[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