Evidence map›Paper›PMID 33966133›Full record

ArticleJournal of autism and developmental disorders2022

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

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of autism and developmental disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Guodong LiuDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, 90 Hope Drive, Hershey, PA, 17033, USA. gliu@phs.psu.edu.ORCID http://orcid.org/0000-0001-8683-0803
Diana L VelottDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, 90 Hope Drive, Hershey, PA, 17033, USA.
Lan KongDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, 90 Hope Drive, Hershey, PA, 17033, USA.
Andrew W DickThe RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA, 15213, USA.
David S MandellDepartment of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA, 19104, USA.
Bradley D SteinThe RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA, 15213, USA.
Michael J MurrayDepartment of Psychiatry, College of Medicine, Pennsylvania State University, 500 University Drive, Hershey, PA, 17033, USA.
Djibril M BaDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, 90 Hope Drive, Hershey, PA, 17033, USA.
Zuleyha CidavDepartment of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA, 19104, USA.
Douglas L LeslieDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, 90 Hope Drive, Hershey, PA, 17033, USA.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
The Effects of Medicaid Waivers on Autism Service Use and ExpendituresR01MH108558 · NIMH · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LESLIE, DOUGLAS L., MANDELL, DAVID S · 2016 to 2018
$1.7M
NCATS NIH HHS UL1 TR002014NIMH NIH HHS 5R01MH108558NIMH NIH HHS R01 MH108558
6 · The paper itself

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.

Indexed as

Autism Spectrum DisorderEmergency Service, HospitalMedicaidAdolescentCommunity Health ServicesHome Care ServicesHumansIntellectual DisabilityPatient Acceptance of Health CareRetrospective StudiesUnited StatesAutism spectrum disorderEmergency departmentsHome and community-based services waiverMedicaid

Identifiers

PMID33966133
PMCPMC12082708

What OpenQuestion holds

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Registered trials

None linked

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.