Table 3.

State-Level Characteristics Associated with Unmet Need for Mental Health Care among CSHCN with Medicaid Only Ages 3 Years and Older (Multivariable Analyses)

	Model #1 OR (95% CI)	Model #2 OR (95% CI)
State level
State pediatric Medicaid mental health program type
Managed care	1.81 (1.04–3.15)*
Fee-for-service	1.00
State pediatric Medicaid mental health program type
Carve-out managed care		1.93 (1.01–3.69)*
Integrated managed care		1.70 (0.95–3.03)
Fee-for-service		1.00
Intercept	0.01 (0.00–0.04)	0.01 (0.00–0.04)
Variance components	1.89 (1.44–2.47)	1.87 (1.45–2.41)
Variance partition coefficient	11.2%	11.1%

CSHCN, children with special health care needs; OR, odds ratio; CI, confidence interval.

^*p<.05.

State-level variables shown. Multivariable analysis adjusted for age, sex, race/ethnicity, professional coordinated care in a medical home, adequate insurance, time affected by condition, changing needs of condition, and presence of emotional, developmental, or behavioral problems.

Calculated using individual-level sample weights.

Sample n=4,400.