preschool
Community Health Services statistics & numerical data
Female
Health Services Accessibility economics
Health Services Accessibility statistics & numerical data
Health Services Needs and Demand economics
Home Care Services statistics & numerical data
Humans
Insurance Coverage economics
Insurance Coverage statistics & numerical data
Male
Medicaid legislation & jurisprudence
United States
Autism Spectrum Disorder economics
Community Health Services economics
Health Services Needs and Demand statistics & numerical data
Home Care Services economics
Medicaid statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1537-1948
- Volume :
- 55
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Medical care
- Publication Type :
- Academic Journal
- Accession number :
- 27547947
- Full Text :
- https://doi.org/10.1097/MLR.0000000000000621