Place of residence affects routine dental care in the intellectually and developmentally disabled adult population on Medicaid

Health Serv Res. 2010 Oct;45(5 Pt 1):1376-89. doi: 10.1111/j.1475-6773.2010.01131.x.


Objective: To compare the likelihood of intellectually and developmentally disabled (ID/DD) adults receiving a dental cleaning across places of residence.

Data sources: Medicaid and Minnesota's Medicaid Management Information System (MMIS) databases.

Study design: All adults with DD assessments in MMIS in 2001-2002.

Data extraction 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.

MeSH terms

  • Activities of Daily Living / classification
  • Adult
  • Dental Care for Disabled / statistics & numerical data*
  • Dental Prophylaxis / statistics & numerical data
  • Disabled Persons / statistics & numerical data*
  • Family
  • Female
  • Foster Home Care / statistics & numerical data
  • Group Homes / statistics & numerical data
  • Health Care Surveys
  • Health Services Accessibility
  • Humans
  • Insurance Claim Reporting / statistics & numerical data
  • Logistic Models
  • Male
  • Medicaid / statistics & numerical data*
  • Middle Aged
  • Minnesota
  • Ownership / statistics & numerical data
  • Residence Characteristics / statistics & numerical data*
  • Severity of Illness Index
  • United States