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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Medicaid Disruption Among Transition-Age Youth on the Autism Spectrum
Medical care research and review, v 79(4), pp 525-534
11 Oct 2021
PMID: 34632834
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Enrollment in Medicaid facilitates access to needed services among transition-age youth on the autism spectrum and youth with intellectual disability (ID). There are long-standing programs to ensure that individuals with ID remain enrolled as they age; similar programs for autistic youth are newer, not as widespread, and may not be as effective. We compared Medicaid disenrollment and re-enrollment between transition-age youth on the autism spectrum, youth with ID, and youth with both diagnoses using a national claims-based prospective cohort study from 2008 through 2012. Autistic youth were most likely to disenroll and least likely to re-enroll. Disenrollment peaked for all three groups at ages 19 and 21. Transition-age youth on the autism spectrum experience more disruptions in access to Medicaid-reimbursed services than youth with ID. More equitable Medicaid enrollment options for autistic individuals are needed to ensure their access to critical health care as they age.
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Details
- Title
- Medicaid Disruption Among Transition-Age Youth on the Autism Spectrum
- Creators
- Lindsay Shea - Drexel UniversitySha Tao - Drexel UniversitySteven C. Marcus - Annenberg Public Policy CenterDavid Mandell - Annenberg Public Policy CenterAndrew J. Epstein - Medicus Economics, Milton, MA, USA.
- Publication Details
- Medical care research and review, v 79(4), pp 525-534
- Publisher
- Sage
- Number of pages
- 10
- Grant note
- 5R01MH117653 / National Institute for Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000708033300001
- Scopus ID
- 2-s2.0-85117140870
- Other Identifier
- 991019168360904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services