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-R002,03/31/09,ADC - ADULT,INPATIENT,2450,2734,"$5,391,554.85 ",IAMM4400-R002,03/31/09,ADC - CHILD,INPATIENT,1422,2419,"$2,622,083.15 ",IAMM4400-R002,03/31/09,AGED,INPATIENT,779,3180,"$786,787.39 ",IAMM4400-R002,03/31/09,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,INPATIENT,777,6198,"$2,063,224.10 ",IAMM4400-R002,03/31/09,DISABLED,INPATIENT,3486,13459,"$12,705,664.63 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,150,672,"$447,513.13 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,INPATIENT,322,1005,"$744,458.67 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,INPATIENT,6,5,"$6,135.81 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,INPATIENT,5,51,"$4,864.00 ",IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,INPATIENT,8,128,"$20,508.98 ",IAMM4400-R002,03/31/09,STATE ONLY,INPATIENT,18,14,"$22,534.95 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,INPATIENT,985,4402,"$1,592,298.72 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,INPATIENT,130,449,"$762,426.09 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,INPATIENT,435,1270,"$1,799,571.27 ",IAMM4400-R002,03/31/09,OTHER,INPATIENT,6360,11593,"$15,513,636.68 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,INPATIENT,23,38,"$100,761.35 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,INPATIENT,2,0,"($1,535.16)",IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,INPATIENT,3,5,"$7,833.39 ",IAMM4400-R002,03/31/09,OTHER TXXI,INPATIENT,191,498,"$256,743.75 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,INPATIENT,74,155,"$199,205.70 ",IAMM4400-R002,03/31/09,TOTAL,INPATIENT,17457,48275,"$45,046,271.45 "
IAMM4400-R002,03/31/09,ADC - ADULT,OUTPATIENT,10669,201152,"$4,802,911.29 ",IAMM4400-R002,03/31/09,ADC - CHILD,OUTPATIENT,10027,111212,"$2,317,074.26 ",IAMM4400-R002,03/31/09,AGED,OUTPATIENT,5347,121264,"$787,172.81 ",IAMM4400-R002,03/31/09,BLIND,OUTPATIENT,1,2,$213.53 ,IAMM4400-R002,03/31/09,CMAP,OUTPATIENT,2698,40700,"$749,881.99 ",IAMM4400-R002,03/31/09,DISABLED,OUTPATIENT,18385,491945,"$6,601,210.05 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,1092,16600,"$235,334.74 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,OUTPATIENT,3295,75629,"$600,707.70 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,OUTPATIENT,52,628,"$11,125.11 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,OUTPATIENT,12,339,"$1,121.44 ",IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,OUTPATIENT,61,724,"$6,549.14 ",IAMM4400-R002,03/31/09,STATE ONLY,OUTPATIENT,97,1264,"$31,783.33 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,OUTPATIENT,6316,164338,"$938,256.71 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,558,12135,"$216,098.16 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,536,17074,"$549,555.46 ",IAMM4400-R002,03/31/09,OTHER,OUTPATIENT,15289,225956,"$7,024,059.42 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,OUTPATIENT,141,4759,"$150,797.35 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,OUTPATIENT,1,0,$914.40 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,OUTPATIENT,5,115,"$1,076.51 ",IAMM4400-R002,03/31/09,OTHER TXXI,OUTPATIENT,1414,19107,"$357,560.18 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,OUTPATIENT,371,8633,"$179,491.18 ",IAMM4400-R002,03/31/09,TOTAL,OUTPATIENT,75467,1513576,"$25,562,894.76 "
IAMM4400-R002,03/31/09,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,SKILLED NURSING FACILITY,1,6,"$3,179.28 ",IAMM4400-R002,03/31/09,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,SKILLED NURSING FACILITY,323,5306,"$187,989.30 ",IAMM4400-R002,03/31/09,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,SKILLED NURSING FACILITY,1,53,"$23,320.00 ",IAMM4400-R002,03/31/09,DISABLED,SKILLED NURSING FACILITY,225,5128,"$2,205,341.55 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,28,"$9,582.96 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,9,120,"$1,800.00 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,507,8444,"$50,748.63 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,5,87,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,1,11,$0.00 ,IAMM4400-R002,03/31/09,OTHER,SKILLED NURSING FACILITY,8,127,"($12,513.58)",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,SKILLED NURSING FACILITY,1069,19310,"$2,469,448.14 "
IAMM4400-R002,03/31/09,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,28,"$3,578.96 ",IAMM4400-R002,03/31/09,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,INTERMEDIATE CARE FACILITY,4584,128961,"$10,807,907.41 ",IAMM4400-R002,03/31/09,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,INTERMEDIATE CARE FACILITY,607,17597,"$1,834,442.83 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,6,305,"$26,703.80 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7140,197080,"$19,956,557.44 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,5,$650.30 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,INTERMEDIATE CARE FACILITY,7,109,"$12,861.81 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,INTERMEDIATE CARE FACILITY,12295,344085,"$32,642,702.55 "
IAMM4400-R002,03/31/09,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,INTER CARE MENTAL RETARDA,7,168,"$53,620.37 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,9,254,"$89,586.46 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2097,64499,"$26,647,650.11 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,1,28,"$18,546.90 ",IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,INTER CARE MENTAL RETARDA,1,0,"($1,380,981.00)",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,INTER CARE MENTAL RETARDA,1,139,"$51,006.42 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,INTER CARE MENTAL RETARDA,2114,65088,"$25,479,429.26 "
IAMM4400-R002,03/31/09,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,NURSING FAC FOR MENTAL ILL,5,109,"$22,880.86 ",IAMM4400-R002,03/31/09,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,17,404,"$85,326.56 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,28,"$6,079.36 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,1,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,NURSING FAC FOR MENTAL ILL,24,541,"$114,286.78 "
IAMM4400-R002,03/31/09,ADC - ADULT,HOME HEALTH,78,994,"$58,790.24 ",IAMM4400-R002,03/31/09,ADC - CHILD,HOME HEALTH,629,2355,"$84,366.37 ",IAMM4400-R002,03/31/09,AGED,HOME HEALTH,2909,63330,"$2,022,246.77 ",IAMM4400-R002,03/31/09,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,HOME HEALTH,102,328,"$15,701.13 ",IAMM4400-R002,03/31/09,DISABLED,HOME HEALTH,4406,115769,"$3,164,703.86 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,85,5112,"$86,888.54 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,HOME HEALTH,1337,49863,"$1,461,129.79 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,HOME HEALTH,1,3,$330.15 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,3,$155.25 ,IAMM4400-R002,03/31/09,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,HOME HEALTH,4409,100199,"$3,618,477.56 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,83,1048,"$23,485.27 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,33,568,"$32,609.40 ",IAMM4400-R002,03/31/09,OTHER,HOME HEALTH,1053,5152,"$76,101.76 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,HOME HEALTH,1,2,$176.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,HOME HEALTH,1,4,$63.80 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,HOME HEALTH,81,239,"$8,766.39 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,HOME HEALTH,21,158,"$15,555.53 ",IAMM4400-R002,03/31/09,TOTAL,HOME HEALTH,15051,345127,"$10,669,547.81 "
IAMM4400-R002,03/31/09,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,LEAD INSPECTION AGENCY,3,3,"$1,143.36 ",IAMM4400-R002,03/31/09,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,LEAD INSPECTION AGENCY,1,1,$381.12 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,LEAD INSPECTION AGENCY,7,8,"$2,982.95 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,LEAD INSPECTION AGENCY,11,12,"$4,507.43 "
IAMM4400-R002,03/31/09,ADC - ADULT,PHYSICIAN,18561,39478,"$3,651,649.01 ",IAMM4400-R002,03/31/09,ADC - CHILD,PHYSICIAN,25285,45324,"$2,803,624.35 ",IAMM4400-R002,03/31/09,AGED,PHYSICIAN,7799,45826,"$625,297.78 ",IAMM4400-R002,03/31/09,BLIND,PHYSICIAN,1,2,$45.43 ,IAMM4400-R002,03/31/09,CMAP,PHYSICIAN,5454,10062,"$706,222.82 ",IAMM4400-R002,03/31/09,DISABLED,PHYSICIAN,27578,147326,"$5,590,449.18 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,3017,4796,"$263,071.53 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,PHYSICIAN,5357,18919,"$515,866.55 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,PHYSICIAN,78,171,"$16,363.91 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,PHYSICIAN,39,26,"$2,094.50 ",IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,PHYSICIAN,136,218,"$6,721.03 ",IAMM4400-R002,03/31/09,STATE ONLY,PHYSICIAN,148,297,"$23,730.62 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,PHYSICIAN,8861,57956,"$774,484.68 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,996,3149,"$197,471.22 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,881,4661,"$367,676.47 ",IAMM4400-R002,03/31/09,OTHER,PHYSICIAN,38295,78085,"$14,785,446.53 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,PHYSICIAN,211,1261,"$273,330.07 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,PHYSICIAN,3,1,$532.51 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,PHYSICIAN,9,14,"$1,315.42 ",IAMM4400-R002,03/31/09,OTHER TXXI,PHYSICIAN,4209,6506,"$381,044.09 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PHYSICIAN,620,1706,"$153,741.22 ",IAMM4400-R002,03/31/09,TOTAL,PHYSICIAN,144029,465784,"$31,140,178.92 "
IAMM4400-R002,03/31/09,ADC - ADULT,CLINIC SERVICES,3542,5292,"$719,081.83 ",IAMM4400-R002,03/31/09,ADC - CHILD,CLINIC SERVICES,4532,6239,"$820,943.70 ",IAMM4400-R002,03/31/09,AGED,CLINIC SERVICES,586,420,"$40,982.68 ",IAMM4400-R002,03/31/09,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,CLINIC SERVICES,1156,1735,"$226,750.84 ",IAMM4400-R002,03/31/09,DISABLED,CLINIC SERVICES,3843,5199,"$713,552.81 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,616,898,"$103,592.34 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,CLINIC SERVICES,401,502,"$58,195.19 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,CLINIC SERVICES,24,43,"$6,387.07 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,CLINIC SERVICES,1,0,$12.50 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,19,25,"$2,372.97 ",IAMM4400-R002,03/31/09,STATE ONLY,CLINIC SERVICES,31,44,"$5,610.67 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,539,519,"$52,226.33 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,158,227,"$35,217.51 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,92,212,"$34,991.72 ",IAMM4400-R002,03/31/09,OTHER,CLINIC SERVICES,8143,12332,"$2,037,540.13 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,20,28,"$5,146.05 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,CLINIC SERVICES,862,1178,"$146,946.15 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,CLINIC SERVICES,156,261,"$37,288.02 ",IAMM4400-R002,03/31/09,TOTAL,CLINIC SERVICES,24417,35154,"$5,046,838.51 "
IAMM4400-R002,03/31/09,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,LAB AND RADIOLOGICAL,4095,11838,"$322,201.43 ",IAMM4400-R002,03/31/09,ADC - CHILD,LAB AND RADIOLOGICAL,2365,4814,"$82,532.29 ",IAMM4400-R002,03/31/09,AGED,LAB AND RADIOLOGICAL,1080,217,"$3,593.48 ",IAMM4400-R002,03/31/09,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,LAB AND RADIOLOGICAL,627,1627,"$36,429.32 ",IAMM4400-R002,03/31/09,DISABLED,LAB AND RADIOLOGICAL,3849,7721,"$130,432.59 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,336,858,"$13,934.82 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,637,893,"$10,992.29 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,LAB AND RADIOLOGICAL,8,46,$828.29 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,6,7,$67.95 ,IAMM4400-R002,03/31/09,STATE ONLY,LAB AND RADIOLOGICAL,28,107,"$2,949.41 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1354,441,"$5,345.92 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,191,354,"$8,391.16 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,57,355,"$6,877.64 ",IAMM4400-R002,03/31/09,OTHER,LAB AND RADIOLOGICAL,4091,10801,"$202,784.23 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,28,81,"$2,166.47 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,LAB AND RADIOLOGICAL,253,685,"$12,368.54 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,LAB AND RADIOLOGICAL,100,437,"$8,437.85 ",IAMM4400-R002,03/31/09,TOTAL,LAB AND RADIOLOGICAL,18960,41282,"$850,333.68 "
IAMM4400-R002,03/31/09,ADC - ADULT,HABILITATION SERVICES,31,470,"$23,379.30 ",IAMM4400-R002,03/31/09,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,HABILITATION SERVICES,52,1361,"$89,241.15 ",IAMM4400-R002,03/31/09,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,HABILITATION SERVICES,24,624,"$41,208.29 ",IAMM4400-R002,03/31/09,DISABLED,HABILITATION SERVICES,2600,71584,"$3,932,640.78 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,12,190,"$12,672.37 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,30,523,"$22,224.27 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,HABILITATION SERVICES,2,5,$414.56 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,HABILITATION SERVICES,10,551,"$30,070.44 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,36,499,"$30,071.70 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,32,944,"$60,125.17 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,5,58,"$3,280.69 ",IAMM4400-R002,03/31/09,OTHER,HABILITATION SERVICES,4,62,"$4,647.86 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,HABILITATION SERVICES,4,52,"$3,588.11 ",IAMM4400-R002,03/31/09,TOTAL,HABILITATION SERVICES,2828,76923,"$4,253,564.69 "
IAMM4400-R002,03/31/09,ADC - ADULT,REMEDIAL SERVICES,276,5300,"$92,474.87 ",IAMM4400-R002,03/31/09,ADC - CHILD,REMEDIAL SERVICES,2161,54760,"$1,113,996.61 ",IAMM4400-R002,03/31/09,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,REMEDIAL SERVICES,821,19342,"$369,970.55 ",IAMM4400-R002,03/31/09,DISABLED,REMEDIAL SERVICES,782,22812,"$422,530.28 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2850,171242,"$2,163,498.98 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,138,2923,"$71,304.39 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,160,4826,"$97,044.19 ",IAMM4400-R002,03/31/09,STATE ONLY,REMEDIAL SERVICES,17,345,"$7,119.33 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,5,72,"$1,136.11 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,12,185,"$3,132.86 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,32,$299.20 ,IAMM4400-R002,03/31/09,OTHER,REMEDIAL SERVICES,1962,50030,"$844,365.76 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,REMEDIAL SERVICES,374,8326,"$167,544.05 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,REMEDIAL SERVICES,78,1799,"$32,573.74 ",IAMM4400-R002,03/31/09,TOTAL,REMEDIAL SERVICES,8879,341994,"$5,386,990.92 "
IAMM4400-R002,03/31/09,ADC - ADULT,REHAB SUPPORT SERVICES,2,0,$167.61 ,IAMM4400-R002,03/31/09,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,REHAB SUPPORT SERVICES,29,72,"$20,354.34 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,1,0,"$1,029.60 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,REHAB SUPPORT SERVICES,2,0,"($401,130.99)",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,REHAB SUPPORT SERVICES,33,72,"($379,579.44)"
IAMM4400-R002,03/31/09,ADC - ADULT,AMBULANCE SERVICES,364,362,"$51,389.98 ",IAMM4400-R002,03/31/09,ADC - CHILD,AMBULANCE SERVICES,203,199,"$27,285.26 ",IAMM4400-R002,03/31/09,AGED,AMBULANCE SERVICES,469,545,"$50,871.56 ",IAMM4400-R002,03/31/09,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,AMBULANCE SERVICES,82,92,"$15,087.96 ",IAMM4400-R002,03/31/09,DISABLED,AMBULANCE SERVICES,1196,1470,"$182,376.82 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,29,27,"$2,797.46 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,140,165,"$18,137.80 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,AMBULANCE SERVICES,1,1,$119.52 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,AMBULANCE SERVICES,2,2,$258.21 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,AMBULANCE SERVICES,6,5,$409.89 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,619,771,"$73,030.60 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,23,21,"$2,520.10 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,59,58,"$10,058.00 ",IAMM4400-R002,03/31/09,OTHER,AMBULANCE SERVICES,282,292,"$37,983.32 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,2,2,$195.72 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,AMBULANCE SERVICES,32,24,"$4,289.01 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,AMBULANCE SERVICES,19,24,"$3,101.25 ",IAMM4400-R002,03/31/09,TOTAL,AMBULANCE SERVICES,3501,4060,"$479,912.46 "
IAMM4400-R002,03/31/09,ADC - ADULT,LOCAL EDUCATION AGENCY,9,-133,"($3,332.12)",IAMM4400-R002,03/31/09,ADC - CHILD,LOCAL EDUCATION AGENCY,161,27878,"$187,260.74 ",IAMM4400-R002,03/31/09,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,LOCAL EDUCATION AGENCY,46,8584,"$72,160.89 ",IAMM4400-R002,03/31/09,DISABLED,LOCAL EDUCATION AGENCY,550,137369,"$1,307,088.97 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,128,32576,"$237,180.09 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,630,222537,"$2,015,733.50 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,23,4619,"$32,922.70 ",IAMM4400-R002,03/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,20,3666,"$48,054.85 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,LOCAL EDUCATION AGENCY,174,33319,"$242,645.24 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,LOCAL EDUCATION AGENCY,42,8401,"$66,915.54 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,2,520,"$11,126.28 ",IAMM4400-R002,03/31/09,TOTAL,LOCAL EDUCATION AGENCY,1760,479336,"$4,217,756.68 "
IAMM4400-R002,03/31/09,ADC - ADULT,EARLY ACCESS SERVICES,1,1,$50.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,EARLY ACCESS SERVICES,133,445,"$13,031.49 ",IAMM4400-R002,03/31/09,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,EARLY ACCESS SERVICES,30,113,"$3,107.48 ",IAMM4400-R002,03/31/09,DISABLED,EARLY ACCESS SERVICES,145,898,"$19,691.34 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,47,115,"$3,305.38 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,46,341,"$6,972.84 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,5,60,"$1,090.76 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,EARLY ACCESS SERVICES,175,835,"$22,008.50 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,EARLY ACCESS SERVICES,2,5,$177.20 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,EARLY ACCESS SERVICES,3,5,$95.20 ,IAMM4400-R002,03/31/09,TOTAL,EARLY ACCESS SERVICES,566,2818,"$69,530.19 "
IAMM4400-R002,03/31/09,ADC - ADULT,PRESCRIBED DRUGS,23019,71064,"$3,487,114.85 ",IAMM4400-R002,03/31/09,ADC - CHILD,PRESCRIBED DRUGS,23255,42863,"$2,516,370.77 ",IAMM4400-R002,03/31/09,AGED,PRESCRIBED DRUGS,3542,6663,"$83,714.86 ",IAMM4400-R002,03/31/09,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,PRESCRIBED DRUGS,5729,13717,"$787,985.27 ",IAMM4400-R002,03/31/09,DISABLED,PRESCRIBED DRUGS,26182,127978,"$9,927,780.98 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,5682,15462,"$1,305,010.29 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6622,25183,"$1,886,262.31 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,PRESCRIBED DRUGS,54,145,"$5,494.90 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,6,13,$103.59 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,366,1481,"$110,255.21 ",IAMM4400-R002,03/31/09,STATE ONLY,PRESCRIBED DRUGS,164,470,"$26,328.66 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10858,27186,"$456,835.88 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,1119,4040,"$176,928.26 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,336,1607,"$71,567.91 ",IAMM4400-R002,03/31/09,OTHER,PRESCRIBED DRUGS,33936,62661,"$3,303,459.69 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,210,976,"$72,351.40 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,107,104,"$38,462.95 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,PRESCRIBED DRUGS,4398,8004,"$556,394.07 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PRESCRIBED DRUGS,935,4858,"$278,713.15 ",IAMM4400-R002,03/31/09,TOTAL,PRESCRIBED DRUGS,143587,414475,"$25,091,135.00 "
IAMM4400-R002,03/31/09,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,DRUG CAPITATION,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,INDIAN HEALTH SERVICES,2,2,$506.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,INDIAN HEALTH SERVICES,2,2,$506.00 ,IAMM4400-R002,03/31/09,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,INDIAN HEALTH SERVICES,2,2,$506.00 ,IAMM4400-R002,03/31/09,DISABLED,INDIAN HEALTH SERVICES,1,1,$253.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,1,1,$253.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,2,3,$759.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,INDIAN HEALTH SERVICES,13,16,"$4,048.00 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,INDIAN HEALTH SERVICES,1,3,$759.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,INDIAN HEALTH SERVICES,24,30,"$7,590.00 "
IAMM4400-R002,03/31/09,ADC - ADULT,FAMILY PLANNING SERVICES,6762,8081,"$708,922.44 ",IAMM4400-R002,03/31/09,ADC - CHILD,FAMILY PLANNING SERVICES,1176,1407,"$123,723.26 ",IAMM4400-R002,03/31/09,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,FAMILY PLANNING SERVICES,241,282,"$25,206.43 ",IAMM4400-R002,03/31/09,DISABLED,FAMILY PLANNING SERVICES,139,164,"$16,524.89 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,45,47,"$4,874.71 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,20,23,"$1,805.97 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,2,1,$77.12 ,IAMM4400-R002,03/31/09,STATE ONLY,FAMILY PLANNING SERVICES,16,21,"$2,026.41 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,1,1,$61.30 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,41,49,"$5,265.84 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,10,12,"$1,880.16 ",IAMM4400-R002,03/31/09,OTHER,FAMILY PLANNING SERVICES,548,639,"$56,994.47 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,2,2,$84.02 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,FAMILY PLANNING SERVICES,94,117,"$10,082.32 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,FAMILY PLANNING SERVICES,6,8,$605.20 ,IAMM4400-R002,03/31/09,TOTAL,FAMILY PLANNING SERVICES,9067,10854,"$958,134.54 "
IAMM4400-R002,03/31/09,ADC - ADULT,IOWA PLAN PROGRAM,38186,42273,"$1,318,759.83 ",IAMM4400-R002,03/31/09,ADC - CHILD,IOWA PLAN PROGRAM,64699,69568,"$695,567.28 ",IAMM4400-R002,03/31/09,AGED,IOWA PLAN PROGRAM,6,6,$536.21 ,IAMM4400-R002,03/31/09,BLIND,IOWA PLAN PROGRAM,1,1,$58.29 ,IAMM4400-R002,03/31/09,CMAP,IOWA PLAN PROGRAM,13877,15302,"$307,631.32 ",IAMM4400-R002,03/31/09,DISABLED,IOWA PLAN PROGRAM,49354,50578,"$3,727,836.28 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,9939,10256,"$1,059,592.27 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10794,10883,"$722,628.81 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,IOWA PLAN PROGRAM,118,138,"$3,668.16 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,20,22,"$1,374.86 ",IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,394,400,"$49,154.18 ",IAMM4400-R002,03/31/09,STATE ONLY,IOWA PLAN PROGRAM,354,365,"$53,800.93 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2210,2232,"$150,300.57 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1430,1607,"$57,095.26 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,IOWA PLAN PROGRAM,90703,101135,"$1,240,804.81 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,243,234,"$24,529.75 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,IOWA PLAN PROGRAM,12563,13619,"$148,554.53 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,IOWA PLAN PROGRAM,1371,1442,"$147,880.04 ",IAMM4400-R002,03/31/09,TOTAL,IOWA PLAN PROGRAM,295383,320061,"$9,709,773.38 "
IAMM4400-R002,03/31/09,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,EPSDT SCREENING,110,118,"$5,237.59 ",IAMM4400-R002,03/31/09,ADC - CHILD,EPSDT SCREENING,3760,3537,"$575,504.86 ",IAMM4400-R002,03/31/09,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,EPSDT SCREENING,811,771,"$123,158.44 ",IAMM4400-R002,03/31/09,DISABLED,EPSDT SCREENING,192,263,"$15,991.25 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,193,208,"$22,117.80 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,EPSDT SCREENING,54,70,"$3,008.40 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,5,5,$227.30 ,IAMM4400-R002,03/31/09,STATE ONLY,EPSDT SCREENING,8,8,$283.62 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,3,3,$173.08 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,7,5,($603.68),IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,2,2,$503.90 ,IAMM4400-R002,03/31/09,OTHER,EPSDT SCREENING,6763,5611,"$1,249,969.14 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,EPSDT SCREENING,2,1,"$1,120.29 ",IAMM4400-R002,03/31/09,OTHER TXXI,EPSDT SCREENING,420,359,"$44,117.12 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,EPSDT SCREENING,3,3,$95.87 ,IAMM4400-R002,03/31/09,TOTAL,EPSDT SCREENING,12253,10964,"$2,040,904.98 "
IAMM4400-R002,03/31/09,ADC - ADULT,HMO SERVICES,5,5,"$1,487.72 ",IAMM4400-R002,03/31/09,ADC - CHILD,HMO SERVICES,7,7,"$5,927.90 ",IAMM4400-R002,03/31/09,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,HMO SERVICES,4,2,"$1,527.97 ",IAMM4400-R002,03/31/09,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,HMO SERVICES,19,19,"$14,716.17 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,HMO SERVICES,1,1,"$1,326.60 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,HMO SERVICES,35,34,"$24,986.36 "
IAMM4400-R002,03/31/09,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,PACE SERVICES,1,1,"$4,350.00 ",IAMM4400-R002,03/31/09,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,PACE SERVICES,11,11,"$38,748.00 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,PACE SERVICES,18,18,"$50,655.00 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,PACE SERVICES,30,30,"$93,753.00 "
IAMM4400-R002,03/31/09,ADC - ADULT,PATIENT MANAGEMENT,23863,23872,"$47,744.00 ",IAMM4400-R002,03/31/09,ADC - CHILD,PATIENT MANAGEMENT,42977,42982,"$85,964.00 ",IAMM4400-R002,03/31/09,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,PATIENT MANAGEMENT,8566,8569,"$17,138.00 ",IAMM4400-R002,03/31/09,DISABLED,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,97,97,$194.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,PATIENT MANAGEMENT,64,64,$128.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,1,0,($10.73),IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,PATIENT MANAGEMENT,63112,63116,"$126,232.00 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,PATIENT MANAGEMENT,9231,9231,"$18,462.00 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,PATIENT MANAGEMENT,147913,147933,"$295,855.27 "
IAMM4400-R002,03/31/09,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,208,560,"$17,416.47 ",IAMM4400-R002,03/31/09,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,295,846,"$19,452.38 ",IAMM4400-R002,03/31/09,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,HEALTH INS PREMIUM PAYMENT,48,127,"$5,346.80 ",IAMM4400-R002,03/31/09,DISABLED,HEALTH INS PREMIUM PAYMENT,654,1662,"$171,806.38 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,163,397,"$15,854.85 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,597,1459,"$178,732.94 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,46,114,"$10,301.60 ",IAMM4400-R002,03/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,36,81,"$11,240.95 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,1,2,$31.48 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,HEALTH INS PREMIUM PAYMENT,2038,6418,"$152,272.77 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,15,48,"$3,129.51 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,5,11,"$1,797.17 ",IAMM4400-R002,03/31/09,TOTAL,HEALTH INS PREMIUM PAYMENT,4106,11725,"$587,383.30 "
IAMM4400-R002,03/31/09,ADC - ADULT,MEDICAL SUPPLIES,1254,30078,"$255,033.45 ",IAMM4400-R002,03/31/09,ADC - CHILD,MEDICAL SUPPLIES,1330,16034,"$185,602.80 ",IAMM4400-R002,03/31/09,AGED,MEDICAL SUPPLIES,3135,233401,"$376,731.83 ",IAMM4400-R002,03/31/09,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,MEDICAL SUPPLIES,269,6695,"$25,758.07 ",IAMM4400-R002,03/31/09,DISABLED,MEDICAL SUPPLIES,10173,836585,"$2,304,919.24 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,297,33796,"$119,176.87 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2466,377404,"$670,411.12 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,MEDICAL SUPPLIES,1,1,$24.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,15,1615,"$1,489.30 ",IAMM4400-R002,03/31/09,STATE ONLY,MEDICAL SUPPLIES,9,10,$665.25 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,5024,456844,"$732,553.19 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,237,16670,"$33,231.92 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,92,6220,"$64,334.92 ",IAMM4400-R002,03/31/09,OTHER,MEDICAL SUPPLIES,1682,31036,"$241,253.35 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,28,1368,"$8,809.70 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,MEDICAL SUPPLIES,176,4963,"$31,400.44 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MEDICAL SUPPLIES,163,6728,"$30,803.31 ",IAMM4400-R002,03/31/09,TOTAL,MEDICAL SUPPLIES,25776,2059448,"$5,082,198.76 "
IAMM4400-R002,03/31/09,ADC - ADULT,OTHER PRACTITIONER,1760,3500,"$234,406.76 ",IAMM4400-R002,03/31/09,ADC - CHILD,OTHER PRACTITIONER,2879,9287,"$261,489.99 ",IAMM4400-R002,03/31/09,AGED,OTHER PRACTITIONER,421,1641,"$29,295.13 ",IAMM4400-R002,03/31/09,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,OTHER PRACTITIONER,661,4376,"$86,284.47 ",IAMM4400-R002,03/31/09,DISABLED,OTHER PRACTITIONER,2930,28958,"$509,994.89 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,599,3045,"$74,904.45 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,1023,19311,"$347,675.94 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,OTHER PRACTITIONER,3,4,$199.10 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,39,1998,"$13,550.52 ",IAMM4400-R002,03/31/09,STATE ONLY,OTHER PRACTITIONER,12,13,"$1,502.71 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,620,2097,"$52,374.59 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,99,252,"$11,828.28 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,72,132,"$11,346.84 ",IAMM4400-R002,03/31/09,OTHER,OTHER PRACTITIONER,4324,12433,"$460,463.38 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,20,59,"$4,180.60 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,OTHER PRACTITIONER,2,2,$629.97 ,IAMM4400-R002,03/31/09,OTHER TXXI,OTHER PRACTITIONER,455,1522,"$42,151.62 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,OTHER PRACTITIONER,77,165,"$9,918.68 ",IAMM4400-R002,03/31/09,TOTAL,OTHER PRACTITIONER,15850,88795,"$2,152,197.92 "
IAMM4400-R002,03/31/09,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,DENTAL,3818,5416,"$989,278.03 ",IAMM4400-R002,03/31/09,ADC - CHILD,DENTAL,5695,6658,"$941,399.38 ",IAMM4400-R002,03/31/09,AGED,DENTAL,518,643,"$112,237.37 ",IAMM4400-R002,03/31/09,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,DENTAL,1516,1837,"$284,378.87 ",IAMM4400-R002,03/31/09,DISABLED,DENTAL,4673,6230,"$1,057,154.82 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1249,1469,"$179,359.92 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,DENTAL,1593,1831,"$183,641.55 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,DENTAL,24,30,"$4,760.65 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,DENTAL,46,59,"$6,205.94 ",IAMM4400-R002,03/31/09,STATE ONLY,DENTAL,30,41,"$7,308.36 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,DENTAL,951,1219,"$180,939.02 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,DENTAL,220,288,"$42,309.03 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,DENTAL,91,144,"$34,467.31 ",IAMM4400-R002,03/31/09,OTHER,DENTAL,8658,10295,"$1,371,294.41 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,DENTAL,22,27,"$3,075.38 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,DENTAL,1703,2067,"$326,754.75 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,DENTAL,136,184,"$30,557.24 ",IAMM4400-R002,03/31/09,TOTAL,DENTAL,30764,38438,"$5,755,122.03 "
IAMM4400-R002,03/31/09,ADC - ADULT,OPTOMETRIST,2031,2518,"$182,980.25 ",IAMM4400-R002,03/31/09,ADC - CHILD,OPTOMETRIST,1969,2280,"$147,407.33 ",IAMM4400-R002,03/31/09,AGED,OPTOMETRIST,808,1285,"$40,211.73 ",IAMM4400-R002,03/31/09,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,OPTOMETRIST,560,653,"$45,957.52 ",IAMM4400-R002,03/31/09,DISABLED,OPTOMETRIST,2855,4379,"$211,509.92 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,548,601,"$36,995.04 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,OPTOMETRIST,700,849,"$41,692.40 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,OPTOMETRIST,4,5,$276.43 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,18,18,$909.21 ,IAMM4400-R002,03/31/09,STATE ONLY,OPTOMETRIST,14,16,$919.04 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,OPTOMETRIST,892,1302,"$43,067.97 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,131,172,"$9,628.71 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,23,29,"$2,192.82 ",IAMM4400-R002,03/31/09,OTHER,OPTOMETRIST,2928,3277,"$214,937.46 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,17,22,"$1,762.76 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,OPTOMETRIST,568,665,"$43,266.62 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,OPTOMETRIST,104,132,"$10,909.39 ",IAMM4400-R002,03/31/09,TOTAL,OPTOMETRIST,14124,18203,"$1,034,624.60 "
IAMM4400-R002,03/31/09,ADC - ADULT,CHIROPRACTIC,2166,5395,"$191,420.56 ",IAMM4400-R002,03/31/09,ADC - CHILD,CHIROPRACTIC,1109,2286,"$71,530.89 ",IAMM4400-R002,03/31/09,AGED,CHIROPRACTIC,471,1095,"$12,338.42 ",IAMM4400-R002,03/31/09,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,CHIROPRACTIC,279,613,"$20,320.22 ",IAMM4400-R002,03/31/09,DISABLED,CHIROPRACTIC,2639,6995,"$125,737.15 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,204,353,"$10,232.63 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,CHIROPRACTIC,340,752,"$14,663.04 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,CHIROPRACTIC,1,6,$67.26 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,12,21,$554.28 ,IAMM4400-R002,03/31/09,STATE ONLY,CHIROPRACTIC,11,24,$921.76 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,338,832,"$9,295.97 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,118,286,"$9,291.87 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,26,45,$989.28 ,IAMM4400-R002,03/31/09,OTHER,CHIROPRACTIC,2026,4200,"$128,209.67 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,12,19,$575.05 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,CHIROPRACTIC,345,707,"$23,096.13 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,CHIROPRACTIC,60,139,"$4,886.58 ",IAMM4400-R002,03/31/09,TOTAL,CHIROPRACTIC,10050,23768,"$624,130.76 "
IAMM4400-R002,03/31/09,ADC - ADULT,PODIATRIC,291,386,"$46,775.56 ",IAMM4400-R002,03/31/09,ADC - CHILD,PODIATRIC,84,98,"$12,179.87 ",IAMM4400-R002,03/31/09,AGED,PODIATRIC,968,1453,"$25,758.47 ",IAMM4400-R002,03/31/09,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,PODIATRIC,37,42,"$4,248.61 ",IAMM4400-R002,03/31/09,DISABLED,PODIATRIC,1487,2717,"$100,474.10 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,32,29,"$2,673.46 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,PODIATRIC,627,898,"$25,868.81 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,PODIATRIC,3,3,$251.37 ,IAMM4400-R002,03/31/09,STATE ONLY,PODIATRIC,2,1,$33.12 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,PODIATRIC,1627,2446,"$46,695.14 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,53,70,"$3,111.37 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,15,22,"$2,288.10 ",IAMM4400-R002,03/31/09,OTHER,PODIATRIC,132,146,"$13,822.68 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,PODIATRIC,5,5,$185.83 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,PODIATRIC,28,35,"$4,038.30 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PODIATRIC,24,32,"$2,786.56 ",IAMM4400-R002,03/31/09,TOTAL,PODIATRIC,5375,8383,"$291,191.35 "
IAMM4400-R002,03/31/09,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,PHYSICAL DISABILITIES SVCS,515,20772,"$267,073.36 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,190,7699,"$111,622.33 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,PHYSICAL DISABILITIES SVCS,701,28471,"$378,695.69 "
IAMM4400-R002,03/31/09,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,BRAIN INJ WAIVER SERVICES,1,28,"$1,753.72 ",IAMM4400-R002,03/31/09,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,BRAIN INJ WAIVER SERVICES,323,20076,"$550,981.34 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,38,1728,"$43,155.79 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,267,13877,"$406,195.80 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,448,25355,"$753,448.59 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,BRAIN INJ WAIVER SERVICES,2,1,$274.18 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,BRAIN INJ WAIVER SERVICES,2,62,"$1,369.45 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,BRAIN INJ WAIVER SERVICES,1055,61127,"$1,757,178.87 "
IAMM4400-R002,03/31/09,ADC - ADULT,PSYCHIATRIC,42,18,"$3,183.77 ",IAMM4400-R002,03/31/09,ADC - CHILD,PSYCHIATRIC,10,21,"$1,676.52 ",IAMM4400-R002,03/31/09,AGED,PSYCHIATRIC,215,436,"$15,287.54 ",IAMM4400-R002,03/31/09,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,PSYCHIATRIC,12,29,"$2,019.64 ",IAMM4400-R002,03/31/09,DISABLED,PSYCHIATRIC,2710,5153,"$195,579.68 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,23,34,"$2,808.85 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,PSYCHIATRIC,531,818,"$36,617.35 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,PSYCHIATRIC,3,5,$135.81 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,2,2,$398.84 ,IAMM4400-R002,03/31/09,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,304,536,"$20,857.46 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,46,69,"$2,847.21 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,54,138,"$8,840.86 ",IAMM4400-R002,03/31/09,OTHER,PSYCHIATRIC,47,124,"$7,348.14 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,1,1,$52.15 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,PSYCHIATRIC,5,5,$920.70 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,PSYCHIATRIC,2,4,$214.69 ,IAMM4400-R002,03/31/09,TOTAL,PSYCHIATRIC,3985,7393,"$298,789.21 "
IAMM4400-R002,03/31/09,ADC - ADULT,RESIDENTIAL CARE FACILITY,1,45,"$1,239.70 ",IAMM4400-R002,03/31/09,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,RESIDENTIAL CARE FACILITY,317,10571,"$61,719.83 ",IAMM4400-R002,03/31/09,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,RESIDENTIAL CARE FACILITY,2,87,"$1,306.55 ",IAMM4400-R002,03/31/09,DISABLED,RESIDENTIAL CARE FACILITY,1359,42324,"$269,233.42 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,1,16,$450.24 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,14,730,"$5,348.11 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,2,12,$106.70 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,8,104,$931.19 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,RESIDENTIAL CARE FACILITY,1697,53889,"$340,335.74 "
IAMM4400-R002,03/31/09,ADC - ADULT,MR WAIVER SERVICE,3,3,"$1,091.77 ",IAMM4400-R002,03/31/09,ADC - CHILD,MR WAIVER SERVICE,1,1,$12.99 ,IAMM4400-R002,03/31/09,AGED,MR WAIVER SERVICE,78,6872,"$228,895.58 ",IAMM4400-R002,03/31/09,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,MR WAIVER SERVICE,3,66,"$2,174.69 ",IAMM4400-R002,03/31/09,DISABLED,MR WAIVER SERVICE,1020,76389,"$2,806,775.55 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,204,7093,"$221,728.25 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8610,610341,"$22,072,413.28 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,MR WAIVER SERVICE,1,39,"$10,044.45 ",IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,5,94,"$3,341.64 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,MR WAIVER SERVICE,4,115,"($66,424.02)",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,MR WAIVER SERVICE,2,67,"$1,924.70 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MR WAIVER SERVICE,4,120,"$3,401.65 ",IAMM4400-R002,03/31/09,TOTAL,MR WAIVER SERVICE,9879,701200,"$25,285,380.53 "
IAMM4400-R002,03/31/09,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,4,310,"$4,524.62 ",IAMM4400-R002,03/31/09,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,40,1958,"$37,769.66 ",IAMM4400-R002,03/31/09,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,CHILDRENS MENTAL HEALTH SVC,103,5714,"$98,623.70 ",IAMM4400-R002,03/31/09,DISABLED,CHILDRENS MENTAL HEALTH SVC,37,1456,"$36,635.27 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,350,15536,"$340,686.86 ",IAMM4400-R002,03/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,CHILDRENS MENTAL HEALTH SVC,60,2738,"$52,292.94 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,3,444,"$5,876.21 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,3,118,"$3,002.39 ",IAMM4400-R002,03/31/09,TOTAL,CHILDRENS MENTAL HEALTH SVC,600,28274,"$579,411.65 "
IAMM4400-R002,03/31/09,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,AIDS WAIVER SERVICES,16,1326,"$37,181.39 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,31,2788,"$27,029.52 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,AIDS WAIVER SERVICES,1,0,$431.76 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,AIDS WAIVER SERVICES,47,4114,"$64,642.67 "
IAMM4400-R002,03/31/09,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,ELDERLY WAIVER SERVICES,3653,160719,"$2,426,388.05 ",IAMM4400-R002,03/31/09,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,ELDERLY WAIVER SERVICES,28,732,"$14,719.91 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,4,"$2,374.00 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6460,294985,"$3,912,209.62 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,1,56,"$1,181.00 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,ELDERLY WAIVER SERVICES,8,145,"($37,434.48)",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,3,126,"$2,196.94 ",IAMM4400-R002,03/31/09,TOTAL,ELDERLY WAIVER SERVICES,9875,456767,"$6,321,635.04 "
IAMM4400-R002,03/31/09,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,ILL & HANDICAPPED WAIVER SVCS,1,1,$15.00 ,IAMM4400-R002,03/31/09,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1992,100226,"$1,694,204.22 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,37,2971,"$59,721.02 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,159,8778,"$181,163.98 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,16,$195.99 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,38,$570.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,7,106,"$1,722.71 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,ILL & HANDICAPPED WAIVER SVCS,4,65,"($43,107.84)",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,3,72,"$1,290.45 ",IAMM4400-R002,03/31/09,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2198,112273,"$1,895,775.53 "
IAMM4400-R002,03/31/09,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,03/31/09,ADC - ADULT,MEP SERVICES,6,8,"$3,741.76 ",IAMM4400-R002,03/31/09,ADC - CHILD,MEP SERVICES,44,53,"$23,548.07 ",IAMM4400-R002,03/31/09,AGED,MEP SERVICES,100,123,"$32,247.86 ",IAMM4400-R002,03/31/09,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,MEP SERVICES,102,112,"$51,074.48 ",IAMM4400-R002,03/31/09,DISABLED,MEP SERVICES,1222,1406,"$364,374.50 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,214,241,"$61,419.59 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,MEP SERVICES,8413,9624,"$2,458,074.74 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,MEP SERVICES,382,413,"$195,352.76 ",IAMM4400-R002,03/31/09,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,MEP SERVICES,143,164,"$43,029.33 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,2,4,$995.32 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,3,7,"$1,733.66 ",IAMM4400-R002,03/31/09,OTHER,MEP SERVICES,62,72,"$31,454.07 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,MEP SERVICES,7,14,"$4,511.62 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,MEP SERVICES,6,7,"$2,526.32 ",IAMM4400-R002,03/31/09,TOTAL,MEP SERVICES,10688,12248,"$3,274,084.08 "
IAMM4400-R002,03/31/09,ADC - ADULT,UNASSIGNED,7,0,$0.00 ,IAMM4400-R002,03/31/09,ADC - CHILD,UNASSIGNED,4,0,$0.00 ,IAMM4400-R002,03/31/09,AGED,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,03/31/09,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,CMAP,UNASSIGNED,9,0,$0.00 ,IAMM4400-R002,03/31/09,DISABLED,UNASSIGNED,10,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,64,0,$0.00 ,IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER,UNASSIGNED,8,0,"($210,151.43)",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,OTHER TXXI,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,03/31/09,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,UNASSIGNED,10,0,$0.00 ,IAMM4400-R002,03/31/09,TOTAL,UNASSIGNED,114,0,"($210,151.43)"
IAMM4400-R002,03/31/09,ADC - ADULT,* A L L  C A T E G O R I E S *,52023,461174,"$22,617,941.66 ",IAMM4400-R002,03/31/09,ADC - CHILD,* A L L  C A T E G O R I E S *,73681,455536,"$15,778,975.53 ",IAMM4400-R002,03/31/09,AGED,* A L L  C A T E G O R I E S *,15192,795456,"$18,876,437.79 ",IAMM4400-R002,03/31/09,BLIND,* A L L  C A T E G O R I E S *,1,5,$317.25 ,IAMM4400-R002,03/31/09,CMAP,* A L L  C A T E G O R I E S *,15549,148455,"$6,213,727.42 ",IAMM4400-R002,03/31/09,DISABLED,* A L L  C A T E G O R I E S *,54070,2374901,"$63,329,975.06 ",IAMM4400-R002,03/31/09,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,03/31/09,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10250,311212,"$6,889,481.83 ",IAMM4400-R002,03/31/09,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11532,1521059,"$61,440,455.45 ",IAMM4400-R002,03/31/09,FEDERAL ONLY,* A L L  C A T E G O R I E S *,159,1281,"$55,510.95 ",IAMM4400-R002,03/31/09,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,18,567,"$39,670.92 ",IAMM4400-R002,03/31/09,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,355,32254,"$896,326.70 ",IAMM4400-R002,03/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,295,3596,"$217,998.50 ",IAMM4400-R002,03/31/09,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15092,1364943,"$33,836,510.49 ",IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,03/31/09,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,03/31/09,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1885,42205,"$1,669,498.07 ",IAMM4400-R002,03/31/09,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,1077,32657,"$3,005,065.61 ",IAMM4400-R002,03/31/09,OTHER,* A L L  C A T E G O R I E S *,101023,732963,"$47,325,599.94 ",IAMM4400-R002,03/31/09,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,248,8884,"$648,179.65 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,104,109,"$38,438.50 ",IAMM4400-R002,03/31/09,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,12,137,"$11,975.58 ",IAMM4400-R002,03/31/09,OTHER TXXI,* A L L  C A T E G O R I E S *,11937,87041,"$2,721,497.01 ",IAMM4400-R002,03/31/09,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,03/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,1448,27899,"$1,175,789.71 ",IAMM4400-R002,03/31/09,TOTAL,* A L L  C A T E G O R I E S *,365951,8402334,"$286,789,373.62 "