Can Medicaid Claims Validly Ascertain Foster Care Status?
Can Medicaid Claims Validly Ascertain Foster Care Status?
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DOI：
10.1177/1077559517712261
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发表时间：
2017-08-01
影响因子：
5.1
通讯作者：
Allaire, Benjamin T.
中科院分区：
文献类型：
--
作者：
Raghavan, Ramesh;Brown, Derek S.;Allaire, Benjamin T.
在当前的文献中，医疗补助索赔已被用来确定寄养儿童的群体；然而，这种方法能否有效确定寄养人口尚不清楚。这项研究使用社会安全号码将全国儿童和青少年福祉调查中的儿童与 36 个州的医疗补助申请联系起来。利用这一匹配，我们检查了看护者的寄养安置报告与孩子的医疗补助申请中包含的寄养资格代码之间的不一致。只有 73% 被寄养至少一年的青少年显示出寄养资格的医疗补助代码。在接触儿童福利的所有青少年中，有一半的人表现出看护者报告与医疗补助索赔之间的不一致。使用急诊室的儿童以及参加初级保健病例管理健康保险安排的儿童准确确定的几率最高。使用医疗补助声明来识别寄养儿童群体会导致较高的未确定率。用调查数据补充行政数据是提高查明有效性的一种方法。
Medicaid claims have been used to identify populations of children in foster care in the current literature; however, the ability of such an approach to validly ascertain a foster care population is unknown. This study linked children in the National Survey of Child and Adolescent Well-Being-I to their Medicaid claims from 36 states using their Social Security numbers. Using this match, we examined discordance between caregiver report of foster care placement and the foster care eligibility code contained in the child's Medicaid claims. Only 73% of youth placed in foster care for at least a year displayed a Medicaid code for foster care eligibility. Half of all youth coming into contact with child welfare displayed discordance between caregiver report and Medicaid claims. Children with emergency department utilization, and those in primary care case management health insurance arrangements, had the highest odds of accurate ascertainment. The use of Medicaid claims to identify a cohort of children in foster care results in high rates of underascertainment. Supplementing administrative data with survey data is one way to enhance validity of ascertainment.