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Transition-Age Medicaid Coverage for Adolescents With Autism and Adolescents With Intellectual Disability
Journal article   Open access   Peer reviewed

Transition-Age Medicaid Coverage for Adolescents With Autism and Adolescents With Intellectual Disability

Lindsay L Shea, Robert Field, Ming Xie, Steven Marcus, Craig Newschaffer and David Mandell
American journal on intellectual and developmental disabilities, v 124(2), pp 174-185
Mar 2019
PMID: 30835524
url
https://doi.org/10.1352/1944-7558-124.2.174View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Adolescent Adult Autism Spectrum Disorder - epidemiology Cohort Studies Female Humans Intellectual Disability - epidemiology Male Medicaid Prospective Studies Survival Analysis United States - epidemiology Young Adult
Although the majority of adolescents with autism spectrum disorder (ASD) rely on healthcare coverage through Medicaid during their transition into adulthood, little is known about their continuing eligibility. This study used Medicaid Analytic Extract (MAX) data to examine Medicaid coverage in a national sample using a cohort of adolescents with ASD ( n = 4,179) and a like-aged cohort with intellectual disability (ID, n = 21,844) over 5 years using survival analysis and Cox regression models. More than 1 in 4 adolescents with ASD lost coverage and fewer than half subsequently regained it. They were more likely to disenroll than adolescents with ID. Similarities in overall patterns among the 2 groups suggest that the experience of adolescents with ASD was characteristic of more general aspects of behavioral health coverage and indicate the need for programmatic reforms.

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9 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Education, Special
Rehabilitation
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