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

Medicaid Waivers Targeting Children With Autism Spectrum Disorder Reduce The Need For Parents To Stop Working.
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DOI:
10.1377/hlthaff.2016.1136
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发表时间:
2017-02-01
期刊:
Health affairs (Project Hope)
影响因子:
--
通讯作者:
Dick AW
Dick AW
中科院分区:
其他
文献类型:
--
作者:
Leslie DL;Iskandarani K;Velott DL;Stein BD;Mandell DS;Agbese E;Dick AW

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一些州已经通过了医疗补助家庭和社区服务豁免,扩大了自闭症谱系障碍儿童的资格标准和可用服务。尽管之前的研究表明,这些豁免有相当大的差异,但人们对这些计划对父母参与工作的影响知之甚少。我们使用了具有全国代表性的调查数据,并结合了各州医疗补助豁免计划的详细信息,以确定豁免对自闭症谱系障碍儿童的父母是否因为孩子的病情而不得不停止工作的影响。医疗补助家庭和社区服务豁免费用限额和登记限额的增加大大降低了父母不得不停止工作的可能性,尽管结果因家庭收入水平而有很大差异。这些发现表明,医疗补助豁免是解决自闭症谱系障碍儿童护理相关需求的有效政策。
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.
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