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Bilaver, Lucy A.; Sobotka, Sarah A.; Mandell, David S. – Journal of Autism and Developmental Disorders, 2021
Racial and ethnic disparities in the use of nine common autism-related services among Medicaid-enrolled children with autism spectrum disorder (ASD) were examined, distinguishing between school and other community-based outpatient settings. Using 2012 Medicaid Analytic Extract data, we identified 117,848 continuously enrolled children with ASD.…
Descriptors: Autism, Pervasive Developmental Disorders, Racial Differences, African Americans
Kang-Yi, Christina D.; Locke, Jill; Pellecchia, Melanie; Marcus, Steven C.; Hadley, Trevor; Mandell, David S. – School Mental Health, 2016
This study compared in-school and out-of-school behavioral health service use and associated expenditures among children of different ages and with different psychiatric disorders. Medicaid claims from one city provided a sample of 24,271 children aged 5-17 years with psychiatric disorders who received one or more Medicaid-funded behavioral health…
Descriptors: Costs, Mental Disorders, School Health Services, Health Services
Locke, Jill; Kang-Yi, Christina D.; Pellecchia, Melanie; Marcus, Steven; Hadley, Trevor; Mandell, David S. – Journal of School Health, 2017
Background: We examined racial/ethnic disparities in school-based behavioral health service use for children with psychiatric disorders. Methods: Medicaid claims data were used to compare the behavioral healthcare service use of 23,601 children aged 5-17 years by psychiatric disorder (autism, attention deficit hyperactivity disorder [ADHD],…
Descriptors: Racial Differences, Ethnic Groups, School Health Services, Access to Health Care
Daniels, Amy M.; Mandell, David S. – Journal of Autism and Developmental Disorders, 2013
This study estimated compliance with American Academy of Pediatrics (AAP) guidelines for well-child care and the association between compliance and age at diagnosis in a national sample of Medicaid-enrolled children with autism (N = 1,475). Mixed effects linear regression was used to assess the relationship between compliance and age at diagnosis.…
Descriptors: Children, Compliance (Psychology), Age Differences, Clinical Diagnosis
Cidav, Zuleyha; Lawer, Lindsay; Marcus, Steven C.; Mandell, David S. – Journal of Autism and Developmental Disorders, 2013
This study examined differences by age in service use and associated expenditures during 2005 for Medicaid-enrolled children with autism spectrum disorders. Aging was associated with significantly higher use and costs for restrictive, institution-based care and lower use and costs for community-based therapeutic services. Total expenditures…
Descriptors: Health Services, Physical Therapy, Autism, Speech Therapy
Mandell, David S.; Machefsky, Aliza; Rubin, David; Feudtner, Chris; Pita, Susmita; Rosenbaum, Sara – Journal of School Health, 2008
Background: Recent changes to Medicaid policy may have unintended consequences in the education system. This study estimated the potential financial impact of the Deficit Reduction Act (DRA) on school districts by calculating Medicaid-reimbursed behavioral health care expenditures for school-aged children in general and children in special…
Descriptors: Health Services, Expenditures, Health Needs, Budgets