INTRODUCTION: Medicaid-enrolled @entity1 with @entity72 ( @entity72 ) encounter significant barriers to dental care. Iowa's I-Smile Program was implemented in 2006 to improve dental use for all @entity1 in Medicaid. This study compared dental home and preventive dental utilization rates for Medicaid-enrolled @entity1 by @entity72 status and within three time periods (pre-implementation, initial implementation, maturation) and determined I-Smile's longitudinal influence on @entity72 -related dental use disparities. METHODS: Data from 2002-2011 were analyzed for newly Medicaid-enrolled @entity1 aged 3-17 years (N=30,059); identified each @entity1 's @entity72 status; and assessed whether the @entity1 had a dental home or utilized preventive dental care. Log-linear regression models were used to generate rate ratios. Analyses were conducted in 2015. RESULTS: In 2003-2011, 9.8% of @entity1 with @entity72 had dental homes compared with 8% of @entity1 without @entity72 ; 36.3% of @entity1 with @entity72 utilized preventive care compared to 45.7% of @entity1 without @entity72 . There were no significant differences in dental home rates by @entity72 status during pre-implementation, initial implementation, or maturation. There were no significant differences in preventive dental utilization by @entity72 status during pre-implementation or initial implementation, but @entity1 with @entity72 were significantly less likely to utilize preventive care during maturation (rate ratio=0.79, p<0.001). Longitudinal trends in dental home and preventive dental utilization rates were not significant (p=0.54 and p=0.71, respectively). CONCLUSIONS: Among newly Medicaid-enrolled @entity1 in Iowa's I-Smile Program, those with ASDs were not less likely than those without @entity72 to have dental homes but were significantly less likely to utilize preventive dental care.

Dental Homes for XXXX With Autism: A Longitudinal Analysis of Iowa Medicaid's I-Smile Program.

@entity1 :: ('9606', 'Species') :: ['child', 'children'] @entity72 :: ('MESH:D002659', 'Disease') :: ['autism spectrum disorder', 'ASD']
@entity1 :: (9606,Species) :: ['Children']
