Medicaid 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder / Diana L. VELOTT in Autism, 20-4 (May 2016)  

Public ISBD [article]  inAutism > 20-4 (May 2016) . - p.473-482 Titre : Medicaid 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Diana L. VELOTT, Auteur ; Edeanya AGBESE, Auteur ; David MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Andrew W. DICK, Auteur ; Hao YU, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.473-482 Langues : Anglais (eng) Mots-clés : access to health care  autism spectrum disorders  children  Medicaid  waivers Index. décimale : PER Périodiques Résumé : This research aims to describe the characteristics of 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder across states and over time. While increasingly popular, little is known about these Medicaid waivers. Understanding the characteristics of these programs is important to clinicians and policymakers in designing programs to meet the needs of this vulnerable population and to set the stage for evaluating changes that occur with the implementation of health-care reform. Home- and Community-Based Services waiver applications that included children with autism spectrum disorder as a target population were collected from the Centers for Medicare and Medicaid Services website, state websites, and state administrators. A data extraction tool was used to document waiver inclusions and restrictions, estimated service provision and institutional costs, and the inclusion of four core autism spectrum disorder services: respite, caregiver support and training, personal care, and evidence-based treatments. Investigators identified 50 current or former waivers across 29 states that explicitly included children with autism spectrum disorder in their target populations. Waivers differed substantially across states in the type and breadth of autism spectrum disorder coverage provided. Specifically, waivers varied in the populations they targeted, estimated cost of services, cost control methods employed, and services offered to children with autism spectrum disorder. Home- and Community-Based Services waivers for children with autism spectrum disorder are very complex and are not consistent across states or over time. Further efforts are needed to examine the characteristics of programs that are associated with improved access to care and clinical outcomes to maximize the benefits to individuals with autism spectrum disorder and their families. En ligne : http://dx.doi.org/10.1177/1362361315590806 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=287 [article] Medicaid 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder [Texte imprimé et/ou numérique] / Diana L. VELOTT, Auteur ; Edeanya AGBESE, Auteur ; David MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Andrew W. DICK, Auteur ; Hao YU, Auteur ; Douglas L. LESLIE, Auteur . - p.473-482. Langues : Anglais (eng) in Autism > 20-4 (May 2016) . - p.473-482 Mots-clés : access to health care  autism spectrum disorders  children  Medicaid  waivers Index. décimale : PER Périodiques Résumé : This research aims to describe the characteristics of 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder across states and over time. While increasingly popular, little is known about these Medicaid waivers. Understanding the characteristics of these programs is important to clinicians and policymakers in designing programs to meet the needs of this vulnerable population and to set the stage for evaluating changes that occur with the implementation of health-care reform. Home- and Community-Based Services waiver applications that included children with autism spectrum disorder as a target population were collected from the Centers for Medicare and Medicaid Services website, state websites, and state administrators. A data extraction tool was used to document waiver inclusions and restrictions, estimated service provision and institutional costs, and the inclusion of four core autism spectrum disorder services: respite, caregiver support and training, personal care, and evidence-based treatments. Investigators identified 50 current or former waivers across 29 states that explicitly included children with autism spectrum disorder in their target populations. Waivers differed substantially across states in the type and breadth of autism spectrum disorder coverage provided. Specifically, waivers varied in the populations they targeted, estimated cost of services, cost control methods employed, and services offered to children with autism spectrum disorder. Home- and Community-Based Services waivers for children with autism spectrum disorder are very complex and are not consistent across states or over time. Further efforts are needed to examine the characteristics of programs that are associated with improved access to care and clinical outcomes to maximize the benefits to individuals with autism spectrum disorder and their families. En ligne : http://dx.doi.org/10.1177/1362361315590806 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=287

The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder / Guodong LIU in Journal of Autism and Developmental Disorders, 52-4 (April 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1587-1597 Titre : The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Guodong LIU, Auteur ; Diana L. VELOTT, Auteur ; Lan KONG, Auteur ; Andrew W. DICK, Auteur ; David S. MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Michael J. MURRAY, Auteur ; Djibril M. BA, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.1587-1597 Langues : Anglais (eng) Mots-clés : Adolescent  Autism Spectrum Disorder/economics/epidemiology/therapy  Community Health Services/economics  Emergency Service, Hospital/economics/statistics & numerical data  Home Care Services/economics  Humans  Intellectual Disability/economics/epidemiology/therapy  Medicaid/economics/statistics & numerical data  Patient Acceptance of Health Care/statistics & numerical data  Retrospective Studies  United States/epidemiology  Autism spectrum disorder  Emergency departments  Home and community-based services waiver  Medicaid Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-021-05060-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Guodong LIU, Auteur ; Diana L. VELOTT, Auteur ; Lan KONG, Auteur ; Andrew W. DICK, Auteur ; David S. MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Michael J. MURRAY, Auteur ; Djibril M. BA, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur . - p.1587-1597. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1587-1597 Mots-clés : Adolescent  Autism Spectrum Disorder/economics/epidemiology/therapy  Community Health Services/economics  Emergency Service, Hospital/economics/statistics & numerical data  Home Care Services/economics  Humans  Intellectual Disability/economics/epidemiology/therapy  Medicaid/economics/statistics & numerical data  Patient Acceptance of Health Care/statistics & numerical data  Retrospective Studies  United States/epidemiology  Autism spectrum disorder  Emergency departments  Home and community-based services waiver  Medicaid Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-021-05060-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

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