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

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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Work Title The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder
Access
Open Access
Creators
  1. Guodong Liu
  2. Diana L. Velott
  3. Lan Kong
  4. Andrew W. Dick
  5. David S. Mandell
  6. Bradley D. Stein
  7. Michael J. Murray
  8. Djibril M. Ba
  9. Zuleyha Cidav
  10. Douglas L. Leslie
Keyword
  1. Autism spectrum disorder
  2. Medicaid
  3. Home and community-based services waiver
  4.  Emergency departments
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Journal of Autism and Developmental Disorders
Publication Date May 9, 2021
Publisher Identifier (DOI)
  1. https://doi.org/10.1007/s10803-021-05060-2
Deposited November 27, 2023

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Version 1
published

  • Created
  • Added s10803-021-05060-2.pdf
  • Added Creator Guodong Liu
  • Added Creator Diana L. Velott
  • Added Creator Lan Kong
  • Added Creator Andrew W. Dick
  • Added Creator David S. Mandell
  • Added Creator Bradley D. Stein
  • Added Creator Michael J. Murray
  • Added Creator Djibril M. Ba
  • Added Creator Zuleyha Cidav
  • Added Creator Douglas L. Leslie
  • Published
  • Updated Keyword, Publication Date Show Changes
    Keyword
    • Autism spectrum disorder, Medicaid, Home and community-based services waiver,  Emergency departments
    Publication Date
    • 2022-04-01
    • 2021-05-09