Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

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

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.

vorige artikel Motor Coordination in Autism Spectrum Disorders: A Synthesis and Meta-Analysis

volgende artikel Screening for Autism Spectrum Disorders in Flemish Day-Care Centres with the Checklist for Early Signs of Developmental Disorders

Area Resource File. (2004). From http://www.arfsys.com/main.htm.

Agresti, A. (2002). Categorical data analysis. New York: Wiley.CrossRef

American Academy of Pediatrics. (2002). The medical home. Pediatrics, 110(1 Pt 1), 184–186.

Braddock, D. (2002). Disability at the dawn of the 21st century and the state of states. Washington, DC: American Association on Mental Retardation.

CDC. (2007). Surveillance summaries. MMWR Morbidity & Mortality Weekly Report, 56(SS-1), 1–28.

Chambers, J., Perez, M., Socias, M., Shkolink, J., & Esra, P. (2004). Educating students with disabilities: Comparing methods for explaining expenditure variation. Washington, DC: American Institutes for Research. Document Number.

Dickens, M., Green, J., Kohrt, A., & Pearson, H. (1992). American academy of pediatrics ad hoc task force on definition of the medical home: The medical home. Pediatrics, 90(5), 774.

Fombonne, E., Heavey, L., Smeeth, L., Rodrigues, L., Cook, C., Smith, P., et al. (2004). Validation of the diagnosis of autism in general practitioner records. BMC Public Health, 4(Article 5).

Fox, H., McManus, M., & Limb, S. (2000). An examination of state Medicaid financing arrangements for early childhood development services. Maternal and Child Health Journal, 4(1), 19–27.CrossRefPubMed

Fox, H., Wicks, L., & Newacheck, P. (1993). Health maintenance organizations and children with special needs. A suitable match? American Journal of Diseases of Children, 147, 546–552.PubMed

Koppelman, J. (2004). Children with mental disorders: making sense of their needs and the systems that help them. NHPF Issue Brief, 799, 1–24.PubMed

Krauss, M., Gulley, S., Sciegaj, M., & Wells, N. (2003). Access to specialty medical care for children with mental retardation, autism and other special health care needs. Mental Retardation, 41(5), 329–339.CrossRefPubMed

Lord, C., & McGee, J. (Eds.). (2001). Educating children with autism. Washington, DC: National Academy Press.

Lord, C., Rutter, M., Goode, S., Heemsbergen, J., Jordan, H., Mawhood, L., et al. (1989). Autism diagnostic observation schedule: A standardized observation of communicative and social behavior. Journal of Autism and Developmental Disorders, 19(2), 185–212.CrossRefPubMed

Mandell, D., Ittenbach, R., Levy, S., & Pinto-Martin, J. (2006). Disparities in diagnoses received prior to a diagnosis of autism spectrum disorder. Journal of Autism and Developmental Disorders, 37(9), 1795–1802.CrossRefPubMed

Mandell, D., Listerud, J., Levy, S., & Pinto-Martin, J. (2002). Race differences in the age at diagnosis among Medicaid-eligible children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 41(12), 1447–1453.CrossRefPubMed

Mandell, D., Machefsky, A., Rubin, D., Feudtner, C., Pati, S., & Rosenbaum, S. (2008a). Medicaid’s role in financing health care for children with behavioral healthcare needs in the special education system: Implications of the deficit reduction act. Journal of School Health, 78(10), 532–538.CrossRefPubMed

Mandell, D., Morales, K., Marcus, S., Stahmer, A., Doshi, J., & Polsky, D. (2008b). Psychotropic medication use among children with autism spectrum disorders. Pediatrics, 121(3), e441–e448.CrossRefPubMed

Mandell, D., Wiggins, L., Carpenter, L., Daniels, J., DiGuiseppi, C., Durkin, M., et al. (2009). Racial and ethnic disparities in the identification of children with autism spectrum disorders. American Journal of Public Health, 99(3), 494–498.

Newschaffer, C., & Curran, L. (2003). Autism: An emerging public health problem. Public Health Reports, 118(5), 393–399.PubMed

Noel, D., & Shreve, D. (2006). Special ed squeeze: The feds are cutting the Medicaid funds many states rely onto provide health services for disabled students. State Legislatures, 32(10), 28–29.PubMed

Parrish, T., Harr, J., Wolman, J., Anthony, J., Merickel, A., & Esra, P. (2004). State special education finance systems, 1999–2000. Palo Alto, CA: American Institutes for Research. Document Number.

Parrish, T., Hikido, C., & Fowler, W. (1998). Inequalities in public school district revenues. Washington, DC: US Department of Education. Document Number).

Rodman, J., Weill, K., Driscoll, M., Fenton, T., Alpert, H., Salem-Schatz, S., et al. (1999). A nationwide survey of financing health-related services for special education students. Journal of School Health, 69(4), 133–139.CrossRefPubMed

Shattuck, P., & Grosse, S. (2007). Issues related to the diagnosis and treatment of autism spectrum disorders. Mental Retardation and Developmental Disabilities Research Reviews, 13, 129–135.CrossRefPubMed

Stahmer, A., & Mandell, D. (2007). State infant/toddler program policies for eligibility and services provision for young children with autism. Mental Health Services Research, 34(1), 29–37.CrossRef

Thurlow, M., Lazarus, S., Thompson, S., & Robey, J. (2002). 2001 state policies on assessment participation and accommodations. Minneapolis, MN: National Center on Educational Outcomes.

U. S. Department of Health, Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.

Walsh, K., Kastner, T., & Criscione, T. (1997). Characteristics of hospitalizations for people with developmental disabilities: Utilization, costs, and impact of care coordination. American Journal of Mental Retardation, 101(5), 505–520.PubMed

Yeargin-Allsopp, M., Rice, C., Karapurkar, T., Doernberg, N., Boyle, C., & Murphy, C. (2003). Prevalence of autism in a US metropolitan area. Journal of the American Medical Association, 289(1), 49–55.CrossRefPubMed

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

Andere artikelen Uitgave 10/2010

Multirater Congruence on the Social Skills Assessment of Children with Asperger Syndrome: Self, Mother, Father, and Teacher Ratings

Original Paper

Jeff Stimpson: Alex the Boy: Episodes from a Family’s Life with Autism

Book Review

Characterizing Community-Based Mental Health Services for Children with Autism Spectrum Disorders and Disruptive Behavior Problems

Open Access
Original Paper

Daniel Tammet: Born on a Blue Day: Inside the Extraordinary Mind of an Autistic Savant

Book Review

Dysfunctional Attitudes and Perfectionism and Their Relationship to Anxious and Depressive Symptoms in Boys with Autism Spectrum Disorders

Original Paper

Pamela J. Wolfberg: Play and Imagination in Children with Autism (2nd ed.)

Book Review