IAMM4400-R002ADCADULT_Report_Id,IAMM4400-R002ADCADULT_Report_as_of_Date,IAMM4400-R002ADCADULT_ProgramID,IAMM4400-R002ADCADULT_SVCCAT,ADCadult_Recips,ADCadult_Units,ADCadult_Amt,IAMM4400-R002ADCCHILD_Report_Id,IAMM4400-R002ADCCHILD_Report_as_of_Date,IAMM4400-R002ADCCHILD_ProgramID,IAMM4400-R002ADCCHILD_SVCCAT,ADCchild_Recips,ADCchild_Units,ADCchild_Amt,IAMM4400-R002AGED_Report_Id,IAMM4400-R002AGED_Report_as_of_Date,IAMM4400-R002AGED_ProgramID,IAMM4400-R002AGED_SVCCAT,Aged_Recps,Aged_units,Aged_Amt,IAMM4400-R002BLIND_Report_Id,IAMM4400-R002BLIND_Report_as_of_Date,IAMM4400-R002BLIND_ProgramID,IAMM4400-R002BLIND_SVCCAT,IAMM4400-R002BLIND_Blind_recips,IAMM4400-R002BLIND_Blind_units,IAMM4400-R002BLIND_Blind_amt,IAMM4400-R002CMAP_Report_Id,IAMM4400-R002CMAP_Report_as_of_Date,IAMM4400-R002CMAP_ProgramID,IAMM4400-R002CMAP_SVCCAT,Cmap_Recips,Cmap_Units,Cmap_Amt,IAMM4400-R002DISABLED_Report_Id,IAMM4400-R002DISABLED_Report_as_of_Date,IAMM4400-R002DISABLED_ProgramID,IAMM4400-R002DISABLED_SVCCAT,Disab_Recips,Disab_Units,Disab_Amt,IAMM4400-R002DSH_Report_Id,IAMM4400-R002DSH_Report_as_of_Date,IAMM4400-R002DSH_ProgramID,IAMM4400-R002DSH_SVCCAT,dsh_recips,dsh_units,dsh_amt,IAMM4400-R002FCPRESUBSUB_Report_Id,IAMM4400-R002FCPRESUBSUB_Report_as_of_Date,IAMM4400-R002FCPRESUBSUB_ProgramID,IAMM4400-R002FCPRESUBSUB_SVCCAT,FCpresubsub_recips,fcpresubsub_Units,fcpresubsub_amt,IAMM4400-R002FEDCNTY_Report_Id,IAMM4400-R002FEDCNTY_Report_as_of_Date,IAMM4400-R002FEDCNTY_ProgramID,IAMM4400-R002FEDCNTY_SVCCAT,Fedcnty_recips,Fedcnty_units,Fedcnty_amt,IAMM4400-R002FEDONLY_Report_Id,IAMM4400-R002FEDONLY_Report_as_of_Date,IAMM4400-R002FEDONLY_ProgramID,IAMM4400-R002FEDONLY_SVCCAT,Fed_Recips,Fed_Units,Fed_amt,IAMM4400-R002ICAREMHI_Report_Id,IAMM4400-R002ICAREMHI_Report_as_of_Date,IAMM4400-R002ICAREMHI_ProgramID,IAMM4400-R002ICAREMHI_SVCCAT,IcareMHI_recips,Icare_units,Icare_amt,IAMM4400-R002ICAREPMIC_Report_Id,IAMM4400-R002ICAREPMIC_Report_as_of_Date,IAMM4400-R002ICAREPMIC_ProgramID,IAMM4400-R002ICAREPMIC_SVCCAT,IcarePMIC_recips,IcarePMIC_units,IcarePMIC_amt,IAMM4400-R002ICARESTATEONLY_Report_Id,IAMM4400-R002ICARESTATEONLY_Report_as_of_Date,IAMM4400-R002ICARESTATEONLY_ProgramID,IAMM4400-R002ICARESTATEONLY_SVCCAT,IcareSO_recips,IcareSO_units,IcareSO_amt,IAMM4400-R002ICF_Report_Id,IAMM4400-R002ICF_Report_as_of_Date,IAMM4400-R002ICF_ProgramID,IAMM4400-R002ICF_SVCCAT,IFC_Recips,ICF_units,ICF_amt,IAMM4400-R002MEDICAIDAGED_Report_Id,IAMM4400-R002MEDICAIDAGED_Report_as_of_Date,IAMM4400-R002MEDICAIDAGED_ProgramID,IAMM4400-R002MEDICAIDAGED_SVCCAT,FMaged_recips,FMaged_units,FMaged_amt,IAMM4400-R002MEDICAIDBLIND_Report_Id,IAMM4400-R002MEDICAIDBLIND_Report_as_of_Date,IAMM4400-R002MEDICAIDBLIND_ProgramID,IAMM4400-R002MEDICAIDBLIND_SVCCAT,IAMM4400-R002MEDICAIDBLIND_Blind_recips,IAMM4400-R002MEDICAIDBLIND_Blind_units,IAMM4400-R002MEDICAIDBLIND_Blind_amt,IAMM4400-R002MNNOSPND_Report_Id,IAMM4400-R002MNNOSPND_Report_as_of_Date,IAMM4400-R002MNNOSPND_ProgramID,IAMM4400-R002MNNOSPND_SVCCAT,nospnd_recips,nospnd_units,nospnd_amt,IAMM4400-R002MNWITHSPND_Report_Id,IAMM4400-R002MNWITHSPND_Report_as_of_Date,IAMM4400-R002MNWITHSPND_ProgramID,IAMM4400-R002MNWITHSPND_SVCCAT,Spend_recips,spend_units,spend_amt,IAMM4400-R002OTHER_Report_Id,IAMM4400-R002OTHER_Report_as_of_Date,IAMM4400-R002OTHER_ProgramID,IAMM4400-R002OTHER_SVCCAT,Other_Recips,Other_Units,Other_Amt,IAMM4400-R002OTHERBCC_Report_Id,IAMM4400-R002OTHERBCC_Report_as_of_Date,IAMM4400-R002OTHERBCC_ProgramID,IAMM4400-R002OTHERBCC_SVCCAT,BCC_Recips,BCC_Units,BCC_Amt,IAMM4400-R002OTHERICAREADLT_Report_Id,IAMM4400-R002OTHERICAREADLT_Report_as_of_Date,IAMM4400-R002OTHERICAREADLT_ProgramID,IAMM4400-R002OTHERICAREADLT_SVCCAT,Icareadlt_recips,Icareadlt_units,Icareadlt_amt,IAMM4400-R002OTHERICAREOB_Report_Id,IAMM4400-R002OTHERICAREOB_Report_as_of_Date,IAMM4400-R002OTHERICAREOB_ProgramID,IAMM4400-R002OTHERICAREOB_SVCCAT,Icareob_recips,Icareob_units,Icareob_amt,IAMM4400-R002OTHERTXIX_Report_Id,IAMM4400-R002OTHERTXIX_Report_as_of_Date,IAMM4400-R002OTHERTXIX_ProgramID,IAMM4400-R002OTHERTXIX_SVCCAT,Oxix_recips,Oxix_Units,Oxix_Amt,IAMM4400-R002REFUGEETXIX_Report_Id,IAMM4400-R002REFUGEETXIX_Report_as_of_Date,IAMM4400-R002REFUGEETXIX_ProgramID,IAMM4400-R002REFUGEETXIX_SVCCAT,Refugee_Recips,Refugee_Units,Refugee_amt,IAMM4400-R002STATEONLY_Report_Id,IAMM4400-R002STATEONLY_Report_as_of_Date,IAMM4400-R002STATEONLY_ProgramID,IAMM4400-R002STATEONLY_SVCCAT,SO_recips,SO_units,SO_amt,IAMM4400-R002TOTAL_Report_Id,IAMM4400-R002TOTAL_Report_as_of_Date,IAMM4400-R002TOTAL_ProgramID,IAMM4400-R002TOTAL_SVCCAT,TOTAL_recips,TOTAL_units,TOTAL_amt
IAMM4400-R002,01/31/08,ADC - ADULT,INPATIENT,642,2424,"$2,844,216.95 ",IAMM4400-R002,01/31/08,ADC - CHILD,INPATIENT,370,1860,"$1,999,500.65 ",IAMM4400-R002,01/31/08,AGED,INPATIENT,425,1394,"$427,303.86 ",IAMM4400-R002,01/31/08,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,INPATIENT,332,6864,"$1,791,024.29 ",IAMM4400-R002,01/31/08,DISABLED,INPATIENT,1358,7861,"$5,806,468.46 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,46,487,"$283,354.50 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,INPATIENT,132,607,"$415,324.94 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,INPATIENT,1,1,"$3,729.63 ",IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,INPATIENT,6,125,"$20,025.61 ",IAMM4400-R002,01/31/08,STATE ONLY,INPATIENT,7,13,"$25,136.38 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,INPATIENT,626,2469,"$693,373.27 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,INPATIENT,49,118,"$113,967.49 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,INPATIENT,129,722,"$821,719.13 ",IAMM4400-R002,01/31/08,OTHER,INPATIENT,1815,8907,"$5,099,876.26 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,INPATIENT,7,20,"$30,465.41 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,INPATIENT,1,2,"$1,933.20 ",IAMM4400-R002,01/31/08,OTHER TXXI,INPATIENT,48,361,"$240,235.25 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,INPATIENT,25,88,"$108,510.64 ",IAMM4400-R002,01/31/08,TOTAL,INPATIENT,5999,34323,"$20,726,165.92 "
IAMM4400-R002,01/31/08,ADC - ADULT,OUTPATIENT,7661,81543,"$2,758,721.80 ",IAMM4400-R002,01/31/08,ADC - CHILD,OUTPATIENT,6219,35073,"$1,284,953.39 ",IAMM4400-R002,01/31/08,AGED,OUTPATIENT,3200,43550,"$370,292.83 ",IAMM4400-R002,01/31/08,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,OUTPATIENT,1676,15420,"$435,807.54 ",IAMM4400-R002,01/31/08,DISABLED,OUTPATIENT,12866,184474,"$4,029,462.53 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,795,6037,"$164,021.01 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,OUTPATIENT,2122,25436,"$428,341.36 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,OUTPATIENT,18,109,"$2,563.91 ",IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,OUTPATIENT,9,47,$545.09 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,OUTPATIENT,33,324,"$8,419.48 ",IAMM4400-R002,01/31/08,STATE ONLY,OUTPATIENT,47,325,"$12,380.06 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,OUTPATIENT,4428,70898,"$490,031.34 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,403,5903,"$183,149.40 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,375,8209,"$224,877.43 ",IAMM4400-R002,01/31/08,OTHER,OUTPATIENT,10534,84342,"$2,973,154.81 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,OUTPATIENT,92,1342,"$65,389.69 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,OUTPATIENT,2,25,$704.58 ,IAMM4400-R002,01/31/08,OTHER TXXI,OUTPATIENT,929,7056,"$214,775.48 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,OUTPATIENT,275,2633,"$94,298.28 ",IAMM4400-R002,01/31/08,TOTAL,OUTPATIENT,51206,572746,"$13,741,890.01 "
IAMM4400-R002,01/31/08,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,SKILLED NURSING FACILITY,2,0,"$3,237.87 ",IAMM4400-R002,01/31/08,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,SKILLED NURSING FACILITY,137,1050,"$205,107.20 ",IAMM4400-R002,01/31/08,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,SKILLED NURSING FACILITY,164,3758,"$1,812,671.62 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,2,38,"$12,855.09 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,5,56,"$21,740.06 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,333,2699,"$41,565.00 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,SKILLED NURSING FACILITY,4,39,"$32,882.92 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,SKILLED NURSING FACILITY,639,7640,"$2,130,059.76 "
IAMM4400-R002,01/31/08,ADC - ADULT,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,INTERMEDIATE CARE FACILITY,4136,124594,"$11,070,711.28 ",IAMM4400-R002,01/31/08,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,INTERMEDIATE CARE FACILITY,515,15287,"$1,650,274.86 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,5,104,"$9,808.77 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7185,214676,"$22,220,062.05 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,24,"$2,912.97 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,1,-19,($533.75),IAMM4400-R002,01/31/08,OTHER,INTERMEDIATE CARE FACILITY,2,31,"$2,183.80 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,INTERMEDIATE CARE FACILITY,11800,354697,"$34,955,419.98 "
IAMM4400-R002,01/31/08,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,INTER CARE MENTAL RETARDA,11,271,"$100,945.38 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,9,223,"$87,606.04 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2099,62918,"$23,360,688.36 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,1,0,($43.62),IAMM4400-R002,01/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,1,42,"$10,898.58 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,INTER CARE MENTAL RETARDA,1,0,"($4,023.00)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,INTER CARE MENTAL RETARDA,2118,63454,"$23,556,071.74 "
IAMM4400-R002,01/31/08,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,NURSING FAC FOR MENTAL ILL,5,153,"$54,653.47 ",IAMM4400-R002,01/31/08,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,NURSING FAC FOR MENTAL ILL,1,31,"$6,643.61 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,2,53,"$22,402.57 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,33,1195,"$398,639.10 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,NURSING FAC FOR MENTAL ILL,41,1432,"$482,338.75 "
IAMM4400-R002,01/31/08,ADC - ADULT,HOME HEALTH,81,528,"$58,970.19 ",IAMM4400-R002,01/31/08,ADC - CHILD,HOME HEALTH,383,2270,"$85,824.40 ",IAMM4400-R002,01/31/08,AGED,HOME HEALTH,1960,35375,"$1,470,563.09 ",IAMM4400-R002,01/31/08,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,HOME HEALTH,80,275,"$16,098.83 ",IAMM4400-R002,01/31/08,DISABLED,HOME HEALTH,3155,55459,"$2,072,521.14 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,95,2151,"$49,859.59 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,HOME HEALTH,906,28329,"$971,788.97 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,HOME HEALTH,2,22,"$1,909.30 ",IAMM4400-R002,01/31/08,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,HOME HEALTH,3398,59879,"$2,788,440.32 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,51,439,"$11,968.29 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,29,1317,"$49,416.81 ",IAMM4400-R002,01/31/08,OTHER,HOME HEALTH,599,1671,"($268,442.22)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,HOME HEALTH,3,10,$939.60 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,HOME HEALTH,51,112,"$4,410.20 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,HOME HEALTH,12,114,"$7,943.20 ",IAMM4400-R002,01/31/08,TOTAL,HOME HEALTH,10730,187951,"$7,322,211.71 "
IAMM4400-R002,01/31/08,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,LEAD INSPECTION AGENCY,3,3,"$1,104.70 ",IAMM4400-R002,01/31/08,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,LEAD INSPECTION AGENCY,2,2,$700.00 ,IAMM4400-R002,01/31/08,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,LEAD INSPECTION AGENCY,5,5,"$1,804.70 "
IAMM4400-R002,01/31/08,ADC - ADULT,PHYSICIAN,14040,27689,"$2,545,652.24 ",IAMM4400-R002,01/31/08,ADC - CHILD,PHYSICIAN,17191,30591,"$2,069,687.62 ",IAMM4400-R002,01/31/08,AGED,PHYSICIAN,5428,33173,"$321,239.43 ",IAMM4400-R002,01/31/08,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,PHYSICIAN,3622,6601,"$558,556.78 ",IAMM4400-R002,01/31/08,DISABLED,PHYSICIAN,21616,97239,"$3,393,704.99 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2115,3421,"$208,038.42 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,PHYSICIAN,3879,13616,"$335,528.86 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,PHYSICIAN,40,61,"$5,174.01 ",IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,PHYSICIAN,8,42,$449.15 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,PHYSICIAN,71,112,"$7,169.44 ",IAMM4400-R002,01/31/08,STATE ONLY,PHYSICIAN,71,160,"$12,744.57 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,PHYSICIAN,6951,35657,"$484,794.69 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,687,1809,"$118,496.94 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,619,2141,"$204,615.65 ",IAMM4400-R002,01/31/08,OTHER,PHYSICIAN,25229,48545,"$4,211,940.09 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,PHYSICIAN,137,502,"$142,211.31 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,PHYSICIAN,1,0,$129.88 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,PHYSICIAN,1,1,$11.77 ,IAMM4400-R002,01/31/08,OTHER TXXI,PHYSICIAN,2707,4345,"$296,971.16 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PHYSICIAN,521,1117,"$108,084.04 ",IAMM4400-R002,01/31/08,TOTAL,PHYSICIAN,102948,306822,"$15,025,201.04 "
IAMM4400-R002,01/31/08,ADC - ADULT,CLINIC SERVICES,2069,3036,"$388,223.77 ",IAMM4400-R002,01/31/08,ADC - CHILD,CLINIC SERVICES,2750,3641,"$477,963.54 ",IAMM4400-R002,01/31/08,AGED,CLINIC SERVICES,401,189,"$28,725.44 ",IAMM4400-R002,01/31/08,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,CLINIC SERVICES,632,938,"$112,742.07 ",IAMM4400-R002,01/31/08,DISABLED,CLINIC SERVICES,2475,3307,"$451,624.76 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,411,580,"$77,237.09 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,CLINIC SERVICES,295,206,"$45,117.18 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,CLINIC SERVICES,1,2,$48.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,11,12,"$1,414.60 ",IAMM4400-R002,01/31/08,STATE ONLY,CLINIC SERVICES,11,11,"$2,016.96 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,411,188,"$29,435.75 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,84,141,"$16,348.03 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,48,78,"$9,044.48 ",IAMM4400-R002,01/31/08,OTHER,CLINIC SERVICES,5116,7555,"$840,452.71 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,16,20,"$2,830.13 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,CLINIC SERVICES,518,692,"$82,766.21 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,CLINIC SERVICES,110,147,"$19,373.18 ",IAMM4400-R002,01/31/08,TOTAL,CLINIC SERVICES,15204,20743,"$2,585,363.90 "
IAMM4400-R002,01/31/08,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,LAB AND RADIOLOGICAL,1864,4715,"$105,270.92 ",IAMM4400-R002,01/31/08,ADC - CHILD,LAB AND RADIOLOGICAL,974,2207,"$29,504.00 ",IAMM4400-R002,01/31/08,AGED,LAB AND RADIOLOGICAL,344,173,"$1,787.10 ",IAMM4400-R002,01/31/08,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,LAB AND RADIOLOGICAL,311,860,"$15,629.90 ",IAMM4400-R002,01/31/08,DISABLED,LAB AND RADIOLOGICAL,1731,4312,"$61,696.66 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,205,565,"$8,446.25 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,248,453,"$5,422.79 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,LAB AND RADIOLOGICAL,15,103,"$2,229.19 ",IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,1,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,7,40,$830.20 ,IAMM4400-R002,01/31/08,STATE ONLY,LAB AND RADIOLOGICAL,9,33,$718.79 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,506,363,"$3,250.54 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,71,164,"$3,399.56 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,30,94,"$1,649.68 ",IAMM4400-R002,01/31/08,OTHER,LAB AND RADIOLOGICAL,1977,5145,"$90,150.19 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,21,78,"$1,087.52 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,1,1,$37.01 ,IAMM4400-R002,01/31/08,OTHER TXXI,LAB AND RADIOLOGICAL,128,398,"$5,941.49 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,LAB AND RADIOLOGICAL,40,156,"$2,539.91 ",IAMM4400-R002,01/31/08,TOTAL,LAB AND RADIOLOGICAL,8429,19860,"$339,591.70 "
IAMM4400-R002,01/31/08,ADC - ADULT,HABILITATION SERVICES,20,240,"$8,972.55 ",IAMM4400-R002,01/31/08,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,HABILITATION SERVICES,40,971,"$55,468.13 ",IAMM4400-R002,01/31/08,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,HABILITATION SERVICES,18,344,"$16,134.57 ",IAMM4400-R002,01/31/08,DISABLED,HABILITATION SERVICES,2107,52937,"$2,505,605.02 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,8,86,"$6,368.21 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,6,119,"$5,108.68 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,HABILITATION SERVICES,1,14,$372.40 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,HABILITATION SERVICES,8,121,"$4,914.94 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,15,229,"$10,083.85 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,38,1358,"$82,437.28 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,4,143,"$10,426.38 ",IAMM4400-R002,01/31/08,OTHER,HABILITATION SERVICES,1,8,$495.68 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,HABILITATION SERVICES,6,199,"$4,973.38 ",IAMM4400-R002,01/31/08,TOTAL,HABILITATION SERVICES,2268,56769,"$2,711,361.07 "
IAMM4400-R002,01/31/08,ADC - ADULT,REMEDIAL SERVICES,89,1932,"$27,788.50 ",IAMM4400-R002,01/31/08,ADC - CHILD,REMEDIAL SERVICES,1094,29986,"$484,608.94 ",IAMM4400-R002,01/31/08,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,REMEDIAL SERVICES,408,12984,"$196,381.26 ",IAMM4400-R002,01/31/08,DISABLED,REMEDIAL SERVICES,415,14861,"$202,294.14 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,1916,195065,"$2,022,848.70 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,84,1952,"$34,056.17 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,61,1831,"$28,699.41 ",IAMM4400-R002,01/31/08,STATE ONLY,REMEDIAL SERVICES,7,148,"$3,021.25 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,4,44,$891.90 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,3,60,$480.72 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,24,$216.48 ,IAMM4400-R002,01/31/08,OTHER,REMEDIAL SERVICES,870,23784,"$397,014.94 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,REMEDIAL SERVICES,201,6534,"$98,551.68 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,REMEDIAL SERVICES,50,3202,"$42,130.86 ",IAMM4400-R002,01/31/08,TOTAL,REMEDIAL SERVICES,5059,292407,"$3,538,984.95 "
IAMM4400-R002,01/31/08,ADC - ADULT,REHAB SUPPORT SERVICES,1,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,REHAB SUPPORT SERVICES,15,683,"$22,001.37 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,REHAB SUPPORT SERVICES,1,0,"($24,082.07)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,REHAB SUPPORT SERVICES,17,683,"($2,080.70)"
IAMM4400-R002,01/31/08,ADC - ADULT,AMBULANCE SERVICES,172,238,"$24,721.89 ",IAMM4400-R002,01/31/08,ADC - CHILD,AMBULANCE SERVICES,109,256,"$18,441.65 ",IAMM4400-R002,01/31/08,AGED,AMBULANCE SERVICES,226,275,"$21,573.94 ",IAMM4400-R002,01/31/08,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,AMBULANCE SERVICES,49,52,"$7,184.25 ",IAMM4400-R002,01/31/08,DISABLED,AMBULANCE SERVICES,714,902,"$106,576.91 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,17,17,"$2,504.10 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,77,85,"$8,840.91 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,AMBULANCE SERVICES,1,1,$145.07 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,AMBULANCE SERVICES,3,5,$769.31 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,AMBULANCE SERVICES,2,2,$287.89 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,460,570,"$50,901.46 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,14,42,"$2,355.28 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,27,28,"$3,023.78 ",IAMM4400-R002,01/31/08,OTHER,AMBULANCE SERVICES,167,175,"$24,855.40 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,1,1,$156.57 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,AMBULANCE SERVICES,12,13,"$1,767.10 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,AMBULANCE SERVICES,16,17,"$2,269.81 ",IAMM4400-R002,01/31/08,TOTAL,AMBULANCE SERVICES,2057,2679,"$276,375.32 "
IAMM4400-R002,01/31/08,ADC - ADULT,LOCAL EDUCATION AGENCY,8,2233,"$10,787.14 ",IAMM4400-R002,01/31/08,ADC - CHILD,LOCAL EDUCATION AGENCY,86,17133,"$88,401.56 ",IAMM4400-R002,01/31/08,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,LOCAL EDUCATION AGENCY,20,5408,"$29,074.07 ",IAMM4400-R002,01/31/08,DISABLED,LOCAL EDUCATION AGENCY,445,108116,"$698,778.48 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,90,27419,"$143,812.31 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,419,128759,"$766,635.51 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,10,2712,"$12,792.75 ",IAMM4400-R002,01/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,13,3412,"$19,492.24 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,LOCAL EDUCATION AGENCY,89,13900,"$77,101.81 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,LOCAL EDUCATION AGENCY,22,6537,"$30,121.47 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,2,500,"$1,741.17 ",IAMM4400-R002,01/31/08,TOTAL,LOCAL EDUCATION AGENCY,1187,316129,"$1,878,738.51 "
IAMM4400-R002,01/31/08,ADC - ADULT,EARLY ACCESS SERVICES,1,2,$100.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,EARLY ACCESS SERVICES,89,410,"$9,703.96 ",IAMM4400-R002,01/31/08,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,EARLY ACCESS SERVICES,20,62,"$1,560.19 ",IAMM4400-R002,01/31/08,DISABLED,EARLY ACCESS SERVICES,85,784,"$13,546.25 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,23,54,"$1,687.16 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,24,267,"$4,585.29 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,4,37,$638.79 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,EARLY ACCESS SERVICES,97,486,"$9,392.05 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,EARLY ACCESS SERVICES,1,1,$50.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,EARLY ACCESS SERVICES,1,3,$115.00 ,IAMM4400-R002,01/31/08,TOTAL,EARLY ACCESS SERVICES,328,2106,"$41,378.69 "
IAMM4400-R002,01/31/08,ADC - ADULT,PRESCRIBED DRUGS,18918,52892,"$2,711,108.62 ",IAMM4400-R002,01/31/08,ADC - CHILD,PRESCRIBED DRUGS,16995,30369,"$1,856,248.34 ",IAMM4400-R002,01/31/08,AGED,PRESCRIBED DRUGS,2583,4491,"$56,879.04 ",IAMM4400-R002,01/31/08,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,PRESCRIBED DRUGS,4017,9481,"$654,534.11 ",IAMM4400-R002,01/31/08,DISABLED,PRESCRIBED DRUGS,23252,98954,"$7,624,443.70 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4769,12433,"$1,235,291.48 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,5794,18943,"$1,571,335.37 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,PRESCRIBED DRUGS,28,57,$699.48 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,2,9,"$1,334.06 ",IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,238,869,"$82,990.93 ",IAMM4400-R002,01/31/08,STATE ONLY,PRESCRIBED DRUGS,81,201,"$15,476.90 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10338,22648,"$388,404.61 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,859,3045,"$168,124.15 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,228,1079,"$80,051.08 ",IAMM4400-R002,01/31/08,OTHER,PRESCRIBED DRUGS,23216,42042,"$2,474,347.19 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,170,660,"$43,197.58 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,1,0,$122.29 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,PRESCRIBED DRUGS,3252,5846,"$415,375.65 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PRESCRIBED DRUGS,842,3867,"$226,212.74 ",IAMM4400-R002,01/31/08,TOTAL,PRESCRIBED DRUGS,114376,307886,"$19,606,177.32 "
IAMM4400-R002,01/31/08,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,DRUG CAPITATION,1,0,($1.14),IAMM4400-R002,01/31/08,AGED,DRUG CAPITATION,1,0,($19.51),IAMM4400-R002,01/31/08,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,DRUG CAPITATION,1,0,($10.20),IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,DRUG CAPITATION,3,0,($30.85)
IAMM4400-R002,01/31/08,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,FAMILY PLANNING SERVICES,3892,4306,"$312,066.06 ",IAMM4400-R002,01/31/08,ADC - CHILD,FAMILY PLANNING SERVICES,654,741,"$54,625.28 ",IAMM4400-R002,01/31/08,AGED,FAMILY PLANNING SERVICES,1,1,$6.00 ,IAMM4400-R002,01/31/08,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,FAMILY PLANNING SERVICES,128,141,"$10,749.01 ",IAMM4400-R002,01/31/08,DISABLED,FAMILY PLANNING SERVICES,85,97,"$6,090.45 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,27,28,"$2,923.58 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,14,17,$791.61 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,FAMILY PLANNING SERVICES,8,8,$635.80 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,2,3,$109.59 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,23,24,"$2,101.48 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,5,6,$275.24 ,IAMM4400-R002,01/31/08,OTHER,FAMILY PLANNING SERVICES,237,256,"$23,221.46 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,2,2,$137.28 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,FAMILY PLANNING SERVICES,50,54,"$4,043.78 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,FAMILY PLANNING SERVICES,4,5,$292.76 ,IAMM4400-R002,01/31/08,TOTAL,FAMILY PLANNING SERVICES,5126,5689,"$418,069.38 "
IAMM4400-R002,01/31/08,ADC - ADULT,IOWA PLAN PROGRAM,59389,39383,"$1,555,318.81 ",IAMM4400-R002,01/31/08,ADC - CHILD,IOWA PLAN PROGRAM,94995,63020,"$488,717.58 ",IAMM4400-R002,01/31/08,AGED,IOWA PLAN PROGRAM,14,2,$164.30 ,IAMM4400-R002,01/31/08,BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,IOWA PLAN PROGRAM,22156,12603,"$265,217.70 ",IAMM4400-R002,01/31/08,DISABLED,IOWA PLAN PROGRAM,55465,50235,"$3,549,713.51 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,14208,11563,"$854,140.23 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,11275,10391,"$677,309.69 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,IOWA PLAN PROGRAM,186,124,"$3,269.53 ",IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,48,41,"$2,463.68 ",IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,326,312,"$26,906.83 ",IAMM4400-R002,01/31/08,STATE ONLY,IOWA PLAN PROGRAM,330,229,"$28,464.05 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2812,362,"$39,821.58 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,2994,1355,"$62,601.13 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,IOWA PLAN PROGRAM,139163,84445,"$983,169.01 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,290,218,"$19,252.58 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,IOWA PLAN PROGRAM,26002,12645,"$108,739.48 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,IOWA PLAN PROGRAM,2720,1534,"$141,292.26 ",IAMM4400-R002,01/31/08,TOTAL,IOWA PLAN PROGRAM,368106,288462,"$8,806,561.95 "
IAMM4400-R002,01/31/08,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,EPSDT SCREENING,186,206,"$6,681.27 ",IAMM4400-R002,01/31/08,ADC - CHILD,EPSDT SCREENING,4149,4633,"$351,555.40 ",IAMM4400-R002,01/31/08,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,EPSDT SCREENING,842,941,"$62,733.65 ",IAMM4400-R002,01/31/08,DISABLED,EPSDT SCREENING,318,359,"$15,070.30 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,232,270,"$16,370.07 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,EPSDT SCREENING,82,92,"$3,182.67 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,9,10,$294.54 ,IAMM4400-R002,01/31/08,STATE ONLY,EPSDT SCREENING,5,5,$246.38 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,8,8,$246.58 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,8,8,$281.96 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,1,1,$11.19 ,IAMM4400-R002,01/31/08,OTHER,EPSDT SCREENING,6173,6852,"$672,746.03 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,EPSDT SCREENING,491,531,"$33,440.77 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,EPSDT SCREENING,6,6,$292.13 ,IAMM4400-R002,01/31/08,TOTAL,EPSDT SCREENING,12463,13922,"$1,163,152.94 "
IAMM4400-R002,01/31/08,ADC - ADULT,HMO SERVICES,887,932,"$221,428.13 ",IAMM4400-R002,01/31/08,ADC - CHILD,HMO SERVICES,1517,1602,"$190,807.68 ",IAMM4400-R002,01/31/08,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,HMO SERVICES,294,305,"$48,517.64 ",IAMM4400-R002,01/31/08,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,1,1,$88.65 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,HMO SERVICES,1513,1600,"$255,449.59 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,HMO SERVICES,260,272,"$33,758.83 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,HMO SERVICES,4466,4712,"$750,050.52 "
IAMM4400-R002,01/31/08,ADC - ADULT,PATIENT MANAGEMENT,22063,22056,"$44,112.00 ",IAMM4400-R002,01/31/08,ADC - CHILD,PATIENT MANAGEMENT,38282,38279,"$76,558.00 ",IAMM4400-R002,01/31/08,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,PATIENT MANAGEMENT,6881,6881,"$13,762.00 ",IAMM4400-R002,01/31/08,DISABLED,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,63,63,$126.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,PATIENT MANAGEMENT,84,84,$168.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,6,6,$12.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,PATIENT MANAGEMENT,51280,51284,"$102,568.00 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,PATIENT MANAGEMENT,8490,8488,"$16,976.00 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,PATIENT MANAGEMENT,127148,127143,"$254,286.00 "
IAMM4400-R002,01/31/08,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,251,698,"$22,914.36 ",IAMM4400-R002,01/31/08,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,348,980,"$26,769.18 ",IAMM4400-R002,01/31/08,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,HEALTH INS PREMIUM PAYMENT,34,88,"$3,080.30 ",IAMM4400-R002,01/31/08,DISABLED,HEALTH INS PREMIUM PAYMENT,657,1663,"$194,901.45 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,165,463,"$17,659.75 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,575,1501,"$203,726.97 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,29,73,"$7,365.25 ",IAMM4400-R002,01/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,39,95,"$11,975.28 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,4,6,$419.88 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,HEALTH INS PREMIUM PAYMENT,2319,7184,"$175,475.44 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,73,241,"$7,666.16 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,2,5,$677.86 ,IAMM4400-R002,01/31/08,TOTAL,HEALTH INS PREMIUM PAYMENT,4496,12997,"$672,631.88 "
IAMM4400-R002,01/31/08,ADC - ADULT,MEDICAL SUPPLIES,969,44177,"$204,725.82 ",IAMM4400-R002,01/31/08,ADC - CHILD,MEDICAL SUPPLIES,971,15617,"$141,509.16 ",IAMM4400-R002,01/31/08,AGED,MEDICAL SUPPLIES,2227,142289,"$256,686.85 ",IAMM4400-R002,01/31/08,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,MEDICAL SUPPLIES,196,6483,"$26,853.77 ",IAMM4400-R002,01/31/08,DISABLED,MEDICAL SUPPLIES,8019,655771,"$1,549,730.44 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,231,19557,"$56,807.70 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,1894,298451,"$467,106.58 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,1,2,$114.16 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,12,1711,"$3,628.21 ",IAMM4400-R002,01/31/08,STATE ONLY,MEDICAL SUPPLIES,1,1,$37.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4222,354365,"$532,534.44 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,126,8741,"$18,689.44 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,54,2325,"$14,634.31 ",IAMM4400-R002,01/31/08,OTHER,MEDICAL SUPPLIES,1135,33119,"$163,061.19 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,21,591,"$3,944.15 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,MEDICAL SUPPLIES,110,5365,"$21,499.33 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MEDICAL SUPPLIES,130,7775,"$22,815.59 ",IAMM4400-R002,01/31/08,TOTAL,MEDICAL SUPPLIES,19907,1596340,"$3,484,378.14 "
IAMM4400-R002,01/31/08,ADC - ADULT,OTHER PRACTITIONER,1078,2198,"$129,863.37 ",IAMM4400-R002,01/31/08,ADC - CHILD,OTHER PRACTITIONER,1727,5997,"$156,692.10 ",IAMM4400-R002,01/31/08,AGED,OTHER PRACTITIONER,200,791,"$11,758.76 ",IAMM4400-R002,01/31/08,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,OTHER PRACTITIONER,380,1183,"$45,898.72 ",IAMM4400-R002,01/31/08,DISABLED,OTHER PRACTITIONER,2104,15038,"$307,146.31 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,407,1933,"$40,059.62 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,832,11435,"$198,356.68 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,OTHER PRACTITIONER,4,4,$274.83 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,16,56,$973.47 ,IAMM4400-R002,01/31/08,STATE ONLY,OTHER PRACTITIONER,7,14,"$1,033.89 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,366,2073,"$49,563.95 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,52,615,"$8,216.87 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,38,92,"$5,255.06 ",IAMM4400-R002,01/31/08,OTHER,OTHER PRACTITIONER,2575,9017,"$272,130.76 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,6,8,$639.34 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,OTHER PRACTITIONER,297,1143,"$25,401.80 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,OTHER PRACTITIONER,55,417,"$8,948.72 ",IAMM4400-R002,01/31/08,TOTAL,OTHER PRACTITIONER,10016,52014,"$1,262,214.25 "
IAMM4400-R002,01/31/08,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,DENTAL,2498,3284,"$505,092.71 ",IAMM4400-R002,01/31/08,ADC - CHILD,DENTAL,3241,3811,"$507,411.56 ",IAMM4400-R002,01/31/08,AGED,DENTAL,316,392,"$60,290.10 ",IAMM4400-R002,01/31/08,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,DENTAL,766,985,"$147,077.40 ",IAMM4400-R002,01/31/08,DISABLED,DENTAL,3070,3832,"$530,203.49 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,DENTAL,844,999,"$127,563.45 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,DENTAL,1072,1226,"$114,123.23 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,DENTAL,16,22,"$2,470.61 ",IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,DENTAL,2,2,$61.75 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,DENTAL,23,26,"$2,097.35 ",IAMM4400-R002,01/31/08,STATE ONLY,DENTAL,9,12,"$1,101.16 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,DENTAL,637,753,"$104,498.88 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,DENTAL,114,148,"$18,147.85 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,DENTAL,41,53,"$14,161.70 ",IAMM4400-R002,01/31/08,OTHER,DENTAL,4701,5619,"$738,311.13 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,DENTAL,18,20,"$4,204.54 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,DENTAL,1048,1239,"$188,953.14 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,DENTAL,84,99,"$17,257.58 ",IAMM4400-R002,01/31/08,TOTAL,DENTAL,18436,22522,"$3,083,027.63 "
IAMM4400-R002,01/31/08,ADC - ADULT,OPTOMETRIST,1150,1359,"$99,171.52 ",IAMM4400-R002,01/31/08,ADC - CHILD,OPTOMETRIST,1197,1368,"$90,807.17 ",IAMM4400-R002,01/31/08,AGED,OPTOMETRIST,493,730,"$16,925.74 ",IAMM4400-R002,01/31/08,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,OPTOMETRIST,283,334,"$22,360.75 ",IAMM4400-R002,01/31/08,DISABLED,OPTOMETRIST,1839,2379,"$116,211.59 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,328,365,"$22,585.26 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,OPTOMETRIST,466,549,"$23,959.43 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,OPTOMETRIST,3,3,$220.02 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,OPTOMETRIST,1,1,$89.29 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,11,13,$632.31 ,IAMM4400-R002,01/31/08,STATE ONLY,OPTOMETRIST,6,8,$660.26 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,OPTOMETRIST,630,862,"$22,202.05 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,50,63,"$3,676.78 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,9,9,$687.66 ,IAMM4400-R002,01/31/08,OTHER,OPTOMETRIST,1591,1816,"$119,176.83 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,3,3,$208.39 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,OPTOMETRIST,328,368,"$23,864.51 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,OPTOMETRIST,48,58,"$4,407.39 ",IAMM4400-R002,01/31/08,TOTAL,OPTOMETRIST,8420,10288,"$567,846.95 "
IAMM4400-R002,01/31/08,ADC - ADULT,CHIROPRACTIC,1476,3609,"$126,306.04 ",IAMM4400-R002,01/31/08,ADC - CHILD,CHIROPRACTIC,655,1185,"$38,637.78 ",IAMM4400-R002,01/31/08,AGED,CHIROPRACTIC,308,746,"$5,919.20 ",IAMM4400-R002,01/31/08,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,CHIROPRACTIC,191,431,"$14,872.03 ",IAMM4400-R002,01/31/08,DISABLED,CHIROPRACTIC,1850,4518,"$77,288.94 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,105,184,"$5,841.65 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,CHIROPRACTIC,229,458,"$6,561.54 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,CHIROPRACTIC,1,2,$9.18 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,6,8,$197.04 ,IAMM4400-R002,01/31/08,STATE ONLY,CHIROPRACTIC,6,27,"$1,032.89 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,235,504,"$5,721.60 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,65,156,"$4,668.05 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,18,36,"$1,303.38 ",IAMM4400-R002,01/31/08,OTHER,CHIROPRACTIC,1147,2477,"$76,936.91 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,12,32,$964.95 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,CHIROPRACTIC,219,388,"$13,015.52 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,CHIROPRACTIC,48,100,"$3,643.34 ",IAMM4400-R002,01/31/08,TOTAL,CHIROPRACTIC,6522,14861,"$382,920.04 "
IAMM4400-R002,01/31/08,ADC - ADULT,PODIATRIC,175,234,"$27,330.68 ",IAMM4400-R002,01/31/08,ADC - CHILD,PODIATRIC,48,57,"$9,452.04 ",IAMM4400-R002,01/31/08,AGED,PODIATRIC,534,814,"$9,597.88 ",IAMM4400-R002,01/31/08,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,PODIATRIC,20,33,"$4,146.35 ",IAMM4400-R002,01/31/08,DISABLED,PODIATRIC,922,1591,"$56,941.21 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,23,25,"$1,708.67 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,PODIATRIC,394,561,"$14,060.92 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,PODIATRIC,1,2,$18.22 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,PODIATRIC,2,3,"$1,303.72 ",IAMM4400-R002,01/31/08,STATE ONLY,PODIATRIC,1,1,$218.62 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,PODIATRIC,1142,1890,"$28,487.29 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,29,36,"$1,689.64 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,8,10,"$2,068.70 ",IAMM4400-R002,01/31/08,OTHER,PODIATRIC,76,101,"$11,522.56 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,PODIATRIC,6,8,"$1,266.29 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,PODIATRIC,15,23,"$3,812.90 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PODIATRIC,12,17,$808.27 ,IAMM4400-R002,01/31/08,TOTAL,PODIATRIC,3392,5406,"$174,433.96 "
IAMM4400-R002,01/31/08,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,PHYSICAL DISABILITIES SVCS,425,17671,"$229,003.94 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,183,7748,"$96,028.56 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,PHYSICAL DISABILITIES SVCS,606,25419,"$325,032.50 "
IAMM4400-R002,01/31/08,ADC - ADULT,BRAIN INJ WAIVER SERVICES,1,10,$180.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,BRAIN INJ WAIVER SERVICES,1,63,"$2,976.54 ",IAMM4400-R002,01/31/08,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,BRAIN INJ WAIVER SERVICES,310,17679,"$447,550.08 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,38,1356,"$34,134.67 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,252,12004,"$357,588.19 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,394,18558,"$574,596.18 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,BRAIN INJ WAIVER SERVICES,1,0,"($15,775.51)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,BRAIN INJ WAIVER SERVICES,980,49670,"$1,401,250.15 "
IAMM4400-R002,01/31/08,ADC - ADULT,PSYCHIATRIC,18,38,"$3,021.61 ",IAMM4400-R002,01/31/08,ADC - CHILD,PSYCHIATRIC,6,8,"$1,255.84 ",IAMM4400-R002,01/31/08,AGED,PSYCHIATRIC,107,166,"$5,272.68 ",IAMM4400-R002,01/31/08,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,PSYCHIATRIC,7,21,"$1,725.27 ",IAMM4400-R002,01/31/08,DISABLED,PSYCHIATRIC,2017,3887,"$125,921.45 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,22,43,"$5,622.56 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,PSYCHIATRIC,414,648,"$21,055.28 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,PSYCHIATRIC,2,2,$34.51 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,1,1,$324.18 ,IAMM4400-R002,01/31/08,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,207,350,"$10,793.28 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,25,37,"$1,186.79 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,30,117,"$5,723.30 ",IAMM4400-R002,01/31/08,OTHER,PSYCHIATRIC,18,28,"$1,774.64 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,1,1,$44.46 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,PSYCHIATRIC,1,1,$260.69 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,PSYCHIATRIC,4,6,$249.96 ,IAMM4400-R002,01/31/08,TOTAL,PSYCHIATRIC,2874,5354,"$184,266.50 "
IAMM4400-R002,01/31/08,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,RESIDENTIAL CARE FACILITY,327,10453,"$79,909.57 ",IAMM4400-R002,01/31/08,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,RESIDENTIAL CARE FACILITY,1340,41191,"$330,098.80 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,3,51,$631.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,21,316,$309.88 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,2,87,$192.50 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,4,75,"$1,072.73 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,RESIDENTIAL CARE FACILITY,1,0,$938.69 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,RESIDENTIAL CARE FACILITY,1688,52173,"$413,153.17 "
IAMM4400-R002,01/31/08,ADC - ADULT,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,MR WAIVER SERVICE,2,55,$858.01 ,IAMM4400-R002,01/31/08,AGED,MR WAIVER SERVICE,81,5202,"$220,447.82 ",IAMM4400-R002,01/31/08,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,MR WAIVER SERVICE,980,58564,"$2,519,792.10 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,177,5856,"$164,415.81 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8127,504550,"$19,825,578.87 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,8,436,"$15,993.80 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,MR WAIVER SERVICE,3,20,"($274,050.52)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,MR WAIVER SERVICE,1,12,$277.16 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MR WAIVER SERVICE,3,79,"$1,973.57 ",IAMM4400-R002,01/31/08,TOTAL,MR WAIVER SERVICE,9346,574774,"$22,475,286.62 "
IAMM4400-R002,01/31/08,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,4,48,"$1,708.13 ",IAMM4400-R002,01/31/08,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,32,1327,"$29,752.93 ",IAMM4400-R002,01/31/08,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,CHILDRENS MENTAL HEALTH SVC,55,2638,"$48,237.80 ",IAMM4400-R002,01/31/08,DISABLED,CHILDRENS MENTAL HEALTH SVC,34,1228,"$30,009.25 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,187,8511,"$168,441.19 ",IAMM4400-R002,01/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,CHILDRENS MENTAL HEALTH SVC,55,2271,"$46,331.93 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,3,78,"$1,566.10 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,3,56,"$1,008.70 ",IAMM4400-R002,01/31/08,TOTAL,CHILDRENS MENTAL HEALTH SVC,370,16157,"$327,056.03 "
IAMM4400-R002,01/31/08,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,AIDS WAIVER SERVICES,11,770,"$9,595.21 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,33,2364,"$24,716.67 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,AIDS WAIVER SERVICES,43,3134,"$34,311.88 "
IAMM4400-R002,01/31/08,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,ELDERLY WAIVER SERVICES,2950,128721,"$1,755,380.09 ",IAMM4400-R002,01/31/08,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,ELDERLY WAIVER SERVICES,25,993,"$18,079.77 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,150,"$1,350.00 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6304,291287,"$3,474,871.53 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,ELDERLY WAIVER SERVICES,4,2,"($14,801.00)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,4,298,"$2,932.89 ",IAMM4400-R002,01/31/08,TOTAL,ELDERLY WAIVER SERVICES,9054,421451,"$5,237,813.28 "
IAMM4400-R002,01/31/08,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1777,87016,"$1,314,019.12 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,30,1821,"$34,758.20 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,150,7339,"$126,314.08 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,49,$847.70 ,IAMM4400-R002,01/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,6,93,"$1,177.34 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,ILL & HANDICAPPED WAIVER SVCS,1,0,"($7,465.59)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,2,28,$979.50 ,IAMM4400-R002,01/31/08,TOTAL,ILL & HANDICAPPED WAIVER SVCS,1961,96346,"$1,470,630.35 "
IAMM4400-R002,01/31/08,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,01/31/08,ADC - ADULT,MEP SERVICES,4,6,"$2,109.35 ",IAMM4400-R002,01/31/08,ADC - CHILD,MEP SERVICES,38,40,"$16,896.95 ",IAMM4400-R002,01/31/08,AGED,MEP SERVICES,98,118,"$28,732.53 ",IAMM4400-R002,01/31/08,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,MEP SERVICES,58,69,"$27,621.70 ",IAMM4400-R002,01/31/08,DISABLED,MEP SERVICES,1239,1554,"$385,361.50 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,196,271,"$66,662.18 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,MEP SERVICES,7572,10019,"$2,467,853.07 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,MEP SERVICES,256,261,"$121,917.91 ",IAMM4400-R002,01/31/08,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,MEP SERVICES,122,155,"$38,538.05 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,1,1,$240.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,4,6,"$1,336.81 ",IAMM4400-R002,01/31/08,OTHER,MEP SERVICES,69,77,"$32,084.99 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,MEP SERVICES,6,11,"$3,235.88 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,MEP SERVICES,6,6,"$2,138.00 ",IAMM4400-R002,01/31/08,TOTAL,MEP SERVICES,9615,12594,"$3,194,728.92 "
IAMM4400-R002,01/31/08,ADC - ADULT,UNASSIGNED,5,0,$0.00 ,IAMM4400-R002,01/31/08,ADC - CHILD,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/08,AGED,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/08,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/08,DISABLED,UNASSIGNED,5,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,5,0,$0.00 ,IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,UNASSIGNED,10,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER,UNASSIGNED,7,0,"($1,533,583.62)",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,OTHER TXXI,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/08,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/08,TOTAL,UNASSIGNED,39,0,"($1,533,583.62)"
IAMM4400-R002,01/31/08,ADC - ADULT,* A L L  C A T E G O R I E S *,64841,300016,"$14,749,802.30 ",IAMM4400-R002,01/31/08,ADC - CHILD,* A L L  C A T E G O R I E S *,96154,292519,"$10,588,248.27 ",IAMM4400-R002,01/31/08,AGED,* A L L  C A T E G O R I E S *,13133,535876,"$16,538,353.36 ",IAMM4400-R002,01/31/08,BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/08,CMAP,* A L L  C A T E G O R I E S *,17628,92427,"$4,578,281.95 ",IAMM4400-R002,01/31/08,DISABLED,* A L L  C A T E G O R I E S *,56771,1615274,"$42,371,982.59 ",IAMM4400-R002,01/31/08,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/08,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10622,293425,"$5,756,029.00 ",IAMM4400-R002,01/31/08,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,10471,1141610,"$52,515,954.48 ",IAMM4400-R002,01/31/08,FEDERAL ONLY,* A L L  C A T E G O R I E S *,210,569,"$20,944.28 ",IAMM4400-R002,01/31/08,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,4,258,"$6,501.30 ",IAMM4400-R002,01/31/08,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,119,17087,"$499,149.80 ",IAMM4400-R002,01/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,91,1319,"$110,127.79 ",IAMM4400-R002,01/31/08,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15314,1096987,"$32,663,852.87 ",IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/08,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/08,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1967,24293,"$825,559.98 ",IAMM4400-R002,01/31/08,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,601,16471,"$1,449,964.50 ",IAMM4400-R002,01/31/08,OTHER,* A L L  C A T E G O R I E S *,107207,442798,"$17,766,523.48 ",IAMM4400-R002,01/31/08,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,262,3516,"$316,939.79 ",IAMM4400-R002,01/31/08,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,0,0,$252.17 ,IAMM4400-R002,01/31/08,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,4,29,"$2,686.56 ",IAMM4400-R002,01/31/08,OTHER TXXI,* A L L  C A T E G O R I E S *,11297,62754,"$1,877,477.74 ",IAMM4400-R002,01/31/08,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,1623,22532,"$827,910.73 ",IAMM4400-R002,01/31/08,TOTAL,* A L L  C A T E G O R I E S *,408319,5959760,"$203,466,542.94 "