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-R002,05/31/08,ADC - ADULT,INPATIENT,612,2113,"$2,502,930.67 ",IAMM4400-R002,05/31/08,ADC - CHILD,INPATIENT,325,1653,"$1,568,804.88 ",IAMM4400-R002,05/31/08,AGED,INPATIENT,416,1511,"$412,711.86 ",IAMM4400-R002,05/31/08,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,INPATIENT,365,7702,"$1,822,373.35 ",IAMM4400-R002,05/31/08,DISABLED,INPATIENT,1547,8906,"$6,453,283.59 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,46,522,"$169,672.74 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,INPATIENT,161,720,"$342,869.76 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,INPATIENT,1,1,$209.61 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,INPATIENT,2,-5,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,INPATIENT,9,196,"$31,938.79 ",IAMM4400-R002,05/31/08,STATE ONLY,INPATIENT,4,6,"$9,041.87 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,INPATIENT,565,2124,"$658,317.63 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,INPATIENT,35,232,"$194,239.18 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,INPATIENT,132,635,"$1,004,229.61 ",IAMM4400-R002,05/31/08,OTHER,INPATIENT,1565,8389,"$9,417,422.38 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,INPATIENT,7,21,"$50,608.65 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,INPATIENT,3,0,"$11,518.81 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,INPATIENT,47,259,"$105,664.20 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,INPATIENT,21,157,"$161,034.00 ",IAMM4400-R002,05/31/08,TOTAL,INPATIENT,5837,35142,"$24,916,871.58 "
IAMM4400-R002,05/31/08,ADC - ADULT,OUTPATIENT,7780,86900,"$2,854,980.64 ",IAMM4400-R002,05/31/08,ADC - CHILD,OUTPATIENT,6451,38238,"$1,513,231.62 ",IAMM4400-R002,05/31/08,AGED,OUTPATIENT,3480,58198,"$466,836.59 ",IAMM4400-R002,05/31/08,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,OUTPATIENT,1744,15618,"$443,362.48 ",IAMM4400-R002,05/31/08,DISABLED,OUTPATIENT,14327,260357,"$4,539,773.23 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,896,8077,"$220,942.41 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,OUTPATIENT,2465,34264,"$527,778.82 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,OUTPATIENT,23,415,"$13,565.70 ",IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,OUTPATIENT,6,43,"$1,753.07 ",IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,OUTPATIENT,42,377,"$7,445.51 ",IAMM4400-R002,05/31/08,STATE ONLY,OUTPATIENT,46,410,"$11,192.05 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,OUTPATIENT,4677,91340,"$589,581.47 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,390,6521,"$169,042.29 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,384,7745,"$236,784.14 ",IAMM4400-R002,05/31/08,OTHER,OUTPATIENT,10495,87317,"$2,570,601.82 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,OUTPATIENT,89,2919,"$140,117.75 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,OUTPATIENT,1,1,$193.59 ,IAMM4400-R002,05/31/08,OTHER TXXI,OUTPATIENT,1017,7461,"$270,115.23 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,OUTPATIENT,275,2934,"$138,161.81 ",IAMM4400-R002,05/31/08,TOTAL,OUTPATIENT,54198,709135,"$14,715,460.22 "
IAMM4400-R002,05/31/08,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,SKILLED NURSING FACILITY,1,0,"($63,169.31)",IAMM4400-R002,05/31/08,AGED,SKILLED NURSING FACILITY,155,2245,"$57,566.52 ",IAMM4400-R002,05/31/08,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,SKILLED NURSING FACILITY,176,4523,"$2,285,014.07 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,30,"$9,380.30 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,6,130,"$15,409.80 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,391,5655,"$17,072.35 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,2,30,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,SKILLED NURSING FACILITY,5,52,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,SKILLED NURSING FACILITY,1,4,"$4,320.00 ",IAMM4400-R002,05/31/08,TOTAL,SKILLED NURSING FACILITY,735,12669,"$2,325,593.73 "
IAMM4400-R002,05/31/08,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,93,"$12,703.95 ",IAMM4400-R002,05/31/08,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,INTERMEDIATE CARE FACILITY,4286,122519,"$10,130,698.83 ",IAMM4400-R002,05/31/08,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,INTERMEDIATE CARE FACILITY,534,15470,"$1,600,995.27 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,8,238,"$24,915.25 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7240,207052,"$20,844,930.04 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,21,"$1,936.65 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,INTERMEDIATE CARE FACILITY,2,31,"($17,662.08)",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,INTERMEDIATE CARE FACILITY,12006,345424,"$32,598,517.91 "
IAMM4400-R002,05/31/08,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,INTER CARE MENTAL RETARDA,15,493,"$158,707.67 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,8,191,"$86,914.10 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2129,56023,"$20,974,409.45 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,3,90,"$29,064.23 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,INTER CARE MENTAL RETARDA,1,0,"($2,866,664.00)",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,INTER CARE MENTAL RETARDA,2151,56797,"$18,382,431.45 "
IAMM4400-R002,05/31/08,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,NURSING FAC FOR MENTAL ILL,3,64,"$10,546.20 ",IAMM4400-R002,05/31/08,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,1,8,"$1,714.48 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,15,444,"$85,222.75 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,NURSING FAC FOR MENTAL ILL,19,516,"$97,483.43 "
IAMM4400-R002,05/31/08,ADC - ADULT,HOME HEALTH,52,992,"$25,061.73 ",IAMM4400-R002,05/31/08,ADC - CHILD,HOME HEALTH,312,1997,"$55,526.85 ",IAMM4400-R002,05/31/08,AGED,HOME HEALTH,2066,44143,"$1,463,418.59 ",IAMM4400-R002,05/31/08,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,HOME HEALTH,52,212,"$9,036.58 ",IAMM4400-R002,05/31/08,DISABLED,HOME HEALTH,3260,90331,"$2,662,954.54 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,66,4419,"$111,094.35 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,HOME HEALTH,985,46745,"$1,269,666.63 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,HOME HEALTH,3499,81871,"$2,831,569.89 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,47,585,"$20,595.16 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,29,705,"$34,646.28 ",IAMM4400-R002,05/31/08,OTHER,HOME HEALTH,485,2764,"($38,748.81)",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,HOME HEALTH,5,27,"$2,543.76 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,HOME HEALTH,36,108,"$4,599.42 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,HOME HEALTH,16,197,"$16,144.04 ",IAMM4400-R002,05/31/08,TOTAL,HOME HEALTH,10820,275096,"$8,468,109.01 "
IAMM4400-R002,05/31/08,ADC - ADULT,LEAD INSPECTION AGENCY,1,0,($58.97),IAMM4400-R002,05/31/08,ADC - CHILD,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,05/31/08,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,LEAD INSPECTION AGENCY,1,2,$700.00 ,IAMM4400-R002,05/31/08,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,1,1,$350.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,LEAD INSPECTION AGENCY,2,3,"$1,104.70 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,LEAD INSPECTION AGENCY,6,7,"$2,473.08 "
IAMM4400-R002,05/31/08,ADC - ADULT,PHYSICIAN,14606,28867,"$2,726,358.61 ",IAMM4400-R002,05/31/08,ADC - CHILD,PHYSICIAN,17834,31400,"$2,112,196.11 ",IAMM4400-R002,05/31/08,AGED,PHYSICIAN,6139,34884,"$389,682.72 ",IAMM4400-R002,05/31/08,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,PHYSICIAN,3635,6563,"$514,876.11 ",IAMM4400-R002,05/31/08,DISABLED,PHYSICIAN,23576,108240,"$3,768,709.96 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2255,3548,"$227,558.45 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,PHYSICIAN,4429,13022,"$406,999.98 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,PHYSICIAN,50,82,"$11,237.87 ",IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,PHYSICIAN,8,14,$294.65 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,PHYSICIAN,84,122,"$6,081.16 ",IAMM4400-R002,05/31/08,STATE ONLY,PHYSICIAN,77,151,"$10,666.21 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,PHYSICIAN,7294,43303,"$519,506.09 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,717,1976,"$129,479.93 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,705,3787,"$259,978.01 ",IAMM4400-R002,05/31/08,OTHER,PHYSICIAN,26688,49870,"$4,333,695.92 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,PHYSICIAN,150,550,"$152,388.44 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,PHYSICIAN,1,0,($114.20),IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,PHYSICIAN,5,9,"$2,551.83 ",IAMM4400-R002,05/31/08,OTHER TXXI,PHYSICIAN,2825,4410,"$283,474.79 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PHYSICIAN,501,1433,"$100,687.54 ",IAMM4400-R002,05/31/08,TOTAL,PHYSICIAN,109500,332231,"$15,956,310.18 "
IAMM4400-R002,05/31/08,ADC - ADULT,CLINIC SERVICES,2502,3846,"$507,938.38 ",IAMM4400-R002,05/31/08,ADC - CHILD,CLINIC SERVICES,3096,4385,"$588,548.60 ",IAMM4400-R002,05/31/08,AGED,CLINIC SERVICES,401,178,"$28,123.84 ",IAMM4400-R002,05/31/08,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,CLINIC SERVICES,802,1165,"$149,046.16 ",IAMM4400-R002,05/31/08,DISABLED,CLINIC SERVICES,2772,3992,"$536,550.09 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,484,670,"$80,871.76 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,CLINIC SERVICES,349,452,"$56,256.05 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,CLINIC SERVICES,1,1,$150.07 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,17,26,"$2,815.71 ",IAMM4400-R002,05/31/08,STATE ONLY,CLINIC SERVICES,11,16,"$2,093.37 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,431,335,"$34,858.89 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,108,282,"$24,032.78 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,57,90,"$9,516.98 ",IAMM4400-R002,05/31/08,OTHER,CLINIC SERVICES,5685,8350,"$993,780.00 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,11,16,"$3,263.42 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,CLINIC SERVICES,633,825,"$100,997.80 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,CLINIC SERVICES,97,147,"$20,671.73 ",IAMM4400-R002,05/31/08,TOTAL,CLINIC SERVICES,17244,24776,"$3,139,515.63 "
IAMM4400-R002,05/31/08,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,LAB AND RADIOLOGICAL,2639,7043,"$154,474.03 ",IAMM4400-R002,05/31/08,ADC - CHILD,LAB AND RADIOLOGICAL,1282,2946,"$43,883.63 ",IAMM4400-R002,05/31/08,AGED,LAB AND RADIOLOGICAL,509,199,"$2,562.49 ",IAMM4400-R002,05/31/08,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,LAB AND RADIOLOGICAL,404,1269,"$23,218.14 ",IAMM4400-R002,05/31/08,DISABLED,LAB AND RADIOLOGICAL,2469,6107,"$94,248.56 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,278,1036,"$14,397.66 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,430,758,"$9,091.06 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,LAB AND RADIOLOGICAL,7,43,$794.69 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,7,37,$221.72 ,IAMM4400-R002,05/31/08,STATE ONLY,LAB AND RADIOLOGICAL,13,44,$871.06 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,633,311,"$3,435.90 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,120,268,"$5,614.89 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,39,88,"$1,740.52 ",IAMM4400-R002,05/31/08,OTHER,LAB AND RADIOLOGICAL,2943,8541,"$162,588.69 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,29,106,"$1,579.49 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,2,4,$84.61 ,IAMM4400-R002,05/31/08,OTHER TXXI,LAB AND RADIOLOGICAL,177,499,"$7,290.20 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,LAB AND RADIOLOGICAL,76,257,"$4,620.09 ",IAMM4400-R002,05/31/08,TOTAL,LAB AND RADIOLOGICAL,11974,29556,"$530,717.43 "
IAMM4400-R002,05/31/08,ADC - ADULT,HABILITATION SERVICES,24,491,"$18,180.47 ",IAMM4400-R002,05/31/08,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,HABILITATION SERVICES,43,1181,"$70,418.58 ",IAMM4400-R002,05/31/08,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,HABILITATION SERVICES,19,557,"$30,288.90 ",IAMM4400-R002,05/31/08,DISABLED,HABILITATION SERVICES,2270,66850,"$3,214,170.23 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,6,110,"$6,841.70 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,12,285,"$9,300.04 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,HABILITATION SERVICES,9,161,"$7,318.02 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,27,584,"$30,847.02 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,38,1402,"$81,206.07 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,6,135,"$4,644.91 ",IAMM4400-R002,05/31/08,OTHER,HABILITATION SERVICES,4,66,"$4,250.35 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,HABILITATION SERVICES,5,203,"$4,886.51 ",IAMM4400-R002,05/31/08,TOTAL,HABILITATION SERVICES,2457,72025,"$3,482,352.80 "
IAMM4400-R002,05/31/08,ADC - ADULT,REMEDIAL SERVICES,141,3840,"$58,586.36 ",IAMM4400-R002,05/31/08,ADC - CHILD,REMEDIAL SERVICES,1480,42300,"$734,151.10 ",IAMM4400-R002,05/31/08,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,REMEDIAL SERVICES,516,14526,"$243,320.02 ",IAMM4400-R002,05/31/08,DISABLED,REMEDIAL SERVICES,531,19145,"$290,108.43 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2172,160200,"$1,732,435.15 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,113,2351,"$44,936.25 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,88,3867,"$64,123.34 ",IAMM4400-R002,05/31/08,STATE ONLY,REMEDIAL SERVICES,10,144,"$3,082.20 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,2,60,"$1,201.71 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,4,82,"$1,183.16 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,22,$198.44 ,IAMM4400-R002,05/31/08,OTHER,REMEDIAL SERVICES,1192,33285,"$594,842.05 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,REMEDIAL SERVICES,248,7558,"$129,949.86 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,REMEDIAL SERVICES,35,1140,"$14,296.25 ",IAMM4400-R002,05/31/08,TOTAL,REMEDIAL SERVICES,6334,288520,"$3,912,414.32 "
IAMM4400-R002,05/31/08,ADC - ADULT,REHAB SUPPORT SERVICES,1,0,($123.95),IAMM4400-R002,05/31/08,ADC - CHILD,REHAB SUPPORT SERVICES,1,0,$0.08 ,IAMM4400-R002,05/31/08,AGED,REHAB SUPPORT SERVICES,6,18,"$2,927.46 ",IAMM4400-R002,05/31/08,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,REHAB SUPPORT SERVICES,205,-179,"$8,295.25 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,1,0,($355.10),IAMM4400-R002,05/31/08,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,3,0,($544.64),IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,4,0,"$1,305.14 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,REHAB SUPPORT SERVICES,1,0,"($1,636.48)",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,REHAB SUPPORT SERVICES,1,0,$0.30 ,IAMM4400-R002,05/31/08,TOTAL,REHAB SUPPORT SERVICES,219,-61,"$9,868.06 "
IAMM4400-R002,05/31/08,ADC - ADULT,AMBULANCE SERVICES,285,363,"$41,117.20 ",IAMM4400-R002,05/31/08,ADC - CHILD,AMBULANCE SERVICES,179,173,"$26,756.39 ",IAMM4400-R002,05/31/08,AGED,AMBULANCE SERVICES,276,330,"$28,815.07 ",IAMM4400-R002,05/31/08,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,AMBULANCE SERVICES,66,67,"$24,372.21 ",IAMM4400-R002,05/31/08,DISABLED,AMBULANCE SERVICES,868,1027,"$119,859.71 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,31,31,"$22,821.74 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,123,144,"$17,758.22 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,AMBULANCE SERVICES,3,3,$392.46 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,461,573,"$51,198.91 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,14,13,"$1,253.45 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,46,55,"$8,822.07 ",IAMM4400-R002,05/31/08,OTHER,AMBULANCE SERVICES,237,229,"$41,695.04 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,2,2,$256.39 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,1,2,$202.25 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,AMBULANCE SERVICES,25,26,"$3,919.76 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,AMBULANCE SERVICES,18,19,"$2,508.92 ",IAMM4400-R002,05/31/08,TOTAL,AMBULANCE SERVICES,2628,3057,"$391,749.79 "
IAMM4400-R002,05/31/08,ADC - ADULT,LOCAL EDUCATION AGENCY,17,4587,"$36,730.03 ",IAMM4400-R002,05/31/08,ADC - CHILD,LOCAL EDUCATION AGENCY,200,30450,"$167,785.73 ",IAMM4400-R002,05/31/08,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,LOCAL EDUCATION AGENCY,63,11552,"$64,441.11 ",IAMM4400-R002,05/31/08,DISABLED,LOCAL EDUCATION AGENCY,642,232243,"$1,363,818.84 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,116,26138,"$161,347.35 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,618,256600,"$1,516,884.81 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,15,4823,"$25,015.13 ",IAMM4400-R002,05/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,1,1,$10.76 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,25,9738,"$56,327.90 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,1,4,$43.04 ,IAMM4400-R002,05/31/08,OTHER,LOCAL EDUCATION AGENCY,204,36158,"$205,879.20 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,LOCAL EDUCATION AGENCY,51,5951,"$35,261.19 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,3,314,"$1,490.70 ",IAMM4400-R002,05/31/08,TOTAL,LOCAL EDUCATION AGENCY,1902,618559,"$3,635,035.79 "
IAMM4400-R002,05/31/08,ADC - ADULT,EARLY ACCESS SERVICES,1,2,$65.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,EARLY ACCESS SERVICES,77,316,"$7,828.10 ",IAMM4400-R002,05/31/08,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,EARLY ACCESS SERVICES,22,77,"$2,228.60 ",IAMM4400-R002,05/31/08,DISABLED,EARLY ACCESS SERVICES,68,386,"$6,867.56 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,18,54,"$1,346.87 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,38,231,"$3,926.60 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,5,43,$505.72 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,EARLY ACCESS SERVICES,77,357,"$6,761.65 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,EARLY ACCESS SERVICES,2,8,$154.72 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,EARLY ACCESS SERVICES,299,1474,"$29,684.82 "
IAMM4400-R002,05/31/08,ADC - ADULT,PRESCRIBED DRUGS,19315,53325,"$2,692,797.78 ",IAMM4400-R002,05/31/08,ADC - CHILD,PRESCRIBED DRUGS,16188,28090,"$1,559,719.21 ",IAMM4400-R002,05/31/08,AGED,PRESCRIBED DRUGS,2621,4409,"$59,728.70 ",IAMM4400-R002,05/31/08,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,PRESCRIBED DRUGS,4067,9398,"$592,863.13 ",IAMM4400-R002,05/31/08,DISABLED,PRESCRIBED DRUGS,23194,97019,"$7,195,522.99 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4894,12407,"$1,188,036.22 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,5821,18563,"$1,444,805.36 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,PRESCRIBED DRUGS,26,52,"$2,291.94 ",IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,9,21,$532.91 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,254,923,"$87,096.03 ",IAMM4400-R002,05/31/08,STATE ONLY,PRESCRIBED DRUGS,89,224,"$15,225.63 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10060,21860,"$390,395.01 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,860,2854,"$139,090.01 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,266,1200,"$61,709.07 ",IAMM4400-R002,05/31/08,OTHER,PRESCRIBED DRUGS,22613,39641,"$2,001,462.03 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,177,621,"$36,044.70 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,13,13,"$1,366.97 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,PRESCRIBED DRUGS,3097,5457,"$384,886.83 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PRESCRIBED DRUGS,846,3756,"$207,833.93 ",IAMM4400-R002,05/31/08,TOTAL,PRESCRIBED DRUGS,113086,299833,"$18,061,408.45 "
IAMM4400-R002,05/31/08,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,1,0,($19.56),IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,DRUG CAPITATION,1,0,($19.56)
IAMM4400-R002,05/31/08,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,FAMILY PLANNING SERVICES,5435,6301,"$547,862.39 ",IAMM4400-R002,05/31/08,ADC - CHILD,FAMILY PLANNING SERVICES,906,1056,"$86,774.83 ",IAMM4400-R002,05/31/08,AGED,FAMILY PLANNING SERVICES,1,1,$15.00 ,IAMM4400-R002,05/31/08,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,FAMILY PLANNING SERVICES,143,180,"$18,491.06 ",IAMM4400-R002,05/31/08,DISABLED,FAMILY PLANNING SERVICES,119,140,"$9,853.49 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,36,38,"$3,790.11 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,29,30,"$1,578.13 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,FAMILY PLANNING SERVICES,9,11,"$1,019.96 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,26,25,"$1,712.12 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,7,11,$448.11 ,IAMM4400-R002,05/31/08,OTHER,FAMILY PLANNING SERVICES,284,319,"$33,805.04 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,1,1,$130.08 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,FAMILY PLANNING SERVICES,52,60,"$6,362.00 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,FAMILY PLANNING SERVICES,5,5,$239.09 ,IAMM4400-R002,05/31/08,TOTAL,FAMILY PLANNING SERVICES,7032,8178,"$712,081.41 "
IAMM4400-R002,05/31/08,ADC - ADULT,IOWA PLAN PROGRAM,49431,41025,"$1,459,445.86 ",IAMM4400-R002,05/31/08,ADC - CHILD,IOWA PLAN PROGRAM,79860,65967,"$695,220.02 ",IAMM4400-R002,05/31/08,AGED,IOWA PLAN PROGRAM,6,3,$287.18 ,IAMM4400-R002,05/31/08,BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,IOWA PLAN PROGRAM,17401,13240,"$296,081.56 ",IAMM4400-R002,05/31/08,DISABLED,IOWA PLAN PROGRAM,53101,48647,"$3,812,239.35 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,12010,10597,"$1,099,079.46 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,11044,10495,"$746,292.12 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,IOWA PLAN PROGRAM,151,64,"$2,007.89 ",IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,30,26,"$1,929.86 ",IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,354,317,"$31,539.50 ",IAMM4400-R002,05/31/08,STATE ONLY,IOWA PLAN PROGRAM,330,245,"$37,062.77 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2755,1506,"$110,114.23 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,2144,1435,"$58,564.34 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,IOWA PLAN PROGRAM,113548,88595,"$1,178,974.33 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,245,204,"$23,344.92 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,IOWA PLAN PROGRAM,18671,12762,"$145,126.32 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,IOWA PLAN PROGRAM,1791,1409,"$154,726.15 ",IAMM4400-R002,05/31/08,TOTAL,IOWA PLAN PROGRAM,331754,296537,"$9,852,035.86 "
IAMM4400-R002,05/31/08,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,EPSDT SCREENING,156,162,"$5,564.58 ",IAMM4400-R002,05/31/08,ADC - CHILD,EPSDT SCREENING,4032,4441,"$299,944.25 ",IAMM4400-R002,05/31/08,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,EPSDT SCREENING,896,972,"$68,061.15 ",IAMM4400-R002,05/31/08,DISABLED,EPSDT SCREENING,272,307,"$12,824.15 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,221,240,"$13,484.33 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,EPSDT SCREENING,70,76,"$4,381.87 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,12,13,$317.87 ,IAMM4400-R002,05/31/08,STATE ONLY,EPSDT SCREENING,9,9,$324.33 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,6,7,$148.38 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,12,12,$463.34 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,EPSDT SCREENING,6042,6610,"$565,590.80 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,EPSDT SCREENING,1,1,$669.52 ,IAMM4400-R002,05/31/08,OTHER TXXI,EPSDT SCREENING,530,561,"$27,883.68 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,EPSDT SCREENING,4,4,$127.50 ,IAMM4400-R002,05/31/08,TOTAL,EPSDT SCREENING,12214,13415,"$999,785.75 "
IAMM4400-R002,05/31/08,ADC - ADULT,HMO SERVICES,912,960,"$261,017.76 ",IAMM4400-R002,05/31/08,ADC - CHILD,HMO SERVICES,1557,1647,"$182,372.56 ",IAMM4400-R002,05/31/08,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,HMO SERVICES,290,293,"$33,998.15 ",IAMM4400-R002,05/31/08,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,HMO SERVICES,1554,1616,"$220,486.85 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,HMO SERVICES,244,250,"$22,084.81 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,HMO SERVICES,4552,4766,"$719,960.13 "
IAMM4400-R002,05/31/08,ADC - ADULT,PATIENT MANAGEMENT,22776,22709,"$45,414.37 ",IAMM4400-R002,05/31/08,ADC - CHILD,PATIENT MANAGEMENT,39138,39094,"$78,182.00 ",IAMM4400-R002,05/31/08,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,PATIENT MANAGEMENT,7197,7184,"$14,368.00 ",IAMM4400-R002,05/31/08,DISABLED,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,96,96,$192.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,PATIENT MANAGEMENT,57,57,$114.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,1,-1,($2.00),IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,PATIENT MANAGEMENT,52439,52374,"$104,724.00 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,PATIENT MANAGEMENT,8441,8439,"$16,878.00 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,PATIENT MANAGEMENT,130145,129954,"$259,874.37 "
IAMM4400-R002,05/31/08,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,212,464,"$17,858.90 ",IAMM4400-R002,05/31/08,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,298,748,"$21,413.61 ",IAMM4400-R002,05/31/08,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,HEALTH INS PREMIUM PAYMENT,47,121,"$4,492.82 ",IAMM4400-R002,05/31/08,DISABLED,HEALTH INS PREMIUM PAYMENT,659,1475,"$167,511.31 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,157,381,"$14,214.84 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,565,1301,"$149,731.87 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,39,79,"$8,312.68 ",IAMM4400-R002,05/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,33,69,"$10,014.40 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,4,9,$783.97 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,HEALTH INS PREMIUM PAYMENT,2165,5879,"$146,539.87 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,23,63,"$3,394.38 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,2,4,$535.00 ,IAMM4400-R002,05/31/08,TOTAL,HEALTH INS PREMIUM PAYMENT,4204,10593,"$544,803.65 "
IAMM4400-R002,05/31/08,ADC - ADULT,MEDICAL SUPPLIES,869,16568,"$175,960.93 ",IAMM4400-R002,05/31/08,ADC - CHILD,MEDICAL SUPPLIES,953,14126,"$138,243.57 ",IAMM4400-R002,05/31/08,AGED,MEDICAL SUPPLIES,2366,167022,"$255,534.28 ",IAMM4400-R002,05/31/08,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,MEDICAL SUPPLIES,154,6938,"$29,050.44 ",IAMM4400-R002,05/31/08,DISABLED,MEDICAL SUPPLIES,7343,571639,"$1,557,779.56 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,191,17669,"$65,986.08 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,1834,253204,"$464,527.59 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,MEDICAL SUPPLIES,1,1,$4.85 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,9,824,$950.18 ,IAMM4400-R002,05/31/08,STATE ONLY,MEDICAL SUPPLIES,2,32,$393.60 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4078,347537,"$484,726.80 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,96,5321,"$14,174.75 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,64,4484,"$18,924.60 ",IAMM4400-R002,05/31/08,OTHER,MEDICAL SUPPLIES,1103,13536,"$158,513.22 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,21,529,"$7,108.91 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,MEDICAL SUPPLIES,123,2798,"$23,025.55 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MEDICAL SUPPLIES,101,5382,"$22,127.43 ",IAMM4400-R002,05/31/08,TOTAL,MEDICAL SUPPLIES,18980,1427610,"$3,417,032.34 "
IAMM4400-R002,05/31/08,ADC - ADULT,OTHER PRACTITIONER,1424,2914,"$190,250.26 ",IAMM4400-R002,05/31/08,ADC - CHILD,OTHER PRACTITIONER,2083,6870,"$199,722.86 ",IAMM4400-R002,05/31/08,AGED,OTHER PRACTITIONER,287,1336,"$15,140.36 ",IAMM4400-R002,05/31/08,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,OTHER PRACTITIONER,460,1355,"$61,634.49 ",IAMM4400-R002,05/31/08,DISABLED,OTHER PRACTITIONER,2572,17158,"$334,800.71 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,485,3308,"$63,782.01 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,1029,13498,"$267,968.92 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,32,358,"$5,298.77 ",IAMM4400-R002,05/31/08,STATE ONLY,OTHER PRACTITIONER,8,9,$529.54 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,467,1833,"$46,516.23 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,71,181,"$8,322.15 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,54,117,"$8,435.99 ",IAMM4400-R002,05/31/08,OTHER,OTHER PRACTITIONER,2919,9106,"$313,146.39 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,6,18,$561.82 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,OTHER PRACTITIONER,333,1042,"$30,348.63 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,OTHER PRACTITIONER,51,140,"$8,402.63 ",IAMM4400-R002,05/31/08,TOTAL,OTHER PRACTITIONER,12180,59243,"$1,554,861.76 "
IAMM4400-R002,05/31/08,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,DENTAL,3076,4124,"$682,971.60 ",IAMM4400-R002,05/31/08,ADC - CHILD,DENTAL,4209,4929,"$647,512.38 ",IAMM4400-R002,05/31/08,AGED,DENTAL,453,547,"$85,506.27 ",IAMM4400-R002,05/31/08,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,DENTAL,875,1068,"$177,781.72 ",IAMM4400-R002,05/31/08,DISABLED,DENTAL,3835,4870,"$716,099.32 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,DENTAL,969,1174,"$153,961.30 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,DENTAL,1293,1512,"$146,571.48 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,DENTAL,8,9,$512.26 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,DENTAL,20,29,"$3,179.21 ",IAMM4400-R002,05/31/08,STATE ONLY,DENTAL,20,25,"$3,395.35 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,DENTAL,868,1065,"$159,920.98 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,DENTAL,141,182,"$27,097.50 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,DENTAL,51,76,"$16,825.00 ",IAMM4400-R002,05/31/08,OTHER,DENTAL,5729,6887,"$905,870.83 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,DENTAL,22,26,"$3,607.61 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,DENTAL,1153,1359,"$211,867.05 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,DENTAL,80,104,"$15,599.48 ",IAMM4400-R002,05/31/08,TOTAL,DENTAL,22705,27986,"$3,958,279.34 "
IAMM4400-R002,05/31/08,ADC - ADULT,OPTOMETRIST,1502,1789,"$128,754.07 ",IAMM4400-R002,05/31/08,ADC - CHILD,OPTOMETRIST,1326,1515,"$99,513.83 ",IAMM4400-R002,05/31/08,AGED,OPTOMETRIST,682,1016,"$28,826.97 ",IAMM4400-R002,05/31/08,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,OPTOMETRIST,407,500,"$33,618.37 ",IAMM4400-R002,05/31/08,DISABLED,OPTOMETRIST,2515,3307,"$170,997.31 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,OPTOMETRIST,1,1,$57.42 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,420,471,"$30,757.74 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,OPTOMETRIST,560,681,"$29,736.23 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,16,19,"$1,030.08 ",IAMM4400-R002,05/31/08,STATE ONLY,OPTOMETRIST,4,4,$345.34 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,OPTOMETRIST,871,1306,"$35,072.95 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,89,112,"$6,496.42 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,30,37,"$2,029.07 ",IAMM4400-R002,05/31/08,OTHER,OPTOMETRIST,1858,2117,"$138,820.99 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,10,10,$839.49 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,OPTOMETRIST,413,469,"$32,131.93 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,OPTOMETRIST,78,89,"$6,669.62 ",IAMM4400-R002,05/31/08,TOTAL,OPTOMETRIST,10760,13443,"$745,697.83 "
IAMM4400-R002,05/31/08,ADC - ADULT,CHIROPRACTIC,1707,3881,"$136,530.96 ",IAMM4400-R002,05/31/08,ADC - CHILD,CHIROPRACTIC,832,1540,"$50,249.41 ",IAMM4400-R002,05/31/08,AGED,CHIROPRACTIC,382,1077,"$8,881.45 ",IAMM4400-R002,05/31/08,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,CHIROPRACTIC,230,489,"$16,385.44 ",IAMM4400-R002,05/31/08,DISABLED,CHIROPRACTIC,2115,5469,"$87,806.42 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,149,285,"$8,243.65 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,CHIROPRACTIC,282,634,"$9,995.43 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,CHIROPRACTIC,1,1,$6.30 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,8,19,$662.85 ,IAMM4400-R002,05/31/08,STATE ONLY,CHIROPRACTIC,3,6,$363.28 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,281,683,"$5,469.98 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,71,189,"$5,345.66 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,20,52,"$1,517.24 ",IAMM4400-R002,05/31/08,OTHER,CHIROPRACTIC,1457,3039,"$93,191.66 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,14,29,$861.36 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,CHIROPRACTIC,269,460,"$15,062.76 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,CHIROPRACTIC,59,146,"$4,909.52 ",IAMM4400-R002,05/31/08,TOTAL,CHIROPRACTIC,7816,17999,"$445,483.37 "
IAMM4400-R002,05/31/08,ADC - ADULT,PODIATRIC,195,253,"$28,902.37 ",IAMM4400-R002,05/31/08,ADC - CHILD,PODIATRIC,75,93,"$11,626.80 ",IAMM4400-R002,05/31/08,AGED,PODIATRIC,658,1049,"$14,818.10 ",IAMM4400-R002,05/31/08,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,PODIATRIC,28,48,"$4,752.16 ",IAMM4400-R002,05/31/08,DISABLED,PODIATRIC,1185,2263,"$72,256.65 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,27,37,"$3,430.37 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,PODIATRIC,593,797,"$20,167.97 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,PODIATRIC,2,3,$264.91 ,IAMM4400-R002,05/31/08,STATE ONLY,PODIATRIC,1,1,$98.41 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,PODIATRIC,1216,1794,"$25,719.26 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,30,35,"$1,129.20 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,14,26,"$1,375.58 ",IAMM4400-R002,05/31/08,OTHER,PODIATRIC,79,105,"$12,324.90 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,PODIATRIC,7,9,$564.27 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,PODIATRIC,26,30,"$3,773.25 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PODIATRIC,15,21,"$1,339.56 ",IAMM4400-R002,05/31/08,TOTAL,PODIATRIC,4132,6564,"$202,543.76 "
IAMM4400-R002,05/31/08,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,PHYSICAL DISABILITIES SVCS,416,16747,"$205,985.64 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,181,7872,"$97,231.42 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,PHYSICAL DISABILITIES SVCS,592,24619,"$303,217.06 "
IAMM4400-R002,05/31/08,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,BRAIN INJ WAIVER SERVICES,1,74,"$9,935.62 ",IAMM4400-R002,05/31/08,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,BRAIN INJ WAIVER SERVICES,316,16554,"$486,627.14 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,39,1669,"$59,862.94 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,278,13401,"$379,706.62 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,440,18104,"$634,380.93 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,BRAIN INJ WAIVER SERVICES,1,0,($34.71),IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,BRAIN INJ WAIVER SERVICES,1050,49802,"$1,570,478.54 "
IAMM4400-R002,05/31/08,ADC - ADULT,PSYCHIATRIC,23,43,"$3,099.00 ",IAMM4400-R002,05/31/08,ADC - CHILD,PSYCHIATRIC,7,9,$477.01 ,IAMM4400-R002,05/31/08,AGED,PSYCHIATRIC,163,283,"$8,454.23 ",IAMM4400-R002,05/31/08,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,PSYCHIATRIC,13,30,"$2,821.24 ",IAMM4400-R002,05/31/08,DISABLED,PSYCHIATRIC,2420,4379,"$138,029.19 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,13,32,"$1,773.32 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,PSYCHIATRIC,473,765,"$25,265.40 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,PSYCHIATRIC,2,3,$69.71 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,266,537,"$15,406.13 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,37,63,"$2,023.35 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,40,122,"$6,557.77 ",IAMM4400-R002,05/31/08,OTHER,PSYCHIATRIC,21,32,"$1,826.89 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,PSYCHIATRIC,1,1,$126.98 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,PSYCHIATRIC,4,8,$373.60 ,IAMM4400-R002,05/31/08,TOTAL,PSYCHIATRIC,3477,6307,"$206,303.82 "
IAMM4400-R002,05/31/08,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,RESIDENTIAL CARE FACILITY,334,10175,"$71,153.21 ",IAMM4400-R002,05/31/08,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,RESIDENTIAL CARE FACILITY,1414,43331,"$327,001.90 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,27,965,"$6,639.54 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,3,78,$608.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,14,324,"$2,087.38 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,RESIDENTIAL CARE FACILITY,1783,54873,"$407,490.03 "
IAMM4400-R002,05/31/08,ADC - ADULT,MR WAIVER SERVICE,1,69,"$1,228.20 ",IAMM4400-R002,05/31/08,ADC - CHILD,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,MR WAIVER SERVICE,80,5106,"$229,557.76 ",IAMM4400-R002,05/31/08,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,MR WAIVER SERVICE,1,12,$137.40 ,IAMM4400-R002,05/31/08,DISABLED,MR WAIVER SERVICE,1005,64432,"$2,750,543.97 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,188,6187,"$175,699.30 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8166,545900,"$21,540,017.70 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,MR WAIVER SERVICE,2,64,"$5,358.36 ",IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,7,209,"$20,109.96 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,MR WAIVER SERVICE,7,157,"($62,661.20)",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,MR WAIVER SERVICE,1,30,$511.87 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MR WAIVER SERVICE,3,106,"$2,711.33 ",IAMM4400-R002,05/31/08,TOTAL,MR WAIVER SERVICE,9413,622272,"$24,663,214.65 "
IAMM4400-R002,05/31/08,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,4,193,"$3,727.55 ",IAMM4400-R002,05/31/08,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,36,1877,"$37,550.89 ",IAMM4400-R002,05/31/08,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,CHILDRENS MENTAL HEALTH SVC,69,3113,"$68,131.79 ",IAMM4400-R002,05/31/08,DISABLED,CHILDRENS MENTAL HEALTH SVC,34,1265,"$30,450.12 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,248,9600,"$219,532.15 ",IAMM4400-R002,05/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,CHILDRENS MENTAL HEALTH SVC,61,2076,"$50,820.62 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,4,180,"$4,091.28 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,2,106,"$1,784.38 ",IAMM4400-R002,05/31/08,TOTAL,CHILDRENS MENTAL HEALTH SVC,457,18410,"$416,088.78 "
IAMM4400-R002,05/31/08,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,AIDS WAIVER SERVICES,12,873,"$10,726.67 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,33,2741,"$30,574.70 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,AIDS WAIVER SERVICES,44,3614,"$41,301.37 "
IAMM4400-R002,05/31/08,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,ELDERLY WAIVER SERVICES,3112,130479,"$1,836,582.73 ",IAMM4400-R002,05/31/08,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,ELDERLY WAIVER SERVICES,29,1568,"$26,451.16 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6069,273766,"$3,263,674.86 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,ELDERLY WAIVER SERVICES,10,176,"$1,608.88 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,3,232,"$2,801.90 ",IAMM4400-R002,05/31/08,TOTAL,ELDERLY WAIVER SERVICES,9010,406221,"$5,131,119.53 "
IAMM4400-R002,05/31/08,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,ILL & HANDICAPPED WAIVER SVCS,1,53,$655.08 ,IAMM4400-R002,05/31/08,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1792,92477,"$1,433,043.77 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,32,2095,"$34,173.84 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,160,8198,"$161,650.46 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,6,181,"$1,768.68 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,ILL & HANDICAPPED WAIVER SVCS,1,3,$36.72 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,2,49,"$1,137.73 ",IAMM4400-R002,05/31/08,TOTAL,ILL & HANDICAPPED WAIVER SVCS,1987,103056,"$1,632,466.28 "
IAMM4400-R002,05/31/08,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,05/31/08,ADC - ADULT,MEP SERVICES,7,6,"$2,592.30 ",IAMM4400-R002,05/31/08,ADC - CHILD,MEP SERVICES,42,48,"$19,523.52 ",IAMM4400-R002,05/31/08,AGED,MEP SERVICES,114,99,"$24,470.95 ",IAMM4400-R002,05/31/08,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,MEP SERVICES,77,71,"$32,613.03 ",IAMM4400-R002,05/31/08,DISABLED,MEP SERVICES,1436,1512,"$386,054.15 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,221,253,"$60,222.46 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,MEP SERVICES,7923,9776,"$2,411,520.00 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,MEP SERVICES,1,1,$193.48 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,MEP SERVICES,274,276,"$129,078.15 ",IAMM4400-R002,05/31/08,STATE ONLY,MEP SERVICES,1,0,($2.74),IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,MEP SERVICES,142,145,"$35,466.34 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,7,1,$150.43 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,2,0,($6.20),IAMM4400-R002,05/31/08,OTHER,MEP SERVICES,69,59,"($113,654.77)",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,MEP SERVICES,10,5,"$1,825.11 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,MEP SERVICES,7,7,"$2,443.73 ",IAMM4400-R002,05/31/08,TOTAL,MEP SERVICES,10054,12259,"$2,992,489.94 "
IAMM4400-R002,05/31/08,ADC - ADULT,UNASSIGNED,9,0,$0.00 ,IAMM4400-R002,05/31/08,ADC - CHILD,UNASSIGNED,4,0,$0.00 ,IAMM4400-R002,05/31/08,AGED,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,05/31/08,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,05/31/08,DISABLED,UNASSIGNED,18,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,4,0,$0.00 ,IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,UNASSIGNED,6,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,UNASSIGNED,4,0,($118.95),IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER,UNASSIGNED,14,0,"$1,735,111.83 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,OTHER TXXI,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,05/31/08,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/08,TOTAL,UNASSIGNED,65,0,"$1,734,992.88 "
IAMM4400-R002,05/31/08,ADC - ADULT,* A L L  C A T E G O R I E S *,56495,293923,"$15,322,923.03 ",IAMM4400-R002,05/31/08,ADC - CHILD,* A L L  C A T E G O R I E S *,81930,325909,"$10,883,967.88 ",IAMM4400-R002,05/31/08,AGED,* A L L  C A T E G O R I E S *,13736,588199,"$15,713,856.64 ",IAMM4400-R002,05/31/08,BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/08,CMAP,* A L L  C A T E G O R I E S *,15647,104322,"$4,782,545.61 ",IAMM4400-R002,05/31/08,DISABLED,* A L L  C A T E G O R I E S *,55123,1813324,"$47,035,963.97 ",IAMM4400-R002,05/31/08,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,1,1,$57.42 ,IAMM4400-R002,05/31/08,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10526,261965,"$5,822,314.55 ",IAMM4400-R002,05/31/08,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11016,1291768,"$53,032,468.79 ",IAMM4400-R002,05/31/08,FEDERAL ONLY,* A L L  C A T E G O R I E S *,174,725,"$30,888.88 ",IAMM4400-R002,05/31/08,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,12,246,"$10,746.34 ",IAMM4400-R002,05/31/08,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,236,21909,"$624,905.74 ",IAMM4400-R002,05/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,230,1502,"$103,423.47 ",IAMM4400-R002,05/31/08,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15250,1125061,"$31,121,753.97 ",IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/08,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/08,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1828,21831,"$895,241.94 ",IAMM4400-R002,05/31/08,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,718,19391,"$1,678,420.23 ",IAMM4400-R002,05/31/08,OTHER,* A L L  C A T E G O R I E S *,98918,467739,"$22,894,415.60 ",IAMM4400-R002,05/31/08,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,232,5088,"$423,821.06 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,13,15,"$12,973.83 ",IAMM4400-R002,05/31/08,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,8,15,"$3,499.55 ",IAMM4400-R002,05/31/08,OTHER TXXI,* A L L  C A T E G O R I E S *,11063,61071,"$1,870,807.60 ",IAMM4400-R002,05/31/08,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,1462,18373,"$902,584.47 ",IAMM4400-R002,05/31/08,TOTAL,* A L L  C A T E G O R I E S *,374618,6422377,"$213,167,580.57 "