Medicaid Waivers Targeting Children With Autism Spectrum Disorder Reduce The Need For Parents To Stop Working.

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TitleMedicaid Waivers Targeting Children With Autism Spectrum Disorder Reduce The Need For Parents To Stop Working.
Publication TypeJournal Article
Year of Publication2017
AuthorsLeslie, DL, Iskandarani, K, Velott, DL, Stein, BD, Mandell, DS, Agbese, E, Dick, AW
JournalHealth Aff (Millwood)
Volume36
Issue2
Pagination282-288
Date Published2017 Feb 01
ISSN1544-5208
KeywordsAdolescent, Autism Spectrum Disorder, Child, Child, Preschool, Eligibility Determination, Employment, Health Surveys, Humans, Income, Medicaid, Parents, United States
Abstract

Several states have passed Medicaid home and community-based services waivers that expand eligibility criteria and available services for children with autism spectrum disorder. Although previous research has shown considerable variation in these waivers, little is known about the programs' impact on parents' workforce participation. We used nationally representative survey data combined with detailed information on state Medicaid waiver programs to determine the effects of waivers on whether parents of children with autism spectrum disorder had to stop working because of the child's condition. Increases in the Medicaid home and community-based services waiver cost limit and enrollment limit significantly reduced the likelihood that a parent had to stop working, although the results varied considerably by household income level. These findings suggest that the Medicaid waivers are effective policies to address the care-related needs of children with autism spectrum disorder.

DOI10.1377/hlthaff.2016.1136
Alternate JournalHealth Aff (Millwood)
PubMed ID28167717
PubMed Central IDPMC5819340
Grant ListR01 MH108558 / MH / NIMH NIH HHS / United States