Service Utilization and the Individual, Family, and Neighborhood Characteristics of Children with Disabilities in Illinois. TABLES

09/30/1996

TABLE 1. Number of Children by Method of Disabling Condition in Medicaid Services Database: FY 1990-1994
  1990 1991 1992 1993 1994
N % N % N % N % N %
ICD-9-CM SELECTION
Infectious Diseases 41 0.2 60 0.2 63 0.2 115 0.3 143 0.2
   AIDS 20 0.1 43 0.2 53 0.2 102 0.2 127 0.2
   Other Infectious Diseases 21 0.1 17 0.1 10 0.0 13 0.0 16 0.0
Neoplasms 471 2.1 619 2.1 845 2.6 1,190 2.8 1,377 2.0
Endocrine, Nutritional and Metabolic Diseases 678 3.0 892 3.4 1,281 4.0 1,187 2.8 1,769 2.5
Diseases of the Blood and Blood Forming Organs 1,027 4.6 1,171 4.4 1,247 3.9 1,196 2.8 1,512 2.1
   Sickle Cell Anemia 850 3.8 941 3.6 987 3.1 909 2.1 1,127 1.6
   Other Diseases of the Blood and Blood Forming Organs 177 0.8 230 0.9 260 0.8 287 0.7 385 0.5
Mental Disorders   7,776     34.9     9,305     35.3     12,481     39.1     20,740     48.5     37,984     54.0  
   Developmental Speech or Language Disorder 1,381 6.2 1,460 5.5 2,501 7.8 7,138 16.7 13,245 18.8
   Attention Deficit Disorders 1,920 8.6 2,645 10.0 3,623 11.3 4,800 11.2 6,734 9.6
   Disturbance of Emotions Specific to Childhood and Adolescence 176 0.8 288 1.1 599 1.9 1,106 2.6 7,952 11.3
   Other Mental Disorders 4,299 19.3 4,912 18.7 5,758 18.0 7,696 18.0 10,053 14.3
Diseases of the Nervous System and Sense Organs 3,913 17.6 4,538 17.2 4,687 14.7 5,111 12.0 5,888 8.4
   Infantile Cerebral Palsy 1,127 5.1 1,198 4.6 1,277 4.0 1,271 3.0 1,111 1.6
   Hearing Loss 2,241 10.1 2,751 10.4 2,837 8.9 3,217 7.5 3,963 5.6
   Other Diseases of the Nervous System and Sense Organs 545 2.4 589 2.2 573 1.8 623 1.5 814 1.2
Diseases of the Circulatory System 306 1.4 311 1.2 359 1.1 318 0.7 442 0.6
Diseases of the Respiratory System 1,992 8.9 1,861 7.1 2,276 7.1 2,119 5.0 2,576 3.7
   Asthma 1,982 8.9 1,855 7.0 2,272 7.1 2,111 4.9 2,572 3.7
   Other Diseases of the Respiratory System 10 0.0 6 0.0 4 0.0 8 0.0 4 0.0
Diseases of the Digestive System 68 0.3 75 0.3 76 0.2 57 0.1 83 0.1
Diseases of the Genitourinary System 216 1.0 198 0.8 207 0.6 202 0.5 255 0.4
Diseases of the Skin and Subcutaneous Tissue 4 0.0 4 0.0 4 0.0 8 0.0 7 0.0
Diseases of the Musculoskeletal System and Connective Tissue 264 1.2 300 1.1 314 1.0 302 0.7 329 0.5
Congenital Anomolies 2,392 10.7 2,849 10.8 3,069 9.6 2,999 7.0 3,734 5.3
Conditions Originating in the Perinatal Period 26 0.1 90 0.3 69 0.2 73 0.2 100 0.1
Injury and Poisoning 39 0.2 31 0.1 80 0.3 111 0.3 126 0.2
Supplementary Classification 7 0.0 19 0.1 19 0.1 23 0.1 19 0.0
Multiple Diagnoses 3,056 13.7 4,006 15.2 4,874 15.3 6,973 16.3 14,039 19.9
Total Number of Children Identified by ICD-9-CM Diagnosis 22,276 100.0 26,329 100.0 31,951 100.0 42,724 100.0 70,383 100.0
INPATIENT SELECTION
Inpatient Hospitalization: 3 or more Hospitalizations 2,472 43.0 2,096 37.1 1,728 39.8 1,521 32.5 2,388 35.5
Inpatient Hospitalization: Hospitalization 20 Days or Longer 2,745 47.7 3,035 53.8 2,284 52.6 2,822 60.3 3,757 55.9
Inpatient Hospitalization: 3 or more Hospitalization and Hospitalization 20 Days or Longer 533 9.3 512 9.1 334 7.7 339 7.2 578 8.6
Total Number of Children Identified by Inpatient Hospitalization 5,750 100.0 5,643 100.0 4,346 100.0 4,682 100.0 6,723 100.0
PROVIDER TYPE SELECTION
Physical Therapists 14 0.2 12 0.2 33 0.4 41 0.1 71 0.4
Occupational Therapists 1 0.0 9 0.1 19 0.3 56 0.5 84 0.4
Speech Therapists 26 0.4 53 0.7 61 0.8 79 0.7 146 0.7
Audiologists 648 9.7 877 11.3 713 9.5 553 4.7 705 3.6
MR Facilities 0 0.0 0 0.0 2 0.0 58 0.5 536 2.7
Psychiatric Hospitals 122 1.8 315 4.1 328 4.4 493 4.2 818 4.2
Rehabilitation Hospitals 128 1.9 136 1.8 194 2.6 340 2.9 482 2.4
Nursing Facilities 643 9.6 585 7.5 598 8.0 35 0.3 11 0.1
Long Term Care Facilities (State) 781 11.7 719 9.3 668 8.9 444 3.8 266 1.4
Mental Health Services Provider 40 0.6 349 4.5 1,504 20.0 5,694 48.8 11,216 57.0
ICF/MI Facility 2 0.0 4 0.1 3 0.0 4 0.0 1 0.0
Home Health Agencies 2,729 40.7 2,920 37.6 2,545 33.9 2,097 18.0 3,029 15.4
Community Health Agencies 1,367 20.4 1,484 19.1 529 7.1 503 4.3 714 3.6
DORS Schools 0 0.0 0 0.0 0 0.0 73 0.6 110 0.6
Multiple Service Providers 197 2.9 298 3.8 305 4.1 1,190 10.2 1,491 7.6
Total Number of Children Identified by Provider Type 6,698 100.0 7,761 100.0 7,502 100.0 11,660 100.0 19,680 100.0
CATEGORY OF SERVICE SELECTION
DCFS Rehab Option 0 0.0 0 0.0 0 0.0 1,423 4.8 3,775 7.7
Physical Therapy 90 0.7 115 0.7 168 0.9 234 0.8 339 0.7
Occupational Therapy 92 0.7 176 1.1 396 2.0 526 1.8 806 1.6
Speech Therapy 1,310 9.7 1,578 10.0 2,507 12.9 7,909 26.4 16,052 32.8
Audiology Services 683 5.0 779 4.9 949 4.9 1,312 4.4 2,337 4.8
Psychiatric Clinic Services 2,899 21.4 2,920 18.5 3,457 17.8 3,638 12.2 4,724 9.6
Rehab Clinic Services 96 0.7 132 0.8 158 0.8 243 0.8 194 0.4
DMHDD Clinic Option 40 0.3 348 2.2 1,175 6.0 1,132 3.8 1,506 3.1
DMHDD Rehab Option 0 0.0 0 0.0 265 1.4 2,462 8.2 4,573 9.3
Alcohol and Drug Services 454 3.4 683 4.3 759 3.9 973 3.3 1,301 2.7
Exceptional Care-Hosp Residing 0 0.0 0 0.0 0 0.0 0 0.0 3 0.0
Prosthetic Devices 6,385 47.1 7,615 48.3 8,153 41.9 8,226 27.5 10,976 22.4
Targeted Case Management 0 0.0 0 0.0 62 0.3 630 2.1 1,308 2.7
LTC Skilled 6 0.0 11 0.1 8 0.0 5 0.0 5 0.0
LTC Intermediate 133 1.0 162 1.0 204 1.0 188 0.6 167 0.3
ICF/MR Skilled Pediatric 660 4.9 582 3.7 534 2.7 492 1.6 487 1.0
LTC Special Living Center 1 0.0 0 0.0 0 0.0 0 0.0 1 0.0
MI Recipient Under 22 675 5.0 663 4.2 643 3.3 529 1.8 401 0.8
MI Recipient Non-matchable 0 0.0 1 0.0 1 0.0 0 0.0 1 0.0
LTC Day Care 20 0.1 14 0.1 10 0.1 8 0.0 10 0.0
Total Number of Children Identified by Category of Service 13,544 100.0 15,779 100.0 19,449 100.0 29,930 100.0 48,966 100.0


TABLE 2. Selection Method Used to Identify Disabling Conditions in the Medicaid Services Data: FY 1990-1994
Method 1990 1991 1992 1993 1994
N % N % N % N % N %
ICD-9-CM Diagnosis Only   15,202     44.0     17,680     45.1     21,072     46.8     21,668     38.6     32,778     37.3  
Inpatient Service Only 2,240 6.5 1,941 4.9 1,349 3.0 1,427 2.5 1,927 2.2
Category of Service Only 6,353 18.4 7,232 18.4 8,316 18.5 8,671 15.5 10,425 11.9
Provider Type Only 1,377 4.0 1,408 3.6 1,219 2.7 942 1.7 1,303 1.5
ICD-9-CM Diagnosis and Category of Service 1,771 5.1 2,229 5.7 4,914 10.9 10,791 19.2 20,503 23.4
ICD-9-CM Diagnosis and Provider Type 245 0.7 396 1.0 409 0.9 494 0.9 807 0.9
Inpatient and ICD-9-CM Diagnosis 1,451 4.2 1,512 3.9 1,126 2.5 1,099 2.0 1,268 1.4
Inpatient and Category of Service 417 1.2 413 1.1 379 0.8 327 0.6 521 0.6
Inpatient and Provider Type 237 0.7 191 0.5 159 0.4 125 0.2 227 0.3
Provider Type and Category of Service 1,352 3.9 1,465 3.7 1,452 3.2 1,726 3.1 2,784 3.2
ICD-9-CM Diagnosis, Provider Type, and Category of Service 2,491 7.2 3,172 8.1 3,310 7.3 7,089 12.6 12,441 14.2
Inpatient, ICD-9-CM Diagnosis, and Category of Service 409 1.2 457 1.2 380 0.8 420 0.7 662 0.8
Inpatient, ICD-9-CM Diagnosis, and Provider Type 245 0.7 318 0.8 255 0.6 378 0.7 488 0.6
Inpatient, Provider Type, and Category of Service 289 0.8 246 0.6 213 0.5 121 0.2 194 0.2
Inpatient, ICD-9-CM Diagnosis, Provider Type, and Category of Service 462 1.3 565 1.4 485 1.1 785 1.4 1,436 1.6
Total Number of Children 34,541 100.0 39,225 100.0 45,038 100.0 56,063 100.0 87,764 100.0


TABLE 3. Demographic Profile of Children in AABD Programs: FY 1990-1994
  1990 1991 1992 1993 1994
N % N % N % N % N %
All AABD Children   12,148     100     14,839     100     19,986     100     33,555     100     43,941     100  
Race/Ethnicity
White 4,435 36.5 5,330 35.9 6,784 33.9 11,182 33.3 14,164 32.2
African American 6,216 51.2 7,659 51.6 10,876 54.4 18,894 56.3 25,477 58.0
Hispanic 1,395 11.5 1,715 11.6 2,169 10.9 3,221 9.6 3,986 9.1
Asian 88 0.7 120 0.8 139 0.7 212 0.6 250 0.6
Native American 13 0.1 14 0.1 18 0.1 46 0.1 64 0.1
Other 1 0.0 1 0.0 0 0.0 0 0.0 0 0.0
Gender
Female 5,064 41.7 6,073 40.9 7,904 39.5 13,418 40.0 17,368 39.5
Male 7,084 58.3 8,766 59.1 12,082 60.5 20,137 60.0 26,573 60.5
Age at Beginning of Fiscal Year
Less than 1 year 436 3.6 605 4.1 720 3.6 1,365 4.1 1,909 4.3
1 year 424 3.5 528 3.6 786 3.9 1,062 3.2 1,348 3.1
2 years 470 3.9 598 4.0 819 4.1 1,306 3.9 1,515 3.4
3 years 530 4.4 651 4.4 858 4.3 1,368 4.1 1,802 4.1
4 years 560 4.6 690 4.6 932 4.7 1,455 4.3 1,923 4.4
5 years 626 5.2 714 4.8 941 4.7 1,536 4.6 1,999 4.5
6 years 659 5.4 759 5.1 1,062 5.3 1,620 4.8 2,131 4.8
7 years 701 5.8 895 6.0 1,141 5.7 1,790 5.3 2,339 5.3
8 years 750 6.2 918 6.2 1,297 6.5 1,972 5.9 2,552 5.8
9 years 703 5.8 942 6.3 1,313 6.6 2,119 6.3 2,719 6.2
10 years 736 6.1 896 6.0 1,379 6.9 2,253 6.7 2,867 6.5
11 years 691 5.7 930 6.3 1,306 6.5 2,252 6.7 3,044 6.9
12 years 725 6.0 875 5.9 1,316 6.6 2,270 6.8 3,037 6.9
13 years 697 5.7 902 6.1 1,200 6.0 2,275 6.8 3,074 7.0
14 years 721 5.9 863 5.8 1,239 6.2 2,110 6.3 2,987 6.8
15 years 736 6.1 878 5.9 1,115 5.6 2,208 6.6 2,800 6.4
16 years 802 6.6 917 6.2 1,155 5.8 1,993 5.9 2,885 6.6
17 years 1,181 9.7 1,278 8.6 1,407 7.0 2,601 7.8 3,010 6.9


TABLE 4. Demographic Profile of Children in the Special Education Program: FY 1990-1994
  1990 1991 1992 1993 1994
N % N % N % N % N %
All Special Education Children   228,762     100     229,015     100     240,417     100     217,946     100     198,020     100  
Race/Ethnicity
White 161,865 70.8 161,617 70.6 166,419 69.2 151,412 69.5 135,366 68.4
African American 49,886 21.8 49,792 21.7 54,304 22.6 48,370 22.2 45,627 23.0
Hispanic 14,198 6.2 14,868 6.5 16,927 7.0 15,616 7.2 14,884 7.5
Asian 2,530 1.1 2,480 1.1 2,526 1.1 2,353 1.1 1,972 1.0
Native American 187 0.1 177 0.1 190 0.1 165 0.1 162 0.1
Other 96 0.0 81 0.0 51 0.0 30 0.0 9 0.0
Gender
Female 74,241 32.5 75,635 33.0 79,884 33.2 73,171 33.6 65,553 33.1
Male 145,540 63.6 148,074 64.7 158,060 65.7 143,355 65.8 131,750 66.5
Unknown 8,981 3.9 5,306 2.3 2,473 1.0 1,420 0.7 717 0.4
Age at Beginning of Fiscal Year
Less than 1 year 724 0.3 656 0.3 623 0.3 1,508 0.7 597 0.3
1 year 267 0.1 420 0.2 413 0.2 1,670 0.8 1,110 0.6
2 years 1,594 0.7 1,711 0.7 1,974 0.8 2,503 1.1 1,414 0.7
3 years 5,351 2.3 5,463 2.4 5,791 2.4 5,546 2.5 2,817 1.4
4 years 8,971 3.9 9,206 4.0 9,051 3.8 8,439 3.9 5,862 3.0
5 years 13,490 5.9 13,486 5.9 13,883 5.8 11,534 5.3 8,157 4.1
6 years 18,386 8.0 17,154 7.5 17,938 7.5 15,301 7.0 11,473 5.8
7 years 20,792 9.1 20,875 9.1 20,661 8.6 18,539 8.5 14,798 7.5
8 years 21,202 9.3 21,019 9.2 22,119 9.2 18,895 8.7 17,208 8.7
9 years 19,794 8.7 20,375 8.9 20,794 8.6 18,829 8.6 17,237 8.7
10 years 17,860 7.8 19,109 8.3 20,197 8.4 17,566 8.1 17,406 8.8
11 years 16,838 7.4 17,439 7.6 19,250 8.0 17,230 7.9 16,819 8.5
12 years 16,540 7.2 16,686 7.3 17,786 7.4 16,907 7.8 17,117 8.6
13 years 15,249 6.7 16,161 7.1 16,980 7.1 15,500 7.1 16,545 8.4
14 years 14,998 6.6 14,508 6.3 16,096 6.7 14,503 6.7 14,896 7.5
15 years 14,159 6.2 14,012 6.1 14,540 6.0 13,516 6.2 13,768 7.0
16 years 12,624 5.5 11,875 5.2 12,828 5.3 11,322 5.2 12,096 6.1
17 years 9,923 4.3 8,860 3.9 9,493 3.9 8,638 4.0 8,700 4.4


TABLE 5. Demographic Profile of Children in Medicaid Services Program: FY 1990-1994
  1990 1991 1992 1993 1994
N % N % N % N % N %
All Medicaid Services Children   34,541     100     39,225     100     45,038     100     56,063     100     87,764     100  
Race/Ethnicity
White 15,233 44.1 17,986 45.9 21,099 46.8 26,175 46.7 36,987 42.1
African American 15,874 46.0 16,940 43.2 18,771 41.7 23,222 41.4 39,587 45.1
Hispanic 3,158 9.1 3,928 10.0 4,693 10.4 6,057 10.8 10,235 11.7
Asian 222 0.6 299 0.8 413 0.9 529 0.9 837 1.0
Native American 53 0.2 59 0.2 47 0.1 64 0.1 108 0.1
Other 1 0.0 13 0.0 15 0.0 16 0.0 10 0.0
Gender
Female 15,373 44.5 17,337 44.2 19,259 42.8 23,497 41.9 35,896 40.9
Male 19,168 55.5 21,888 55.8 25,779 57.2 32,566 58.1 51,868 59.1
Age at Beginning of Fiscal Year
Less than 1 year 8,733 25.3 9,974 25.4 10,277 22.8 10,791 19.2 14,476 16.5
1 year 1,888 5.5 2,317 5.9 2,815 6.3 2,908 5.2 3,724 4.2
2 years 1,656 4.8 1,949 5.0 2,371 5.3 2,885 5.1 3,849 4.4
3 years 1,548 4.5 1,820 4.6 2,270 5.0 2,859 5.1 4,269 4.9
4 years 1,575 4.6 1,770 4.5 2,195 4.9 2,987 5.3 4,549 5.2
5 years 1,612 4.7 1,886 4.8 2,306 5.1 3,223 5.7 5,250 6.0
6 years 1,676 4.9 1,788 4.6 2,373 5.3 3,349 6.0 5,417 6.2
7 years 1,722 5.0 1,865 4.8 2,258 5.0 3,430 6.1 5,510 6.3
8 years 1,570 4.5 1,773 4.5 2,132 4.7 3,039 5.4 5,522 6.3
9 years 1,466 4.2 1,631 4.2 1,976 4.4 2,739 4.9 4,995 5.7
10 years 1,341 3.9 1,572 4.0 1,849 4.1 2,628 4.7 4,562 5.2
11 years 1,245 3.6 1,454 3.7 1,837 4.1 2,411 4.3 4,347 5.0
12 years 1,315 3.8 1,397 3.6 1,857 4.1 2,464 4.4 4,269 4.9
13 years 1,369 4.0 1,583 4.0 1,797 4.0 2,381 4.2 4,161 4.7
14 years 1,548 4.5 1,638 4.2 1,890 4.2 2,317 4.1 3,948 4.5
15 years 1,497 4.3 1,694 4.3 1,734 3.9 2,201 3.9 3,482 4.0
16 years 1,487 4.3 1,569 4.0 1,682 3.7 1,925 3.4 3,116 3.6
17 years 1,293 3.7 1,545 3.9 1,419 3.2 1,526 2.7 2,318 2.6


TABLE 6. Demographic Profile of Children in DMH Inpatient Programs: FY 1990-1994
  1990 1991 1992 1993 1994
N % N % N % N % N %
All DMH Inpatient Children   294     100     257     100     319     100     255     100     199     100  
Race/Ethnicity
White 143 48.6 129 50.2 150 47.0 131 51.4 97 48.7
African American 122 41.5 110 42.8 132 41.4 98 38.4 83 41.7
Hispanic 26 8.8 16 6.2 31 9.7 24 9.4 17 8.5
Asian 0 0.0 1 0.4 4 1.3 2 0.8 2 1.0
Native American 0 0.0 0 0.0 1 0.3 0 0.0 0 0.0
Other 3 1.0 1 0.4 1 0.3 0 0.0 0 0.0
Gender
Female 113 38.4 148 57.6 113 35.4 95 37.3 588 295.5
Male 144 49.0 171 66.5 142 44.5 104 40.8 736 369.8
Age at Beginning of Fiscal Year
Less than 1 year 15 5.1 13 5.1 23 7.2 12 4.7 5 2.5
1 year 5 1.7 5 1.9 11 3.4 9 3.5 7 3.5
2 years 2 0.7 8 3.1 9 2.8 5 2.0 5 2.5
3 years 4 1.4 8 3.1 8 2.5 9 3.5 5 2.5
4 years 1 0.3 5 1.9 8 2.5 9 3.5 11 5.5
5 years 18 6.1 2 0.8 7 2.2 4 1.6 4 2.0
6 years 8 2.7 16 6.2 4 1.3 7 2.7 4 2.0
7 years 9 3.1 8 3.1 18 5.6 8 3.1 4 2.0
8 years 12 4.1 12 4.7 9 2.8 14 5.5 5 2.5
9 years 12 4.1 9 3.5 8 2.5 14 5.5 12 6.0
10 years 12 4.1 13 5.1 24 7.5 10 3.9 13 6.5
11 years 18 6.1 14 5.4 24 7.5 18 7.1 8 4.0
12 years 23 7.8 19 7.4 23 7.2 18 7.1 20 10.1
13 years 25 8.5 18 7.0 23 7.2 23 9.0 25 12.6
14 years 26 8.8 26 10.1 30 9.4 21 8.2 14 7.0
15 years 34 11.6 34 13.2 27 8.5 30 11.8 12 6.0
16 years 37 12.6 20 7.8 35 11.0 27 10.6 28 14.1
17 years 33 11.2 27 10.5 28 8.8 17 6.7 17 8.5


TABLE 7. Primary Characteristic Category for Children in Special Ed: FY 1990-1994
Category 1990 1991 1992 1993 1994
N % N % N % N % N %
Deaf and Blind 3,842 1.7 3,864 1.7 4,073 1.7 3,942 1.8 4,044 2.0
Learning Disabled   100,382     43.9     103,440     45.2     112,210     46.7     100,699     46.2     96,556     48.8  
Mentally Retarded 21,904 9.6 21,688 9.5 22,578 9.4 19,909 9.1 20,809 10.5
Physical Disability 3,200 1.4 3,230 1.4 3,121 1.3 3,402 1.6 3,013 1.5
Speech or Language Disorder 68,199 29.8 68,515 29.9 68,389 28.4 63,918 29.3 48,522 24.5
Severely Emotionally Disturbed 29,256 12.8 26,241 11.5 27,771 11.6 22,015 10.1 21,769 11.0
Other Type of Disability 1,978 0.9 2,037 0.9 2,275 0.9 4,061 1.9 3,307 1.7
Total Number of Children 228,762 100.0 229,015 100.0 240,417 100.0 217,946 100.0 198,020 100.0


TABLE 8. Number of Children Selected from the Medicaid Services Database by ICD-9 Diagnostic Category: FY 1990-1994
Diagnostic Category 1990 1991 1992 1993 1994
N % N % N % N % N %
Infectious Diseases 78 0.2 90 0.2 107 0.2 177 0.3 215 0.2
   AIDS 16 0.0 35 0.1 42 0.1 86 0.2 97 0.1
   Other Infectious Diseases 62 0.2 55 0.1 65 0.1 91 0.2 118 0.1
Neoplasms 433 1.3 558 1.4 772 1.7 1,122 2.0 1,299 1.5
Endocrine, Nutritional and Metabolic Diseases 628 1.8 847 2.2 1,200 2.7 1,132 2.0 1,733 2.0
Diseases of the Blood and Blood Forming Organs 956 2.8 1,090 2.8 1,175 2.6 1,140 2.0 1,331 1.5
   Sickle Cell Anemia 800 2.3 882 2.2 936 2.1 867 1.5 985 1.1
   Other Diseases of the Blood and Blood Forming Organs 156 0.5 208 0.5 239 0.5 273 0.5 346 0.4
Mental Disorders   7,214     20.9     8,574     21.9     11,697     26.0     19,748     35.2     35,707     40.7  
   Developmental Speech or Language Disorder 1,255 3.6 1,305 3.3 2,268 5.0 6,603 11.8 12,235 13.9
   Attention Deficit Disorders 1,875 5.4 2,574 6.6 3,544 7.9 4,694 8.4 6,465 7.4
   Disturbance of Emotions Specific to Childhood and Adolescence 164 0.5 268 0.7 571 1.3 1,044 1.9 7,603 8.7
   Other Mental Disorders 3,920 11.3 4,427 11.3 5,314 11.8 7,407 13.2 9,404 10.7
Diseases of the Nervous System and Sense Organs 3,113 9.0 3,558 9.1 3,865 8.6 4,453 7.9 5,324 6.1
   Infantile Cerebral Palsy 515 1.5 528 1.3 539 1.2 711 1.3 666 0.8
   Hearing Loss 1,983 5.7 2,377 6.1 2,543 5.6 2,934 5.2 3,651 4.2
   Other Diseases of the Nervous System and Sense Organs 615 1.8 653 1.7 783 1.7 808 1.4 1,007 1.1
Diseases of the Circulatory System 290 0.8 297 0.8 340 0.8 315 0.6 418 0.5
Diseases of the Respiratory System 1,728 5.0 1,572 4.0 1,888 4.2 3,248 5.8 4,671 5.3
   Asthma 1,657 4.8 1,519 3.9 1,827 4.1 2,915 5.2 4,230 4.8
   Other Diseases of the Respiratory System 71 0.2 53 0.1 61 0.1 333 0.6 441 0.5
Diseases of the Digestive System 103 0.3 107 0.3 111 0.2 109 0.2 134 0.2
Diseases of the Genitourinary System 207 0.6 194 0.5 211 0.5 197 0.4 251 0.3
Complications of Pregnancy 43 0.1 56 0.1 116 0.3 115 0.2 140 0.2
Diseases of the Skin and Subcutaneous Tissue 33 0.1 33 0.1 34 0.1 32 0.1 38 0.0
Diseases of the Musculoskeletal System and Connective Tissue 238 0.7 270 0.7 302 0.7 365 0.7 481 0.5
Congenital Anomolies 1,849 5.4 2,282 5.8 2,572 5.7 2,571 4.6 3,251 3.7
Conditions Orignating in the Perinatal Period 338 1.0 420 1.1 405 0.9 839 1.5 1,336 1.5
Symptoms, Signs, and Ill-Defined Conditions 167 0.5 235 0.6 321 0.7 645 1.2 1,054 1.2
Injury and Poisoning 247 0.7 208 0.5 266 0.6 432 0.8 706 0.8
Supplementary Classification 415 1.2 448 1.1 197 0.4 587 1.0 1,760 2.0
Multiple Diagnoses 4,953 14.3 6,169 15.7 7,449 16.5 9,611 17.1 16,765 19.1
Unrequired Code 3,642 10.5 4,452 11.3 4,848 10.8 2,390 4.3 1,835 2.1
Institutional Claim 7,866 22.8 7,765 19.8 7,162 15.9 7,162 12.8 9,315 10.6
Total Number of Children 34,541 100.0 39,225 100.0 45,038 100.0 56,063 100.0 87,764 100.0
* Note: Multiple Diagnosis refers to the presence of diagnoses in more than one valid three digit diagnostic category during an fiscal year.
** Note: ICD-9 codes are not entered on claims for medical supplies and equipment.


TABLE 9. Number of Children Age 13 and Under by Consequtive Years of Program Participation: Entry Cohorts FY 1991-1994
  New Entry Cohort   1 Year 2 Years 3 Years 4 Years 5 Years
N % N % N % N % N %
AABD PROGRAM
FY 1991 3,685 100.0 3,376 91.6 2,856 77.5 2,578 70.0    
FY 1992 5,729 100.0 5,331 93.1 4,900 85.5        
FY 1993 10,968 100.0 10,353 94.4            
FY 1994 10,327 100.0                
SPECIAL EDUCATION PROGRAM
FY 1991   53,346     100.0     40,387     75.7     27,933     52.4     21,271     39.9      
FY 1992 52,241 100.0 35,970 68.9 27,316 52.3        
FY 1993 43,667 100.0 31,385 71.9            
FY 1994 14,799 100.0                
MEDICAID SERVICES
FY 1991 21,217 100.0 6,943 32.7 3,245 15.3 2,351 11.1    
FY 1992 22,950 100.0 7,391 32.2 4,219 18.4        
FY 1993 28,422 100.0 12,754 44.9            
FY 1994 42,355 100.0                
DMH INPATIENT SERVICES
FY 1991 82 100.0 16 19.5 12 14.6 11 13.4    
FY 1992 123 100.0 28 22.8 17 13.8        
FY 1993 64 100.0 13 20.3            
FY 1994 46 100.0                



TABLE 10. Number of Children Entering Disability Programs by Participation in the Past Year: Entry Cohorts FY 1991-1994
  Any Other Participation Last Year Participation in AABD Last Year Participation in Special Education Last Year Participation in Medicaid Last Year Participation in DMH Last Year Total
N % N % N % N % N % N
FY 1991
New AABD Participants 2,487 47.2 N/A N/A 1,678 31.8 1,129 21.4 5 0.1 5,274
New Special Education Participants 1,988 3.2 570 0.9 N/A N/A 1,700 2.7 8 0.0 63,060
New Medicaid Service Participants 3,753 14.2 991 3.8 3,351 12.7 N/A N/A 2 0.0 26,390
New DMH Participants 31 22.1 10 7.1 25 17.9 19 13.6 N/A N/A 140
FY 1992
New AABD Participants 3,971 51.2 N/A N/A 2,732 35.2 1,764 22.7 5 0.1 7,757
New Special Education Participants 2,476 4.0 813 1.3 N/A N/A 2,043 3.3 4 0.0 62,208
New Medicaid Service Participants 4,074 14.7 874 3.1 3,738 13.5 N/A N/A 2 0.0 27,763
New DMH Participants 45 22.1 12 5.9 33 16.2 25 12.3 N/A N/A 204
FY 1993
New AABD Participants 6,873 41.5 N/A N/A 5,151 31.1 2,576 15.6 9 0.1 16,543
New Special Education Participants 2,793 5.5 845 1.7 N/A N/A 2,429 4.8 7 0.0 50,325
New Medicaid Service Participants 6,365 18.7 1,224 3.6 5,981 17.5 N/A N/A 2 0.0 34,122
New DMH Participants 30 24.0 8 6.4 23 18.4 18 14.4 N/A N/A 125
FY 1994
New AABD Participants 5,854 39.3 N/A N/A 3,923 26.4 2,856 19.2 4 0.0 14,879
New Special Education Participants 1,978 10.8 848 4.6 N/A N/A 1,481 8.1 2 0.0 18,246
New Medicaid Service Participants   10,630     20.6     3,044     5.9     9,435     18.3     N/A     N/A   3 0.0   51,522  
New DMH Participants 12 15.2 8 10.1 10 12.7 8 10.1   N/A     N/A   79


TABLE 11. Number of Children Per Fiscal Year by Type of Service Category: FY 1990-1994
Type of Service 1990 1991 1992 1993 1994
N % N % N % N % N %
AABD Services Only 3,939 1.5 4,712 1.8 5,954 2.1 14,374 5.3 18,021 6.5
Special Education Services Only   216,987     83.7     215,265     81.6     221,722     79.3     193,464     70.9     163,210     58.8  
Medicaid Services Only 24,230 9.4 27,395 10.4 29,918 10.7 35,395 13.0 54,172 19.5
DMH Services Only 195 0.1 173 0.1 226 0.1 183 0.1 147 0.1
Special Education and Medicaid Services 5,501 2.1 6,046 2.3 7,710 2.8 10,150 3.7 16,201 5.8
AABD and Medicaid Services 1,971 0.8 2,445 0.9 3,074 1.1 4,853 1.8 7,316 2.6
AABD and Special Education Services 3,444 1.3 4,376 1.7 6,661 2.4 8,692 3.2 8,539 3.1
Medicaid and DMH Services 8 0.0 10 0.0 14 0.0 20 0.0 6 0.0
Special Education and DMH Services 6 0.0 5 0.0 5 0.0 3 0.0 4 0.0
AABD and DMH Services 0 0.0 2 0.0 1 0.0 3 0.0 1 0.0
AABD, Medicaid, and DMH Services 7 0.0 6 0.0 3 0.0 8 0.0 6 0.0
AABD, Special Education and Medicaid Services 2,747 1.1 3,262 1.2 4,250 1.5 5,599 2.1 10,031 3.6
AABD, Special Education, and DMH Services 1 0.0 0 0.0 1 0.0 0 0.0 3 0.0
Special Education, Medicaid, and DMH Services 38 0.0 25 0.0 27 0.0 9 0.0 8 0.0
AABD, Special Education, Medicaid, and DMH Services 39 0.0 36 0.0 42 0.0 29 0.0 24 0.0
Total Number of Children 259,113 100.0 263,758 100.0 279,608 100.0 272,779 100.0 277,689 100.0


TABLE 12. Summary of Multi-Service Utilization by Program Type: FY 1990-1994
  1990 1991 1992 1993 1994
ALL DISABLED CHILDREN   259,113     263,758     279,608     272,779     277,689  
   Multi-Service Users 13,762 16,213 21,788 29,366 42,139
   Services 5.3% 6.1% 7.8% 10.8% 15.2%
  Number of Children
AABD 12,148 14,839 19,986 33,555 43,941
   AABD and Special Education 6,231 7,674 10,954 14,320 18,597
   AABD and Medicaid 4,764 5,749 7,369 10,489 17,377
   AABD and DMH 40 38 44 32 28
   AABD and any other service 8,209 10,127 14,032 19,184 25,920
  Percentage of AABD Children
   % of AABD and Special Education 51.3% 51.7% 54.8% 42.7% 42.3%
   % of AABD and Medicaid 39.2% 38.7% 36.9% 31.3% 39.5%
   % of AABD and DMH 0.3% 0.3% 0.2% 0.1% 0.1%
   % of AABD and any other service 67.6% 68.2% 70.2% 57.2% 59.0%
  Number of Children
SPECIAL EDUCATION 228,763 229,015 240,418 217,946 198,020
   Special Education and AABD 6,231 7,674 10,954 14,320 18,597
   Special Education and Medicaid 8,325 9,369 12,029 15,787 26,264
   Special Education and DMH 84 66 75 41 39
   Special Education and any other service 11,776 13,750 18,696 24,482 34,810
  Percentage of Special Education Children
   % of Special Education and AABD 2.7% 3.4% 4.6% 6.6% 9.4%
   % of Special Education and Medicaid 3.6% 4.1% 5.0% 7.2% 13.3%
   % of Special Education and DMH 0.0% 0.0% 0.0% 0.0% 0.0%
   % of Special Education and any other service 5.1% 6.0% 7.8% 11.2% 17.6%
  Number of Children
MEDICAID SERVICES 34,541 39,225 45,038 56,063 87,764
   Medicaid and AABD 4,764 5,749 7,369 10,489 17,377
   Medicaid and Special Education 8,325 9,369 12,029 15,787 26,264
   Medicaid and DMH 92 77 86 66 44
   Medicaid and any other service 10,311 11,830 15,120 20,668 33,592
  Percentage of Medicaid Children
   % of Medicaid and AABD 13.8% 14.7% 16.4% 18.7% 19.8%
   % of Medicaid and Special Education 24.1% 23.9% 26.7% 28.2% 29.9%
   % of Medicaid and DMH 0.3% 0.2% 0.2% 0.1% 0.1%
   % of Medicaid and any other service 29.9% 30.2% 33.6% 36.9% 38.3%
  Number of Children
DMH SERVICES 294 257 319 255 199
   DMH and AABD 47 44 47 40 34
   DMH and Special Education 84 66 75 41 39
   DMH and Medicaid 92 77 86 66 44
   DMH and any other service 99 84 93 72 52
  Percentage of DMH Children
   % of DMH and AABD 16.0% 17.1% 14.7% 15.7% 17.1%
   % of DMH and Special Education 28.6% 25.7% 23.5% 16.1% 19.6%
   % of DMH and Medicaid 31.3% 30.0% 27.0% 25.9% 22.1%
   % of DMH and any other service 33.7% 32.7% 29.2% 28.2% 26.1%


TABLE 13. Number of Children Per Fiscal Year of Entry by Type of Service Category: Entry Cohorts FY 1991-1994
Type of Service 1991 1992 1993 1994
N % N % N % N %
AABD Services Only 1,771 2.1 2,104 2.5 6,849 8.7 5,642 9.6
Special Education Services Only   59,338     70.5     56,972     68.6     44,017     56.0     14,052     23.8  
Medicaid Services Only 20,697 24.6 21,109 25.4 24,018 30.6 36,103 61.2
DMH Services Only 102 0.1 149 0.2 90 0.1 60 0.1
Special Education and Medicaid Services 1,262 1.5 1,472 1.8 1,858 2.4 1,245 2.1
AABD and Medicaid Services 550 0.7 541 0.7 948 1.2 1,495 2.5
AABD and Special Education Services 344 0.4 554 0.7 544 0.7 243 0.4
Medicaid and DMH Services 1 0.0 4 0.0 0 0.0 1 0.0
Special Education and DMH Services 1 0.0 1 0.0 0 0.0 1 0.0
AABD and DMH Services 0 0.0 0 0.0 1 0.0 0 0.0
AABD, Medicaid, and DMH Services 0 0.0 0 0.0 0 0.0 0 0.0
AABD, Special Education and Medicaid Services 122 0.1 166 0.2 228 0.3 172 0.3
AABD, Special Education, and DMH Services 0 0.0 0 0.0 0 0.0 0 0.0
Special Education, Medicaid, and DMH Services 5 0.0 1 0.0 0 0.0 0 0.0
AABD, Special Education, Medicaid, and DMH Services 0 0.0 0 0.0 0 0.0 0 0.0
Total Number of Children 84,193 100.0 83,073 100.0 78,553 100.0 59,014 100.0


TABLE 14. Summary of Multi-Service Utilization by Program Type: Entry Cohorts FY 1991-1994
  1991 1992 1993 1994
ALL DISABLED CHILDREN   84,193     83,073     78,553     59,014  
   Multi-Service Users 2,285 2,739 3,579 3,157
   Services 2.7% 3.3% 4.6% 5.3%
  Number of Children
AABD 2,787 3,365 8,570 7,552
   AABD and Special Education 466 720 772 415
   AABD and Medicaid 672 707 1,176 1,667
   AABD and DMH 0 0 1 0
   AABD and any other service 1,016 1,216 1,721 1,910
  Percentage of AABD Children
   % of AABD and Special Education 16.7% 21.4% 9.0% 5.5%
   % of AABD and Medicaid 24.1% 21.0% 13.7% 22.1%
   % of AABD and DMH 0.0% 0.0% 0.0% 0.0%
   % of AABD and any other service 36.5% 37.5% 20.1% 25.3%
  Number of Children
SPECIAL EDUCATION 61,072 59,166 46,647 15,713
   Special Education and AABD 466 720 772 415
   Special Education and Medicaid 672 707 1,176 1,667
   Special Education and DMH 6 2 0 1
   Special Education and any other service 1,734 2,194 2,630 1,661
  Percentage of Special Education Children
   % of Special Education and AABD 0.8% 1.2% 1.7% 2.6%
   % of Special Education and Medicaid 1.1% 1.2% 2.5% 10.6%
   % of Special Education and DMH 0.0% 0.0% 0.0% 0.0%
   % of Special Education and any other service 2.8% 3.7% 5.6% 10.6%
  Number of Children
MEDICAID SERVICES 22,637 23,293 27,052 39,016
   Medicaid and AABD 672 707 1,176 1,667
   Medicaid and Special Education 1,389 1,639 2,086 1,417
   Medicaid and DMH 6 5 0 1
   Medicaid and any other service 1,940 2,184 3,034 2,913
  Percentage of Medicaid Children
   % of Medicaid and AABD 3.0% 3.0% 4.3% 4.3%
   % of Medicaid and Special Education 6.1% 7.0% 7.7% 3.6%
   % of Medicaid and DMH 0.0% 0.0% 0.0% 0.0%
   % of Medicaid and any other service 8.6% 9.4% 11.2% 7.5%
  Number of Children
DMH SERVICES 109 055 91 62
   DMH and AABD 0 0 1 0
   DMH and Special Education 6 2 0 1
   DMH and Medicaid 6 5 0 1
   DMH and any other service 7 6 1 2
  Percentage of DMH Children
   % of DMH and AABD 0.0% 0.0% 1.1% 0.0%
   % of DMH and Special Education 5.5% 1.3% 0.0% 1.6%
   % of DMH and Medicaid 5.5% 3.2% 0.0% 1.6%
   % of DMH and any other service 6.4% 3.9% 1.1% 3.2%


TABLE 15. Number of Single Service Children Indicated for Future Multi-Service Use: Entry Cohorts FY 1991-1993
Initial Type of Service   Fiscal Year  
of Entry
After 1 Year After 2 Years After 3 Years Total
N % N % N % N
All Single Service Users 1991   3,559     4.3     6,823     8.3     9,637     11.8     81,908  
1992 5,038 6.3 8,744 10.9     80,334
1993 4,592 6.1         74,974
AABD Services Only 1991 299 16.9 411 23.2 505 28.5 1,771
1992 325 15.4 552 26.2 - - 2,104
1993 740 10.8 - - - - 6,849
Special Education Services Only   1991 1,419 2.4 3,259 5.5 5,391 9.1 59,338
1992 2,590 4.5 5,313 9.3 - - 56,972
1993 2,002 4.5 - - - - 44,107
Medicaid Services Only 1991 1,839 8.9 3,149 15.2 3,737 18.1 20,697
1992 2,122 10.1 2,875 13.6 - - 21,109
1993 1,848 7.7 - - - - 24,018
DMH Services Only 1991 2 2.0 4 3.9 4 3.9 102
1992 1 0.7 4 2.7 - - 149
1993 2 2.2 - - - - 90


TABLE 16. Number of Children Receiving Special Education by Primary Characteristic Category and Type of Service: FY 1990-1994
Category Special Education Special Education and
AABD Services
Special Education and
Medicaid Services
Percent of Special
  Education Children in  
AABD or Medicaid
N % N % N % %
FY 1990
Deaf and Blind 3,843 1.7 476 7.6 309 3.7 15.5
Learning Disabled 100,382 43.9 585 9.4 1,768 21.2 2.2
Mentally Retarded 21,904 9.6 3,303 53.0 2,112 25.4 18.3
Physical Disability 3,200 1.4 668 10.7 616 7.4 25.0
Speech or Language Disorder 68,199 29.8 181 2.9 1,156 13.9 1.9
Severely Emotionally Disturbed   29,256 12.8 763 12.2 2,110 25.3 8.7
Other Type of Disability 1,978 0.9 255 4.1 254 3.1 18.8
Total Number of Children 228,762 100.0 6,231 100.0 8,325 100.0 5.1
FY 1991
Deaf and Blind 3,864 1.7 525 6.8 410 4.4 18.1
Learning Disabled 103,440 45.2 958 12.5 2,168 23.1 2.8
Mentally Retarded 21,688 9.5 3,804 49.6 2,272 24.3 21.0
Physical Disability 3,230 1.4 758 9.9 715 7.6 28.3
Speech or Language Disorder 68,515 29.9 259 3.4 1,299 13.9 2.1
Severely Emotionally Disturbed 26,241 11.5 1,042 13.6 2,167 23.1 10.6
Other Type of Disability 2,037 0.9 328 4.3 338 3.6 23.8
Total Number of Children 229,015 100.0 7,674 100.0 9,369 100.0 6.0
FY 1992
Deaf and Blind 4,073 1.7 654 6.0 432 3.6 20.0
Learning Disabled 112,210 46.7 2,177 19.9 3,113 25.9 4.2
Mentally Retarded 22,578 9.4 4,895 44.7 2,759 22.9 25.7
Physical Disability 3,121 1.3 755 6.9 715 5.9 29.6
Speech or Language Disorder 68,389 28.4 493 4.5 1,916 15.9 3.2
Severely Emotionally Disturbed 27,771 11.6 1,587 14.5 2,687 22.3 13.1
Other Type of Disability 2,275 0.9 393 3.6 407 3.4   25.5  
Total Number of Children   240,417     100.0     10,954     100.0     12,029     100.0   7.8
FY 1993
Deaf and Blind 3,942 1.8 705 4.9 592 3.7 22.4
Learning Disabled 100,699 46.2 3,875 27.1 3,962 25.1 6.8
Mentally Retarded 19,909 9.1 5,312 37.1 3,031 19.2 31.6
Physical Disability 3,402 1.6 891 6.2 937 5.9 33.9
Speech or Language Disorder 63,918 29.3 953 6.7 3,859 24.4 6.9
Severely Emotionally Disturbed 22,015 10.1 1,984 13.9 2,596 16.4 17.5
Other Type of Disability 4,061 1.9 600 4.2 810 5.1 26.0
Total Number of Children 217,946 100.0 14,320 100.0 15,787 100.0 11.2
FY 1994
Deaf and Blind 4,044 2.0 830 4.5 845 3.2 26.2
Learning Disabled 96,556 48.8 5,752 30.9 8,429 32.1 12.1
Mentally Retarded 20,809 10.5 6,536 35.1 5,123 19.5 39.3
Physical Disability 3,013 1.5 855 4.6 930 3.5 36.2
Speech or Language Disorder 48,522 24.5 1,150 6.2 5,534 21.1 12.3
Severely Emotionally Disturbed 21,769 11.0 2,783 15.0 4,567 17.4 26.5
Other Type of Disability 3,307 1.7 691 3.7 836 3.2 31.6
Total Number of Children 198,020 100.0 18,597 100.0 26,264 100.0 17.6


TABLE 17a. Number of Children Receiving Medicaid Services by Type of Selection and Type of Service: FY 1990
Type of Selection   Medicaid Services     Medicaid Services and  
Special Education
  Medicaid Services  
and AABD
Percent of Medicaid
  Services Receiving Special  
Education or AABD
N % N % N % %
ICD-9-CM DIAGNOSIS SELECTION
Infectious Diseases 41 0.1 4 0.0 4 0.1 19.5
   AIDS 20 0.1 0 0.0 2 0.0 10.0
   Other Infectious Diseases 21 0.1 4 0.0 2 0.0 28.6
Neoplasms 471 1.4 70 0.8 86 1.8 27.0
Endocrine, Nutritional and Metabolic Diseases 678 2.0 70 0.8 70 1.5 16.4
Diseases of the Blood and Blood Forming Organs 1,027 3.0 96 1.2 219 4.6 26.0
   Sickle Cell Anemia 850 2.5 72 0.9 194 4.1 26.5
   Other Diseases of the Blood and Blood Forming Organs 177 0.5 24 0.3 25 0.5 23.7
Mental Disorders 7,776 22.5 2,837 34.1 583 12.2 38.9
   Developmental Speech or Language Disorder 1,381 4.0 769 9.2 115 2.4 57.6
   Attention Deficit Disorders 1,920 5.6 861 10.3 127 2.7 46.1
   Disturbance of Emotions Specific to Childhood and Adolescence 176 0.5 52 0.6 8 0.2 31.8
   Other Mental Disorders 4,299 12.4 1,155 13.9 333 7.0 30.0
Diseases of the Nervous System and Sense Organs 3,913 11.3 1,355 16.3 1,130 23.7 44.0
   Infantile Cerebral Palsy 1,127 3.3 666 8.0 784 16.5 80.9
   Hearing Loss 2,241 6.5 569 6.8 234 4.9 28.7
   Other Diseases of the Nervous System and Sense Organs 545 1.6 120 1.4 112 2.4 30.3
Diseases of the Circulatory System 306 0.9 35 0.4 18 0.4 14.1
Diseases of the Respiratory System 1,992 5.8 111 1.3 94 2.0 9.1
   Asthma 1,982 5.7 109 1.3 94 2.0 9.0
   Other Diseases of the Respiratory System 10 0.0 2 0.0 0 0.0 20.0
Diseases of the Digestive System 68 0.2 11 0.1 6 0.1 22.1
Diseases of the Genitourinary System 216 0.6 24 0.3 19 0.4 18.5
Diseases of the Skin and Subcutaneous Tissue 4 0.0 1 0.0 0 0.0 25.0
Diseases of the Musculoskeletal System and Connective Tissue 264 0.8 56 0.7 43 0.9 29.2
Congenital Anomolies 2,392 6.9 318 3.8 389 8.2 21.8
Conditions Originating in the Perinatal Period 26 0.1 0 0.0 0 0.0 0.0
Injury and Poisoning 39 0.1 4 0.0 3 0.1 12.8
Supplementary Classification 7 0.0 1 0.0 4 0.1 57.1
Multiple Diagnoses 3,056 8.8 1,183 14.2 716 15.0 48.5
OTHER SELECTION METHOD
Inpatient Hospitalization 3,183 9.2 237 2.8 157 3.3 10.7
Provider Type 2,729 7.9 695 8.3 524 11.0 31.7
Category of Service 6,353 18.4 1,217 14.6 699 14.7 23.1
Total Number of Children   34,541     100.0     8,325     100.0     4,764     100.0     29.8  


TABLE 17b. Number of Children Receiving Medicaid Services by Type of Selection and Type of Service: FY 1991
Type of Selection   Medicaid Services     Medicaid Services and  
Special Education
  Medicaid Services  
and AABD
Percent of Medicaid
  Services Receiving Special  
Education or AABD
N % N % N % %
ICD-9-CM DIAGNOSIS SELECTION
Infectious Diseases 60 0.2 3 0.0 7 0.1 15.0
   AIDS 43 0.1 3 0.0 6 0.1 18.6
   Other Infectious Diseases 17 0.0 0 0.0 1 0.0 5.9
Neoplasms 619 1.6 67 0.7 101 1.8 22.9
Endocrine, Nutritional and Metabolic Diseases 892 2.3 85 0.9 87 1.5 16.0
Diseases of the Blood and Blood Forming Organs 1,171 3.0 117 1.2 285 5.0 28.7
   Sickle Cell Anemia 941 2.4 94 1.0 240 4.2 29.6
   Other Diseases of the Blood and Blood Forming Organs 230 0.6 23 0.2 45 0.8 24.8
Mental Disorders 9,305 23.7 3,221 34.4 852 14.8 37.8
   Developmental Speech or Language Disorder 1,460 3.7 751 8.0 155 2.7 55.0
   Attention Deficit Disorders 2,645 6.7 1,077 11.5 223 3.9 43.0
   Disturbance of Emotions Specific to Childhood and Adolescence 288 0.7 86 0.9 17 0.3 32.3
   Other Mental Disorders 4,912 12.5 1,307 14.0 457 7.9 30.2
Diseases of the Nervous System and Sense Organs 4,538 11.6 1,499 16.0 1,251 21.8 41.6
   Infantile Cerebral Palsy 1,198 3.1 705 7.5 815 14.2 79.5
   Hearing Loss 2,751 7.0 647 6.9 291 5.1 26.5
   Other Diseases of the Nervous System and Sense Organs 589 1.5 147 1.6 145 2.5 34.8
Diseases of the Circulatory System 311 0.8 24 0.3 16 0.3 10.6
Diseases of the Respiratory System 1,861 4.7 118 1.3 103 1.8 10.2
   Asthma 1,855 4.7 116 1.2 102 1.8 10.1
   Other Diseases of the Respiratory System 6 0.0 2 0.0 1 0.0 33.3
Diseases of the Digestive System 75 0.2 10 0.1 9 0.2 21.3
Diseases of the Genitourinary System 198 0.5 25 0.3 16 0.3 18.2
Diseases of the Skin and Subcutaneous Tissue 4 0.0 1 0.0 0 0.0 25.0
Diseases of the Musculoskeletal System and Connective Tissue 300 0.8 76 0.8 42 0.7 31.7
Congenital Anomolies 2,849 7.3 386 4.1 441 7.7 21.4
Conditions Originating in the Perinatal Period 90 0.2 1 0.0 0 0.0 1.1
Injury and Poisoning 31 0.1 2 0.0 3 0.1 16.1
Supplementary Classification 19 0.0 3 0.0 6 0.1 31.6
Multiple Diagnoses 4,006 10.2 1,552 16.6 1,005 17.5 49.7
OTHER SELECTION METHOD
Inpatient Hospitalization 2,791 7.1 189 2.0 157 2.7 10.7
Provider Type 2,873 7.3 629 6.7 497 8.6 27.9
Category of Service 7,232 18.4 1,361 14.5 871 15.2 23.5
Total Number of Children 39,225 100.0 9,369 100.0 5,749 100.0 30.1


TABLE 17c. Number of Children Receiving Medicaid Services by Type of Selection and Type of Service: FY 1992
Type of Selection   Medicaid Services     Medicaid Services and  
Special Education
  Medicaid Services  
and AABD
Percent of Medicaid
  Services Receiving Special  
Education or AABD
N % N % N % %
ICD-9-CM DIAGNOSIS SELECTION
Infectious Diseases 63 0.1 10 0.1 14 0.2 36.5
   AIDS 53 0.1 8 0.1 10 0.1 34.0
   Other Infectious Diseases 10 0.0 2 0.0 4 0.1 50.0
Neoplasms 845 1.9 76 0.6 114 1.5 19.4
Endocrine, Nutritional and Metabolic Diseases 1,281 2.8 112 0.9 113 1.5 14.4
Diseases of the Blood and Blood Forming Organs 1,247 2.8 128 1.1 352 4.8 32.1
   Sickle Cell Anemia 987 2.2 104 0.9 295 4.0 33.8
   Other Diseases of the Blood and Blood Forming Organs 260 0.6 24 0.2 57 0.8 25.4
Mental Disorders 12,481 27.7 5,002 41.6 1,483 20.1 43.8
   Developmental Speech or Language Disorder 2,501 5.6 1,649 13.7 429 5.8 69.9
   Attention Deficit Disorders 3,623 8.0 1,518 12.6 430 5.8 45.7
   Disturbance of Emotions Specific to Childhood and Adolescence 599 1.3 181 1.5 59 0.8 33.6
   Other Mental Disorders 5,758 12.8 1,654 13.8 565 7.7 32.4
Diseases of the Nervous System and Sense Organs 4,687 10.4 1,594 13.3 1,330 18.0 42.6
   Infantile Cerebral Palsy 1,277 2.8 767 6.4 871 11.8 81.1
   Hearing Loss 2,837 6.3 679 5.6 314 4.3 27.0
   Other Diseases of the Nervous System and Sense Organs 573 1.3 148 1.2 145 2.0 33.9
Diseases of the Circulatory System 359 0.8 31 0.3 20 0.3 12.3
Diseases of the Respiratory System 2,276 5.1 168 1.4 194 2.6 13.4
   Asthma 2,272 5.0 168 1.4 194 2.6 13.4
   Other Diseases of the Respiratory System 4 0.0 0 0.0 0 0.0 0.0
Diseases of the Digestive System 76 0.2 8 0.1 11 0.1 19.7
Diseases of the Genitourinary System 207 0.5 27 0.2 24 0.3 20.8
Diseases of the Skin and Subcutaneous Tissue 4 0.0 0 0.0 0 0.0 0.0
Diseases of the Musculoskeletal System and Connective Tissue 314 0.7 83 0.7 59 0.8 35.7
Congenital Anomolies 3,069 6.8 466 3.9 527 7.2 23.4
Conditions Originating in the Perinatal Period 69 0.2 0 0.0 0 0.0 0.0
Injury and Poisoning 80 0.2 7 0.1 2 0.0 11.3
Supplementary Classification 19 0.0 5 0.0 11 0.1 63.2
Multiple Diagnoses 4,874 10.8 1,995 16.6 1,404 19.1 53.3
OTHER SELECTION METHOD
Inpatient Hospitalization 2,100 4.7 150 1.2 173 2.3 12.4
Provider Type 2,671 5.9 573 4.8 498 6.8 27.9
Category of Service 8,316 18.5 1,594 13.3 1,040 14.1 24.1
Total Number of Children 45,038 100.0 12,029 100.0 7,369 100.0 33.5


TABLE 17d. Number of Children Receiving Medicaid Services by Type of Selection and Type of Service: FY 1993
Type of Selection   Medicaid Services     Medicaid Services and  
Special Education
  Medicaid Services  
and AABD
Percent of Medicaid
  Services Receiving Special  
Education or AABD
N % N % N % %
ICD-9-CM DIAGNOSIS SELECTION
Infectious Diseases 115 0.2 8 0.1 31 0.3 31.3
   AIDS 102 0.2 6 0.0 30 0.3 32.4
   Other Infectious Diseases 13 0.0 2 0.0 1 0.0 23.1
Neoplasms 1,190 2.1 74 0.5 131 1.2 15.0
Endocrine, Nutritional and Metabolic Diseases 1,187 2.1 92 0.6 143 1.4 15.8
Diseases of the Blood and Blood Forming Organs 1,196 2.1 94 0.6 364 3.5 33.1
   Sickle Cell Anemia 909 1.6 77 0.5 308 2.9 36.5
   Other Diseases of the Blood and Blood Forming Organs 287 0.5 17 0.1 56 0.5 22.3
Mental Disorders 20,740 37.0 8,539 54.1 3,401 32.4 47.5
   Developmental Speech or Language Disorder 7,138 12.7 4,948 31.3 1,481 14.1 74.3
   Attention Deficit Disorders 4,800 8.6 1,602 10.1 793 7.6 40.9
   Disturbance of Emotions Specific to Childhood and Adolescence 1,106 2.0 273 1.7 132 1.3 30.4
   Other Mental Disorders 7,696 13.7 1,716 10.9 995 9.5 29.3
Diseases of the Nervous System and Sense Organs 5,111 9.1 1,544 9.8 1,502 14.3 41.0
   Infantile Cerebral Palsy 1,271 2.3 733 4.6 837 8.0 79.5
   Hearing Loss 3,217 5.7 664 4.2 491 4.7 26.9
   Other Diseases of the Nervous System and Sense Organs 623 1.1 147 0.9 174 1.7 35.0
Diseases of the Circulatory System 318 0.6 30 0.2 31 0.3 16.0
Diseases of the Respiratory System 2,119 3.8 125 0.8 223 2.1 14.3
   Asthma 2,111 3.8 124 0.8 222 2.1 14.3
   Other Diseases of the Respiratory System 8 0.0 1 0.0 1 0.0 12.5
Diseases of the Digestive System 57 0.1 7 0.0 12 0.1 22.8
Diseases of the Genitourinary System 202 0.4 14 0.1 47 0.4 26.2
Diseases of the Skin and Subcutaneous Tissue 8 0.0 0 0.0 0 0.0 0.0
Diseases of the Musculoskeletal System and Connective Tissue 302 0.5 67 0.4 73 0.7 38.1
Congenital Anomolies 2,999 5.3 504 3.2 632 6.0 27.7
Conditions Originating in the Perinatal Period 73 0.1 0 0.0 0 0.0 0.0
Injury and Poisoning 111 0.2 4 0.0 7 0.1 8.1
Supplementary Classification 23 0.0 5 0.0 16 0.2 69.6
Multiple Diagnoses 6,973 12.4 2,818 17.9 2,304 22.0 54.1
OTHER SELECTION METHOD
Inpatient Hospitalization 2,000 3.6 87 0.6 141 1.3 10.1
Provider Type 2,668 4.8 571 3.6 463 4.4 29.2
Category of Service 8,671 15.5 1,204 7.6 968 9.2 20.2
Total Number of Children 56,063 100.0 15,787 100.0 10,489 100.0 36.8


TABLE 17e. Number of Children Receiving Medicaid Services by Type of Selection and Type of Service: FY 1994
Type of Selection   Medicaid Services     Medicaid Services and  
Special Education
  Medicaid Services  
and AABD
Percent of Medicaid
  Services Receiving Special  
Education or AABD
N % N % N % %
ICD-9-CM DIAGNOSIS SELECTION
Infectious Diseases 143 0.2 8 0.0 33 0.2 25.2
   AIDS 127 0.1 8 0.0 31 0.2 26.8
   Other Infectious Diseases 16 0.0 0 0.0 2 0.0 12.5
Neoplasms 1,377 1.6 49 0.2 139 0.8 12.1
Endocrine, Nutritional and Metabolic Diseases 1,769 2.0 71 0.3 169 1.0 11.4
Diseases of the Blood and Blood Forming Organs 1,512 1.7 82 0.3 396 2.3 28.2
   Sickle Cell Anemia 1,127 1.3 65 0.2 344 2.0 32.4
   Other Diseases of the Blood and Blood Forming Organs 385 0.4 17 0.1 52 0.3 15.8
Mental Disorders 37,984 43.3 16,234 61.8 7,282 41.9 49.0
   Developmental Speech or Language Disorder 13,245 15.1 8,148 31.0 2,796 16.1 66.1
   Attention Deficit Disorders 6,734 7.7 1,811 6.9 1,130 6.5 35.0
   Disturbance of Emotions Specific to Childhood and Adolescence 7,952 9.1 4,199 16.0 2,088 12.0 59.7
   Other Mental Disorders 10,053 11.5 2,076 7.9 1,268 7.3 27.3
Diseases of the Nervous System and Sense Organs 5,888 6.7 1,370 5.2 1,420 8.2 32.9
   Infantile Cerebral Palsy 1,111 1.3 602 2.3 717 4.1 77.7
   Hearing Loss 3,963 4.5 645 2.5 522 3.0 21.8
   Other Diseases of the Nervous System and Sense Organs 814 0.9 123 0.5 181 1.0 25.9
Diseases of the Circulatory System 442 0.5 26 0.1 38 0.2 11.5
Diseases of the Respiratory System 2,576 2.9 107 0.4 298 1.7 14.2
   Asthma 2,572 2.9 107 0.4 298 1.7 14.2
   Other Diseases of the Respiratory System 4 0.0 0 0.0 0 0.0 0.0
Diseases of the Digestive System 83 0.1 5 0.0 8 0.0 13.3
Diseases of the Genitourinary System 255 0.3 17 0.1 37 0.2 18.0
Diseases of the Skin and Subcutaneous Tissue 7 0.0 0 0.0 1 0.0 14.3
Diseases of the Musculoskeletal System and Connective Tissue 329 0.4 61 0.2 74 0.4 33.1
Congenital Anomolies 3,734 4.3 392 1.5 665 3.8 21.4
Conditions Originating in the Perinatal Period 100 0.1 0 0.0 0 0.0 0.0
Injury and Poisoning 126 0.1 5 0.0 6 0.0 7.1
Supplementary Classification 19 0.0 4 0.0 11 0.1 68.4
Multiple Diagnoses 14,039 16.0 6,252 23.8 4,987 28.7 57.3
OTHER SELECTION METHOD
Inpatient Hospitalization 2,869 3.3 65 0.2 232 1.3 9.4
Provider Type 4,087 4.7 579 2.2 516 3.0 20.7
Category of Service 10,425 11.9 937 3.6 1,065 6.1 15.8
Total Number of Children 87,764 100.0 26,264 100.0 17,377 100.0 38.3


TABLE 18. Relative Odds of Being a Multi-Service User within a Fiscal Year: Cross Sections FY 1990-1994 by Program Type--Estimates from Logit Models
Variable Odds Ratios
AABD
  (model 1)  
  Special Education  
(model 2)
  Medicaid Services  
(model 3)
Male 1.00 1.00 1.00
Female 0.80 1.13 0.75
 
White 1.00 1.00 1.00
African-American   0.70 3.39 1.21
Hispanic 0.85 1.99 1.03*
Other 0.20 1.79 0.95**
 
Age 1 and under 0.58 0.94* 0.15
Ages 2 and 3 0.54 1.44 0.44
Ages 4 and 5 0.77 1.23 0.75
Ages 6 and 7 1.00 1.00 1.00
Ages 8 and 9 1.15 0.88 1.27
Ages 10 and 11 1.16 0.80 1.42
Ages 12 and 13 1.10 0.78 1.37
Ages 14 and 15 0.93 0.81 1.22
Ages 16 to 18 0.69 0.81 1.30
 
FY 1990 1.00 1.00 1.00
FY 1991 1.73 0.78 1.89
FY 1992 1.93 1.05 1.68
FY 1993 0.96* 1.05 1.74
FY 1994 1.99 2.24 2.15
 
Severely Emotionally Disturbed   1.00  
Mentally Retarded   1.75  
Learning Disabled   0.34  
Physically Disabled   2.23  
Deaf and/or Blind   1.32  
Speech or Language Disorder   0.30  
Other Disability   1.62  
 
1 or more Mental Disorder Diagnoses     1.27
1 or more Non-Mental Disorder Diagnoses     1.00
Combination of Mental and Non-Mental Diagnoses       2.72
Provider or Category of Service Selection     0.71
NOTE: Baseline categories are indicated by a relative odds of 1.

** Estimates are not statistically significant at the .05 level.
* Estimates are not statistically significant at the .01 level.


TABLE 19. Relative Odds of Entering AABD within Three Years Given Medicaid Service Participation: Cross Sections FY 1990-1992--Estimates from Logit Models
Variable   Odds Ratios  
Male 1.00
Female 0.79
 
White 1.00
African-American   1.38
Hispanic 1.37
Other 1.07**
 
Age 1 and under 0.35
Ages 2 and 3 0.78
Ages 4 and 5 0.92
Ages 6 and 7 1.00
Ages 8 and 9 1.18
Ages 10 and 11 1.19
Ages 12 and 13 1.22
Ages 14 and 15 1.14
Ages 16 to 18 1.44
 
FY 1990 1.00
FY 1991 2.61
FY 1992 3.23
 
1 or more Mental Disorder Diagnoses 0.42
1 or more Non-Mental Disorder Diagnoses 1.00
Combination of Mental and Non-Mental Diagnoses   1.46
Provider or Category of Service Selection 0.59
NOTE: Baseline categories are indicated by a relative odds of 1.

** Estimates are not statistically significant at the .05 level.


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