TABLE 3.

Adjusted Difference-in-Difference-in-Differences Effect of Health Homes and Substance Use Disorder Diagnosis on Receipt of Comprehensive Diabetes Care

	Adjusted^a Odds Ratio (95% Confidence Interval)

	With SUD diagnosis (DID)	No SUD diagnosis (DID)	Overall (DDD)

Eye exam	1.09 (0.99, 1.20)	1.04 (0.96, 1.13)	1.08 (1.01, 1.15)^*
HbA1c test	1.23 (1.11, 1.36)^***	1.18 (1.07, 1.30)^**	1.20 (1.11, 1.29)^***
Medical attention for nephropathy	1.21 (1.08, 1.35)^**	1.18 (1.08, 1.30)^***	1.21 (1.12, 1.31)^***
All	1.13 (1.02, 1.25)^*	1.05 (0.97, 1.14)	1.09 (1.02, 1.16)^*

^***

P < .001;

^**

P < .01;

P < .05

All models were adjusted for age, gender, race/ethnicity, residence, comorbidities (HIV, asthma, CAD, bipolar, schizophrenia), and prior year utilization (counts of emergency department visits, hospital visits, and outpatient visits; Medicaid spending)

HbA1c=Hemoglobin A1C; SUD=Substance Use Disorder; DID=Difference-in-Differences; DDD=Difference-in-Difference-in-Differences