Jun 20, 2015

Medicaid 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder

Autism : the International Journal of Research and Practice
Diana L VelottDouglas L Leslie

Abstract

This research aims to describe the characteristics of 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder across states and over time. While increasingly popular, little is known about these Medicaid waivers. Understanding the characteristics of these programs is important to clinicians and policymakers in designing programs to meet the needs of this vulnerable population and to set the stage for evaluating changes that occur with the implementation of health-care reform. Home- and Community-Based Services waiver applications that included children with autism spectrum disorder as a target population were collected from the Centers for Medicare and Medicaid Services website, state websites, and state administrators. A data extraction tool was used to document waiver inclusions and restrictions, estimated service provision and institutional costs, and the inclusion of four core autism spectrum disorder services: respite, caregiver support and training, personal care, and evidence-based treatments. Investigators identified 50 current or former waivers across 29 states that explicitly included children with autism spectrum disorder in their target populations. Waivers differed substantiall...Continue Reading

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Mentioned in this Paper

Vulnerable Populations
Home Care of Patient
Research
Health Services
Spouse Caregivers
Administrator (Computer)
Home Environment
Medicare DRG Payor
Community Health Services
Clinician

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