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Journal of Autism and Developmental Disorders

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09-05-2021 | Original Paper

The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder

Auteurs: Guodong Liu, Diana L. Velott, Lan Kong, Andrew W. Dick, David S. Mandell, Bradley D. Stein, Michael J. Murray, Djibril M. Ba, Zuleyha Cidav, Douglas L. Leslie

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 4/2022

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.

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Titel: The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder
Auteurs: Guodong Liu
Diana L. Velott
Lan Kong
Andrew W. Dick
David S. Mandell
Bradley D. Stein
Michael J. Murray
Djibril M. Ba
Zuleyha Cidav
Douglas L. Leslie
Publicatiedatum: 09-05-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 4/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-021-05060-2

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