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-R002,09/30/08,ADC - ADULT,INPATIENT,767,2342,"$3,151,767.05 ",IAMM4400-R002,09/30/08,ADC - CHILD,INPATIENT,359,1722,"$1,567,599.73 ",IAMM4400-R002,09/30/08,AGED,INPATIENT,560,2487,"$544,378.69 ",IAMM4400-R002,09/30/08,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,INPATIENT,531,8226,"$2,473,820.67 ",IAMM4400-R002,09/30/08,DISABLED,INPATIENT,1937,11158,"$8,607,766.12 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,71,437,"$225,797.03 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,INPATIENT,176,759,"$484,923.40 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,INPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,INPATIENT,6,26,"$6,112.00 ",IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,INPATIENT,17,191,"$33,144.52 ",IAMM4400-R002,09/30/08,STATE ONLY,INPATIENT,5,13,"$12,667.58 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,INPATIENT,726,3386,"$810,509.04 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,INPATIENT,71,272,"$305,649.59 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,INPATIENT,184,957,"$1,285,614.43 ",IAMM4400-R002,09/30/08,OTHER,INPATIENT,2215,9619,"$10,510,268.71 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,INPATIENT,8,10,"$22,928.71 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,INPATIENT,1,0,"($2,591.23)",IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,INPATIENT,2,7,"$5,102.02 ",IAMM4400-R002,09/30/08,OTHER TXXI,INPATIENT,73,378,"$199,694.24 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,INPATIENT,31,213,"$239,341.76 ",IAMM4400-R002,09/30/08,TOTAL,INPATIENT,7644,42203,"$30,484,494.06 "
IAMM4400-R002,09/30/08,ADC - ADULT,OUTPATIENT,9313,109946,"$3,740,187.76 ",IAMM4400-R002,09/30/08,ADC - CHILD,OUTPATIENT,7954,46855,"$1,733,492.44 ",IAMM4400-R002,09/30/08,AGED,OUTPATIENT,4339,72899,"$642,271.69 ",IAMM4400-R002,09/30/08,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,OUTPATIENT,2207,19023,"$600,625.79 ",IAMM4400-R002,09/30/08,DISABLED,OUTPATIENT,16843,332263,"$5,965,511.34 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,1019,8876,"$259,042.87 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,OUTPATIENT,2983,50208,"$515,932.22 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,OUTPATIENT,33,514,"$5,597.54 ",IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,OUTPATIENT,14,228,"$1,594.09 ",IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,OUTPATIENT,54,531,"$10,352.19 ",IAMM4400-R002,09/30/08,STATE ONLY,OUTPATIENT,88,1615,"$28,476.09 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,OUTPATIENT,5532,116773,"$831,771.78 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,526,6994,"$188,804.00 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,435,9474,"$661,094.90 ",IAMM4400-R002,09/30/08,OTHER,OUTPATIENT,12493,101602,"$3,744,393.67 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,OUTPATIENT,110,2093,"$110,568.72 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,OUTPATIENT,5,7,"$1,815.30 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,OUTPATIENT,1,1,$146.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,OUTPATIENT,1141,8649,"$302,506.01 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,OUTPATIENT,335,5221,"$191,536.35 ",IAMM4400-R002,09/30/08,TOTAL,OUTPATIENT,64814,893772,"$19,535,720.75 "
IAMM4400-R002,09/30/08,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,SKILLED NURSING FACILITY,1,2,"$1,866.32 ",IAMM4400-R002,09/30/08,AGED,SKILLED NURSING FACILITY,198,3169,"$113,030.01 ",IAMM4400-R002,09/30/08,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,SKILLED NURSING FACILITY,235,5860,"$2,285,389.98 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,92,"$54,123.90 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,10,158,"$35,586.00 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,418,6947,"$82,566.34 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,7,80,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,5,59,"$2,041.26 ",IAMM4400-R002,09/30/08,OTHER,SKILLED NURSING FACILITY,7,257,"$85,608.00 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,SKILLED NURSING FACILITY,1,0,"$3,429.14 ",IAMM4400-R002,09/30/08,TOTAL,SKILLED NURSING FACILITY,871,16624,"$2,663,640.95 "
IAMM4400-R002,09/30/08,ADC - ADULT,INTERMEDIATE CARE FACILITY,2,49,"$5,892.06 ",IAMM4400-R002,09/30/08,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,INTERMEDIATE CARE FACILITY,4622,142981,"$12,728,821.63 ",IAMM4400-R002,09/30/08,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,INTERMEDIATE CARE FACILITY,592,17499,"$1,887,912.52 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,9,214,"$25,347.74 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7379,224127,"$23,466,997.73 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,62,"$8,244.76 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,INTERMEDIATE CARE FACILITY,4,32,"($82,566.59)",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,INTERMEDIATE CARE FACILITY,12558,384964,"$38,040,649.85 "
IAMM4400-R002,09/30/08,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,INTER CARE MENTAL RETARDA,1,52,"$18,616.44 ",IAMM4400-R002,09/30/08,DISABLED,INTER CARE MENTAL RETARDA,11,295,"$98,106.79 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,10,267,"$110,113.46 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2102,63975,"$23,934,820.48 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,INTER CARE MENTAL RETARDA,1,0,"($2,753,212.00)",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,INTER CARE MENTAL RETARDA,2123,64589,"$21,408,445.17 "
IAMM4400-R002,09/30/08,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,NURSING FAC FOR MENTAL ILL,4,214,"$76,155.38 ",IAMM4400-R002,09/30/08,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,25,1016,"$331,342.07 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,31,"$6,643.61 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,NURSING FAC FOR MENTAL ILL,30,1261,"$414,141.06 "
IAMM4400-R002,09/30/08,ADC - ADULT,HOME HEALTH,50,596,"$27,789.68 ",IAMM4400-R002,09/30/08,ADC - CHILD,HOME HEALTH,475,2649,"$66,830.85 ",IAMM4400-R002,09/30/08,AGED,HOME HEALTH,2532,51663,"$1,954,455.11 ",IAMM4400-R002,09/30/08,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,HOME HEALTH,65,293,"$9,593.97 ",IAMM4400-R002,09/30/08,DISABLED,HOME HEALTH,3979,118855,"$3,332,161.17 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,89,6744,"$147,098.19 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,HOME HEALTH,1203,55656,"$1,577,362.69 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,HOME HEALTH,1,1,$21.98 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,4,$380.56 ,IAMM4400-R002,09/30/08,STATE ONLY,HOME HEALTH,1,2,$10.50 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,HOME HEALTH,3898,81339,"$3,220,719.02 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,60,957,"$38,961.43 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,25,351,"$24,723.18 ",IAMM4400-R002,09/30/08,OTHER,HOME HEALTH,780,3845,"$357,384.79 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,HOME HEALTH,6,70,"$11,262.28 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,HOME HEALTH,60,167,"$4,202.35 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,HOME HEALTH,23,320,"$20,696.33 ",IAMM4400-R002,09/30/08,TOTAL,HOME HEALTH,13094,323512,"$10,793,654.08 "
IAMM4400-R002,09/30/08,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,LEAD INSPECTION AGENCY,3,4,"$1,482.05 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,LEAD INSPECTION AGENCY,4,5,"$1,859.40 "
IAMM4400-R002,09/30/08,ADC - ADULT,PHYSICIAN,17285,36744,"$3,388,449.95 ",IAMM4400-R002,09/30/08,ADC - CHILD,PHYSICIAN,21691,37709,"$2,473,453.26 ",IAMM4400-R002,09/30/08,AGED,PHYSICIAN,6598,36686,"$397,282.83 ",IAMM4400-R002,09/30/08,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,PHYSICIAN,4717,8750,"$691,505.63 ",IAMM4400-R002,09/30/08,DISABLED,PHYSICIAN,25849,127259,"$4,796,047.43 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2784,4454,"$254,579.34 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,PHYSICIAN,4915,17088,"$445,825.10 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,PHYSICIAN,70,134,"$12,060.53 ",IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,PHYSICIAN,31,192,"$2,415.82 ",IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,PHYSICIAN,106,188,"$9,226.64 ",IAMM4400-R002,09/30/08,STATE ONLY,PHYSICIAN,127,302,"$25,725.43 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,PHYSICIAN,7571,43108,"$500,174.00 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,923,2804,"$189,378.58 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,749,3075,"$261,263.04 ",IAMM4400-R002,09/30/08,OTHER,PHYSICIAN,31848,61011,"$5,306,356.82 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,PHYSICIAN,177,716,"$189,354.48 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,PHYSICIAN,6,2,"$1,017.96 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,PHYSICIAN,3,12,"$2,584.31 ",IAMM4400-R002,09/30/08,OTHER TXXI,PHYSICIAN,3592,5658,"$374,484.92 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PHYSICIAN,608,1963,"$138,720.63 ",IAMM4400-R002,09/30/08,TOTAL,PHYSICIAN,127153,387855,"$19,459,906.70 "
IAMM4400-R002,09/30/08,ADC - ADULT,CLINIC SERVICES,3004,4676,"$583,638.26 ",IAMM4400-R002,09/30/08,ADC - CHILD,CLINIC SERVICES,3904,5388,"$658,596.28 ",IAMM4400-R002,09/30/08,AGED,CLINIC SERVICES,462,366,"$35,868.28 ",IAMM4400-R002,09/30/08,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,CLINIC SERVICES,1041,1575,"$181,181.11 ",IAMM4400-R002,09/30/08,DISABLED,CLINIC SERVICES,3389,4521,"$606,036.13 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,553,783,"$88,107.92 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,CLINIC SERVICES,391,474,"$44,766.14 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,CLINIC SERVICES,3,4,$521.86 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,CLINIC SERVICES,1,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,15,20,"$2,246.27 ",IAMM4400-R002,09/30/08,STATE ONLY,CLINIC SERVICES,26,38,"$3,556.18 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,461,424,"$34,216.00 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,125,185,"$24,712.38 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,71,115,"$20,853.92 ",IAMM4400-R002,09/30/08,OTHER,CLINIC SERVICES,7103,10842,"$1,556,246.09 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,14,18,"$3,079.58 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,CLINIC SERVICES,773,1049,"$121,764.10 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,CLINIC SERVICES,131,171,"$21,493.44 ",IAMM4400-R002,09/30/08,TOTAL,CLINIC SERVICES,21233,30649,"$3,986,883.94 "
IAMM4400-R002,09/30/08,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,MEP CASE MANAGEMENT,1,0,$199.84 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,MEP CASE MANAGEMENT,1,0,$199.84 
IAMM4400-R002,09/30/08,ADC - ADULT,LAB AND RADIOLOGICAL,3408,8490,"$205,628.16 ",IAMM4400-R002,09/30/08,ADC - CHILD,LAB AND RADIOLOGICAL,2137,4252,"$60,186.13 ",IAMM4400-R002,09/30/08,AGED,LAB AND RADIOLOGICAL,890,247,"$2,788.55 ",IAMM4400-R002,09/30/08,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,LAB AND RADIOLOGICAL,530,1419,"$28,365.31 ",IAMM4400-R002,09/30/08,DISABLED,LAB AND RADIOLOGICAL,3457,6328,"$99,002.25 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,290,751,"$11,420.03 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,560,813,"$9,707.07 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,LAB AND RADIOLOGICAL,9,43,$739.62 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,1,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,10,38,$391.32 ,IAMM4400-R002,09/30/08,STATE ONLY,LAB AND RADIOLOGICAL,15,39,"$1,495.00 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1167,388,"$3,411.85 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,184,305,"$5,887.28 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,43,128,"$2,076.81 ",IAMM4400-R002,09/30/08,OTHER,LAB AND RADIOLOGICAL,3785,9677,"$172,366.55 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,26,99,"$1,976.04 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,1,5,$143.28 ,IAMM4400-R002,09/30/08,OTHER TXXI,LAB AND RADIOLOGICAL,185,501,"$8,291.08 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,LAB AND RADIOLOGICAL,82,252,"$4,325.82 ",IAMM4400-R002,09/30/08,TOTAL,LAB AND RADIOLOGICAL,16669,33775,"$618,202.15 "
IAMM4400-R002,09/30/08,ADC - ADULT,HABILITATION SERVICES,23,410,"$15,699.70 ",IAMM4400-R002,09/30/08,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,HABILITATION SERVICES,45,1263,"$71,922.53 ",IAMM4400-R002,09/30/08,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,HABILITATION SERVICES,22,249,"$13,643.32 ",IAMM4400-R002,09/30/08,DISABLED,HABILITATION SERVICES,2394,70463,"$3,569,619.07 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,9,255,"$12,339.96 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,13,161,"$8,169.36 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,HABILITATION SERVICES,6,-18,($238.26),IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,HABILITATION SERVICES,9,288,"$14,665.52 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,22,474,"$28,183.02 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,32,1239,"$78,381.97 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,5,51,"$5,147.93 ",IAMM4400-R002,09/30/08,OTHER,HABILITATION SERVICES,2,12,"$1,263.60 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,HABILITATION SERVICES,3,120,"$1,851.63 ",IAMM4400-R002,09/30/08,TOTAL,HABILITATION SERVICES,2571,74967,"$3,820,649.35 "
IAMM4400-R002,09/30/08,ADC - ADULT,REMEDIAL SERVICES,178,2498,"$48,762.05 ",IAMM4400-R002,09/30/08,ADC - CHILD,REMEDIAL SERVICES,1732,42363,"$707,427.20 ",IAMM4400-R002,09/30/08,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,REMEDIAL SERVICES,631,9432,"$200,212.11 ",IAMM4400-R002,09/30/08,DISABLED,REMEDIAL SERVICES,583,13308,"$243,344.96 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2594,-59814,"$137,098.57 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,122,2153,"$38,058.58 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,113,3638,"$65,226.37 ",IAMM4400-R002,09/30/08,STATE ONLY,REMEDIAL SERVICES,20,285,"$6,328.50 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,4,66,"$1,241.63 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,4,60,"$1,104.42 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,27,$245.97 ,IAMM4400-R002,09/30/08,OTHER,REMEDIAL SERVICES,1525,28378,"($1,741,809.33)",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,REMEDIAL SERVICES,277,2382,"$74,605.71 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,REMEDIAL SERVICES,69,-10156,"($70,240.48)",IAMM4400-R002,09/30/08,TOTAL,REMEDIAL SERVICES,7381,34620,"($288,393.74)"
IAMM4400-R002,09/30/08,ADC - ADULT,REHAB SUPPORT SERVICES,16,-17,"$2,816.53 ",IAMM4400-R002,09/30/08,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,REHAB SUPPORT SERVICES,18,0,"$15,951.80 ",IAMM4400-R002,09/30/08,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,REHAB SUPPORT SERVICES,7,0,($71.06),IAMM4400-R002,09/30/08,DISABLED,REHAB SUPPORT SERVICES,1192,-634,"$541,057.04 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,23,0,"$1,482.26 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,7,20,"$1,097.40 ",IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,REHAB SUPPORT SERVICES,1,-3,$320.16 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,21,13,$198.47 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,36,-27,"$22,731.08 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,3,0,$538.81 ,IAMM4400-R002,09/30/08,OTHER,REHAB SUPPORT SERVICES,2,0,"($1,154,432.21)",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,REHAB SUPPORT SERVICES,2,0,($801.20),IAMM4400-R002,09/30/08,TOTAL,REHAB SUPPORT SERVICES,1274,-48,"($569,110.92)"
IAMM4400-R002,09/30/08,ADC - ADULT,AMBULANCE SERVICES,280,303,"$49,803.16 ",IAMM4400-R002,09/30/08,ADC - CHILD,AMBULANCE SERVICES,135,196,"$18,273.81 ",IAMM4400-R002,09/30/08,AGED,AMBULANCE SERVICES,308,374,"$35,929.02 ",IAMM4400-R002,09/30/08,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,AMBULANCE SERVICES,65,66,"$10,905.34 ",IAMM4400-R002,09/30/08,DISABLED,AMBULANCE SERVICES,1035,1232,"$143,952.74 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,22,24,"$2,893.76 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,117,138,"$17,254.76 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,1,2,$458.69 ,IAMM4400-R002,09/30/08,STATE ONLY,AMBULANCE SERVICES,7,7,"$1,062.94 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,482,627,"$58,021.15 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,33,38,"$5,189.39 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,44,47,"$9,327.06 ",IAMM4400-R002,09/30/08,OTHER,AMBULANCE SERVICES,223,219,"$36,575.35 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,2,2,$107.67 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,1,0,$167.78 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,AMBULANCE SERVICES,28,26,"$4,012.05 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,AMBULANCE SERVICES,18,18,"$3,938.41 ",IAMM4400-R002,09/30/08,TOTAL,AMBULANCE SERVICES,2791,3319,"$397,873.08 "
IAMM4400-R002,09/30/08,ADC - ADULT,LOCAL EDUCATION AGENCY,2,92,"$1,344.20 ",IAMM4400-R002,09/30/08,ADC - CHILD,LOCAL EDUCATION AGENCY,37,5261,"$29,704.74 ",IAMM4400-R002,09/30/08,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,LOCAL EDUCATION AGENCY,7,269,"$1,255.36 ",IAMM4400-R002,09/30/08,DISABLED,LOCAL EDUCATION AGENCY,171,51161,"$298,936.10 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,29,6432,"$33,876.45 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,212,96270,"$574,810.29 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,3,390,"$1,404.96 ",IAMM4400-R002,09/30/08,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,5,318,"$1,031.57 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,LOCAL EDUCATION AGENCY,40,5544,"$30,390.39 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,LOCAL EDUCATION AGENCY,10,3502,"$28,626.58 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,LOCAL EDUCATION AGENCY,1,839,"$4,682.24 ",IAMM4400-R002,09/30/08,TOTAL,LOCAL EDUCATION AGENCY,507,170078,"$1,006,062.88 "
IAMM4400-R002,09/30/08,ADC - ADULT,EARLY ACCESS SERVICES,2,13,$190.34 ,IAMM4400-R002,09/30/08,ADC - CHILD,EARLY ACCESS SERVICES,99,413,"$10,586.24 ",IAMM4400-R002,09/30/08,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,EARLY ACCESS SERVICES,18,66,"$2,305.54 ",IAMM4400-R002,09/30/08,DISABLED,EARLY ACCESS SERVICES,81,528,"$10,786.40 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,29,109,"$3,745.45 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,33,302,"$5,742.84 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,4,10,$290.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,EARLY ACCESS SERVICES,128,570,"$15,589.63 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,EARLY ACCESS SERVICES,4,15,$326.68 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,EARLY ACCESS SERVICES,1,8,$295.00 ,IAMM4400-R002,09/30/08,TOTAL,EARLY ACCESS SERVICES,384,2034,"$49,858.12 "
IAMM4400-R002,09/30/08,ADC - ADULT,PRESCRIBED DRUGS,21699,67245,"$3,390,739.04 ",IAMM4400-R002,09/30/08,ADC - CHILD,PRESCRIBED DRUGS,18604,34865,"$1,900,583.31 ",IAMM4400-R002,09/30/08,AGED,PRESCRIBED DRUGS,3219,5923,"$72,636.40 ",IAMM4400-R002,09/30/08,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,PRESCRIBED DRUGS,4683,11598,"$695,857.69 ",IAMM4400-R002,09/30/08,DISABLED,PRESCRIBED DRUGS,24907,120581,"$9,076,429.34 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,5073,14437,"$1,263,679.84 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,5978,22418,"$1,865,408.67 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,PRESCRIBED DRUGS,31,82,"$3,456.80 ",IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,9,22,$887.47 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,275,1134,"$98,965.32 ",IAMM4400-R002,09/30/08,STATE ONLY,PRESCRIBED DRUGS,148,454,"$29,528.64 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10166,24644,"$445,726.95 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,1086,3776,"$173,215.02 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,259,1231,"$69,987.78 ",IAMM4400-R002,09/30/08,OTHER,PRESCRIBED DRUGS,25811,48649,"$2,453,685.90 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,192,838,"$53,451.92 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,133,144,"$14,964.07 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,PRESCRIBED DRUGS,3674,6906,"$446,320.69 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PRESCRIBED DRUGS,888,4529,"$268,453.37 ",IAMM4400-R002,09/30/08,TOTAL,PRESCRIBED DRUGS,124905,369476,"$22,323,978.22 "
IAMM4400-R002,09/30/08,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,DRUG CAPITATION,1,0,($20.47),IAMM4400-R002,09/30/08,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,DRUG CAPITATION,1,0,($20.47)
IAMM4400-R002,09/30/08,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,FAMILY PLANNING SERVICES,7471,9439,"$870,832.52 ",IAMM4400-R002,09/30/08,ADC - CHILD,FAMILY PLANNING SERVICES,1302,1679,"$149,182.18 ",IAMM4400-R002,09/30/08,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,FAMILY PLANNING SERVICES,227,285,"$28,091.03 ",IAMM4400-R002,09/30/08,DISABLED,FAMILY PLANNING SERVICES,164,206,"$16,123.88 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,52,59,"$4,441.85 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,33,41,"$3,015.79 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,1,1,$78.12 ,IAMM4400-R002,09/30/08,STATE ONLY,FAMILY PLANNING SERVICES,10,15,"$1,116.99 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,1,1,$65.24 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,34,44,"$3,957.78 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,18,18,"$1,045.37 ",IAMM4400-R002,09/30/08,OTHER,FAMILY PLANNING SERVICES,452,540,"$51,870.31 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,1,1,$102.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,FAMILY PLANNING SERVICES,79,97,"$9,737.32 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,FAMILY PLANNING SERVICES,12,13,"$1,662.26 ",IAMM4400-R002,09/30/08,TOTAL,FAMILY PLANNING SERVICES,9814,12439,"$1,141,322.64 "
IAMM4400-R002,09/30/08,ADC - ADULT,IOWA PLAN PROGRAM,37888,41040,"$1,291,392.19 ",IAMM4400-R002,09/30/08,ADC - CHILD,IOWA PLAN PROGRAM,63672,67815,"$679,553.14 ",IAMM4400-R002,09/30/08,AGED,IOWA PLAN PROGRAM,6,6,$346.61 ,IAMM4400-R002,09/30/08,BLIND,IOWA PLAN PROGRAM,1,1,$56.84 ,IAMM4400-R002,09/30/08,CMAP,IOWA PLAN PROGRAM,12723,13842,"$281,549.75 ",IAMM4400-R002,09/30/08,DISABLED,IOWA PLAN PROGRAM,48653,49301,"$3,623,914.46 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,9932,10268,"$1,035,175.01 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10642,10636,"$704,989.06 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,IOWA PLAN PROGRAM,89,108,"$2,834.32 ",IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,20,22,"$1,334.03 ",IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,298,305,"$30,530.73 ",IAMM4400-R002,09/30/08,STATE ONLY,IOWA PLAN PROGRAM,361,385,"$55,233.63 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2253,2173,"$143,482.58 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1394,1497,"$53,715.98 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,IOWA PLAN PROGRAM,85374,94181,"$1,160,861.72 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,230,234,"$24,849.52 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,IOWA PLAN PROGRAM,12403,13261,"$142,609.26 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,IOWA PLAN PROGRAM,1330,1391,"$142,642.68 ",IAMM4400-R002,09/30/08,TOTAL,IOWA PLAN PROGRAM,286556,306466,"$9,375,071.51 "
IAMM4400-R002,09/30/08,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,1,0,($5.03),IAMM4400-R002,09/30/08,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,MENTAL HEALTH ACCESS PLAN,1,0,($5.03)
IAMM4400-R002,09/30/08,ADC - ADULT,EPSDT SCREENING,174,194,"$8,530.13 ",IAMM4400-R002,09/30/08,ADC - CHILD,EPSDT SCREENING,4626,5246,"$424,434.08 ",IAMM4400-R002,09/30/08,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,EPSDT SCREENING,935,1063,"$84,487.85 ",IAMM4400-R002,09/30/08,DISABLED,EPSDT SCREENING,334,412,"$17,576.03 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,257,288,"$13,247.39 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,EPSDT SCREENING,96,152,"$5,145.05 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,EPSDT SCREENING,2,2,$72.94 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,7,9,$314.97 ,IAMM4400-R002,09/30/08,STATE ONLY,EPSDT SCREENING,13,14,$499.04 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,4,6,$224.99 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,5,5,$248.91 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,EPSDT SCREENING,6882,7679,"$812,456.21 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,EPSDT SCREENING,544,596,"$42,628.25 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,EPSDT SCREENING,7,7,$318.54 ,IAMM4400-R002,09/30/08,TOTAL,EPSDT SCREENING,13832,15673,"$1,410,184.38 "
IAMM4400-R002,09/30/08,ADC - ADULT,HMO SERVICES,913,935,"$252,737.92 ",IAMM4400-R002,09/30/08,ADC - CHILD,HMO SERVICES,1556,1610,"$184,868.08 ",IAMM4400-R002,09/30/08,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,HMO SERVICES,294,296,"$37,291.44 ",IAMM4400-R002,09/30/08,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,HMO SERVICES,1678,1717,"$232,504.93 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,HMO SERVICES,231,235,"$21,909.60 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,HMO SERVICES,4670,4793,"$729,311.97 "
IAMM4400-R002,09/30/08,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,PACE SERVICES,1,1,"$4,350.00 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,PACE SERVICES,3,3,"$7,521.00 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,PACE SERVICES,4,4,"$11,871.00 "
IAMM4400-R002,09/30/08,ADC - ADULT,PATIENT MANAGEMENT,22802,22790,"$45,580.00 ",IAMM4400-R002,09/30/08,ADC - CHILD,PATIENT MANAGEMENT,39813,39808,"$79,616.00 ",IAMM4400-R002,09/30/08,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,PATIENT MANAGEMENT,7362,7363,"$14,726.00 ",IAMM4400-R002,09/30/08,DISABLED,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,76,76,$152.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,PATIENT MANAGEMENT,44,44,$88.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,PATIENT MANAGEMENT,54950,54952,"$109,904.00 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,PATIENT MANAGEMENT,8612,8612,"$17,224.00 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,PATIENT MANAGEMENT,133664,133650,"$267,300.00 "
IAMM4400-R002,09/30/08,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,219,583,"$19,475.26 ",IAMM4400-R002,09/30/08,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,295,832,"$19,801.41 ",IAMM4400-R002,09/30/08,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,HEALTH INS PREMIUM PAYMENT,50,145,"$4,446.02 ",IAMM4400-R002,09/30/08,DISABLED,HEALTH INS PREMIUM PAYMENT,637,1538,"$149,365.43 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,167,407,"$15,015.96 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,575,1362,"$151,069.73 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,1,3,$38.66 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,35,75,"$7,743.73 ",IAMM4400-R002,09/30/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,35,71,"$10,550.86 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,3,4,$364.13 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,HEALTH INS PREMIUM PAYMENT,2067,6603,"$158,413.84 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,28,73,"$4,015.53 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,3,9,$600.35 ,IAMM4400-R002,09/30/08,TOTAL,HEALTH INS PREMIUM PAYMENT,4115,11705,"$540,900.91 "
IAMM4400-R002,09/30/08,ADC - ADULT,MEDICAL SUPPLIES,1083,25215,"$260,410.18 ",IAMM4400-R002,09/30/08,ADC - CHILD,MEDICAL SUPPLIES,919,15557,"$155,425.95 ",IAMM4400-R002,09/30/08,AGED,MEDICAL SUPPLIES,3129,179302,"$362,918.83 ",IAMM4400-R002,09/30/08,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,MEDICAL SUPPLIES,197,4495,"$35,303.94 ",IAMM4400-R002,09/30/08,DISABLED,MEDICAL SUPPLIES,9487,668009,"$2,170,702.51 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,209,26507,"$86,568.88 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2299,383223,"$617,340.27 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,MEDICAL SUPPLIES,1,3,$86.54 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,4,27,$59.89 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,15,1130,"$1,712.64 ",IAMM4400-R002,09/30/08,STATE ONLY,MEDICAL SUPPLIES,5,39,"$1,405.58 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,5079,417411,"$777,099.99 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,215,13347,"$28,319.09 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,86,3053,"$59,197.86 ",IAMM4400-R002,09/30/08,OTHER,MEDICAL SUPPLIES,1153,18434,"$173,773.57 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,30,587,"$12,849.82 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,1,307,$267.55 ,IAMM4400-R002,09/30/08,OTHER TXXI,MEDICAL SUPPLIES,121,2641,"$22,132.00 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MEDICAL SUPPLIES,140,5684,"$34,937.32 ",IAMM4400-R002,09/30/08,TOTAL,MEDICAL SUPPLIES,23610,1764971,"$4,800,512.41 "
IAMM4400-R002,09/30/08,ADC - ADULT,OTHER PRACTITIONER,1709,3450,"$221,798.44 ",IAMM4400-R002,09/30/08,ADC - CHILD,OTHER PRACTITIONER,2379,6364,"$226,805.03 ",IAMM4400-R002,09/30/08,AGED,OTHER PRACTITIONER,385,1206,"$19,168.90 ",IAMM4400-R002,09/30/08,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,OTHER PRACTITIONER,554,1594,"$61,914.04 ",IAMM4400-R002,09/30/08,DISABLED,OTHER PRACTITIONER,2752,17276,"$399,387.63 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,589,3438,"$78,580.91 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,1016,14531,"$314,756.99 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,OTHER PRACTITIONER,2,2,$479.28 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,31,269,"$5,906.66 ",IAMM4400-R002,09/30/08,STATE ONLY,OTHER PRACTITIONER,17,25,"$1,918.87 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,582,2281,"$53,513.00 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,90,262,"$9,331.76 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,67,118,"$10,328.60 ",IAMM4400-R002,09/30/08,OTHER,OTHER PRACTITIONER,3428,10316,"$398,484.54 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,14,39,"$2,203.07 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,OTHER PRACTITIONER,409,1071,"$37,623.01 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,OTHER PRACTITIONER,76,465,"$10,292.25 ",IAMM4400-R002,09/30/08,TOTAL,OTHER PRACTITIONER,13915,62707,"$1,852,492.98 "
IAMM4400-R002,09/30/08,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,DENTAL,3366,4694,"$747,500.58 ",IAMM4400-R002,09/30/08,ADC - CHILD,DENTAL,5812,7039,"$857,138.84 ",IAMM4400-R002,09/30/08,AGED,DENTAL,447,572,"$84,077.80 ",IAMM4400-R002,09/30/08,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,DENTAL,1251,1616,"$250,473.53 ",IAMM4400-R002,09/30/08,DISABLED,DENTAL,4108,5512,"$819,493.19 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1364,1619,"$199,846.92 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,DENTAL,1469,1676,"$154,678.33 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,DENTAL,25,33,"$4,250.01 ",IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,DENTAL,1,1,$109.13 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,DENTAL,45,49,"$2,833.81 ",IAMM4400-R002,09/30/08,STATE ONLY,DENTAL,14,21,"$2,875.59 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,DENTAL,954,1183,"$185,594.87 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,DENTAL,175,222,"$25,279.27 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,DENTAL,52,59,"$12,606.18 ",IAMM4400-R002,09/30/08,OTHER,DENTAL,7703,9287,"$1,211,397.89 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,DENTAL,18,21,"$2,744.45 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,DENTAL,1488,1743,"$266,762.59 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,DENTAL,103,140,"$34,233.79 ",IAMM4400-R002,09/30/08,TOTAL,DENTAL,28258,35487,"$4,861,896.77 "
IAMM4400-R002,09/30/08,ADC - ADULT,OPTOMETRIST,1841,2292,"$168,087.63 ",IAMM4400-R002,09/30/08,ADC - CHILD,OPTOMETRIST,2054,2357,"$153,193.54 ",IAMM4400-R002,09/30/08,AGED,OPTOMETRIST,782,1211,"$27,340.44 ",IAMM4400-R002,09/30/08,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,OPTOMETRIST,548,656,"$44,571.12 ",IAMM4400-R002,09/30/08,DISABLED,OPTOMETRIST,2893,3956,"$191,452.09 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,575,654,"$39,947.03 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,OPTOMETRIST,708,901,"$37,266.80 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,OPTOMETRIST,9,13,$744.48 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,OPTOMETRIST,3,5,$171.44 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,23,32,"$1,686.20 ",IAMM4400-R002,09/30/08,STATE ONLY,OPTOMETRIST,15,18,"$1,312.37 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,OPTOMETRIST,1000,1446,"$38,186.94 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,113,137,"$7,777.49 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,27,35,"$1,746.32 ",IAMM4400-R002,09/30/08,OTHER,OPTOMETRIST,2859,3342,"$216,047.80 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,9,9,$647.14 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,OPTOMETRIST,634,738,"$48,855.92 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,OPTOMETRIST,75,98,"$7,959.06 ",IAMM4400-R002,09/30/08,TOTAL,OPTOMETRIST,14136,17900,"$986,993.81 "
IAMM4400-R002,09/30/08,ADC - ADULT,CHIROPRACTIC,1932,4764,"$169,951.90 ",IAMM4400-R002,09/30/08,ADC - CHILD,CHIROPRACTIC,989,1888,"$60,044.68 ",IAMM4400-R002,09/30/08,AGED,CHIROPRACTIC,467,1308,"$9,106.22 ",IAMM4400-R002,09/30/08,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,CHIROPRACTIC,264,555,"$19,585.42 ",IAMM4400-R002,09/30/08,DISABLED,CHIROPRACTIC,2470,6572,"$97,009.67 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,179,380,"$11,163.40 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,CHIROPRACTIC,343,787,"$11,033.06 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,CHIROPRACTIC,2,3,$17.14 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,8,17,$233.33 ,IAMM4400-R002,09/30/08,STATE ONLY,CHIROPRACTIC,7,15,$431.26 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,329,852,"$5,630.10 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,95,203,"$6,327.26 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,16,33,$937.73 ,IAMM4400-R002,09/30/08,OTHER,CHIROPRACTIC,1656,3319,"$101,875.14 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,16,38,"$1,292.65 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,CHIROPRACTIC,300,560,"$18,311.89 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,CHIROPRACTIC,68,175,"$6,307.34 ",IAMM4400-R002,09/30/08,TOTAL,CHIROPRACTIC,9057,21469,"$519,258.19 "
IAMM4400-R002,09/30/08,ADC - ADULT,PODIATRIC,230,329,"$37,587.28 ",IAMM4400-R002,09/30/08,ADC - CHILD,PODIATRIC,72,74,"$11,132.31 ",IAMM4400-R002,09/30/08,AGED,PODIATRIC,888,1397,"$15,050.27 ",IAMM4400-R002,09/30/08,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,PODIATRIC,25,34,"$3,263.72 ",IAMM4400-R002,09/30/08,DISABLED,PODIATRIC,1439,2651,"$83,193.67 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,34,37,"$3,021.78 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,PODIATRIC,737,1018,"$19,854.61 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,PODIATRIC,1,4,$163.38 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,PODIATRIC,1,2,$16.58 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,PODIATRIC,1,2,$77.74 ,IAMM4400-R002,09/30/08,STATE ONLY,PODIATRIC,1,1,$108.44 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,PODIATRIC,1465,2168,"$22,945.00 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,51,71,"$2,660.64 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,7,8,$949.46 ,IAMM4400-R002,09/30/08,OTHER,PODIATRIC,131,149,"$13,113.22 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,PODIATRIC,4,5,$453.72 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,PODIATRIC,41,59,"$6,154.63 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PODIATRIC,22,14,"$2,624.46 ",IAMM4400-R002,09/30/08,TOTAL,PODIATRIC,5129,8023,"$222,370.91 "
IAMM4400-R002,09/30/08,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,PHYSICAL DISABILITIES SVCS,1,50,$515.00 ,IAMM4400-R002,09/30/08,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,PHYSICAL DISABILITIES SVCS,444,18480,"$238,060.14 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,189,8860,"$98,936.24 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,PHYSICAL DISABILITIES SVCS,630,27390,"$337,511.38 "
IAMM4400-R002,09/30/08,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,BRAIN INJ WAIVER SERVICES,1,59,"$4,944.31 ",IAMM4400-R002,09/30/08,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,BRAIN INJ WAIVER SERVICES,314,20308,"$566,245.80 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,37,1565,"$40,035.29 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,273,13704,"$400,971.42 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,454,25790,"$753,438.93 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,BRAIN INJ WAIVER SERVICES,3,31,"($17,312.21)",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,BRAIN INJ WAIVER SERVICES,1,71,"$1,145.19 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,BRAIN INJ WAIVER SERVICES,1055,61528,"$1,749,468.73 "
IAMM4400-R002,09/30/08,ADC - ADULT,PSYCHIATRIC,33,91,"$6,236.00 ",IAMM4400-R002,09/30/08,ADC - CHILD,PSYCHIATRIC,19,25,"$2,272.92 ",IAMM4400-R002,09/30/08,AGED,PSYCHIATRIC,158,302,"$9,106.04 ",IAMM4400-R002,09/30/08,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,PSYCHIATRIC,17,58,"$3,910.41 ",IAMM4400-R002,09/30/08,DISABLED,PSYCHIATRIC,2541,5210,"$166,252.18 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,23,72,"$3,773.50 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,PSYCHIATRIC,565,940,"$35,823.20 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,PSYCHIATRIC,1,1,$10.72 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,1,1,$372.75 ,IAMM4400-R002,09/30/08,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,254,449,"$14,094.96 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,34,58,"$1,372.72 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,41,77,"$4,626.14 ",IAMM4400-R002,09/30/08,OTHER,PSYCHIATRIC,42,90,"$7,561.06 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,PSYCHIATRIC,7,9,$673.99 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,PSYCHIATRIC,3,4,$397.14 ,IAMM4400-R002,09/30/08,TOTAL,PSYCHIATRIC,3718,7387,"$256,483.73 "
IAMM4400-R002,09/30/08,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,RESIDENTIAL CARE FACILITY,338,10831,"$80,421.65 ",IAMM4400-R002,09/30/08,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,RESIDENTIAL CARE FACILITY,2,77,$708.81 ,IAMM4400-R002,09/30/08,DISABLED,RESIDENTIAL CARE FACILITY,1409,45446,"$366,493.13 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,1,19,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,21,651,"$6,107.02 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,6,122,$376.25 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,6,168,"$2,118.60 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,RESIDENTIAL CARE FACILITY,1,0,"$1,121.92 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,RESIDENTIAL CARE FACILITY,1773,57314,"$457,347.38 "
IAMM4400-R002,09/30/08,ADC - ADULT,MR WAIVER SERVICE,1,8,$97.92 ,IAMM4400-R002,09/30/08,ADC - CHILD,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,MR WAIVER SERVICE,76,5787,"$226,657.17 ",IAMM4400-R002,09/30/08,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,MR WAIVER SERVICE,1,62,"$6,005.81 ",IAMM4400-R002,09/30/08,DISABLED,MR WAIVER SERVICE,1005,71285,"$2,818,985.88 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,191,9108,"$207,853.84 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8412,632159,"$22,516,381.21 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,MR WAIVER SERVICE,3,59,"$8,153.56 ",IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,10,355,"$11,336.89 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,MR WAIVER SERVICE,8,167,"$38,883.76 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,MR WAIVER SERVICE,5,95,"$2,194.06 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MR WAIVER SERVICE,4,151,"$4,335.29 ",IAMM4400-R002,09/30/08,TOTAL,MR WAIVER SERVICE,9659,719236,"$25,840,885.39 "
IAMM4400-R002,09/30/08,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,4,380,"$5,308.37 ",IAMM4400-R002,09/30/08,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,31,1656,"$30,603.81 ",IAMM4400-R002,09/30/08,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,CHILDRENS MENTAL HEALTH SVC,75,3752,"$69,524.43 ",IAMM4400-R002,09/30/08,DISABLED,CHILDRENS MENTAL HEALTH SVC,34,1369,"$30,763.19 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,1,4,$134.48 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,257,11242,"$251,595.27 ",IAMM4400-R002,09/30/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,CHILDRENS MENTAL HEALTH SVC,59,2808,"$59,629.44 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,4,261,"$6,500.62 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,2,70,"$1,418.37 ",IAMM4400-R002,09/30/08,TOTAL,CHILDRENS MENTAL HEALTH SVC,465,21542,"$455,477.98 "
IAMM4400-R002,09/30/08,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,AIDS WAIVER SERVICES,11,923,"$11,221.76 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,29,2383,"$26,975.71 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,AIDS WAIVER SERVICES,39,3306,"$38,197.47 "
IAMM4400-R002,09/30/08,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,ELDERLY WAIVER SERVICES,3513,155458,"$2,310,351.98 ",IAMM4400-R002,09/30/08,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,ELDERLY WAIVER SERVICES,35,1327,"$21,229.66 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,3,87,"$3,309.35 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6338,303816,"$3,877,125.71 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,ELDERLY WAIVER SERVICES,6,17,"($11,475.53)",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ELDERLY WAIVER SERVICES,4,285,"$4,077.12 ",IAMM4400-R002,09/30/08,TOTAL,ELDERLY WAIVER SERVICES,9633,460990,"$6,204,618.29 "
IAMM4400-R002,09/30/08,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1856,99995,"$1,628,982.01 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,33,2462,"$39,008.87 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,158,9241,"$164,908.80 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,3,47,$621.44 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,ILL & HANDICAPPED WAIVER SVCS,2,12,$416.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,1,135,"$1,661.42 ",IAMM4400-R002,09/30/08,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2047,111892,"$1,835,598.54 "
IAMM4400-R002,09/30/08,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,09/30/08,ADC - ADULT,MEP SERVICES,3,7,"$2,516.20 ",IAMM4400-R002,09/30/08,ADC - CHILD,MEP SERVICES,32,36,"$17,196.50 ",IAMM4400-R002,09/30/08,AGED,MEP SERVICES,94,134,"$33,194.07 ",IAMM4400-R002,09/30/08,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,MEP SERVICES,69,79,"$37,640.75 ",IAMM4400-R002,09/30/08,DISABLED,MEP SERVICES,1267,1685,"$436,919.56 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,214,277,"$70,819.85 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,MEP SERVICES,8270,10645,"$2,760,902.78 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,MEP SERVICES,1,1,$222.87 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,MEP SERVICES,264,283,"$136,820.67 ",IAMM4400-R002,09/30/08,STATE ONLY,MEP SERVICES,1,2,$414.28 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,MEP SERVICES,133,181,"$46,958.67 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,1,1,$233.47 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,1,1,$265.99 ,IAMM4400-R002,09/30/08,OTHER,MEP SERVICES,60,62,"($489,415.79)",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,MEP SERVICES,9,20,"$5,888.82 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,MEP SERVICES,6,7,"$2,020.00 ",IAMM4400-R002,09/30/08,TOTAL,MEP SERVICES,10393,13421,"$3,062,598.69 "
IAMM4400-R002,09/30/08,ADC - ADULT,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,ADC - CHILD,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,09/30/08,AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,CMAP,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,09/30/08,DISABLED,UNASSIGNED,7,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER,UNASSIGNED,13,0,"$6,225,163.87 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,OTHER TXXI,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,09/30/08,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,09/30/08,TOTAL,UNASSIGNED,30,0,"$6,225,163.87 "
IAMM4400-R002,09/30/08,ADC - ADULT,* A L L  C A T E G O R I E S *,50472,349598,"$18,720,750.46 ",IAMM4400-R002,09/30/08,ADC - CHILD,* A L L  C A T E G O R I E S *,70524,333661,"$12,279,863.75 ",IAMM4400-R002,09/30/08,AGED,* A L L  C A T E G O R I E S *,14513,675895,"$19,874,691.21 ",IAMM4400-R002,09/30/08,BLIND,* A L L  C A T E G O R I E S *,1,1,$56.84 ,IAMM4400-R002,09/30/08,CMAP,* A L L  C A T E G O R I E S *,14058,96990,"$5,911,311.29 ",IAMM4400-R002,09/30/08,DISABLED,* A L L  C A T E G O R I E S *,53038,1902141,"$55,420,160.60 ",IAMM4400-R002,09/30/08,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,09/30/08,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10190,41087,"$4,452,703.73 ",IAMM4400-R002,09/30/08,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11329,1392541,"$57,492,730.60 ",IAMM4400-R002,09/30/08,FEDERAL ONLY,* A L L  C A T E G O R I E S *,128,989,"$31,133.96 ",IAMM4400-R002,09/30/08,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,14,714,"$22,362.11 ",IAMM4400-R002,09/30/08,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,269,19553,"$661,707.46 ",IAMM4400-R002,09/30/08,STATE ONLY,* A L L  C A T E G O R I E S *,277,3575,"$189,152.59 ",IAMM4400-R002,09/30/08,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15123,1273306,"$35,892,826.34 ",IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,09/30/08,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,09/30/08,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1831,32627,"$1,188,492.01 ",IAMM4400-R002,09/30/08,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,843,18917,"$2,434,618.74 ",IAMM4400-R002,09/30/08,OTHER,* A L L  C A T E G O R I E S *,91995,493967,"$28,995,066.95 ",IAMM4400-R002,09/30/08,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,230,4780,"$437,871.77 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,131,153,"$15,373.88 ",IAMM4400-R002,09/30/08,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,5,332,"$8,243.16 ",IAMM4400-R002,09/30/08,OTHER TXXI,* A L L  C A T E G O R I E S *,11794,59375,"$2,219,201.09 ",IAMM4400-R002,09/30/08,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,09/30/08,STATE ONLY,* A L L  C A T E G O R I E S *,1388,12146,"$1,083,209.83 ",IAMM4400-R002,09/30/08,TOTAL,* A L L  C A T E G O R I E S *,348153,6712348,"$247,331,528.37 "