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

TitleTransition-Age Medicaid Coverage for Adolescents With Autism and Adolescents With Intellectual Disability.
Publication TypeJournal Article
Year of Publication2019
AuthorsShea, LL, Field, R, Xie, M, Marcus, S, Newschaffer, C, Mandell, D
JournalAm J Intellect Dev Disabil
Volume124
Issue2
Pagination174-185
Date Published2019 Mar
ISSN1944-7558
Abstract

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.

DOI10.1352/1944-7558-124.2.174
Alternate JournalAm J Intellect Dev Disabil
PubMed ID30835524