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Gepubliceerd in: Journal of Autism and Developmental Disorders 10/2010

01-10-2010

County-Level Variation in the Prevalence of Medicaid-Enrolled Children with Autism Spectrum Disorders

Auteurs: David S. Mandell, Knashawn H. Morales, Ming Xie, Daniel Polsky, Aubyn Stahmer, Steven C. Marcus

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2010

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Abstract

This study examined how county-level resources are associated with the identification of children with autism spectrum disorders (ASD) in Medicaid. Medicaid claims from 2004 were combined with county-level data. There were 61,891 children diagnosed with ASD in the Medicaid system in 2004. Counties with lower per-student education expenditures, more students, a greater proportion of students in special education, higher per capita number of pediatricians and pediatric specialists, and a greater proportion of Medicaid enrollees and white residents had higher Medicaid prevalence. Within states, counties differ in how they implement Medicaid policies. The results suggest the substitution of education and Medicaid-reimbursed services. Our findings highlight the need for geographically targeted outreach to minority groups and clinicians to improve recognition of ASD.
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Metagegevens
Titel
County-Level Variation in the Prevalence of Medicaid-Enrolled Children with Autism Spectrum Disorders
Auteurs
David S. Mandell
Knashawn H. Morales
Ming Xie
Daniel Polsky
Aubyn Stahmer
Steven C. Marcus
Publicatiedatum
01-10-2010
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 10/2010
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-010-0982-2

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