ArticleHealth services research2019
The effect of Medicaid waivers on ameliorating racial/ethnic disparities among children with autism.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- A Review of the Literature on the Multiple Forms of Stigmatization of Caregivers of Children with Autism Among Ethnic Minority Groups.Journal of racial and ethnic health disparities · 2024Pooled it
- Access to Autism Behavioral Therapy Services: An Analysis of 2022-2023 National Survey of Children's Health Data.Journal of autism and developmental disorders · 2026Article
- Short report: Disparities in hours of applied behavior analysis services for Medicaid-enrolled autistic youth.Autism : the international journal of research and practice · 2026Article
- The Influence of Policy on Early Diagnosis and Other Autism Services: A Narrative Review.Review journal of autism and developmental disorders · 2025Article
- State-Level Variation in Racial-Ethnic Disparities in Access to Children's Mental Health Care.Psychiatric services (Washington, D.C.) · 2025Article
- The impact of state policy on early autism diagnosis: A qualitative investigation.Autism : the international journal of research and practice · 2025Article
- Funding the future: safeguarding pediatric health equity through CMS and CHIP.Frontiers in public health · 2025Review
- ASD Diagnosis and Treatment Experiences Among Mexican Heritage Families.Journal of autism and developmental disorders · 2023Article
- Lifespan service receipt and unmet needs among individuals on the autism spectrum.Administration and policy in mental health · 2022Article
- Patterns of Intervention Utilization Among School-Aged Children with Autism Spectrum Disorder: Findings from a Multi-Site Research Consortium.Research in autism spectrum disorders · 2022Article
- Analysis of Race and Sex Bias in the Autism Diagnostic Observation Schedule (ADOS-2).JAMA network open · 2022Article
- 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 · 2022Article
- Co-occurring conditions and racial-ethnic disparities: Medicaid enrolled adults on the autism spectrum.Autism research : official journal of the International Society for Autism Research · 2022Article
- States' use of Medicaid to meet the needs of autistic individuals.Health services research · 2021Article
- Understanding Racial and Ethnic Disparities in Autism-Related Service Use Among Medicaid-Enrolled Children.Journal of autism and developmental disorders · 2021Article
- Healthcare Costs of Pediatric Autism Spectrum Disorder in the United States, 2003-2015.Journal of autism and developmental disorders · 2021Article
- Spending on Young Children With Autism Spectrum Disorder in Employer-Sponsored Plans, 2011-2017.Psychiatric services (Washington, D.C.) · 2021Article
- Meeting FACES: Preliminary Findings from a Community Workshop for Minority Parents of Children with Autism in Central North Carolina.Journal of autism and developmental disorders · 2020Article
- The effect of Medicaid waivers on ameliorating racial/ethnic disparities among children with autism.Health services research · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo examine the effects of Medicaid Home and Community-based Services (HCBS) waivers on reducing racial/ethnic disparities in unmet need for services among families of children with autism spectrum disorder (ASD). DATA SOURCES: Data from the 2003, 2007, and 2011 waves of the National Survey of Children's Health and the 2005 and 2010 waves of the National Survey of Children with Special Health Care Needs were used. Data on waiver characteristics were collected from source materials that were submitted in support of each state's waiver application. Waiver characteristics were combined to create a single waiver generosity variable. STUDY
designQuasi-difference-in-difference-in-difference models were used to determine the effect of waiver generosity on racial/ethnic disparities in unmet need among children with ASD. PRINCIPAL
findingsIncreased waiver generosity was associated with significantly reduced odds of having unmet need for black children with ASD compared with white children with ASD. Unmet needs among black children with ASD were roughly cut in half, a 13 percentage point decrease, with the implementation of an average generosity waiver. No significant differences were seen for Hispanic ethnicity.
conclusionThese findings suggest that Medicaid HCBS waivers have the potential to ameliorate disparities in unmet need among children with ASD. Future policy development should focus on replicating the most effective characteristics of these waivers.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.