IAMM4400-R002ADCADULT_Report_Id,IAMM4400-R002ADCADULT_Report_as_of_Date,IAMM4400-R002ADCADULT_ProgramID,IAMM4400-R002ADCADULT_SVCCAT,ADCadult_Recips,ADCadult_Units,ADCadult_Amt,IAMM4400-R002ADCCHILD_Report_Id,IAMM4400-R002ADCCHILD_Report_as_of_Date,IAMM4400-R002ADCCHILD_ProgramID,IAMM4400-R002ADCCHILD_SVCCAT,ADCchild_Recips,ADCchild_Units,ADCchild_Amt,IAMM4400-R002AGED_Report_Id,IAMM4400-R002AGED_Report_as_of_Date,IAMM4400-R002AGED_ProgramID,IAMM4400-R002AGED_SVCCAT,Aged_Recps,Aged_units,Aged_Amt,IAMM4400-R002BLIND_Report_Id,IAMM4400-R002BLIND_Report_as_of_Date,IAMM4400-R002BLIND_ProgramID,IAMM4400-R002BLIND_SVCCAT,IAMM4400-R002BLIND_Blind_recips,IAMM4400-R002BLIND_Blind_units,IAMM4400-R002BLIND_Blind_amt,IAMM4400-R002CMAP_Report_Id,IAMM4400-R002CMAP_Report_as_of_Date,IAMM4400-R002CMAP_ProgramID,IAMM4400-R002CMAP_SVCCAT,Cmap_Recips,Cmap_Units,Cmap_Amt,IAMM4400-R002DISABLED_Report_Id,IAMM4400-R002DISABLED_Report_as_of_Date,IAMM4400-R002DISABLED_ProgramID,IAMM4400-R002DISABLED_SVCCAT,Disab_Recips,Disab_Units,Disab_Amt,IAMM4400-R002DSH_Report_Id,IAMM4400-R002DSH_Report_as_of_Date,IAMM4400-R002DSH_ProgramID,IAMM4400-R002DSH_SVCCAT,dsh_recips,dsh_units,dsh_amt,IAMM4400-R002FCPRESUBSUB_Report_Id,IAMM4400-R002FCPRESUBSUB_Report_as_of_Date,IAMM4400-R002FCPRESUBSUB_ProgramID,IAMM4400-R002FCPRESUBSUB_SVCCAT,FCpresubsub_recips,fcpresubsub_Units,fcpresubsub_amt,IAMM4400-R002FEDCNTY_Report_Id,IAMM4400-R002FEDCNTY_Report_as_of_Date,IAMM4400-R002FEDCNTY_ProgramID,IAMM4400-R002FEDCNTY_SVCCAT,Fedcnty_recips,Fedcnty_units,Fedcnty_amt,IAMM4400-R002FEDONLY_Report_Id,IAMM4400-R002FEDONLY_Report_as_of_Date,IAMM4400-R002FEDONLY_ProgramID,IAMM4400-R002FEDONLY_SVCCAT,Fed_Recips,Fed_Units,Fed_amt,IAMM4400-R002ICAREMHI_Report_Id,IAMM4400-R002ICAREMHI_Report_as_of_Date,IAMM4400-R002ICAREMHI_ProgramID,IAMM4400-R002ICAREMHI_SVCCAT,IcareMHI_recips,Icare_units,Icare_amt,IAMM4400-R002ICAREPMIC_Report_Id,IAMM4400-R002ICAREPMIC_Report_as_of_Date,IAMM4400-R002ICAREPMIC_ProgramID,IAMM4400-R002ICAREPMIC_SVCCAT,IcarePMIC_recips,IcarePMIC_units,IcarePMIC_amt,IAMM4400-R002ICARESTATEONLY_Report_Id,IAMM4400-R002ICARESTATEONLY_Report_as_of_Date,IAMM4400-R002ICARESTATEONLY_ProgramID,IAMM4400-R002ICARESTATEONLY_SVCCAT,IcareSO_recips,IcareSO_units,IcareSO_amt,IAMM4400-R002ICF_Report_Id,IAMM4400-R002ICF_Report_as_of_Date,IAMM4400-R002ICF_ProgramID,IAMM4400-R002ICF_SVCCAT,IFC_Recips,ICF_units,ICF_amt,IAMM4400-R002MEDICAIDAGED_Report_Id,IAMM4400-R002MEDICAIDAGED_Report_as_of_Date,IAMM4400-R002MEDICAIDAGED_ProgramID,IAMM4400-R002MEDICAIDAGED_SVCCAT,FMaged_recips,FMaged_units,FMaged_amt,IAMM4400-R002MEDICAIDBLIND_Report_Id,IAMM4400-R002MEDICAIDBLIND_Report_as_of_Date,IAMM4400-R002MEDICAIDBLIND_ProgramID,IAMM4400-R002MEDICAIDBLIND_SVCCAT,IAMM4400-R002MEDICAIDBLIND_Blind_recips,IAMM4400-R002MEDICAIDBLIND_Blind_units,IAMM4400-R002MEDICAIDBLIND_Blind_amt,IAMM4400-R002MNNOSPND_Report_Id,IAMM4400-R002MNNOSPND_Report_as_of_Date,IAMM4400-R002MNNOSPND_ProgramID,IAMM4400-R002MNNOSPND_SVCCAT,nospnd_recips,nospnd_units,nospnd_amt,IAMM4400-R002MNWITHSPND_Report_Id,IAMM4400-R002MNWITHSPND_Report_as_of_Date,IAMM4400-R002MNWITHSPND_ProgramID,IAMM4400-R002MNWITHSPND_SVCCAT,Spend_recips,spend_units,spend_amt,IAMM4400-R002OTHER_Report_Id,IAMM4400-R002OTHER_Report_as_of_Date,IAMM4400-R002OTHER_ProgramID,IAMM4400-R002OTHER_SVCCAT,Other_Recips,Other_Units,Other_Amt,IAMM4400-R002OTHERBCC_Report_Id,IAMM4400-R002OTHERBCC_Report_as_of_Date,IAMM4400-R002OTHERBCC_ProgramID,IAMM4400-R002OTHERBCC_SVCCAT,BCC_Recips,BCC_Units,BCC_Amt,IAMM4400-R002OTHERICAREADLT_Report_Id,IAMM4400-R002OTHERICAREADLT_Report_as_of_Date,IAMM4400-R002OTHERICAREADLT_ProgramID,IAMM4400-R002OTHERICAREADLT_SVCCAT,Icareadlt_recips,Icareadlt_units,Icareadlt_amt,IAMM4400-R002OTHERICAREOB_Report_Id,IAMM4400-R002OTHERICAREOB_Report_as_of_Date,IAMM4400-R002OTHERICAREOB_ProgramID,IAMM4400-R002OTHERICAREOB_SVCCAT,Icareob_recips,Icareob_units,Icareob_amt,IAMM4400-R002OTHERTXIX_Report_Id,IAMM4400-R002OTHERTXIX_Report_as_of_Date,IAMM4400-R002OTHERTXIX_ProgramID,IAMM4400-R002OTHERTXIX_SVCCAT,Oxix_recips,Oxix_Units,Oxix_Amt,IAMM4400-R002REFUGEETXIX_Report_Id,IAMM4400-R002REFUGEETXIX_Report_as_of_Date,IAMM4400-R002REFUGEETXIX_ProgramID,IAMM4400-R002REFUGEETXIX_SVCCAT,Refugee_Recips,Refugee_Units,Refugee_amt,IAMM4400-R002STATEONLY_Report_Id,IAMM4400-R002STATEONLY_Report_as_of_Date,IAMM4400-R002STATEONLY_ProgramID,IAMM4400-R002STATEONLY_SVCCAT,SO_recips,SO_units,SO_amt,IAMM4400-R002TOTAL_Report_Id,IAMM4400-R002TOTAL_Report_as_of_Date,IAMM4400-R002TOTAL_ProgramID,IAMM4400-R002TOTAL_SVCCAT,TOTAL_recips,TOTAL_units,TOTAL_amt
IAMM4400-R002,05/31/09,ADC - ADULT,INPATIENT,655,1717,"$2,981,173.69 ",IAMM4400-R002,05/31/09,ADC - CHILD,INPATIENT,379,2345,"$2,693,318.49 ",IAMM4400-R002,05/31/09,AGED,INPATIENT,602,2580,"$713,866.32 ",IAMM4400-R002,05/31/09,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,INPATIENT,359,6403,"$1,870,856.90 ",IAMM4400-R002,05/31/09,DISABLED,INPATIENT,1919,10919,"$7,406,938.65 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,38,462,"$211,031.09 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,INPATIENT,161,791,"$479,955.35 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,INPATIENT,1,4,"$2,943.50 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,INPATIENT,1,0,($992.00),IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,INPATIENT,2,20,"$3,327.20 ",IAMM4400-R002,05/31/09,STATE ONLY,INPATIENT,10,23,"$33,068.91 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,INPATIENT,747,3403,"$1,082,494.10 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,INPATIENT,52,269,"$217,651.33 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,INPATIENT,140,858,"$1,302,513.45 ",IAMM4400-R002,05/31/09,OTHER,INPATIENT,1838,11070,"$10,746,019.06 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,INPATIENT,7,29,"$53,444.21 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,INPATIENT,2,0,"$23,737.80 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,INPATIENT,69,658,"$213,154.08 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,INPATIENT,20,98,"$195,641.05 ",IAMM4400-R002,05/31/09,TOTAL,INPATIENT,6969,41649,"$30,230,143.18 "
IAMM4400-R002,05/31/09,ADC - ADULT,OUTPATIENT,8873,154579,"$11,095,845.04 ",IAMM4400-R002,05/31/09,ADC - CHILD,OUTPATIENT,7888,78874,"$1,932,577.48 ",IAMM4400-R002,05/31/09,AGED,OUTPATIENT,4519,106508,"$566,494.89 ",IAMM4400-R002,05/31/09,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,OUTPATIENT,2254,32418,"$710,982.25 ",IAMM4400-R002,05/31/09,DISABLED,OUTPATIENT,16731,471474,"$5,587,060.51 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,856,14153,"$233,237.02 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,OUTPATIENT,2936,72666,"$550,360.55 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,OUTPATIENT,35,468,"$6,794.44 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,OUTPATIENT,14,275,$745.74 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,OUTPATIENT,47,567,"$2,555.94 ",IAMM4400-R002,05/31/09,STATE ONLY,OUTPATIENT,75,1290,"$30,083.28 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,OUTPATIENT,5207,142323,"$727,894.95 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,469,10778,"$191,985.81 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,530,20510,"$833,004.66 ",IAMM4400-R002,05/31/09,OTHER,OUTPATIENT,12790,185728,"$3,433,366.53 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,OUTPATIENT,109,3766,"$146,992.01 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,OUTPATIENT,3,0,"$3,831.80 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,OUTPATIENT,1260,18417,"$331,929.93 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,OUTPATIENT,280,6136,"$140,205.22 ",IAMM4400-R002,05/31/09,TOTAL,OUTPATIENT,64377,1320930,"$26,525,948.05 "
IAMM4400-R002,05/31/09,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,1,0,($73.65),IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,CHILD DAY TREATMENT,1,0,($73.65)
IAMM4400-R002,05/31/09,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,SKILLED NURSING FACILITY,1,3,"$2,883.39 ",IAMM4400-R002,05/31/09,AGED,SKILLED NURSING FACILITY,184,3079,"$11,748.52 ",IAMM4400-R002,05/31/09,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,SKILLED NURSING FACILITY,202,4715,"$1,898,776.48 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,2,30,"$11,263.66 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,7,176,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,354,5579,"$23,202.70 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,2,29,"$8,214.40 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,1,27,$0.00 ,IAMM4400-R002,05/31/09,OTHER,SKILLED NURSING FACILITY,8,191,"$50,312.94 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,SKILLED NURSING FACILITY,1,30,"$18,108.60 ",IAMM4400-R002,05/31/09,TOTAL,SKILLED NURSING FACILITY,758,13859,"$2,024,510.69 "
IAMM4400-R002,05/31/09,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,30,"$3,756.00 ",IAMM4400-R002,05/31/09,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,INTERMEDIATE CARE FACILITY,4380,130370,"$10,632,738.88 ",IAMM4400-R002,05/31/09,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,INTERMEDIATE CARE FACILITY,563,16651,"$1,671,813.84 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,12,319,"$32,471.18 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,1,14,$201.58 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,6710,196439,"$19,657,031.13 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,30,"$2,573.10 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,INTERMEDIATE CARE FACILITY,3,43,"$3,805.00 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,INTERMEDIATE CARE FACILITY,11620,343896,"$32,004,390.71 "
IAMM4400-R002,05/31/09,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,INTER CARE MENTAL RETARDA,1,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,INTER CARE MENTAL RETARDA,10,212,"$65,448.61 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,8,230,"$88,159.02 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2014,52741,"$20,940,415.71 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,1,-24,"($17,622.00)",IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,INTER CARE MENTAL RETARDA,1,0,"($1,465,540.00)",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,INTER CARE MENTAL RETARDA,2031,53159,"$19,610,861.34 "
IAMM4400-R002,05/31/09,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,NURSING FAC FOR MENTAL ILL,6,156,"$39,852.88 ",IAMM4400-R002,05/31/09,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,1,0,"($2,478.00)",IAMM4400-R002,05/31/09,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,27,792,"$236,913.27 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,30,"($7,115.40)",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,NURSING FAC FOR MENTAL ILL,1,31,"$13,333.41 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,NURSING FAC FOR MENTAL ILL,34,1009,"$280,506.16 "
IAMM4400-R002,05/31/09,ADC - ADULT,HOME HEALTH,56,632,"$30,389.94 ",IAMM4400-R002,05/31/09,ADC - CHILD,HOME HEALTH,460,2001,"$56,262.66 ",IAMM4400-R002,05/31/09,AGED,HOME HEALTH,2491,52136,"$1,795,830.29 ",IAMM4400-R002,05/31/09,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,HOME HEALTH,94,253,"$11,071.14 ",IAMM4400-R002,05/31/09,DISABLED,HOME HEALTH,3733,92253,"$2,723,203.78 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,107,5835,"$166,576.14 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,HOME HEALTH,1199,41185,"$1,322,493.25 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,HOME HEALTH,1,15,"$1,011.91 ",IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,25,$931.50 ,IAMM4400-R002,05/31/09,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,HOME HEALTH,3714,83786,"$2,916,749.00 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,41,638,"$13,940.22 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,35,755,"$50,313.35 ",IAMM4400-R002,05/31/09,OTHER,HOME HEALTH,736,4124,"($166,180.92)",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,HOME HEALTH,2,18,"$1,040.22 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,HOME HEALTH,26,56,"$3,198.91 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,HOME HEALTH,14,92,"$6,809.81 ",IAMM4400-R002,05/31/09,TOTAL,HOME HEALTH,12617,283804,"$8,933,641.20 "
IAMM4400-R002,05/31/09,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,LEAD INSPECTION AGENCY,1,1,$381.12 ,IAMM4400-R002,05/31/09,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,LEAD INSPECTION AGENCY,1,1,$381.12 ,IAMM4400-R002,05/31/09,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,LEAD INSPECTION AGENCY,1,1,$381.12 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,LEAD INSPECTION AGENCY,3,3,"$1,143.36 "
IAMM4400-R002,05/31/09,ADC - ADULT,PHYSICIAN,16125,32943,"$3,024,345.99 ",IAMM4400-R002,05/31/09,ADC - CHILD,PHYSICIAN,20048,34299,"$2,308,092.75 ",IAMM4400-R002,05/31/09,AGED,PHYSICIAN,6860,40063,"$402,605.98 ",IAMM4400-R002,05/31/09,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,PHYSICIAN,4596,9418,"$678,095.92 ",IAMM4400-R002,05/31/09,DISABLED,PHYSICIAN,25090,118807,"$4,298,719.78 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2268,3520,"$222,896.46 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,PHYSICIAN,4678,15276,"$395,328.25 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,PHYSICIAN,63,110,"$8,795.15 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,PHYSICIAN,39,138,"$1,086.70 ",IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,PHYSICIAN,116,178,"$5,793.78 ",IAMM4400-R002,05/31/09,STATE ONLY,PHYSICIAN,129,247,"$18,548.04 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,PHYSICIAN,7425,36754,"$492,151.20 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,835,2313,"$163,949.50 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,846,3115,"$369,560.93 ",IAMM4400-R002,05/31/09,OTHER,PHYSICIAN,30875,63903,"$4,512,645.87 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,PHYSICIAN,178,712,"$134,252.75 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,PHYSICIAN,8,20,$758.32 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,PHYSICIAN,5,5,$130.44 ,IAMM4400-R002,05/31/09,OTHER TXXI,PHYSICIAN,3115,5327,"$300,762.60 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PHYSICIAN,506,1130,"$105,915.91 ",IAMM4400-R002,05/31/09,TOTAL,PHYSICIAN,121716,368278,"$17,444,436.32 "
IAMM4400-R002,05/31/09,ADC - ADULT,CLINIC SERVICES,2988,4083,"$553,862.62 ",IAMM4400-R002,05/31/09,ADC - CHILD,CLINIC SERVICES,3570,4577,"$626,592.64 ",IAMM4400-R002,05/31/09,AGED,CLINIC SERVICES,590,383,"$38,729.62 ",IAMM4400-R002,05/31/09,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,CLINIC SERVICES,988,1351,"$174,723.78 ",IAMM4400-R002,05/31/09,DISABLED,CLINIC SERVICES,3318,3975,"$535,006.28 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,451,579,"$71,591.35 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,CLINIC SERVICES,374,418,"$49,119.10 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,CLINIC SERVICES,20,25,"$3,749.50 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,CLINIC SERVICES,1,1,$21.14 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,10,11,"$1,136.69 ",IAMM4400-R002,05/31/09,STATE ONLY,CLINIC SERVICES,25,34,"$4,501.30 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,468,415,"$39,825.92 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,119,157,"$22,159.72 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,65,130,"$16,193.68 ",IAMM4400-R002,05/31/09,OTHER,CLINIC SERVICES,6902,9543,"$1,144,157.72 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,22,33,"$4,808.23 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,CLINIC SERVICES,718,887,"$110,150.14 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,CLINIC SERVICES,137,196,"$27,940.42 ",IAMM4400-R002,05/31/09,TOTAL,CLINIC SERVICES,20613,26798,"$3,424,269.85 "
IAMM4400-R002,05/31/09,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,LAB AND RADIOLOGICAL,3197,9819,"$244,242.58 ",IAMM4400-R002,05/31/09,ADC - CHILD,LAB AND RADIOLOGICAL,1334,2903,"$44,149.71 ",IAMM4400-R002,05/31/09,AGED,LAB AND RADIOLOGICAL,890,205,"$2,298.79 ",IAMM4400-R002,05/31/09,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,LAB AND RADIOLOGICAL,500,1651,"$33,625.63 ",IAMM4400-R002,05/31/09,DISABLED,LAB AND RADIOLOGICAL,3451,6963,"$158,581.11 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,258,723,"$10,673.07 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,533,680,"$8,788.83 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,LAB AND RADIOLOGICAL,14,85,"$1,412.03 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,6,7,$77.77 ,IAMM4400-R002,05/31/09,STATE ONLY,LAB AND RADIOLOGICAL,17,44,$829.43 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1071,352,"$3,960.37 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,171,311,"$6,449.99 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,57,253,"$4,678.21 ",IAMM4400-R002,05/31/09,OTHER,LAB AND RADIOLOGICAL,2886,8991,"$169,661.27 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,28,255,"$6,346.35 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,1,2,$62.73 ,IAMM4400-R002,05/31/09,OTHER TXXI,LAB AND RADIOLOGICAL,188,568,"$9,944.72 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,LAB AND RADIOLOGICAL,66,329,"$6,115.38 ",IAMM4400-R002,05/31/09,TOTAL,LAB AND RADIOLOGICAL,14576,34141,"$711,897.97 "
IAMM4400-R002,05/31/09,ADC - ADULT,HABILITATION SERVICES,28,384,"$19,518.04 ",IAMM4400-R002,05/31/09,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,HABILITATION SERVICES,49,1247,"$77,630.95 ",IAMM4400-R002,05/31/09,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,HABILITATION SERVICES,22,393,"$35,320.03 ",IAMM4400-R002,05/31/09,DISABLED,HABILITATION SERVICES,2644,71688,"$3,750,228.47 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,8,121,"$7,982.84 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,32,536,"$24,060.03 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,HABILITATION SERVICES,1,36,"$1,225.08 ",IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,1,29,"$1,340.96 ",IAMM4400-R002,05/31/09,STATE ONLY,HABILITATION SERVICES,11,350,"$16,899.63 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,35,694,"$36,376.60 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,29,859,"$52,840.23 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,3,74,"$3,498.03 ",IAMM4400-R002,05/31/09,OTHER,HABILITATION SERVICES,7,142,"$6,980.38 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,HABILITATION SERVICES,7,70,"$4,378.11 ",IAMM4400-R002,05/31/09,TOTAL,HABILITATION SERVICES,2861,76623,"$4,038,279.38 "
IAMM4400-R002,05/31/09,ADC - ADULT,REMEDIAL SERVICES,193,4587,"$62,301.21 ",IAMM4400-R002,05/31/09,ADC - CHILD,REMEDIAL SERVICES,2244,51707,"$843,728.54 ",IAMM4400-R002,05/31/09,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,REMEDIAL SERVICES,814,18140,"$260,506.31 ",IAMM4400-R002,05/31/09,DISABLED,REMEDIAL SERVICES,745,22839,"$354,817.58 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2806,160033,"$2,163,620.19 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,102,2614,"$47,352.30 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,143,3996,"$68,568.19 ",IAMM4400-R002,05/31/09,STATE ONLY,REMEDIAL SERVICES,24,299,"$5,762.20 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,4,68,"$1,201.85 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,6,99,"$1,159.72 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,32,$299.20 ,IAMM4400-R002,05/31/09,OTHER,REMEDIAL SERVICES,1947,47050,"$659,625.49 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,REMEDIAL SERVICES,434,8524,"$141,891.36 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,REMEDIAL SERVICES,71,2206,"$44,052.06 ",IAMM4400-R002,05/31/09,TOTAL,REMEDIAL SERVICES,8771,322194,"$4,654,886.20 "
IAMM4400-R002,05/31/09,ADC - ADULT,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,REHAB SUPPORT SERVICES,9,0,"$14,603.91 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,1,0,($623.70),IAMM4400-R002,05/31/09,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,1,0,"$2,348.71 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,1,0,$727.61 ,IAMM4400-R002,05/31/09,OTHER,REHAB SUPPORT SERVICES,1,0,"($1,339.65)",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,REHAB SUPPORT SERVICES,12,0,"$15,716.88 "
IAMM4400-R002,05/31/09,ADC - ADULT,AMBULANCE SERVICES,281,287,"$39,256.88 ",IAMM4400-R002,05/31/09,ADC - CHILD,AMBULANCE SERVICES,182,189,"$26,678.63 ",IAMM4400-R002,05/31/09,AGED,AMBULANCE SERVICES,268,279,"$25,156.37 ",IAMM4400-R002,05/31/09,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,AMBULANCE SERVICES,70,76,"$11,174.77 ",IAMM4400-R002,05/31/09,DISABLED,AMBULANCE SERVICES,1030,1207,"$143,812.54 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,27,27,"$4,337.62 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,120,139,"$16,675.28 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,AMBULANCE SERVICES,1,1,$124.06 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,1,1,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,AMBULANCE SERVICES,5,6,$735.76 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,497,587,"$54,647.13 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,27,33,"$5,540.13 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,51,52,"$9,171.62 ",IAMM4400-R002,05/31/09,OTHER,AMBULANCE SERVICES,273,272,"$43,808.42 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,1,1,$373.76 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,AMBULANCE SERVICES,18,18,"$3,155.70 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,AMBULANCE SERVICES,13,14,"$1,940.17 ",IAMM4400-R002,05/31/09,TOTAL,AMBULANCE SERVICES,2851,3189,"$386,588.84 "
IAMM4400-R002,05/31/09,ADC - ADULT,LOCAL EDUCATION AGENCY,12,3937,"$36,407.58 ",IAMM4400-R002,05/31/09,ADC - CHILD,LOCAL EDUCATION AGENCY,188,37924,"$257,793.13 ",IAMM4400-R002,05/31/09,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,LOCAL EDUCATION AGENCY,65,16196,"$111,869.86 ",IAMM4400-R002,05/31/09,DISABLED,LOCAL EDUCATION AGENCY,637,170743,"$1,644,732.83 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,136,33072,"$288,287.21 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,648,191047,"$1,815,205.23 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,17,7025,"$52,895.48 ",IAMM4400-R002,05/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,28,8005,"$139,931.26 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,LOCAL EDUCATION AGENCY,205,46473,"$323,628.68 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,LOCAL EDUCATION AGENCY,41,7051,"$49,161.49 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,3,1013,"$14,319.48 ",IAMM4400-R002,05/31/09,TOTAL,LOCAL EDUCATION AGENCY,1939,522486,"$4,734,232.23 "
IAMM4400-R002,05/31/09,ADC - ADULT,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,EARLY ACCESS SERVICES,38,130,"$1,959.18 ",IAMM4400-R002,05/31/09,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,EARLY ACCESS SERVICES,12,26,$387.02 ,IAMM4400-R002,05/31/09,DISABLED,EARLY ACCESS SERVICES,52,159,"$2,610.46 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,15,40,$584.96 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,27,108,"$1,501.00 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,1,4,$55.36 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,EARLY ACCESS SERVICES,55,163,"$2,287.89 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,EARLY ACCESS SERVICES,198,630,"$9,385.87 "
IAMM4400-R002,05/31/09,ADC - ADULT,PRESCRIBED DRUGS,21536,62154,"$3,075,165.26 ",IAMM4400-R002,05/31/09,ADC - CHILD,PRESCRIBED DRUGS,19576,34400,"$1,832,613.19 ",IAMM4400-R002,05/31/09,AGED,PRESCRIBED DRUGS,3436,5764,"$69,409.35 ",IAMM4400-R002,05/31/09,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,PRESCRIBED DRUGS,5211,11887,"$671,435.35 ",IAMM4400-R002,05/31/09,DISABLED,PRESCRIBED DRUGS,25084,110106,"$8,864,961.10 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,5213,13713,"$1,238,780.64 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6343,21492,"$1,739,097.10 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,PRESCRIBED DRUGS,40,83,"$2,695.47 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,8,16,$119.53 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,344,1203,"$98,437.14 ",IAMM4400-R002,05/31/09,STATE ONLY,PRESCRIBED DRUGS,153,358,"$17,449.26 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10203,23051,"$413,476.36 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,1059,3427,"$166,083.52 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,316,1456,"$70,968.99 ",IAMM4400-R002,05/31/09,OTHER,PRESCRIBED DRUGS,28538,50703,"$2,637,256.81 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,195,874,"$68,707.39 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,83,89,"$9,365.78 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,PRESCRIBED DRUGS,4167,7556,"$740,778.27 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PRESCRIBED DRUGS,891,4137,"$235,891.87 ",IAMM4400-R002,05/31/09,TOTAL,PRESCRIBED DRUGS,130241,352469,"$21,952,692.38 "
IAMM4400-R002,05/31/09,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,DRUG CAPITATION,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,FAMILY PLANNING SERVICES,5872,6727,"$633,079.70 ",IAMM4400-R002,05/31/09,ADC - CHILD,FAMILY PLANNING SERVICES,930,1072,"$87,674.95 ",IAMM4400-R002,05/31/09,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,FAMILY PLANNING SERVICES,222,257,"$25,140.52 ",IAMM4400-R002,05/31/09,DISABLED,FAMILY PLANNING SERVICES,117,128,"$8,349.14 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,35,40,"$3,728.05 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,19,17,"$1,066.07 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,FAMILY PLANNING SERVICES,12,16,"$1,993.73 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,1,1,$70.81 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,30,37,"$2,267.09 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,8,10,$712.18 ,IAMM4400-R002,05/31/09,OTHER,FAMILY PLANNING SERVICES,446,486,"$51,435.00 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,FAMILY PLANNING SERVICES,79,89,"$7,274.71 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,FAMILY PLANNING SERVICES,5,5,$308.92 ,IAMM4400-R002,05/31/09,TOTAL,FAMILY PLANNING SERVICES,7758,8885,"$823,100.87 "
IAMM4400-R002,05/31/09,ADC - ADULT,IOWA PLAN PROGRAM,39226,43415,"$1,352,153.04 ",IAMM4400-R002,05/31/09,ADC - CHILD,IOWA PLAN PROGRAM,66834,71491,"$714,507.40 ",IAMM4400-R002,05/31/09,AGED,IOWA PLAN PROGRAM,7,7,$550.11 ,IAMM4400-R002,05/31/09,BLIND,IOWA PLAN PROGRAM,2,2,$89.56 ,IAMM4400-R002,05/31/09,CMAP,IOWA PLAN PROGRAM,14558,16010,"$326,855.70 ",IAMM4400-R002,05/31/09,DISABLED,IOWA PLAN PROGRAM,49769,50869,"$3,749,548.65 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,10103,10417,"$1,074,771.90 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10869,10931,"$725,539.68 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,IOWA PLAN PROGRAM,91,113,"$3,117.56 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,13,15,$943.71 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,379,383,"$47,377.67 ",IAMM4400-R002,05/31/09,STATE ONLY,IOWA PLAN PROGRAM,353,366,"$53,931.02 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2241,2262,"$152,715.23 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1455,1584,"$55,347.63 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,IOWA PLAN PROGRAM,94204,104529,"$1,281,593.63 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,243,237,"$24,615.48 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,IOWA PLAN PROGRAM,14003,15114,"$168,967.03 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,IOWA PLAN PROGRAM,1381,1414,"$144,707.86 ",IAMM4400-R002,05/31/09,TOTAL,IOWA PLAN PROGRAM,304958,329159,"$9,877,332.86 "
IAMM4400-R002,05/31/09,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,EPSDT SCREENING,48,57,"$3,822.23 ",IAMM4400-R002,05/31/09,ADC - CHILD,EPSDT SCREENING,2570,2829,"$328,212.03 ",IAMM4400-R002,05/31/09,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,EPSDT SCREENING,417,455,"$68,792.30 ",IAMM4400-R002,05/31/09,DISABLED,EPSDT SCREENING,196,222,"$12,012.19 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,133,136,"$14,689.64 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,EPSDT SCREENING,32,46,"$2,414.29 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,EPSDT SCREENING,1,1,$888.79 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,4,21,$960.03 ,IAMM4400-R002,05/31/09,STATE ONLY,EPSDT SCREENING,2,4,$161.44 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,5,3,$63.75 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,EPSDT SCREENING,3743,4003,"$719,010.32 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,EPSDT SCREENING,155,153,"$10,890.53 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,EPSDT SCREENING,3,2,$151.16 ,IAMM4400-R002,05/31/09,TOTAL,EPSDT SCREENING,7285,7932,"$1,162,068.70 "
IAMM4400-R002,05/31/09,ADC - ADULT,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,HMO SERVICES,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,PACE SERVICES,15,15,"$50,080.00 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,PACE SERVICES,22,22,"$61,987.00 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,PACE SERVICES,37,37,"$112,067.00 "
IAMM4400-R002,05/31/09,ADC - ADULT,PATIENT MANAGEMENT,24205,24234,"$48,468.00 ",IAMM4400-R002,05/31/09,ADC - CHILD,PATIENT MANAGEMENT,43648,43693,"$87,386.00 ",IAMM4400-R002,05/31/09,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,PATIENT MANAGEMENT,8903,8898,"$17,796.00 ",IAMM4400-R002,05/31/09,DISABLED,PATIENT MANAGEMENT,4,4,$8.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,114,114,$228.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,PATIENT MANAGEMENT,67,67,$134.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,PATIENT MANAGEMENT,63938,63990,"$127,980.00 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,PATIENT MANAGEMENT,10210,10226,"$20,452.00 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,PATIENT MANAGEMENT,151077,151226,"$302,452.00 "
IAMM4400-R002,05/31/09,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,213,473,"$13,158.40 ",IAMM4400-R002,05/31/09,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,316,760,"$16,988.73 ",IAMM4400-R002,05/31/09,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,HEALTH INS PREMIUM PAYMENT,47,98,"$4,056.22 ",IAMM4400-R002,05/31/09,DISABLED,HEALTH INS PREMIUM PAYMENT,623,1330,"$135,811.63 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,153,325,"$14,039.94 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,585,1190,"$158,555.18 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,43,88,"$8,045.79 ",IAMM4400-R002,05/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,35,62,"$10,246.27 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,HEALTH INS PREMIUM PAYMENT,1930,4985,"$121,787.26 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,8,21,$942.48 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,7,13,"$1,255.37 ",IAMM4400-R002,05/31/09,TOTAL,HEALTH INS PREMIUM PAYMENT,3960,9345,"$484,887.27 "
IAMM4400-R002,05/31/09,ADC - ADULT,MEDICAL SUPPLIES,1163,34924,"$223,790.13 ",IAMM4400-R002,05/31/09,ADC - CHILD,MEDICAL SUPPLIES,1134,17061,"$154,531.86 ",IAMM4400-R002,05/31/09,AGED,MEDICAL SUPPLIES,2830,183468,"$284,962.75 ",IAMM4400-R002,05/31/09,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,MEDICAL SUPPLIES,244,5649,"$30,131.34 ",IAMM4400-R002,05/31/09,DISABLED,MEDICAL SUPPLIES,9202,691370,"$1,779,753.22 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,246,23258,"$75,335.34 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2259,299379,"$532,379.59 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,2,2,$10.30 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,15,851,"$1,122.22 ",IAMM4400-R002,05/31/09,STATE ONLY,MEDICAL SUPPLIES,5,16,"$2,125.04 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4450,354925,"$558,135.73 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,191,10179,"$17,628.28 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,78,4158,"$23,704.45 ",IAMM4400-R002,05/31/09,OTHER,MEDICAL SUPPLIES,1534,26518,"$217,111.42 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,26,758,"$4,587.50 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,MEDICAL SUPPLIES,130,4981,"$41,300.35 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MEDICAL SUPPLIES,140,7543,"$23,064.90 ",IAMM4400-R002,05/31/09,TOTAL,MEDICAL SUPPLIES,23231,1665040,"$3,969,674.42 "
IAMM4400-R002,05/31/09,ADC - ADULT,OTHER PRACTITIONER,1892,4209,"$243,187.77 ",IAMM4400-R002,05/31/09,ADC - CHILD,OTHER PRACTITIONER,2479,13035,"$253,271.59 ",IAMM4400-R002,05/31/09,AGED,OTHER PRACTITIONER,377,1374,"$15,674.87 ",IAMM4400-R002,05/31/09,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,OTHER PRACTITIONER,582,3750,"$75,791.34 ",IAMM4400-R002,05/31/09,DISABLED,OTHER PRACTITIONER,2474,33154,"$466,483.78 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,434,4175,"$68,058.46 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,863,21490,"$365,291.24 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,OTHER PRACTITIONER,1,1,$30.52 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,27,650,"$5,757.60 ",IAMM4400-R002,05/31/09,STATE ONLY,OTHER PRACTITIONER,15,18,"$1,937.44 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,552,2616,"$52,895.14 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,79,131,"$7,954.61 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,66,126,"$9,724.70 ",IAMM4400-R002,05/31/09,OTHER,OTHER PRACTITIONER,3518,14723,"$381,164.11 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,13,20,"$1,419.04 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,OTHER PRACTITIONER,404,2359,"$44,723.54 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,OTHER PRACTITIONER,58,134,"$6,350.05 ",IAMM4400-R002,05/31/09,TOTAL,OTHER PRACTITIONER,13736,101965,"$1,999,715.80 "
IAMM4400-R002,05/31/09,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,DENTAL,3385,4566,"$848,715.69 ",IAMM4400-R002,05/31/09,ADC - CHILD,DENTAL,4913,5858,"$786,057.96 ",IAMM4400-R002,05/31/09,AGED,DENTAL,482,613,"$101,335.30 ",IAMM4400-R002,05/31/09,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,DENTAL,1158,1410,"$221,484.53 ",IAMM4400-R002,05/31/09,DISABLED,DENTAL,4238,5410,"$918,136.53 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1026,1211,"$165,093.11 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,DENTAL,1404,1620,"$162,412.09 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,DENTAL,15,17,"$2,178.59 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,DENTAL,1,1,$63.39 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,DENTAL,31,33,"$2,836.15 ",IAMM4400-R002,05/31/09,STATE ONLY,DENTAL,19,23,"$2,959.22 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,DENTAL,933,1132,"$171,357.53 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,DENTAL,185,253,"$44,586.93 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,DENTAL,76,118,"$34,275.80 ",IAMM4400-R002,05/31/09,OTHER,DENTAL,7171,8529,"$1,112,659.26 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,DENTAL,15,15,"$1,965.23 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,DENTAL,1426,1719,"$264,523.04 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,DENTAL,106,136,"$26,899.05 ",IAMM4400-R002,05/31/09,TOTAL,DENTAL,26477,32664,"$4,867,539.40 "
IAMM4400-R002,05/31/09,ADC - ADULT,OPTOMETRIST,1454,1766,"$132,149.40 ",IAMM4400-R002,05/31/09,ADC - CHILD,OPTOMETRIST,1501,1720,"$114,550.81 ",IAMM4400-R002,05/31/09,AGED,OPTOMETRIST,657,1012,"$27,467.13 ",IAMM4400-R002,05/31/09,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,OPTOMETRIST,425,490,"$33,199.20 ",IAMM4400-R002,05/31/09,DISABLED,OPTOMETRIST,2385,3128,"$159,727.86 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,370,429,"$27,498.02 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,OPTOMETRIST,588,739,"$32,629.92 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,OPTOMETRIST,5,8,$489.84 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,17,17,"$1,210.33 ",IAMM4400-R002,05/31/09,STATE ONLY,OPTOMETRIST,12,16,"$1,025.41 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,OPTOMETRIST,781,1167,"$31,719.67 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,83,93,"$5,939.15 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,27,28,"$2,347.50 ",IAMM4400-R002,05/31/09,OTHER,OPTOMETRIST,2176,2475,"$165,747.85 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,8,11,$736.71 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,OPTOMETRIST,493,564,"$40,882.44 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,OPTOMETRIST,61,75,"$5,400.89 ",IAMM4400-R002,05/31/09,TOTAL,OPTOMETRIST,11029,13738,"$782,722.13 "
IAMM4400-R002,05/31/09,ADC - ADULT,CHIROPRACTIC,1912,4384,"$153,935.32 ",IAMM4400-R002,05/31/09,ADC - CHILD,CHIROPRACTIC,968,1795,"$57,689.37 ",IAMM4400-R002,05/31/09,AGED,CHIROPRACTIC,431,1029,"$8,016.46 ",IAMM4400-R002,05/31/09,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,CHIROPRACTIC,246,496,"$16,981.05 ",IAMM4400-R002,05/31/09,DISABLED,CHIROPRACTIC,2463,6098,"$93,690.14 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,156,287,"$9,010.71 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,CHIROPRACTIC,334,946,"$12,162.44 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,14,30,$898.64 ,IAMM4400-R002,05/31/09,STATE ONLY,CHIROPRACTIC,9,21,$993.74 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,343,799,"$6,272.89 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,105,221,"$7,610.22 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,28,88,"$2,567.43 ",IAMM4400-R002,05/31/09,OTHER,CHIROPRACTIC,1691,3516,"$108,166.00 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,14,36,"$1,310.31 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,CHIROPRACTIC,316,583,"$19,953.35 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,CHIROPRACTIC,57,106,"$3,787.81 ",IAMM4400-R002,05/31/09,TOTAL,CHIROPRACTIC,9028,20435,"$503,045.88 "
IAMM4400-R002,05/31/09,ADC - ADULT,PODIATRIC,208,268,"$31,442.93 ",IAMM4400-R002,05/31/09,ADC - CHILD,PODIATRIC,84,111,"$11,488.49 ",IAMM4400-R002,05/31/09,AGED,PODIATRIC,845,1229,"$15,051.57 ",IAMM4400-R002,05/31/09,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,PODIATRIC,32,37,"$5,141.12 ",IAMM4400-R002,05/31/09,DISABLED,PODIATRIC,1263,2128,"$72,418.29 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,28,31,"$2,645.90 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,PODIATRIC,572,775,"$20,978.36 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,PODIATRIC,1,13,$171.90 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,PODIATRIC,1,1,$220.81 ,IAMM4400-R002,05/31/09,STATE ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,PODIATRIC,1240,1770,"$23,844.14 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,35,45,"$1,187.72 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,17,28,"$2,299.13 ",IAMM4400-R002,05/31/09,OTHER,PODIATRIC,116,138,"$13,918.05 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,PODIATRIC,42,58,"$6,293.72 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PODIATRIC,22,25,"$2,134.19 ",IAMM4400-R002,05/31/09,TOTAL,PODIATRIC,4475,6657,"$209,236.32 "
IAMM4400-R002,05/31/09,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,PHYSICAL DISABILITIES SVCS,1,0,($87.85),IAMM4400-R002,05/31/09,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,PHYSICAL DISABILITIES SVCS,520,19599,"$269,508.89 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,1,0,"($1,300.12)",IAMM4400-R002,05/31/09,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,199,6157,"$82,340.56 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,PHYSICAL DISABILITIES SVCS,717,25756,"$350,461.48 "
IAMM4400-R002,05/31/09,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,BRAIN INJ WAIVER SERVICES,1,50,"$3,298.70 ",IAMM4400-R002,05/31/09,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,BRAIN INJ WAIVER SERVICES,334,17526,"$469,269.62 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,40,1816,"$58,437.82 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,277,12770,"$399,273.53 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,435,21826,"$640,695.67 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,1,0,($272.70),IAMM4400-R002,05/31/09,OTHER,BRAIN INJ WAIVER SERVICES,1,0,"($5,344.15)",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,BRAIN INJ WAIVER SERVICES,3,34,($101.44),IAMM4400-R002,05/31/09,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,BRAIN INJ WAIVER SERVICES,1061,54022,"$1,565,257.05 "
IAMM4400-R002,05/31/09,ADC - ADULT,PSYCHIATRIC,14,31,"$3,217.18 ",IAMM4400-R002,05/31/09,ADC - CHILD,PSYCHIATRIC,11,15,"$2,192.01 ",IAMM4400-R002,05/31/09,AGED,PSYCHIATRIC,174,322,"$9,627.09 ",IAMM4400-R002,05/31/09,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,PSYCHIATRIC,8,12,"$1,132.39 ",IAMM4400-R002,05/31/09,DISABLED,PSYCHIATRIC,2573,4535,"$148,115.34 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,14,23,"$1,759.92 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,PSYCHIATRIC,489,734,"$30,318.67 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,PSYCHIATRIC,4,11,$132.05 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PSYCHIATRIC,1,1,$69.62 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,265,460,"$14,312.46 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,35,72,"$3,058.60 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,46,106,"$5,941.01 ",IAMM4400-R002,05/31/09,OTHER,PSYCHIATRIC,30,56,"$12,379.68 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,2,2,$189.18 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,PSYCHIATRIC,2,2,$42.17 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,PSYCHIATRIC,4,5,$333.35 ,IAMM4400-R002,05/31/09,TOTAL,PSYCHIATRIC,3660,6387,"$232,820.72 "
IAMM4400-R002,05/31/09,ADC - ADULT,RESIDENTIAL CARE FACILITY,1,26,$260.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,RESIDENTIAL CARE FACILITY,302,10477,"$72,033.39 ",IAMM4400-R002,05/31/09,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,RESIDENTIAL CARE FACILITY,1,10,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,RESIDENTIAL CARE FACILITY,1327,46243,"$358,129.03 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,4,98,"$1,487.94 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,14,538,"$4,347.67 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,4,40,$957.95 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,1,75,$814.45 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,4,46,$113.06 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,RESIDENTIAL CARE FACILITY,1,27,$180.50 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,RESIDENTIAL CARE FACILITY,1644,57580,"$438,323.99 "
IAMM4400-R002,05/31/09,ADC - ADULT,MR WAIVER SERVICE,1,1,$14.70 ,IAMM4400-R002,05/31/09,ADC - CHILD,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,MR WAIVER SERVICE,78,5403,"$235,784.19 ",IAMM4400-R002,05/31/09,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,MR WAIVER SERVICE,1027,67128,"$2,878,523.93 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,203,7546,"$227,707.14 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8537,537782,"$22,003,808.85 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,MR WAIVER SERVICE,1,53,"$4,409.69 ",IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,1,44,$756.64 ,IAMM4400-R002,05/31/09,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,15,645,"$31,291.44 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,MR WAIVER SERVICE,16,19,"($138,652.87)",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,MR WAIVER SERVICE,3,33,$954.78 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MR WAIVER SERVICE,3,121,"$3,331.28 ",IAMM4400-R002,05/31/09,TOTAL,MR WAIVER SERVICE,9795,618775,"$25,247,929.77 "
IAMM4400-R002,05/31/09,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,5,264,"$4,959.58 ",IAMM4400-R002,05/31/09,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,39,1987,"$41,232.83 ",IAMM4400-R002,05/31/09,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,CHILDRENS MENTAL HEALTH SVC,95,5002,"$92,243.43 ",IAMM4400-R002,05/31/09,DISABLED,CHILDRENS MENTAL HEALTH SVC,36,1453,"$31,264.16 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,341,14704,"$328,257.46 ",IAMM4400-R002,05/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,CHILDRENS MENTAL HEALTH SVC,47,2132,"$26,432.35 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,9,526,"$8,730.16 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,2,101,"$1,726.04 ",IAMM4400-R002,05/31/09,TOTAL,CHILDRENS MENTAL HEALTH SVC,573,26169,"$534,846.01 "
IAMM4400-R002,05/31/09,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,AIDS WAIVER SERVICES,15,1403,"$14,246.50 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,35,2634,"$28,035.67 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,AIDS WAIVER SERVICES,47,4037,"$42,282.17 "
IAMM4400-R002,05/31/09,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,ELDERLY WAIVER SERVICES,3742,157856,"$2,357,577.83 ",IAMM4400-R002,05/31/09,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,ELDERLY WAIVER SERVICES,33,1300,"$25,757.24 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,2,"$1,187.00 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6502,289577,"$3,798,790.88 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,4,17,$542.60 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,ELDERLY WAIVER SERVICES,9,121,"($71,308.55)",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,2,126,"$2,213.29 ",IAMM4400-R002,05/31/09,TOTAL,ELDERLY WAIVER SERVICES,9972,448999,"$6,114,760.29 "
IAMM4400-R002,05/31/09,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,1,0,($2.76),IAMM4400-R002,05/31/09,AGED,ILL & HANDICAPPED WAIVER SVCS,1,0,($429.79),IAMM4400-R002,05/31/09,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1896,89509,"$1,442,814.51 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,29,1942,"$30,358.61 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,186,6767,"$110,930.41 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,1,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,9,268,"$2,233.61 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,ILL & HANDICAPPED WAIVER SVCS,12,196,"($9,032.84)",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,1,0,($666.55),IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,3,102,"$1,428.43 ",IAMM4400-R002,05/31/09,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2125,98785,"$1,577,633.63 "
IAMM4400-R002,05/31/09,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,05/31/09,ADC - ADULT,MEP SERVICES,12,7,"$3,697.41 ",IAMM4400-R002,05/31/09,ADC - CHILD,MEP SERVICES,49,42,"$18,863.50 ",IAMM4400-R002,05/31/09,AGED,MEP SERVICES,111,107,"$27,866.30 ",IAMM4400-R002,05/31/09,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,MEP SERVICES,116,123,"$49,030.96 ",IAMM4400-R002,05/31/09,DISABLED,MEP SERVICES,1501,1434,"$396,797.39 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,256,245,"$63,507.40 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,MEP SERVICES,8950,9127,"$2,419,672.44 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,MEP SERVICES,3,2,$599.79 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,MEP SERVICES,390,366,"$160,305.72 ",IAMM4400-R002,05/31/09,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,MEP SERVICES,164,166,"$44,267.68 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,1,1,$319.27 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,3,2,$561.36 ,IAMM4400-R002,05/31/09,OTHER,MEP SERVICES,64,62,"$22,704.44 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,MEP SERVICES,11,9,"$4,110.66 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,MEP SERVICES,6,6,"$1,472.61 ",IAMM4400-R002,05/31/09,TOTAL,MEP SERVICES,11388,11699,"$3,213,776.93 "
IAMM4400-R002,05/31/09,ADC - ADULT,UNASSIGNED,5,0,($35.98),IAMM4400-R002,05/31/09,ADC - CHILD,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,05/31/09,AGED,UNASSIGNED,3,0,($348.52),IAMM4400-R002,05/31/09,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,CMAP,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,DISABLED,UNASSIGNED,5,0,($25.20),IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,UNASSIGNED,2,0,($282.23),IAMM4400-R002,05/31/09,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,UNASSIGNED,7,0,($434.25),IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER,UNASSIGNED,4,0,"$1,141,339.47 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,OTHER TXXI,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,05/31/09,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,05/31/09,TOTAL,UNASSIGNED,29,0,"$1,140,213.29 "
IAMM4400-R002,05/31/09,ADC - ADULT,* A L L  C A T E G O R I E S *,50534,400504,"$24,862,280.33 ",IAMM4400-R002,05/31/09,ADC - CHILD,* A L L  C A T E G O R I E S *,73636,410822,"$13,301,675.68 ",IAMM4400-R002,05/31/09,AGED,* A L L  C A T E G O R I E S *,14632,705717,"$17,534,742.37 ",IAMM4400-R002,05/31/09,BLIND,* A L L  C A T E G O R I E S *,2,2,$89.56 ,IAMM4400-R002,05/31/09,CMAP,* A L L  C A T E G O R I E S *,15769,140910,"$5,538,206.18 ",IAMM4400-R002,05/31/09,DISABLED,* A L L  C A T E G O R I E S *,54235,2146697,"$52,601,736.77 ",IAMM4400-R002,05/31/09,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/09,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10325,284631,"$6,557,305.52 ",IAMM4400-R002,05/31/09,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11479,1305041,"$54,401,106.54 ",IAMM4400-R002,05/31/09,FEDERAL ONLY,* A L L  C A T E G O R I E S *,140,983,"$33,353.45 ",IAMM4400-R002,05/31/09,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,15,608,"($6,913.54)",IAMM4400-R002,05/31/09,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,354,30251,"$792,813.71 ",IAMM4400-R002,05/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,317,3207,"$193,888.92 ",IAMM4400-R002,05/31/09,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,14778,1188790,"$31,536,866.14 ",IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/09,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/09,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1812,31606,"$994,223.08 ",IAMM4400-R002,05/31/09,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,969,31926,"$2,742,790.59 ",IAMM4400-R002,05/31/09,OTHER,* A L L  C A T E G O R I E S *,100419,664933,"$27,393,480.95 ",IAMM4400-R002,05/31/09,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,244,6767,"$450,788.37 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,85,109,"$37,027.15 ",IAMM4400-R002,05/31/09,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,4,7,$193.17 ,IAMM4400-R002,05/31/09,OTHER TXXI,* A L L  C A T E G O R I E S *,13554,85533,"$2,544,066.72 ",IAMM4400-R002,05/31/09,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,05/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,1428,25365,"$1,025,883.28 ",IAMM4400-R002,05/31/09,TOTAL,* A L L  C A T E G O R I E S *,364731,7464409,"$242,535,604.94 "