Autism Prevalence in the Medicaid Program and Healthcare Utilization and Costs Among Adult Enrollees Diagnosed with Autism

Adm Policy Ment Health. 2019 Nov;46(6):768-776. doi: 10.1007/s10488-019-00960-z.

Abstract

As the number of individuals diagnosed with autism increases, there is an increase in demand to provide support throughout their lifespan. This study aimed to: (1) estimate trends in the prevalence of autism diagnoses and medical services use in adults with autism diagnoses; (2) assess predictors of healthcare utilization and costs among adults with autism diagnoses enrolled in Medicaid. A retrospective analysis of 2006-2008 Medicaid claims for 39 states was conducted. There was a 38% increase in the prevalence of autism diagnoses from 2006 to 2008. Total expenditures and outpatient and ER visits varied significantly by demographic variables.

Keywords: Autism spectrum disorders; Costs; Healthcare utilization; Medicaid; Prevalence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Autistic Disorder / economics*
  • Autistic Disorder / epidemiology*
  • Female
  • Health Care Costs*
  • Humans
  • Male
  • Medicaid / economics*
  • Patient Acceptance of Health Care*
  • Prevalence
  • Retrospective Studies
  • United States
  • Young Adult