Evidence map›Paper›PMID 34251042›Full record

ArticleHealth services research2021

States' use of Medicaid to meet the needs of autistic individuals.

Lindsay Lawer Shea, Kaitlin H Koffer Miller, Kate Verstreate, Sha Tao, David Mandell

Abstract read
In one paragraph

Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Epidemiology of Alzheimer Disease and Related Dementia Among Medicare and Medicaid Enrolled Autistic Adults, 2011-2019.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  6. Article
  7. Review
  8. Toward Equity in Research on Intellectual and Developmental Disabilities.American journal on intellectual and developmental disabilities · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Medicaid Disruption Among Transition-Age Youth on the Autism Spectrum.Medical care research and review : MCRR · 2022
    Article
  13. 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

5 authors.

Lindsay Lawer SheaA.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-0610-0355
Kaitlin H Koffer MillerA.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-9198-5970
Kate VerstreateA.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.
Sha TaoA.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA.
David MandellPerelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

Identifying Co-Occurrence and Service Use Profiles of Alzheimer's Disease and Autism Spectrum DisorderR01MH117653 · NIMH · DREXEL UNIVERSITY · PI SHEA, LINDSAY LAWER · 2018 to 2021
$2.1M
NIMH NIH HHS R01 MH117653
6 · The paper itself

Abstract

objectiveTo assess the use of Medicaid programs, including waivers, to address the needs of aging autistic individuals. DATA SOURCES: We gathered data on Medicaid programs in place between 2004 and 2015 for 50 states and the District of Columbia from the Centers for Medicare and Medicaid Services website, by contacting state Medicaid administrators and advocacy groups, and by reviewing the Medicaid Analytic eXtract Waiver Crosswalk. STUDY

designThis retrospective analysis classified each Medicaid program and documented state changes over time in eligibility criteria: those serving autism spectrum disorder only, autism spectrum disorder or intellectual disability, and intellectual disability only. DATA COLLECTION/EXTRACTION

methodsWe captured age and diagnosis eligibility criteria for Medicaid programs serving any of the three target groups. PRINCIPAL

findingsA total of 269 Medicaid programs met our criteria and most programs (51%) were 1915(c) waivers. The number of autism-specific 1915(c) waivers grew more than fivefold during the study period, outpacing increases in waivers serving individuals with intellectual disability.

conclusionsStates varied in their use of Medicaid to address the needs of the aging autism population. Further study of characteristics of states that changed their Medicaid programs, and of the health care use and outcomes associated with these changes, are needed to identify opportunities to replicate effective approaches to meeting the needs of this population.

Indexed as

MedicaidState GovernmentAdultAgedAutism Spectrum DisorderDistrict of ColumbiaEligibility DeterminationHealth PolicyHumansIntellectual DisabilityMiddle AgedProgram EvaluationRetrospective StudiesUnited Statesdisabilityhealth care financinghealth policyMedicaidprogram evaluation

Identifiers

PMID34251042
PMCPMC8586478

What OpenQuestion holds

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Registered trials

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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.