Short report: Disparities in hours of applied behavior analysis services for Medicaid-enrolled autistic youth / Diondra STRAITON-WEBSTER in Autism, 30-4 (April 2026)  

Public ISBD [article]  inAutism > 30-4 (April 2026) . - p.1108-1114 Titre : Short report: Disparities in hours of applied behavior analysis services for Medicaid-enrolled autistic youth Type de document : texte imprimé Auteurs : Diondra STRAITON-WEBSTER, Auteur ; Brooke INGERSOLL, Auteur Article en page(s) : p.1108-1114 Langues : Anglais (eng) Mots-clés : applied behavior analysis  autism  disparities  Medicaid Index. décimale : PER Périodiques Résumé : To date, no studies have investigated whether disparities in hours of applied behavior analysis (ABA) exist in the Medicaid system. We used multilevel modeling to analyze Medicaid billing claims for 1,028 autistic youth under the age of 21 years to examine the extent to which there were disparities in hours of ABA services for Medicaid-enrolled youth based on race/ethnicity and rurality. Although younger children received more hours of ABA, F(1, 964.63) = 118.28, p < .001, there were no statistically significant differences in hours of ABA based on minoritized race/ethnicity status or sex. On average, youth served in rural areas received significantly less hours of ABA per month than those in non-rural areas, F(1, 122.13) = 7.89, p = .006; youth in rural areas received 10.86 less hours per month than those in non-rural areas. Results suggest that publicly funded service systems like Medicaid may reduce ABA service disparities by race/ethnicity. Policymakers should focus on improving service provision for youth in rural areas.Lay Abstract We used Medicaid billing claims from 1,028 autistic youth to see if there were differences in hours of applied behavior analysis (ABA) services per month for youth from different racial/ethnic groups, different service settings (rural or non-rural), different sexes, and different ages. We found that younger autistic youth received more hours of ABA per month compared to older youth, and and youth served in rural areas received about 11 hours less per month compared to youth in non-rural areas. There were no differences among different race/ethnic groups or sexes. Policymakers should focus on improving service availability for autistic youth served in rural areas.Plain Language SummaryNo studies of the Medicaid system have shown whether children of color receive less hours of applied behavior analysis (ABA) than White children or whether children in rural areas receive less services than those in non-rural areas. We used Medicaid billing claims to see if these disparities exist. We found that younger children received more hours of ABA per month, and children from rural areas received an average of 10.86 hr less per month than children in non-rural areas. There were no disparities based on race/ethnicity or sex. Publicly funded service systems like Medicaid may help reduce disparities by race/ethnicity, but policymakers should improve services for children living in rural areas. En ligne : https://dx.doi.org/10.1177/13623613251392495 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=584 [article] Short report: Disparities in hours of applied behavior analysis services for Medicaid-enrolled autistic youth [texte imprimé] / Diondra STRAITON-WEBSTER, Auteur ; Brooke INGERSOLL, Auteur . - p.1108-1114. Langues : Anglais (eng) in Autism > 30-4 (April 2026) . - p.1108-1114 Mots-clés : applied behavior analysis  autism  disparities  Medicaid Index. décimale : PER Périodiques Résumé : To date, no studies have investigated whether disparities in hours of applied behavior analysis (ABA) exist in the Medicaid system. We used multilevel modeling to analyze Medicaid billing claims for 1,028 autistic youth under the age of 21 years to examine the extent to which there were disparities in hours of ABA services for Medicaid-enrolled youth based on race/ethnicity and rurality. Although younger children received more hours of ABA, F(1, 964.63) = 118.28, p < .001, there were no statistically significant differences in hours of ABA based on minoritized race/ethnicity status or sex. On average, youth served in rural areas received significantly less hours of ABA per month than those in non-rural areas, F(1, 122.13) = 7.89, p = .006; youth in rural areas received 10.86 less hours per month than those in non-rural areas. Results suggest that publicly funded service systems like Medicaid may reduce ABA service disparities by race/ethnicity. Policymakers should focus on improving service provision for youth in rural areas.Lay Abstract We used Medicaid billing claims from 1,028 autistic youth to see if there were differences in hours of applied behavior analysis (ABA) services per month for youth from different racial/ethnic groups, different service settings (rural or non-rural), different sexes, and different ages. We found that younger autistic youth received more hours of ABA per month compared to older youth, and and youth served in rural areas received about 11 hours less per month compared to youth in non-rural areas. There were no differences among different race/ethnic groups or sexes. Policymakers should focus on improving service availability for autistic youth served in rural areas.Plain Language SummaryNo studies of the Medicaid system have shown whether children of color receive less hours of applied behavior analysis (ABA) than White children or whether children in rural areas receive less services than those in non-rural areas. We used Medicaid billing claims to see if these disparities exist. We found that younger children received more hours of ABA per month, and children from rural areas received an average of 10.86 hr less per month than children in non-rural areas. There were no disparities based on race/ethnicity or sex. Publicly funded service systems like Medicaid may help reduce disparities by race/ethnicity, but policymakers should improve services for children living in rural areas. En ligne : https://dx.doi.org/10.1177/13623613251392495 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=584

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