Place of residence affects routine dental care in the intellectually and developmentally disabled adult population on Medicaid.
OBJECTIVE
To compare the likelihood of intellectually and developmentally disabled (ID/DD) adults receiving a dental cleaning across places of residence.


METHODS
Medicaid and Minnesota's Medicaid Management Information System (MMIS) databases.


METHODS
All adults with DD assessments in MMIS in 2001-2002.


METHODS
All completed DD assessments in 2001-2002 linked to Medicaid utilization data for same recipients for same years.


CONCLUSIONS
The most disabled individuals are generally least likely to receive a dental cleaning. Individuals living in their own or a family home are less likely to receive the procedure than those living in ICF/MRs or a group home, even after controlling for disability, with those living in a group home falling in between ICF/MR and own/family home residents. The level of preventive dental care that ID/DD adults receive in community settings may be inadequate, particularly for persons living in own homes or with family.
Bershadsky
Julie
J
Human Services Research Institute, 2336 Massachusetts Ave, Cambridge, MA 02140, USA. jbershadsky@hsri.org
Kane
Robert L
RL
D000203:Activities of Daily Living / Q000145:classification; D000328:Adult; D003730:Dental Care for Persons with Disabilities / Q000706:statistics & numerical data*; D003777:Dental Prophylaxis / Q000706:statistics & numerical data; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005190:Family; D005260:Female; D005581:Foster Home Care / Q000706:statistics & numerical data; D016352:Group Homes / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D007344:Insurance Claim Reporting / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008484:Medicaid / Q000706:statistics & numerical data*; D008875:Middle Aged; D008910:Minnesota; D010067:Ownership / Q000706:statistics & numerical data; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D014481:United States