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-R002,02/28/09,ADC - ADULT,INPATIENT,678,2385,"$2,908,954.26 ",IAMM4400-R002,02/28/09,ADC - CHILD,INPATIENT,403,2296,"$2,218,479.00 ",IAMM4400-R002,02/28/09,AGED,INPATIENT,623,2764,"$692,427.61 ",IAMM4400-R002,02/28/09,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,INPATIENT,336,6954,"$2,180,176.49 ",IAMM4400-R002,02/28/09,DISABLED,INPATIENT,1822,11814,"$8,804,587.38 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,52,561,"$196,603.58 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,INPATIENT,184,873,"$553,667.07 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,INPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,INPATIENT,3,5,"$1,024.00 ",IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,INPATIENT,4,62,"$5,683.74 ",IAMM4400-R002,02/28/09,STATE ONLY,INPATIENT,2,4,"$8,882.56 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,INPATIENT,808,3615,"$1,082,674.65 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,INPATIENT,55,240,"$313,669.06 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,INPATIENT,166,919,"$910,262.72 ",IAMM4400-R002,02/28/09,OTHER,INPATIENT,1801,10008,"$9,683,499.83 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,INPATIENT,8,44,"$70,197.88 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,INPATIENT,3,0,"$48,092.69 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,INPATIENT,64,630,"$353,444.04 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,INPATIENT,24,151,"$149,779.23 ",IAMM4400-R002,02/28/09,TOTAL,INPATIENT,6999,43325,"$30,182,105.79 "
IAMM4400-R002,02/28/09,ADC - ADULT,OUTPATIENT,8158,143588,"$3,562,577.20 ",IAMM4400-R002,02/28/09,ADC - CHILD,OUTPATIENT,7198,74497,"$1,836,175.69 ",IAMM4400-R002,02/28/09,AGED,OUTPATIENT,4615,97767,"$696,397.81 ",IAMM4400-R002,02/28/09,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,OUTPATIENT,2013,28487,"$568,437.16 ",IAMM4400-R002,02/28/09,DISABLED,OUTPATIENT,15851,379889,"$5,139,198.38 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,849,11437,"$232,111.20 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,OUTPATIENT,2720,63222,"$431,835.26 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,OUTPATIENT,31,302,"$7,873.73 ",IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,OUTPATIENT,7,138,$532.57 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,OUTPATIENT,32,225,"$4,638.15 ",IAMM4400-R002,02/28/09,STATE ONLY,OUTPATIENT,72,772,"$24,998.70 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,OUTPATIENT,5539,130865,"$808,803.20 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,434,8917,"$221,603.76 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,441,18401,"$333,437.44 ",IAMM4400-R002,02/28/09,OTHER,OUTPATIENT,11529,166693,"$3,162,737.93 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,OUTPATIENT,113,3877,"$147,026.64 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,OUTPATIENT,4,0,"$26,464.97 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,OUTPATIENT,3,109,"$1,291.27 ",IAMM4400-R002,02/28/09,OTHER TXXI,OUTPATIENT,1013,12165,"$295,372.48 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,OUTPATIENT,312,6345,"$167,162.86 ",IAMM4400-R002,02/28/09,TOTAL,OUTPATIENT,60448,1147696,"$17,668,676.40 "
IAMM4400-R002,02/28/09,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,SKILLED NURSING FACILITY,2,7,"$2,592.90 ",IAMM4400-R002,02/28/09,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,SKILLED NURSING FACILITY,274,3933,"$54,905.81 ",IAMM4400-R002,02/28/09,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,SKILLED NURSING FACILITY,214,5112,"$2,335,526.92 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,31,"$10,655.67 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,10,166,"$1,280.00 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,1,38,"$22,426.00 ",IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,443,6225,"$58,649.47 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,2,11,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,1,24,"$14,400.00 ",IAMM4400-R002,02/28/09,OTHER,SKILLED NURSING FACILITY,8,82,"$33,872.35 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,SKILLED NURSING FACILITY,946,15629,"$2,534,309.12 "
IAMM4400-R002,02/28/09,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,27,"$3,665.86 ",IAMM4400-R002,02/28/09,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,INTERMEDIATE CARE FACILITY,4539,135553,"$11,861,396.55 ",IAMM4400-R002,02/28/09,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,INTERMEDIATE CARE FACILITY,595,17563,"$1,912,507.80 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,4,137,"$14,323.94 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7070,213630,"$22,141,991.31 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,31,"$1,417.14 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,INTERMEDIATE CARE FACILITY,1,31,"$2,569.14 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,INTERMEDIATE CARE FACILITY,12169,366972,"$35,937,871.74 "
IAMM4400-R002,02/28/09,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,INTER CARE MENTAL RETARDA,13,354,"$121,480.26 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,9,265,"$108,807.98 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2103,64372,"$25,515,671.49 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,INTER CARE MENTAL RETARDA,1,0,"($28,191.00)",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,INTER CARE MENTAL RETARDA,2121,64991,"$25,717,768.73 "
IAMM4400-R002,02/28/09,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,NURSING FAC FOR MENTAL ILL,6,196,"$57,236.72 ",IAMM4400-R002,02/28/09,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,28,1524,"$548,565.54 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,31,"$6,730.72 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,NURSING FAC FOR MENTAL ILL,34,1751,"$612,532.98 "
IAMM4400-R002,02/28/09,ADC - ADULT,HOME HEALTH,77,715,"$36,221.76 ",IAMM4400-R002,02/28/09,ADC - CHILD,HOME HEALTH,623,2233,"$65,792.64 ",IAMM4400-R002,02/28/09,AGED,HOME HEALTH,2571,55164,"$1,725,491.10 ",IAMM4400-R002,02/28/09,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,HOME HEALTH,109,422,"$20,402.37 ",IAMM4400-R002,02/28/09,DISABLED,HOME HEALTH,3881,94905,"$3,218,892.77 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,89,2970,"$106,158.29 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,HOME HEALTH,1219,38788,"$1,411,427.63 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,HOME HEALTH,1,2,$10.50 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,HOME HEALTH,3898,90749,"$3,143,957.73 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,61,790,"$22,295.79 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,31,455,"$42,209.82 ",IAMM4400-R002,02/28/09,OTHER,HOME HEALTH,1028,5630,"$205,471.25 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,HOME HEALTH,3,24,"$2,104.15 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,HOME HEALTH,85,224,"$6,414.56 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,HOME HEALTH,20,158,"$8,492.78 ",IAMM4400-R002,02/28/09,TOTAL,HOME HEALTH,13572,293229,"$10,015,343.14 "
IAMM4400-R002,02/28/09,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,LEAD INSPECTION AGENCY,4,5,"$1,843.36 ",IAMM4400-R002,02/28/09,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,1,1,$381.12 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,LEAD INSPECTION AGENCY,4,4,"$1,524.48 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,LEAD INSPECTION AGENCY,9,10,"$3,748.96 "
IAMM4400-R002,02/28/09,ADC - ADULT,PHYSICIAN,15451,31244,"$3,070,674.20 ",IAMM4400-R002,02/28/09,ADC - CHILD,PHYSICIAN,19323,33224,"$2,244,443.98 ",IAMM4400-R002,02/28/09,AGED,PHYSICIAN,6669,40389,"$601,218.46 ",IAMM4400-R002,02/28/09,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,PHYSICIAN,4233,7690,"$586,322.76 ",IAMM4400-R002,02/28/09,DISABLED,PHYSICIAN,24163,113604,"$4,749,145.43 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2224,3638,"$225,399.88 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,PHYSICIAN,4533,16414,"$493,085.92 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,PHYSICIAN,55,77,"$5,587.59 ",IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,PHYSICIAN,26,182,"$2,253.37 ",IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,PHYSICIAN,103,140,"$5,416.55 ",IAMM4400-R002,02/28/09,STATE ONLY,PHYSICIAN,117,225,"$20,694.21 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,PHYSICIAN,7775,42727,"$752,989.55 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,817,2482,"$170,586.82 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,754,5166,"$273,394.10 ",IAMM4400-R002,02/28/09,OTHER,PHYSICIAN,29366,54935,"$4,663,492.24 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,PHYSICIAN,173,880,"$210,458.89 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,PHYSICIAN,4,0,"$15,070.25 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,PHYSICIAN,6,4,$481.21 ,IAMM4400-R002,02/28/09,OTHER TXXI,PHYSICIAN,3013,4780,"$339,150.33 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PHYSICIAN,553,1287,"$116,357.30 ",IAMM4400-R002,02/28/09,TOTAL,PHYSICIAN,117082,359088,"$18,546,223.04 "
IAMM4400-R002,02/28/09,ADC - ADULT,CLINIC SERVICES,2750,3861,"$514,652.69 ",IAMM4400-R002,02/28/09,ADC - CHILD,CLINIC SERVICES,3520,4630,"$594,834.44 ",IAMM4400-R002,02/28/09,AGED,CLINIC SERVICES,500,388,"$29,377.75 ",IAMM4400-R002,02/28/09,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,CLINIC SERVICES,955,1325,"$162,807.94 ",IAMM4400-R002,02/28/09,DISABLED,CLINIC SERVICES,3233,4635,"$630,897.78 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,469,647,"$73,628.75 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,CLINIC SERVICES,379,482,"$58,111.51 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,CLINIC SERVICES,15,20,"$3,001.40 ",IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,CLINIC SERVICES,1,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,14,18,"$1,941.35 ",IAMM4400-R002,02/28/09,STATE ONLY,CLINIC SERVICES,25,39,"$4,222.91 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,501,495,"$43,042.59 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,120,151,"$22,441.40 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,64,85,"$11,461.30 ",IAMM4400-R002,02/28/09,OTHER,CLINIC SERVICES,6529,9141,"$1,677,530.60 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,16,27,"$4,442.91 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,CLINIC SERVICES,683,854,"$103,439.86 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,CLINIC SERVICES,107,145,"$22,479.81 ",IAMM4400-R002,02/28/09,TOTAL,CLINIC SERVICES,19691,26943,"$3,958,314.99 "
IAMM4400-R002,02/28/09,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,LAB AND RADIOLOGICAL,2708,8140,"$184,507.88 ",IAMM4400-R002,02/28/09,ADC - CHILD,LAB AND RADIOLOGICAL,1700,3393,"$50,010.79 ",IAMM4400-R002,02/28/09,AGED,LAB AND RADIOLOGICAL,878,190,"$2,856.65 ",IAMM4400-R002,02/28/09,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,LAB AND RADIOLOGICAL,466,1314,"$25,394.71 ",IAMM4400-R002,02/28/09,DISABLED,LAB AND RADIOLOGICAL,3012,5735,"$95,858.73 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,248,658,"$11,925.82 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,484,668,"$8,653.93 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,LAB AND RADIOLOGICAL,7,40,$713.77 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,8,18,$220.56 ,IAMM4400-R002,02/28/09,STATE ONLY,LAB AND RADIOLOGICAL,21,63,"$1,619.36 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1110,412,"$4,690.21 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,161,346,"$7,254.40 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,47,249,"$4,029.02 ",IAMM4400-R002,02/28/09,OTHER,LAB AND RADIOLOGICAL,3119,8989,"$160,119.26 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,24,66,"$1,566.85 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,1,5,$198.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,LAB AND RADIOLOGICAL,169,402,"$6,505.18 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,LAB AND RADIOLOGICAL,55,164,"$2,380.55 ",IAMM4400-R002,02/28/09,TOTAL,LAB AND RADIOLOGICAL,14156,30852,"$568,505.67 "
IAMM4400-R002,02/28/09,ADC - ADULT,HABILITATION SERVICES,24,459,"$22,631.31 ",IAMM4400-R002,02/28/09,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,HABILITATION SERVICES,53,1610,"$100,830.00 ",IAMM4400-R002,02/28/09,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,HABILITATION SERVICES,19,583,"$38,904.39 ",IAMM4400-R002,02/28/09,DISABLED,HABILITATION SERVICES,2503,70321,"$3,598,662.12 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,10,189,"$7,173.70 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,29,566,"$24,880.66 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,HABILITATION SERVICES,2,1,$275.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,HABILITATION SERVICES,10,1355,"$48,890.95 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,34,626,"$31,244.70 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,33,894,"$62,102.23 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,5,46,"$3,193.46 ",IAMM4400-R002,02/28/09,OTHER,HABILITATION SERVICES,4,112,"$8,238.52 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,HABILITATION SERVICES,5,27,"$2,019.07 ",IAMM4400-R002,02/28/09,TOTAL,HABILITATION SERVICES,2720,76789,"$3,949,046.11 "
IAMM4400-R002,02/28/09,ADC - ADULT,REMEDIAL SERVICES,165,3740,"$61,335.43 ",IAMM4400-R002,02/28/09,ADC - CHILD,REMEDIAL SERVICES,1905,44666,"$827,945.04 ",IAMM4400-R002,02/28/09,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,REMEDIAL SERVICES,702,19094,"$336,841.06 ",IAMM4400-R002,02/28/09,DISABLED,REMEDIAL SERVICES,643,15761,"$291,517.87 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2466,170828,"$2,648,755.96 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,119,2810,"$54,316.22 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,154,4697,"$85,571.87 ",IAMM4400-R002,02/28/09,STATE ONLY,REMEDIAL SERVICES,22,350,"$8,752.38 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,3,51,"$1,118.82 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,4,86,"$1,390.18 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,40,$374.00 ,IAMM4400-R002,02/28/09,OTHER,REMEDIAL SERVICES,1625,41023,"$721,203.69 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,REMEDIAL SERVICES,309,6196,"$118,562.42 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,REMEDIAL SERVICES,57,574,"$29,477.17 ",IAMM4400-R002,02/28/09,TOTAL,REMEDIAL SERVICES,7661,309916,"$5,187,162.11 "
IAMM4400-R002,02/28/09,ADC - ADULT,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,REHAB SUPPORT SERVICES,5,56,"$11,460.74 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,REHAB SUPPORT SERVICES,1,0,"($1,339.65)",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,REHAB SUPPORT SERVICES,6,56,"$10,121.09 "
IAMM4400-R002,02/28/09,ADC - ADULT,AMBULANCE SERVICES,215,236,"$32,740.72 ",IAMM4400-R002,02/28/09,ADC - CHILD,AMBULANCE SERVICES,98,94,"$13,535.50 ",IAMM4400-R002,02/28/09,AGED,AMBULANCE SERVICES,351,418,"$43,227.47 ",IAMM4400-R002,02/28/09,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,AMBULANCE SERVICES,46,51,"$7,314.56 ",IAMM4400-R002,02/28/09,DISABLED,AMBULANCE SERVICES,867,1066,"$131,992.96 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,16,16,"$1,752.00 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,102,130,"$15,420.72 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,2,2,$222.44 ,IAMM4400-R002,02/28/09,STATE ONLY,AMBULANCE SERVICES,7,8,$953.46 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,506,669,"$71,428.05 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,21,29,"$4,698.11 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,40,42,"$7,397.97 ",IAMM4400-R002,02/28/09,OTHER,AMBULANCE SERVICES,174,182,"$29,977.48 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,1,1,$135.42 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,AMBULANCE SERVICES,13,11,"$1,786.94 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,AMBULANCE SERVICES,11,11,"$1,506.39 ",IAMM4400-R002,02/28/09,TOTAL,AMBULANCE SERVICES,2456,2966,"$364,090.19 "
IAMM4400-R002,02/28/09,ADC - ADULT,LOCAL EDUCATION AGENCY,9,1337,"$7,247.19 ",IAMM4400-R002,02/28/09,ADC - CHILD,LOCAL EDUCATION AGENCY,155,24145,"$167,575.96 ",IAMM4400-R002,02/28/09,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,LOCAL EDUCATION AGENCY,41,8197,"$58,011.03 ",IAMM4400-R002,02/28/09,DISABLED,LOCAL EDUCATION AGENCY,533,124444,"$1,316,800.02 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,124,32531,"$330,288.02 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,563,144859,"$1,613,043.47 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,15,3053,"$25,267.70 ",IAMM4400-R002,02/28/09,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,18,3170,"$48,266.33 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,LOCAL EDUCATION AGENCY,140,21318,"$210,082.66 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,LOCAL EDUCATION AGENCY,36,7506,"$58,807.46 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,LOCAL EDUCATION AGENCY,2,1761,"$11,478.18 ",IAMM4400-R002,02/28/09,TOTAL,LOCAL EDUCATION AGENCY,1611,372321,"$3,846,868.02 "
IAMM4400-R002,02/28/09,ADC - ADULT,EARLY ACCESS SERVICES,1,3,$115.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,EARLY ACCESS SERVICES,142,626,"$16,785.47 ",IAMM4400-R002,02/28/09,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,EARLY ACCESS SERVICES,35,129,"$3,470.85 ",IAMM4400-R002,02/28/09,DISABLED,EARLY ACCESS SERVICES,122,683,"$13,358.92 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,46,148,"$3,946.78 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,46,300,"$5,400.98 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,3,12,$236.78 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,EARLY ACCESS SERVICES,154,651,"$16,360.25 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,EARLY ACCESS SERVICES,1,4,$54.40 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,EARLY ACCESS SERVICES,2,10,$125.36 ,IAMM4400-R002,02/28/09,TOTAL,EARLY ACCESS SERVICES,527,2566,"$59,854.79 "
IAMM4400-R002,02/28/09,ADC - ADULT,PRESCRIBED DRUGS,20140,55656,"$2,831,884.92 ",IAMM4400-R002,02/28/09,ADC - CHILD,PRESCRIBED DRUGS,19577,34593,"$2,122,472.16 ",IAMM4400-R002,02/28/09,AGED,PRESCRIBED DRUGS,3034,4929,"$62,858.18 ",IAMM4400-R002,02/28/09,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,PRESCRIBED DRUGS,4883,11280,"$746,468.66 ",IAMM4400-R002,02/28/09,DISABLED,PRESCRIBED DRUGS,24093,101265,"$8,160,228.15 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4915,12734,"$1,306,326.01 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6120,19396,"$1,703,822.54 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,PRESCRIBED DRUGS,38,78,"$2,389.76 ",IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,9,9,$79.90 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,343,1171,"$119,704.28 ",IAMM4400-R002,02/28/09,STATE ONLY,PRESCRIBED DRUGS,143,324,"$19,421.57 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,9794,21207,"$387,360.22 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,982,2986,"$144,403.04 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,252,1223,"$63,226.96 ",IAMM4400-R002,02/28/09,OTHER,PRESCRIBED DRUGS,27867,49836,"$2,884,154.81 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,206,861,"$54,022.95 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,75,69,"$9,983.84 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,PRESCRIBED DRUGS,3592,6295,"$475,948.67 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PRESCRIBED DRUGS,844,3804,"$230,299.30 ",IAMM4400-R002,02/28/09,TOTAL,PRESCRIBED DRUGS,125452,327716,"$21,325,055.92 "
IAMM4400-R002,02/28/09,ADC - ADULT,DRUG CAPITATION,1,0,($7.07),IAMM4400-R002,02/28/09,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,DRUG CAPITATION,1,0,($7.07)
IAMM4400-R002,02/28/09,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,FAMILY PLANNING SERVICES,5721,6432,"$608,555.47 ",IAMM4400-R002,02/28/09,ADC - CHILD,FAMILY PLANNING SERVICES,1028,1194,"$110,483.46 ",IAMM4400-R002,02/28/09,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,FAMILY PLANNING SERVICES,190,213,"$22,073.02 ",IAMM4400-R002,02/28/09,DISABLED,FAMILY PLANNING SERVICES,136,154,"$13,529.00 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,36,42,"$5,176.08 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,30,31,"$2,095.73 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,1,1,$106.92 ,IAMM4400-R002,02/28/09,STATE ONLY,FAMILY PLANNING SERVICES,18,17,"$2,161.02 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,1,1,$80.17 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,32,36,"$3,988.11 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,5,5,"$1,316.82 ",IAMM4400-R002,02/28/09,OTHER,FAMILY PLANNING SERVICES,403,488,"$49,661.49 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,FAMILY PLANNING SERVICES,69,76,"$7,910.91 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,FAMILY PLANNING SERVICES,4,5,$430.45 ,IAMM4400-R002,02/28/09,TOTAL,FAMILY PLANNING SERVICES,7652,8695,"$827,568.65 "
IAMM4400-R002,02/28/09,ADC - ADULT,IOWA PLAN PROGRAM,37948,41646,"$1,299,253.84 ",IAMM4400-R002,02/28/09,ADC - CHILD,IOWA PLAN PROGRAM,64401,68728,"$686,362.32 ",IAMM4400-R002,02/28/09,AGED,IOWA PLAN PROGRAM,9,9,$722.64 ,IAMM4400-R002,02/28/09,BLIND,IOWA PLAN PROGRAM,1,1,$58.29 ,IAMM4400-R002,02/28/09,CMAP,IOWA PLAN PROGRAM,13737,14832,"$306,021.69 ",IAMM4400-R002,02/28/09,DISABLED,IOWA PLAN PROGRAM,48999,50264,"$3,705,916.75 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,10586,9392,"$1,010,349.79 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10754,10843,"$720,759.97 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,IOWA PLAN PROGRAM,120,127,"$3,372.04 ",IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,21,21,"$1,322.35 ",IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,397,384,"$47,619.06 ",IAMM4400-R002,02/28/09,STATE ONLY,IOWA PLAN PROGRAM,369,384,"$56,646.40 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2167,2198,"$148,279.17 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1370,1487,"$54,419.19 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,IOWA PLAN PROGRAM,89763,98229,"$1,201,249.08 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,243,245,"$25,552.73 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,IOWA PLAN PROGRAM,12401,13210,"$143,323.15 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,IOWA PLAN PROGRAM,1368,1372,"$142,364.09 ",IAMM4400-R002,02/28/09,TOTAL,IOWA PLAN PROGRAM,293901,313372,"$9,553,592.55 "
IAMM4400-R002,02/28/09,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,1,0,$38.40 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,MANAGED SUBSTANCE ABUSE,1,0,$38.40 
IAMM4400-R002,02/28/09,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,EPSDT SCREENING,126,140,"$6,439.33 ",IAMM4400-R002,02/28/09,ADC - CHILD,EPSDT SCREENING,3314,3876,"$325,081.53 ",IAMM4400-R002,02/28/09,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,EPSDT SCREENING,791,962,"$76,806.59 ",IAMM4400-R002,02/28/09,DISABLED,EPSDT SCREENING,217,293,"$15,362.72 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,174,237,"$16,844.70 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,EPSDT SCREENING,56,77,"$2,631.90 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,7,7,$312.27 ,IAMM4400-R002,02/28/09,STATE ONLY,EPSDT SCREENING,4,4,$138.84 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,2,6,$258.32 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,10,10,$368.21 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,2,1,($601.81),IAMM4400-R002,02/28/09,OTHER,EPSDT SCREENING,5328,5968,"$673,053.58 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,EPSDT SCREENING,1,1,"$1,133.01 ",IAMM4400-R002,02/28/09,OTHER TXXI,EPSDT SCREENING,398,421,"$35,038.37 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,EPSDT SCREENING,4,5,$155.58 ,IAMM4400-R002,02/28/09,TOTAL,EPSDT SCREENING,10388,12008,"$1,153,023.14 "
IAMM4400-R002,02/28/09,ADC - ADULT,HMO SERVICES,42,42,"$11,272.39 ",IAMM4400-R002,02/28/09,ADC - CHILD,HMO SERVICES,45,50,"$16,717.45 ",IAMM4400-R002,02/28/09,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,HMO SERVICES,11,12,"$4,396.38 ",IAMM4400-R002,02/28/09,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,HMO SERVICES,67,82,"($25,538.78)",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,HMO SERVICES,5,5,"$3,966.34 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,HMO SERVICES,170,191,"$10,813.78 "
IAMM4400-R002,02/28/09,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,PACE SERVICES,1,1,"$2,507.00 ",IAMM4400-R002,02/28/09,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,PACE SERVICES,6,6,"$21,549.00 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,PACE SERVICES,16,16,"$44,124.00 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,PACE SERVICES,23,23,"$68,180.00 "
IAMM4400-R002,02/28/09,ADC - ADULT,PATIENT MANAGEMENT,22910,22912,"$45,824.00 ",IAMM4400-R002,02/28/09,ADC - CHILD,PATIENT MANAGEMENT,41084,41084,"$82,168.00 ",IAMM4400-R002,02/28/09,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,PATIENT MANAGEMENT,8110,8110,"$16,220.00 ",IAMM4400-R002,02/28/09,DISABLED,PATIENT MANAGEMENT,3,3,$6.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,68,68,$136.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,PATIENT MANAGEMENT,49,49,$98.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,PATIENT MANAGEMENT,60508,60508,"$121,016.00 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,PATIENT MANAGEMENT,9034,9034,"$18,068.00 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,PATIENT MANAGEMENT,141767,141769,"$283,538.00 "
IAMM4400-R002,02/28/09,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,215,486,"$14,958.05 ",IAMM4400-R002,02/28/09,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,302,762,"$20,552.88 ",IAMM4400-R002,02/28/09,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,HEALTH INS PREMIUM PAYMENT,53,114,"$3,598.68 ",IAMM4400-R002,02/28/09,DISABLED,HEALTH INS PREMIUM PAYMENT,620,1293,"$133,838.68 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,156,328,"$13,170.74 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,558,1140,"$124,952.82 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,43,88,"$8,290.08 ",IAMM4400-R002,02/28/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,37,67,"$12,017.35 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,1,2,$31.48 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,HEALTH INS PREMIUM PAYMENT,2017,5182,"$126,750.22 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,11,23,"$1,340.81 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,5,11,"$1,802.21 ",IAMM4400-R002,02/28/09,TOTAL,HEALTH INS PREMIUM PAYMENT,4018,9496,"$461,304.00 "
IAMM4400-R002,02/28/09,ADC - ADULT,MEDICAL SUPPLIES,1170,26186,"$247,688.43 ",IAMM4400-R002,02/28/09,ADC - CHILD,MEDICAL SUPPLIES,1064,13916,"$142,783.47 ",IAMM4400-R002,02/28/09,AGED,MEDICAL SUPPLIES,2688,173962,"$334,338.35 ",IAMM4400-R002,02/28/09,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,MEDICAL SUPPLIES,219,3700,"$34,798.47 ",IAMM4400-R002,02/28/09,DISABLED,MEDICAL SUPPLIES,8995,688218,"$1,965,708.93 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,247,27998,"$85,090.16 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2298,334722,"$598,326.83 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,MEDICAL SUPPLIES,4,15,$443.86 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,2,3,$64.99 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,15,756,$806.58 ,IAMM4400-R002,02/28/09,STATE ONLY,MEDICAL SUPPLIES,5,247,$724.23 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4657,395495,"$678,972.88 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,216,12940,"$23,168.55 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,81,3164,"$54,424.89 ",IAMM4400-R002,02/28/09,OTHER,MEDICAL SUPPLIES,1283,21109,"$184,707.34 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,24,891,"$4,238.93 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,MEDICAL SUPPLIES,146,4828,"$24,766.39 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MEDICAL SUPPLIES,150,7075,"$19,941.80 ",IAMM4400-R002,02/28/09,TOTAL,MEDICAL SUPPLIES,22838,1715225,"$4,400,995.08 "
IAMM4400-R002,02/28/09,ADC - ADULT,OTHER PRACTITIONER,1528,3348,"$209,059.54 ",IAMM4400-R002,02/28/09,ADC - CHILD,OTHER PRACTITIONER,2219,10913,"$207,043.13 ",IAMM4400-R002,02/28/09,AGED,OTHER PRACTITIONER,358,1003,"$19,949.39 ",IAMM4400-R002,02/28/09,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,OTHER PRACTITIONER,488,3445,"$57,916.41 ",IAMM4400-R002,02/28/09,DISABLED,OTHER PRACTITIONER,2495,20715,"$383,365.48 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,439,3391,"$69,396.94 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,824,14581,"$307,169.19 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,OTHER PRACTITIONER,1,1,$81.35 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,OTHER PRACTITIONER,1,1,$9.45 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,29,1309,"$8,652.47 ",IAMM4400-R002,02/28/09,STATE ONLY,OTHER PRACTITIONER,13,15,$902.13 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,538,2324,"$45,752.16 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,83,203,"$12,221.86 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,60,147,"$8,711.75 ",IAMM4400-R002,02/28/09,OTHER,OTHER PRACTITIONER,3321,15820,"$372,645.39 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,9,9,"$1,236.38 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,OTHER PRACTITIONER,2,2,$283.98 ,IAMM4400-R002,02/28/09,OTHER TXXI,OTHER PRACTITIONER,330,1447,"$35,146.48 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,OTHER PRACTITIONER,50,91,"$6,780.98 ",IAMM4400-R002,02/28/09,TOTAL,OTHER PRACTITIONER,12665,78765,"$1,746,324.46 "
IAMM4400-R002,02/28/09,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,DENTAL,3091,4302,"$775,394.28 ",IAMM4400-R002,02/28/09,ADC - CHILD,DENTAL,4586,5427,"$752,874.91 ",IAMM4400-R002,02/28/09,AGED,DENTAL,436,531,"$88,764.33 ",IAMM4400-R002,02/28/09,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,DENTAL,1078,1377,"$251,653.91 ",IAMM4400-R002,02/28/09,DISABLED,DENTAL,4011,5298,"$855,243.21 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1016,1229,"$199,428.11 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,DENTAL,1342,1548,"$164,817.55 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,DENTAL,16,23,"$1,957.49 ",IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,DENTAL,1,1,$25.99 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,DENTAL,38,48,"$4,961.43 ",IAMM4400-R002,02/28/09,STATE ONLY,DENTAL,23,29,"$2,973.15 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,DENTAL,761,955,"$141,637.46 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,DENTAL,194,268,"$38,941.29 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,DENTAL,55,93,"$22,101.25 ",IAMM4400-R002,02/28/09,OTHER,DENTAL,6616,8075,"$1,181,655.69 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,DENTAL,24,33,"$5,980.92 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,DENTAL,1261,1482,"$225,024.63 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,DENTAL,99,146,"$27,078.24 ",IAMM4400-R002,02/28/09,TOTAL,DENTAL,24536,30865,"$4,740,513.84 "
IAMM4400-R002,02/28/09,ADC - ADULT,OPTOMETRIST,1578,1914,"$145,545.49 ",IAMM4400-R002,02/28/09,ADC - CHILD,OPTOMETRIST,1495,1744,"$116,993.63 ",IAMM4400-R002,02/28/09,AGED,OPTOMETRIST,609,936,"$36,396.75 ",IAMM4400-R002,02/28/09,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,OPTOMETRIST,449,527,"$37,635.46 ",IAMM4400-R002,02/28/09,DISABLED,OPTOMETRIST,2385,3188,"$191,054.23 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,398,466,"$30,762.58 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,OPTOMETRIST,572,729,"$37,392.68 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,OPTOMETRIST,1,2,$109.87 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,11,15,$848.87 ,IAMM4400-R002,02/28/09,STATE ONLY,OPTOMETRIST,18,24,"$1,721.29 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,OPTOMETRIST,759,1047,"$47,932.98 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,101,136,"$8,026.10 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,20,27,"$1,776.39 ",IAMM4400-R002,02/28/09,OTHER,OPTOMETRIST,2282,2651,"$180,958.27 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,10,11,"$1,009.61 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,OPTOMETRIST,430,499,"$34,015.23 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,OPTOMETRIST,66,85,"$7,149.82 ",IAMM4400-R002,02/28/09,TOTAL,OPTOMETRIST,11159,14001,"$879,329.25 "
IAMM4400-R002,02/28/09,ADC - ADULT,CHIROPRACTIC,1798,4060,"$143,961.07 ",IAMM4400-R002,02/28/09,ADC - CHILD,CHIROPRACTIC,860,1492,"$49,241.04 ",IAMM4400-R002,02/28/09,AGED,CHIROPRACTIC,387,911,"$15,013.17 ",IAMM4400-R002,02/28/09,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,CHIROPRACTIC,234,463,"$16,262.01 ",IAMM4400-R002,02/28/09,DISABLED,CHIROPRACTIC,2265,5132,"$115,804.16 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,164,316,"$9,660.62 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,CHIROPRACTIC,296,556,"$13,324.29 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,8,11,$367.88 ,IAMM4400-R002,02/28/09,STATE ONLY,CHIROPRACTIC,12,30,"$1,156.18 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,311,650,"$10,816.61 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,80,177,"$5,355.95 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,19,43,"$1,428.98 ",IAMM4400-R002,02/28/09,OTHER,CHIROPRACTIC,1523,3145,"$100,367.56 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,8,20,$739.56 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,CHIROPRACTIC,307,562,"$19,145.57 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,CHIROPRACTIC,58,108,"$3,922.99 ",IAMM4400-R002,02/28/09,TOTAL,CHIROPRACTIC,8262,17676,"$506,567.64 "
IAMM4400-R002,02/28/09,ADC - ADULT,PODIATRIC,237,326,"$40,098.90 ",IAMM4400-R002,02/28/09,ADC - CHILD,PODIATRIC,62,83,"$8,524.77 ",IAMM4400-R002,02/28/09,AGED,PODIATRIC,876,1314,"$30,019.74 ",IAMM4400-R002,02/28/09,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,PODIATRIC,30,46,"$5,188.35 ",IAMM4400-R002,02/28/09,DISABLED,PODIATRIC,1238,2152,"$95,390.04 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,33,41,"$2,558.06 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,PODIATRIC,544,734,"$25,301.24 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,PODIATRIC,1,4,$52.43 ,IAMM4400-R002,02/28/09,STATE ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,PODIATRIC,1485,2194,"$55,295.97 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,54,80,"$3,125.39 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,9,12,$580.79 ,IAMM4400-R002,02/28/09,OTHER,PODIATRIC,110,143,"$4,814.38 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,PODIATRIC,6,6,$354.62 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,PODIATRIC,36,47,"$5,219.26 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PODIATRIC,18,26,"$2,459.27 ",IAMM4400-R002,02/28/09,TOTAL,PODIATRIC,4719,7208,"$278,983.21 "
IAMM4400-R002,02/28/09,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,PHYSICAL DISABILITIES SVCS,468,19687,"$260,540.05 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,183,7773,"$95,715.73 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,PHYSICAL DISABILITIES SVCS,649,27460,"$356,255.78 "
IAMM4400-R002,02/28/09,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,BRAIN INJ WAIVER SERVICES,1,51,"$4,997.27 ",IAMM4400-R002,02/28/09,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,BRAIN INJ WAIVER SERVICES,316,17076,"$550,385.89 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,36,1572,"$47,026.27 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,265,12988,"$395,864.64 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,439,21055,"$714,758.11 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,BRAIN INJ WAIVER SERVICES,1,68,"$2,040.47 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,BRAIN INJ WAIVER SERVICES,2,55,"$1,904.15 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,BRAIN INJ WAIVER SERVICES,1036,52865,"$1,716,976.80 "
IAMM4400-R002,02/28/09,ADC - ADULT,PSYCHIATRIC,28,44,"$3,352.33 ",IAMM4400-R002,02/28/09,ADC - CHILD,PSYCHIATRIC,8,16,"$1,941.58 ",IAMM4400-R002,02/28/09,AGED,PSYCHIATRIC,178,406,"$19,418.46 ",IAMM4400-R002,02/28/09,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,PSYCHIATRIC,19,63,"$3,991.48 ",IAMM4400-R002,02/28/09,DISABLED,PSYCHIATRIC,2398,3965,"$176,176.30 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,12,14,"$1,921.15 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,PSYCHIATRIC,505,710,"$38,310.39 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,PSYCHIATRIC,2,2,$46.97 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,1,1,$121.54 ,IAMM4400-R002,02/28/09,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,280,595,"$26,917.94 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,34,48,"$2,155.54 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,31,68,"$4,058.48 ",IAMM4400-R002,02/28/09,OTHER,PSYCHIATRIC,20,31,"$2,942.73 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,2,2,$76.78 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,PSYCHIATRIC,2,6,$303.56 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,PSYCHIATRIC,2,8,$686.82 ,IAMM4400-R002,02/28/09,TOTAL,PSYCHIATRIC,3513,5979,"$282,422.05 "
IAMM4400-R002,02/28/09,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,RESIDENTIAL CARE FACILITY,310,10323,"$76,021.51 ",IAMM4400-R002,02/28/09,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,RESIDENTIAL CARE FACILITY,1,31,$835.45 ,IAMM4400-R002,02/28/09,DISABLED,RESIDENTIAL CARE FACILITY,1327,43742,"$371,192.54 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,25,710,"$6,225.91 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,2,9,($85.95),IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,5,58,$873.87 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,RESIDENTIAL CARE FACILITY,1662,54873,"$455,063.33 "
IAMM4400-R002,02/28/09,ADC - ADULT,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,MR WAIVER SERVICE,79,3733,"$224,664.31 ",IAMM4400-R002,02/28/09,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,MR WAIVER SERVICE,2,166,"$2,349.48 ",IAMM4400-R002,02/28/09,DISABLED,MR WAIVER SERVICE,999,62496,"$2,825,328.24 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,186,7167,"$234,833.12 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8408,512422,"$22,307,654.68 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,8,244,"$13,220.38 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,MR WAIVER SERVICE,6,106,"$1,049.06 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,MR WAIVER SERVICE,3,69,"$2,005.53 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MR WAIVER SERVICE,4,167,"$4,409.56 ",IAMM4400-R002,02/28/09,TOTAL,MR WAIVER SERVICE,9652,586570,"$25,615,514.36 "
IAMM4400-R002,02/28/09,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,4,243,"$4,345.61 ",IAMM4400-R002,02/28/09,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,40,1831,"$36,340.24 ",IAMM4400-R002,02/28/09,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,CHILDRENS MENTAL HEALTH SVC,95,5038,"$92,640.61 ",IAMM4400-R002,02/28/09,DISABLED,CHILDRENS MENTAL HEALTH SVC,30,1282,"$28,029.54 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,340,13959,"$311,690.25 ",IAMM4400-R002,02/28/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,CHILDRENS MENTAL HEALTH SVC,55,2800,"$53,323.04 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,3,153,"$2,040.00 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,2,84,"$1,438.75 ",IAMM4400-R002,02/28/09,TOTAL,CHILDRENS MENTAL HEALTH SVC,566,25390,"$529,848.04 "
IAMM4400-R002,02/28/09,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,AIDS WAIVER SERVICES,13,1046,"($6,031.05)",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,32,3275,"$33,288.52 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,AIDS WAIVER SERVICES,44,4321,"$27,257.47 "
IAMM4400-R002,02/28/09,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,ELDERLY WAIVER SERVICES,3569,159223,"$2,385,593.77 ",IAMM4400-R002,02/28/09,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,ELDERLY WAIVER SERVICES,31,1235,"$24,032.31 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6248,295622,"$3,742,187.32 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,4,108,"$1,893.70 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,ELDERLY WAIVER SERVICES,8,111,"$2,749.10 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ELDERLY WAIVER SERVICES,2,124,"$2,143.93 ",IAMM4400-R002,02/28/09,TOTAL,ELDERLY WAIVER SERVICES,9652,456423,"$6,158,600.13 "
IAMM4400-R002,02/28/09,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1857,90320,"$1,490,911.42 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,27,1482,"$23,914.63 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,144,6720,"$132,913.38 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,8,390,"$5,553.97 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,2,43,$800.08 ,IAMM4400-R002,02/28/09,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2033,98955,"$1,654,093.48 "
IAMM4400-R002,02/28/09,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,02/28/09,ADC - ADULT,MEP SERVICES,6,8,"$3,077.19 ",IAMM4400-R002,02/28/09,ADC - CHILD,MEP SERVICES,42,47,"$22,336.40 ",IAMM4400-R002,02/28/09,AGED,MEP SERVICES,95,109,"$27,447.37 ",IAMM4400-R002,02/28/09,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,MEP SERVICES,100,110,"$48,172.84 ",IAMM4400-R002,02/28/09,DISABLED,MEP SERVICES,1197,1416,"$366,391.00 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,217,253,"$64,199.06 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,MEP SERVICES,8318,9366,"$2,406,260.07 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,MEP SERVICES,370,392,"$187,622.56 ",IAMM4400-R002,02/28/09,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,MEP SERVICES,133,138,"$36,188.11 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,1,1,$279.48 ,IAMM4400-R002,02/28/09,OTHER,MEP SERVICES,64,72,"($69,004.56)",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,MEP SERVICES,6,8,"$2,912.96 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,MEP SERVICES,7,9,"$2,433.32 ",IAMM4400-R002,02/28/09,TOTAL,MEP SERVICES,10534,11929,"$3,098,315.80 "
IAMM4400-R002,02/28/09,ADC - ADULT,UNASSIGNED,10,0,$0.00 ,IAMM4400-R002,02/28/09,ADC - CHILD,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,02/28/09,AGED,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,02/28/09,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,CMAP,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,02/28/09,DISABLED,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER,UNASSIGNED,9,0,"($1,990,708.06)",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,OTHER TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,02/28/09,TOTAL,UNASSIGNED,29,0,"($1,990,708.06)"
IAMM4400-R002,02/28/09,ADC - ADULT,* A L L  C A T E G O R I E S *,48676,363487,"$16,798,620.17 ",IAMM4400-R002,02/28/09,ADC - CHILD,* A L L  C A T E G O R I E S *,71165,375565,"$12,739,338.84 ",IAMM4400-R002,02/28/09,AGED,* A L L  C A T E G O R I E S *,14495,695813,"$19,194,078.17 ",IAMM4400-R002,02/28/09,BLIND,* A L L  C A T E G O R I E S *,1,1,$58.29 ,IAMM4400-R002,02/28/09,CMAP,* A L L  C A T E G O R I E S *,14904,124735,"$5,715,112.81 ",IAMM4400-R002,02/28/09,DISABLED,* A L L  C A T E G O R I E S *,53369,1966188,"$54,115,840.67 ",IAMM4400-R002,02/28/09,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,02/28/09,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10756,290650,"$7,078,421.17 ",IAMM4400-R002,02/28/09,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11549,1261060,"$59,188,942.61 ",IAMM4400-R002,02/28/09,FEDERAL ONLY,* A L L  C A T E G O R I E S *,142,734,"$25,628.86 ",IAMM4400-R002,02/28/09,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,19,410,"$27,974.64 ",IAMM4400-R002,02/28/09,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,376,26362,"$820,120.98 ",IAMM4400-R002,02/28/09,STATE ONLY,* A L L  C A T E G O R I E S *,332,3892,"$204,869.84 ",IAMM4400-R002,02/28/09,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,14944,1250080,"$34,978,890.17 ",IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,02/28/09,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,02/28/09,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1795,32489,"$1,132,288.02 ",IAMM4400-R002,02/28/09,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,833,30211,"$1,757,463.81 ",IAMM4400-R002,02/28/09,OTHER,* A L L  C A T E G O R I E S *,96888,593223,"$25,605,035.84 ",IAMM4400-R002,02/28/09,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,242,6997,"$529,145.22 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,75,69,"$99,611.75 ",IAMM4400-R002,02/28/09,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,9,121,"$3,387.47 ",IAMM4400-R002,02/28/09,OTHER TXXI,* A L L  C A T E G O R I E S *,11866,70992,"$2,321,617.68 ",IAMM4400-R002,02/28/09,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,02/28/09,STATE ONLY,* A L L  C A T E G O R I E S *,1433,23796,"$965,555.89 ",IAMM4400-R002,02/28/09,TOTAL,* A L L  C A T E G O R I E S *,353869,7116875,"$243,302,002.90 "