Use of preventive wellness office visits among Medicaid members with disabilities: Analysis of Medicaid billing data
Method: FY2011 claims data of Aged, Blind, and Disabled (ABD) Medicaid members (n = 39,653) residing in a large Midwestern state were used. Utilizing Clinical Classification Software (CCS), a classification of ICD9 codes, members with developmental disabilities (e.g., communication disorders, developmental disorders, intellectual disabilities, and learning disorders) and physical disabilities (e.g., spinal cord injury, multiple sclerosis, muscular dystrophy, polio, cerebral palsy, and spina bifida) were identified. A preventive office visit was defined using Current Procedure Terminology (CPT) codes associated with the claim.
Results: Among 2,640 members with developmental disabilities, 12.2% (95%CI: 11.0%-13.5%) have claims associated with wellness office visits. The rate was 6.9% (6.2%-7.6%) for 4,681 members with physical disabilities. For both groups, females were significantly more likely to access the service than males.
Conclusion: Utilization of preventive health care by ABD Medicaid members, particularly those with physical disabilities and males, needs be encouraged to prevent or delay the onset of additional chronic conditions.
Learning Areas:Chronic disease management and prevention
Public health or related public policy
Discuss preventive health service utilization by people with disabilities.
Keyword(s): Health Care Access, Disabilities
Qualified on the content I am responsible for because: I am a member of research team evaluating state Medicaid program. As part of project activities, I have analyzed Medicaid encounter data that was used in the current study.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.