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; 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

doi:10.1007/s10803-021-05060-2

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, 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

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7 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1587-1597
Number of pages	11
Journal	Journal of Autism and Developmental Disorders
Volume	52
Issue number	4
DOIs	https://doi.org/10.1007/s10803-021-05060-2
State	Published - Apr 2022

All Science Journal Classification (ASJC) codes

Developmental and Educational Psychology

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10.1007/s10803-021-05060-2

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Liu, G., Velott, D. L., Kong, L., Dick, A. W., Mandell, D. S., Stein, B. D., Murray, M. J., Ba, D. M., Cidav, Z., & Leslie, D. L. (2022). The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 52(4), 1587-1597. https://doi.org/10.1007/s10803-021-05060-2

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

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.",

author = "Guodong Liu and Velott, {Diana L.} and Lan Kong and Dick, {Andrew W.} and Mandell, {David S.} and Stein, {Bradley D.} and Murray, {Michael J.} and Ba, {Djibril M.} and Zuleyha Cidav and Leslie, {Douglas L.}",

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doi = "10.1007/s10803-021-05060-2",

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Liu, G, Velott, DL, Kong, L, Dick, AW, Mandell, DS, Stein, BD, Murray, MJ, Ba, DM, Cidav, Z & Leslie, DL 2022, 'The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder', Journal of Autism and Developmental Disorders, vol. 52, no. 4, pp. 1587-1597. https://doi.org/10.1007/s10803-021-05060-2

The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder. / Liu, Guodong; Velott, Diana L.; Kong, Lan et al.
In: Journal of Autism and Developmental Disorders, Vol. 52, No. 4, 04.2022, p. 1587-1597.

Research output: Contribution to journal › Article › peer-review

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AU - Velott, Diana L.

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AU - Dick, Andrew W.

AU - Mandell, David S.

AU - Stein, Bradley D.

AU - Murray, Michael J.

AU - Ba, Djibril M.

AU - Cidav, Zuleyha

AU - Leslie, Douglas L.

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

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