20 octobre 2013

How States use medicaid to fund community-based services to children with autism spectrum disorders

Traduction: G.M.

Psychiatr Serv. 2013 Oct 1;64(10):1051-5. doi: 10.1176/appi.ps.201200390.

Comment les Etats utilisent Medicaid pour financer les services communautaires pour les enfants avec des troubles du spectre autistique



This study examined the extent to which state Medicaid agencies funded 16 services for children with autism spectrum disorders: individual therapy, physical and occupational therapy, in-home supports, speech therapy, diagnostic assessment, behavior modification, family therapy, case management, targeted case management, respite, day treatment, social skills training, habilitation services, treatment planning, family education and training, and assistive communication devices. 


Procedure codes in the Medicaid Analytic eXtract (MAX) "other therapies" file were used to identify community-based services commonly delivered to children with a diagnosis of a primary autism spectrum disorder. 


Quatre services sont couramment utilisés pour traiter les déficits de base de ces troubles: physiothérapie et l'ergothérapie, l'orthophonie, la modification du comportement et de la formation aux habiletés sociales. Seuls six États financent les quatre services.


States varied considerably in use of Medicaid to reimburse these services, indicating that some states may have opportunities to receive federal matching funds. 
PMID: 24081405

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