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-R002,08/31/09,ADC - ADULT,INPATIENT,794,2283,"3,570,947.22",IAMM4400-R002,08/31/09,ADC - CHILD,INPATIENT,403,2038,"2,287,947.60",IAMM4400-R002,08/31/09,AGED,INPATIENT,544,2276,"759,330.22",IAMM4400-R002,08/31/09,BLIND,INPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,INPATIENT,410,7396,"1,991,044.56",IAMM4400-R002,08/31/09,DISABLED,INPATIENT,1929,11854,"8,519,808.66",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,INPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,40,428,"178,074.60",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,INPATIENT,183,896,"704,634.54",IAMM4400-R002,08/31/09,FEDERAL ONLY,INPATIENT,1,2,"2,434.89",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,INPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,INPATIENT,6,188,"29,133.91",IAMM4400-R002,08/31/09,STATE ONLY,INPATIENT,8,47,"38,749.15",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,INPATIENT,725,3181,"1,028,700.70",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,INPATIENT,60,262,"264,152.53",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,INPATIENT,220,1072,"1,334,637.05",IAMM4400-R002,08/31/09,OTHER,INPATIENT,2119,12117,"16,935,157.16",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,INPATIENT,4,12,"39,414.86",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,INPATIENT,5,0,"23,260.15",IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,INPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,INPATIENT,82,727,"273,983.97",IAMM4400-R002,08/31/09,REFUGEE TXXI,INPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,INPATIENT,28,-75,"139,628.98",IAMM4400-R002,08/31/09,TOTAL,INPATIENT,7515,44704,"38,121,040.75"
IAMM4400-R002,08/31/09,ADC - ADULT,OUTPATIENT,9923,192461,"4,380,847.74",IAMM4400-R002,08/31/09,ADC - CHILD,OUTPATIENT,7634,82796,"1,822,491.18",IAMM4400-R002,08/31/09,AGED,OUTPATIENT,5578,179438,"675,621.68",IAMM4400-R002,08/31/09,BLIND,OUTPATIENT,1,0,13.34,IAMM4400-R002,08/31/09,CMAP,OUTPATIENT,2439,41956,"746,825.23",IAMM4400-R002,08/31/09,DISABLED,OUTPATIENT,18267,559381,"6,271,120.16",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,1062,18512,"266,374.04",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,OUTPATIENT,3213,98001,"679,636.03",IAMM4400-R002,08/31/09,FEDERAL ONLY,OUTPATIENT,55,703,"10,020.17",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,OUTPATIENT,8,160,"1,201.51",IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,OUTPATIENT,54,731,"11,649.33",IAMM4400-R002,08/31/09,STATE ONLY,OUTPATIENT,85,1857,"32,091.91",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,OUTPATIENT,7249,386146,"881,600.67",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,545,16845,"302,921.82",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,620,25128,"583,621.21",IAMM4400-R002,08/31/09,OTHER,OUTPATIENT,13251,222154,"3,739,802.89",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,OUTPATIENT,129,3880,"151,369.47",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,OUTPATIENT,13,55,"10,538.82",IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,OUTPATIENT,5,35,"1,018.77",IAMM4400-R002,08/31/09,OTHER TXXI,OUTPATIENT,1206,17213,"384,061.28",IAMM4400-R002,08/31/09,REFUGEE TXXI,OUTPATIENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,OUTPATIENT,365,8389,"183,673.52",IAMM4400-R002,08/31/09,TOTAL,OUTPATIENT,70872,1855841,"21,136,500.77"
IAMM4400-R002,08/31/09,ADC - ADULT,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,AGED,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,CHILD PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,CHILD PART HOSP,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,AGED,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,CHILD DAY TREATMENT,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,AGED,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,ADULT PART HOSP,1,0,-600.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,ADULT PART HOSP,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,ADULT PART HOSP,1,0,-600.00
IAMM4400-R002,08/31/09,ADC - ADULT,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,AGED,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,1,0,799.49,IAMM4400-R002,08/31/09,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,ADULT DAY TREATMENT,1,0,29.48,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,ADULT DAY TREATMENT,2,0,828.97
IAMM4400-R002,08/31/09,ADC - ADULT,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,AGED,SKILLED NURSING FACILITY,957,1593,"77,057.98",IAMM4400-R002,08/31/09,BLIND,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,SKILLED NURSING FACILITY,2,63,"32,574.34",IAMM4400-R002,08/31/09,DISABLED,SKILLED NURSING FACILITY,438,5014,"2,005,308.72",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,2,118,"57,365.79",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,54,152,"11,085.09",IAMM4400-R002,08/31/09,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,1763,6970,"108,751.00",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,16,-61,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,8,61,"15,665.00",IAMM4400-R002,08/31/09,OTHER,SKILLED NURSING FACILITY,12,26,"2,973.73",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,1,0,"-1,042.00",IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,SKILLED NURSING FACILITY,3,46,"28,242.90",IAMM4400-R002,08/31/09,TOTAL,SKILLED NURSING FACILITY,3075,13982,"2,337,982.55"
IAMM4400-R002,08/31/09,ADC - ADULT,INTERMEDIATE CARE FACILITY,3,14,"2,313.42",IAMM4400-R002,08/31/09,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,AGED,INTERMEDIATE CARE FACILITY,6600,155937,"16,038,877.06",IAMM4400-R002,08/31/09,BLIND,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,INTERMEDIATE CARE FACILITY,903,19764,"2,319,028.93",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,56,381,"32,636.79",IAMM4400-R002,08/31/09,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,3,0,63.78,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,9995,191891,"23,701,004.26",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,8,43,"4,298.50",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,1,-59,"-3,503.70",IAMM4400-R002,08/31/09,OTHER,INTERMEDIATE CARE FACILITY,18,145,"13,468.71",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,INTERMEDIATE CARE FACILITY,16591,368116,"42,108,187.75"
IAMM4400-R002,08/31/09,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,AGED,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,INTER CARE MENTAL RETARDA,1,47,"15,882.46",IAMM4400-R002,08/31/09,DISABLED,INTER CARE MENTAL RETARDA,8,185,"59,381.86",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,5,138,"59,717.90",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2074,62714,"25,610,501.47",IAMM4400-R002,08/31/09,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,2,9,"2,925.96",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,INTER CARE MENTAL RETARDA,1,0,"-1,428,268.00",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,INTER CARE MENTAL RETARDA,2088,63093,"24,320,141.65"
IAMM4400-R002,08/31/09,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,AGED,NURSING FAC FOR MENTAL ILL,7,185,"35,923.20",IAMM4400-R002,08/31/09,BLIND,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,29,855,"253,374.65",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,NURSING FAC FOR MENTAL ILL,34,1040,"289,297.85"
IAMM4400-R002,08/31/09,ADC - ADULT,HOME HEALTH,74,2967,"96,109.51",IAMM4400-R002,08/31/09,ADC - CHILD,HOME HEALTH,411,3217,"48,945.22",IAMM4400-R002,08/31/09,AGED,HOME HEALTH,3303,100712,"2,214,032.64",IAMM4400-R002,08/31/09,BLIND,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,HOME HEALTH,72,361,"11,298.94",IAMM4400-R002,08/31/09,DISABLED,HOME HEALTH,4251,124612,"3,177,108.16",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,100,4485,"125,803.07",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,HOME HEALTH,1236,64080,"1,785,301.73",IAMM4400-R002,08/31/09,FEDERAL ONLY,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,HOME HEALTH,1,4,440.20,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,26,468.00,IAMM4400-R002,08/31/09,STATE ONLY,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,HOME HEALTH,4800,164370,"3,394,886.12",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,61,1692,"26,719.06",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,49,1623,"24,409.95",IAMM4400-R002,08/31/09,OTHER,HOME HEALTH,763,3958,"738,967.80",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,HOME HEALTH,6,56,"2,718.58",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,HOME HEALTH,36,95,"3,310.29",IAMM4400-R002,08/31/09,REFUGEE TXXI,HOME HEALTH,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,HOME HEALTH,19,224,"10,094.38",IAMM4400-R002,08/31/09,TOTAL,HOME HEALTH,14994,472482,"11,660,613.65"
IAMM4400-R002,08/31/09,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,LEAD INSPECTION AGENCY,2,3,"1,143.36",IAMM4400-R002,08/31/09,AGED,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,LEAD INSPECTION AGENCY,1,1,381.12,IAMM4400-R002,08/31/09,DISABLED,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,LEAD INSPECTION AGENCY,4,4,"1,524.48",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,LEAD INSPECTION AGENCY,7,8,"3,048.96"
IAMM4400-R002,08/31/09,ADC - ADULT,PHYSICIAN,17840,39607,"3,661,409.94",IAMM4400-R002,08/31/09,ADC - CHILD,PHYSICIAN,20579,35906,"2,438,799.62",IAMM4400-R002,08/31/09,AGED,PHYSICIAN,6802,44725,"425,024.98",IAMM4400-R002,08/31/09,BLIND,PHYSICIAN,1,2,15.32,IAMM4400-R002,08/31/09,CMAP,PHYSICIAN,4967,9911,"744,362.36",IAMM4400-R002,08/31/09,DISABLED,PHYSICIAN,26964,138214,"5,000,525.82",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2570,4122,"262,767.06",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,PHYSICIAN,5022,17767,"445,784.51",IAMM4400-R002,08/31/09,FEDERAL ONLY,PHYSICIAN,77,136,"15,341.86",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,PHYSICIAN,12,12,295.17,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,PHYSICIAN,106,163,"8,190.14",IAMM4400-R002,08/31/09,STATE ONLY,PHYSICIAN,140,285,"30,263.38",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,PHYSICIAN,7441,47402,"603,755.20",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,911,3260,"198,475.94",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,926,3150,"312,102.36",IAMM4400-R002,08/31/09,OTHER,PHYSICIAN,33553,69048,"5,847,282.95",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,PHYSICIAN,183,1094,"227,340.64",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,PHYSICIAN,18,39,"7,263.58",IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,PHYSICIAN,10,23,"4,516.13",IAMM4400-R002,08/31/09,OTHER TXXI,PHYSICIAN,3430,5363,"369,165.01",IAMM4400-R002,08/31/09,REFUGEE TXXI,PHYSICIAN,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PHYSICIAN,592,1600,"143,478.81",IAMM4400-R002,08/31/09,TOTAL,PHYSICIAN,129915,421829,"20,746,160.78"
IAMM4400-R002,08/31/09,ADC - ADULT,CLINIC SERVICES,3314,4761,"703,896.00",IAMM4400-R002,08/31/09,ADC - CHILD,CLINIC SERVICES,3655,4494,"685,249.39",IAMM4400-R002,08/31/09,AGED,CLINIC SERVICES,601,453,"52,229.28",IAMM4400-R002,08/31/09,BLIND,CLINIC SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,CLINIC SERVICES,1111,1499,"212,694.21",IAMM4400-R002,08/31/09,DISABLED,CLINIC SERVICES,3739,5410,"687,457.38",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,521,617,"85,233.42",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,CLINIC SERVICES,370,466,"56,409.63",IAMM4400-R002,08/31/09,FEDERAL ONLY,CLINIC SERVICES,18,26,"4,207.74",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,CLINIC SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,15,18,"2,042.81",IAMM4400-R002,08/31/09,STATE ONLY,CLINIC SERVICES,31,46,"5,270.96",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,507,416,"60,276.53",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,134,170,"20,776.21",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,86,103,"16,451.78",IAMM4400-R002,08/31/09,OTHER,CLINIC SERVICES,7029,10208,"1,286,750.10",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,16,25,"5,195.56",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,CLINIC SERVICES,1,1,103.49,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,CLINIC SERVICES,732,851,"118,188.11",IAMM4400-R002,08/31/09,REFUGEE TXXI,CLINIC SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,CLINIC SERVICES,148,984,"34,867.20",IAMM4400-R002,08/31/09,TOTAL,CLINIC SERVICES,21810,30548,"4,037,299.80"
IAMM4400-R002,08/31/09,ADC - ADULT,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,AGED,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,MEP CASE MANAGEMENT,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,LAB AND RADIOLOGICAL,4569,13601,"387,552.01",IAMM4400-R002,08/31/09,ADC - CHILD,LAB AND RADIOLOGICAL,2216,4520,"79,710.57",IAMM4400-R002,08/31/09,AGED,LAB AND RADIOLOGICAL,919,217,"2,374.90",IAMM4400-R002,08/31/09,BLIND,LAB AND RADIOLOGICAL,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,LAB AND RADIOLOGICAL,682,2148,"48,513.08",IAMM4400-R002,08/31/09,DISABLED,LAB AND RADIOLOGICAL,4138,8814,"164,518.08",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,270,775,"13,819.15",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,606,922,"13,068.70",IAMM4400-R002,08/31/09,FEDERAL ONLY,LAB AND RADIOLOGICAL,9,52,949.78,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,13,51,585.40,IAMM4400-R002,08/31/09,STATE ONLY,LAB AND RADIOLOGICAL,38,120,"3,205.45",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1222,419,"4,690.84",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,172,414,"9,148.22",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,58,372,"7,469.31",IAMM4400-R002,08/31/09,OTHER,LAB AND RADIOLOGICAL,4233,11592,"233,828.05",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,35,101,"4,547.92",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,2,4,82.31,IAMM4400-R002,08/31/09,OTHER TXXI,LAB AND RADIOLOGICAL,262,799,"16,776.10",IAMM4400-R002,08/31/09,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,LAB AND RADIOLOGICAL,91,379,"7,309.91",IAMM4400-R002,08/31/09,TOTAL,LAB AND RADIOLOGICAL,19454,45300,"998,149.78"
IAMM4400-R002,08/31/09,ADC - ADULT,HABILITATION SERVICES,36,410,"22,677.01",IAMM4400-R002,08/31/09,ADC - CHILD,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,AGED,HABILITATION SERVICES,53,1423,"85,177.38",IAMM4400-R002,08/31/09,BLIND,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,HABILITATION SERVICES,28,256,"20,308.74",IAMM4400-R002,08/31/09,DISABLED,HABILITATION SERVICES,2838,79103,"4,022,778.82",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,13,253,"11,337.00",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,40,1323,"51,705.33",IAMM4400-R002,08/31/09,FEDERAL ONLY,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,HABILITATION SERVICES,3,1,23.82,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,2,27,"1,196.16",IAMM4400-R002,08/31/09,STATE ONLY,HABILITATION SERVICES,11,475,"24,745.59",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,47,967,"43,281.00",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,20,533,"26,628.89",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,13,580,"32,761.78",IAMM4400-R002,08/31/09,OTHER,HABILITATION SERVICES,8,118,"6,297.45",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,HABILITATION SERVICES,1,-3,-57.99,IAMM4400-R002,08/31/09,REFUGEE TXXI,HABILITATION SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,HABILITATION SERVICES,7,57,"4,918.07",IAMM4400-R002,08/31/09,TOTAL,HABILITATION SERVICES,3077,85523,"4,353,779.05"
IAMM4400-R002,08/31/09,ADC - ADULT,REMEDIAL SERVICES,270,6008,"157,391.37",IAMM4400-R002,08/31/09,ADC - CHILD,REMEDIAL SERVICES,2545,68781,"1,447,021.66",IAMM4400-R002,08/31/09,AGED,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,REMEDIAL SERVICES,854,21972,"503,655.22",IAMM4400-R002,08/31/09,DISABLED,REMEDIAL SERVICES,913,26480,"548,073.66",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2450,165116,"2,235,381.19",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,128,3489,"83,422.80",IAMM4400-R002,08/31/09,FEDERAL ONLY,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,REMEDIAL SERVICES,1,0,57.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,157,3874,"96,312.96",IAMM4400-R002,08/31/09,STATE ONLY,REMEDIAL SERVICES,29,516,"13,363.58",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,6,103,"2,525.75",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,11,178,"9,157.37",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,3,88,"1,261.52",IAMM4400-R002,08/31/09,OTHER,REMEDIAL SERVICES,2286,60807,"1,128,797.55",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,REMEDIAL SERVICES,437,10638,"225,537.10",IAMM4400-R002,08/31/09,REFUGEE TXXI,REMEDIAL SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,REMEDIAL SERVICES,49,1995,"32,145.94",IAMM4400-R002,08/31/09,TOTAL,REMEDIAL SERVICES,9331,370045,"6,484,104.67"
IAMM4400-R002,08/31/09,ADC - ADULT,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,AGED,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,REHAB SUPPORT SERVICES,5,0,"18,903.12",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,REHAB SUPPORT SERVICES,1,0,"-18,123.33",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,REHAB SUPPORT SERVICES,6,0,779.79
IAMM4400-R002,08/31/09,ADC - ADULT,AMBULANCE SERVICES,421,426,"59,583.13",IAMM4400-R002,08/31/09,ADC - CHILD,AMBULANCE SERVICES,225,223,"31,570.47",IAMM4400-R002,08/31/09,AGED,AMBULANCE SERVICES,331,402,"36,511.61",IAMM4400-R002,08/31/09,BLIND,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,AMBULANCE SERVICES,98,105,"12,422.53",IAMM4400-R002,08/31/09,DISABLED,AMBULANCE SERVICES,1326,1647,"193,300.36",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,38,40,"6,373.69",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,164,198,"21,129.70",IAMM4400-R002,08/31/09,FEDERAL ONLY,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,AMBULANCE SERVICES,1,1,209.83,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,4,4,705.91,IAMM4400-R002,08/31/09,STATE ONLY,AMBULANCE SERVICES,2,2,274.85,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,493,644,"57,381.30",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,37,42,"5,102.92",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,65,68,"12,912.68",IAMM4400-R002,08/31/09,OTHER,AMBULANCE SERVICES,340,336,"48,140.25",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,2,2,220.69,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,AMBULANCE SERVICES,38,37,"4,323.91",IAMM4400-R002,08/31/09,REFUGEE TXXI,AMBULANCE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,AMBULANCE SERVICES,32,38,"5,153.46",IAMM4400-R002,08/31/09,TOTAL,AMBULANCE SERVICES,3599,4215,"495,317.29"
IAMM4400-R002,08/31/09,ADC - ADULT,LOCAL EDUCATION AGENCY,13,1151,"14,191.48",IAMM4400-R002,08/31/09,ADC - CHILD,LOCAL EDUCATION AGENCY,142,21735,"166,984.82",IAMM4400-R002,08/31/09,AGED,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,LOCAL EDUCATION AGENCY,64,10908,"73,455.42",IAMM4400-R002,08/31/09,DISABLED,LOCAL EDUCATION AGENCY,274,78147,"696,847.37",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,68,16412,"126,030.69",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,210,85130,"861,848.76",IAMM4400-R002,08/31/09,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,10,4813,"33,714.89",IAMM4400-R002,08/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,1,4,55.44,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,9,1986,"49,234.08",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,LOCAL EDUCATION AGENCY,118,15189,"111,072.01",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,LOCAL EDUCATION AGENCY,27,3763,"28,277.00",IAMM4400-R002,08/31/09,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,1,2,21.66,IAMM4400-R002,08/31/09,TOTAL,LOCAL EDUCATION AGENCY,918,239240,"2,161,733.62"
IAMM4400-R002,08/31/09,ADC - ADULT,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,EARLY ACCESS SERVICES,42,136,"2,383.60",IAMM4400-R002,08/31/09,AGED,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,EARLY ACCESS SERVICES,13,35,668.62,IAMM4400-R002,08/31/09,DISABLED,EARLY ACCESS SERVICES,40,154,"2,229.65",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,18,112,"1,473.12",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,11,48,681.58,IAMM4400-R002,08/31/09,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,EARLY ACCESS SERVICES,51,213,"3,186.44",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,EARLY ACCESS SERVICES,1,2,40.00,IAMM4400-R002,08/31/09,TOTAL,EARLY ACCESS SERVICES,171,700,"10,663.01"
IAMM4400-R002,08/31/09,ADC - ADULT,PRESCRIBED DRUGS,22238,68821,"3,441,654.43",IAMM4400-R002,08/31/09,ADC - CHILD,PRESCRIBED DRUGS,16747,30645,"1,765,566.84",IAMM4400-R002,08/31/09,AGED,PRESCRIBED DRUGS,3471,6815,"93,038.14",IAMM4400-R002,08/31/09,BLIND,PRESCRIBED DRUGS,1,-1,-55.16,IAMM4400-R002,08/31/09,CMAP,PRESCRIBED DRUGS,5116,12895,"753,519.33",IAMM4400-R002,08/31/09,DISABLED,PRESCRIBED DRUGS,25733,125974,"9,858,581.52",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4848,14347,"1,350,368.73",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6465,24591,"2,060,959.64",IAMM4400-R002,08/31/09,FEDERAL ONLY,PRESCRIBED DRUGS,41,105,"5,425.19",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,5,7,77.28,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,318,1218,"124,721.53",IAMM4400-R002,08/31/09,STATE ONLY,PRESCRIBED DRUGS,172,427,"21,414.47",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10468,25932,"471,197.07",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,1072,3989,"217,708.81",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,363,1726,"83,993.61",IAMM4400-R002,08/31/09,OTHER,PRESCRIBED DRUGS,25173,47947,"2,614,090.08",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,218,1074,"92,886.30",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,82,89,"9,135.36",IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,PRESCRIBED DRUGS,3900,7780,"700,265.86",IAMM4400-R002,08/31/09,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PRESCRIBED DRUGS,905,4772,"274,208.32",IAMM4400-R002,08/31/09,TOTAL,PRESCRIBED DRUGS,125473,379153,"23,938,757.35"
IAMM4400-R002,08/31/09,ADC - ADULT,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,AGED,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,DRUG CAPITATION,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,DRUG CAPITATION,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,INDIAN HEALTH SERVICES,1,8,"2,144.00",IAMM4400-R002,08/31/09,ADC - CHILD,INDIAN HEALTH SERVICES,5,7,"1,876.00",IAMM4400-R002,08/31/09,AGED,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,INDIAN HEALTH SERVICES,1,1,268.00,IAMM4400-R002,08/31/09,DISABLED,INDIAN HEALTH SERVICES,1,3,804.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,1,3,804.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,2,3,804.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,INDIAN HEALTH SERVICES,13,20,"5,360.00",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,INDIAN HEALTH SERVICES,23,45,"12,060.00"
IAMM4400-R002,08/31/09,ADC - ADULT,FAMILY PLANNING SERVICES,7559,9138,"852,038.05",IAMM4400-R002,08/31/09,ADC - CHILD,FAMILY PLANNING SERVICES,1152,1420,"128,059.26",IAMM4400-R002,08/31/09,AGED,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,FAMILY PLANNING SERVICES,287,346,"33,045.35",IAMM4400-R002,08/31/09,DISABLED,FAMILY PLANNING SERVICES,186,218,"17,857.59",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,49,58,"6,303.39",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,17,16,648.32,IAMM4400-R002,08/31/09,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,2,2,92.83,IAMM4400-R002,08/31/09,STATE ONLY,FAMILY PLANNING SERVICES,13,14,"2,197.59",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,3,5,416.94,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,47,51,"5,334.67",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,9,11,"1,475.63",IAMM4400-R002,08/31/09,OTHER,FAMILY PLANNING SERVICES,569,676,"65,031.54",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,2,2,212.71,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,FAMILY PLANNING SERVICES,124,156,"17,145.37",IAMM4400-R002,08/31/09,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,FAMILY PLANNING SERVICES,5,5,382.61,IAMM4400-R002,08/31/09,TOTAL,FAMILY PLANNING SERVICES,9990,12118,"1,130,241.85"
IAMM4400-R002,08/31/09,ADC - ADULT,IOWA PLAN PROGRAM,39244,43512,"1,355,061.02",IAMM4400-R002,08/31/09,ADC - CHILD,IOWA PLAN PROGRAM,67139,72177,"715,515.74",IAMM4400-R002,08/31/09,AGED,IOWA PLAN PROGRAM,4,4,280.52,IAMM4400-R002,08/31/09,BLIND,IOWA PLAN PROGRAM,2,2,89.56,IAMM4400-R002,08/31/09,CMAP,IOWA PLAN PROGRAM,15159,16614,"344,121.98",IAMM4400-R002,08/31/09,DISABLED,IOWA PLAN PROGRAM,50212,51918,"3,829,126.86",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,9901,10223,"1,055,643.17",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10931,11019,"733,250.24",IAMM4400-R002,08/31/09,FEDERAL ONLY,IOWA PLAN PROGRAM,120,146,"3,936.62",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,12,15,"1,009.37",IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,365,374,"45,586.58",IAMM4400-R002,08/31/09,STATE ONLY,IOWA PLAN PROGRAM,334,385,"56,694.57",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2271,2332,"157,607.47",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1458,1668,"57,967.78",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,IOWA PLAN PROGRAM,96664,107860,"1,316,717.63",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,246,255,"26,703.95",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,IOWA PLAN PROGRAM,13972,15022,"169,183.41",IAMM4400-R002,08/31/09,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,IOWA PLAN PROGRAM,1431,1492,"152,176.33",IAMM4400-R002,08/31/09,TOTAL,IOWA PLAN PROGRAM,308700,335018,"10,020,672.80"
IAMM4400-R002,08/31/09,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,AGED,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,AGED,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,EPSDT SCREENING,82,88,"4,830.09",IAMM4400-R002,08/31/09,ADC - CHILD,EPSDT SCREENING,3157,3513,"469,670.57",IAMM4400-R002,08/31/09,AGED,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,EPSDT SCREENING,528,622,"95,771.14",IAMM4400-R002,08/31/09,DISABLED,EPSDT SCREENING,219,295,"16,603.85",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,190,231,"14,921.21",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,EPSDT SCREENING,37,59,"2,805.72",IAMM4400-R002,08/31/09,FEDERAL ONLY,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,3,3,106.81,IAMM4400-R002,08/31/09,STATE ONLY,EPSDT SCREENING,2,3,93.85,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,2,2,90.78,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,2,2,72.94,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,1,1,0.00,IAMM4400-R002,08/31/09,OTHER,EPSDT SCREENING,4724,5085,"1,012,551.08",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,EPSDT SCREENING,1,1,"1,130.24",IAMM4400-R002,08/31/09,OTHER TXXI,EPSDT SCREENING,210,216,"16,727.68",IAMM4400-R002,08/31/09,REFUGEE TXXI,EPSDT SCREENING,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,EPSDT SCREENING,3,3,326.30,IAMM4400-R002,08/31/09,TOTAL,EPSDT SCREENING,9117,10124,"1,635,702.26"
IAMM4400-R002,08/31/09,ADC - ADULT,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,AGED,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,HMO SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,HMO SERVICES,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,AGED,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,PACE SERVICES,21,21,"68,269.00",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,PACE SERVICES,25,25,"70,463.00",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PACE SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,PACE SERVICES,46,46,"138,732.00"
IAMM4400-R002,08/31/09,ADC - ADULT,PATIENT MANAGEMENT,24115,24109,"48,218.00",IAMM4400-R002,08/31/09,ADC - CHILD,PATIENT MANAGEMENT,44018,44018,"88,036.00",IAMM4400-R002,08/31/09,AGED,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,PATIENT MANAGEMENT,9366,9362,"18,724.00",IAMM4400-R002,08/31/09,DISABLED,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,99,99,198.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,PATIENT MANAGEMENT,78,78,156.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,4,4,8.00,IAMM4400-R002,08/31/09,STATE ONLY,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,PATIENT MANAGEMENT,67283,67285,"134,570.00",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,PATIENT MANAGEMENT,10401,10401,"20,802.00",IAMM4400-R002,08/31/09,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PATIENT MANAGEMENT,3,3,6.00,IAMM4400-R002,08/31/09,TOTAL,PATIENT MANAGEMENT,155367,155359,"310,718.00"
IAMM4400-R002,08/31/09,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,198,461,"13,078.29",IAMM4400-R002,08/31/09,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,298,730,"14,950.44",IAMM4400-R002,08/31/09,AGED,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,HEALTH INS PREMIUM PAYMENT,57,125,"3,890.54",IAMM4400-R002,08/31/09,DISABLED,HEALTH INS PREMIUM PAYMENT,617,1295,"131,715.76",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,142,290,"14,726.63",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,596,1215,"128,418.66",IAMM4400-R002,08/31/09,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,45,93,"7,479.45",IAMM4400-R002,08/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,36,62,"8,642.19",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,HEALTH INS PREMIUM PAYMENT,1964,5085,"131,086.53",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,15,41,"1,448.03",IAMM4400-R002,08/31/09,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,5,8,713.06,IAMM4400-R002,08/31/09,TOTAL,HEALTH INS PREMIUM PAYMENT,3973,9405,"456,149.58"
IAMM4400-R002,08/31/09,ADC - ADULT,MEDICAL SUPPLIES,1175,28987,"256,898.20",IAMM4400-R002,08/31/09,ADC - CHILD,MEDICAL SUPPLIES,974,12153,"123,104.06",IAMM4400-R002,08/31/09,AGED,MEDICAL SUPPLIES,3200,219834,"357,193.68",IAMM4400-R002,08/31/09,BLIND,MEDICAL SUPPLIES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,MEDICAL SUPPLIES,240,5829,"42,984.08",IAMM4400-R002,08/31/09,DISABLED,MEDICAL SUPPLIES,10056,805672,"2,248,240.86",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,247,28126,"93,178.39",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2494,383308,"686,731.86",IAMM4400-R002,08/31/09,FEDERAL ONLY,MEDICAL SUPPLIES,2,2,46.79,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,2,55,347.33,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,10,750,"1,053.46",IAMM4400-R002,08/31/09,STATE ONLY,MEDICAL SUPPLIES,4,4,172.80,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4988,431591,"700,964.46",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,176,7873,"21,316.13",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,95,3345,"37,660.27",IAMM4400-R002,08/31/09,OTHER,MEDICAL SUPPLIES,1411,26427,"232,640.75",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,29,1404,"9,220.48",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,1,0,-27.25,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,MEDICAL SUPPLIES,126,3022,"9,241.06",IAMM4400-R002,08/31/09,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MEDICAL SUPPLIES,143,8679,"37,418.99",IAMM4400-R002,08/31/09,TOTAL,MEDICAL SUPPLIES,24849,1967061,"4,858,386.40"
IAMM4400-R002,08/31/09,ADC - ADULT,OTHER PRACTITIONER,2104,4655,"256,839.42",IAMM4400-R002,08/31/09,ADC - CHILD,OTHER PRACTITIONER,2468,9217,"257,169.08",IAMM4400-R002,08/31/09,AGED,OTHER PRACTITIONER,455,1456,"29,071.63",IAMM4400-R002,08/31/09,BLIND,OTHER PRACTITIONER,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,OTHER PRACTITIONER,692,3032,"86,547.68",IAMM4400-R002,08/31/09,DISABLED,OTHER PRACTITIONER,2866,27075,"553,076.75",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,545,2984,"102,563.98",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,876,19060,"480,167.85",IAMM4400-R002,08/31/09,FEDERAL ONLY,OTHER PRACTITIONER,1,1,7.95,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,OTHER PRACTITIONER,1,1,21.78,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,28,610,"8,343.21",IAMM4400-R002,08/31/09,STATE ONLY,OTHER PRACTITIONER,29,37,"2,975.74",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,618,2565,"75,487.47",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,106,265,"11,373.63",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,86,174,"12,426.08",IAMM4400-R002,08/31/09,OTHER,OTHER PRACTITIONER,4085,13502,"508,473.69",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,24,48,"3,841.31",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,OTHER PRACTITIONER,454,1382,"47,697.73",IAMM4400-R002,08/31/09,REFUGEE TXXI,OTHER PRACTITIONER,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,OTHER PRACTITIONER,68,175,"8,378.91",IAMM4400-R002,08/31/09,TOTAL,OTHER PRACTITIONER,15396,86239,"2,444,463.89"
IAMM4400-R002,08/31/09,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,AGED,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,FAMILY CENTERED PROGRAM,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,AGED,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,FAMILY PRESERVATION,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,AGED,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,AGED,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,GROUP TREATMENT THERAPY,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,DENTAL,3732,5256,"1,021,508.74",IAMM4400-R002,08/31/09,ADC - CHILD,DENTAL,6223,7433,"884,943.18",IAMM4400-R002,08/31/09,AGED,DENTAL,520,661,"104,399.40",IAMM4400-R002,08/31/09,BLIND,DENTAL,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,DENTAL,1462,1863,"317,442.24",IAMM4400-R002,08/31/09,DISABLED,DENTAL,4621,6113,"1,001,957.96",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,DENTAL,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1336,1596,"207,069.35",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,DENTAL,1467,1716,"181,666.00",IAMM4400-R002,08/31/09,FEDERAL ONLY,DENTAL,26,34,"4,203.19",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,DENTAL,1,1,149.66,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,DENTAL,49,50,"5,114.95",IAMM4400-R002,08/31/09,STATE ONLY,DENTAL,34,46,"9,090.89",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,DENTAL,987,1237,"193,716.08",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,DENTAL,203,300,"60,985.28",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,DENTAL,77,101,"29,323.49",IAMM4400-R002,08/31/09,OTHER,DENTAL,9535,11393,"1,402,196.79",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,DENTAL,23,31,"4,748.12",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,DENTAL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,DENTAL,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,DENTAL,2116,2590,"368,763.69",IAMM4400-R002,08/31/09,REFUGEE TXXI,DENTAL,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,DENTAL,115,156,"26,950.67",IAMM4400-R002,08/31/09,TOTAL,DENTAL,32382,40577,"5,824,229.68"
IAMM4400-R002,08/31/09,ADC - ADULT,OPTOMETRIST,1799,2220,"161,888.02",IAMM4400-R002,08/31/09,ADC - CHILD,OPTOMETRIST,2336,2700,"181,209.70",IAMM4400-R002,08/31/09,AGED,OPTOMETRIST,793,1333,"31,965.37",IAMM4400-R002,08/31/09,BLIND,OPTOMETRIST,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,OPTOMETRIST,690,815,"57,388.93",IAMM4400-R002,08/31/09,DISABLED,OPTOMETRIST,2619,3667,"180,250.58",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,609,694,"45,642.88",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,OPTOMETRIST,699,869,"39,588.83",IAMM4400-R002,08/31/09,FEDERAL ONLY,OPTOMETRIST,6,8,450.02,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,OPTOMETRIST,1,3,35.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,23,28,"1,371.15",IAMM4400-R002,08/31/09,STATE ONLY,OPTOMETRIST,14,16,"1,259.30",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,OPTOMETRIST,882,1376,"37,189.43",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,95,124,"7,336.89",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,35,53,"2,937.95",IAMM4400-R002,08/31/09,OTHER,OPTOMETRIST,3312,3795,"255,889.38",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,8,7,500.56,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,OPTOMETRIST,782,887,"58,175.17",IAMM4400-R002,08/31/09,REFUGEE TXXI,OPTOMETRIST,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,OPTOMETRIST,95,116,"9,165.12",IAMM4400-R002,08/31/09,TOTAL,OPTOMETRIST,14770,18711,"1,072,244.28"
IAMM4400-R002,08/31/09,ADC - ADULT,CHIROPRACTIC,2119,4976,"174,575.45",IAMM4400-R002,08/31/09,ADC - CHILD,CHIROPRACTIC,1091,2065,"66,272.49",IAMM4400-R002,08/31/09,AGED,CHIROPRACTIC,442,1187,"7,000.65",IAMM4400-R002,08/31/09,BLIND,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,CHIROPRACTIC,309,669,"23,508.40",IAMM4400-R002,08/31/09,DISABLED,CHIROPRACTIC,2683,7157,"100,638.12",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,189,348,"10,817.53",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,CHIROPRACTIC,381,776,"11,667.17",IAMM4400-R002,08/31/09,FEDERAL ONLY,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,12,29,"1,066.74",IAMM4400-R002,08/31/09,STATE ONLY,CHIROPRACTIC,6,19,790.67,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,348,830,"6,047.09",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,102,231,"7,165.99",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,34,104,"1,994.08",IAMM4400-R002,08/31/09,OTHER,CHIROPRACTIC,1841,3725,"115,062.03",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,16,39,"1,296.37",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,CHIROPRACTIC,389,786,"26,307.35",IAMM4400-R002,08/31/09,REFUGEE TXXI,CHIROPRACTIC,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,CHIROPRACTIC,65,162,"5,099.29",IAMM4400-R002,08/31/09,TOTAL,CHIROPRACTIC,9932,23103,"559,309.42"
IAMM4400-R002,08/31/09,ADC - ADULT,PODIATRIC,284,399,"49,434.78",IAMM4400-R002,08/31/09,ADC - CHILD,PODIATRIC,74,88,"11,441.82",IAMM4400-R002,08/31/09,AGED,PODIATRIC,810,1228,"15,197.91",IAMM4400-R002,08/31/09,BLIND,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,PODIATRIC,45,57,"7,292.19",IAMM4400-R002,08/31/09,DISABLED,PODIATRIC,1537,2853,"97,888.43",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,33,45,"3,446.95",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,PODIATRIC,751,1615,"23,313.02",IAMM4400-R002,08/31/09,FEDERAL ONLY,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,PODIATRIC,1,2,23.77,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,PODIATRIC,1258,1838,"23,215.53",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,36,43,"2,237.25",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,11,18,"4,069.34",IAMM4400-R002,08/31/09,OTHER,PODIATRIC,167,206,"22,362.65",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,PODIATRIC,2,2,199.60,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,PODIATRIC,36,52,"6,582.64",IAMM4400-R002,08/31/09,REFUGEE TXXI,PODIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PODIATRIC,20,32,"1,947.76",IAMM4400-R002,08/31/09,TOTAL,PODIATRIC,5047,8478,"268,653.64"
IAMM4400-R002,08/31/09,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,AGED,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,PHYSICAL DISABILITIES SVCS,540,21181,"272,159.80",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,202,7577,"98,855.04",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,PHYSICAL DISABILITIES SVCS,738,28758,"371,014.84"
IAMM4400-R002,08/31/09,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,AGED,BRAIN INJ WAIVER SERVICES,1,53,"3,694.64",IAMM4400-R002,08/31/09,BLIND,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,BRAIN INJ WAIVER SERVICES,321,18452,"583,678.32",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,38,1771,"43,047.11",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,268,12729,"453,065.11",IAMM4400-R002,08/31/09,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,456,22243,"694,301.92",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,BRAIN INJ WAIVER SERVICES,2,22,254.28,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,BRAIN INJ WAIVER SERVICES,2,83,"1,080.26",IAMM4400-R002,08/31/09,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,BRAIN INJ WAIVER SERVICES,1056,55353,"1,779,121.64"
IAMM4400-R002,08/31/09,ADC - ADULT,PSYCHIATRIC,37,43,"6,268.77",IAMM4400-R002,08/31/09,ADC - CHILD,PSYCHIATRIC,18,23,"2,509.04",IAMM4400-R002,08/31/09,AGED,PSYCHIATRIC,190,384,"9,782.48",IAMM4400-R002,08/31/09,BLIND,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,PSYCHIATRIC,18,51,"4,134.57",IAMM4400-R002,08/31/09,DISABLED,PSYCHIATRIC,2781,5061,"129,908.49",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,35,63,"5,578.08",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,PSYCHIATRIC,547,808,"26,516.90",IAMM4400-R002,08/31/09,FEDERAL ONLY,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PSYCHIATRIC,1,1,3.94,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,285,534,"14,933.74",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,37,68,"1,668.92",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,51,107,"4,878.30",IAMM4400-R002,08/31/09,OTHER,PSYCHIATRIC,46,83,"21,962.88",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,PSYCHIATRIC,10,11,"1,004.42",IAMM4400-R002,08/31/09,REFUGEE TXXI,PSYCHIATRIC,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,PSYCHIATRIC,3,3,347.87,IAMM4400-R002,08/31/09,TOTAL,PSYCHIATRIC,4048,7240,"229,498.40"
IAMM4400-R002,08/31/09,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,AGED,RESIDENTIAL CARE FACILITY,300,11121,"83,395.26",IAMM4400-R002,08/31/09,BLIND,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,RESIDENTIAL CARE FACILITY,2,142,"2,134.70",IAMM4400-R002,08/31/09,DISABLED,RESIDENTIAL CARE FACILITY,1323,47148,"371,287.32",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,1,91,820.74,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,21,871,"7,958.24",IAMM4400-R002,08/31/09,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,2,6,-531.92,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,8,104,549.64,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,RESIDENTIAL CARE FACILITY,2,14,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,RESIDENTIAL CARE FACILITY,1638,59497,"465,613.98"
IAMM4400-R002,08/31/09,ADC - ADULT,MR WAIVER SERVICE,1,0,-0.79,IAMM4400-R002,08/31/09,ADC - CHILD,MR WAIVER SERVICE,1,21,318.50,IAMM4400-R002,08/31/09,AGED,MR WAIVER SERVICE,77,8991,"284,698.05",IAMM4400-R002,08/31/09,BLIND,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,MR WAIVER SERVICE,1,32,"1,119.36",IAMM4400-R002,08/31/09,DISABLED,MR WAIVER SERVICE,1031,78765,"3,083,263.39",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,216,15193,"354,224.70",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8858,726981,"24,470,445.85",IAMM4400-R002,08/31/09,FEDERAL ONLY,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,MR WAIVER SERVICE,1,36,774.36,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,10,270,"13,362.94",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,MR WAIVER SERVICE,3,136,"-209,271.02",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,MR WAIVER SERVICE,2,66,"1,372.58",IAMM4400-R002,08/31/09,REFUGEE TXXI,MR WAIVER SERVICE,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MR WAIVER SERVICE,3,104,"3,126.79",IAMM4400-R002,08/31/09,TOTAL,MR WAIVER SERVICE,10137,830595,"28,003,434.71"
IAMM4400-R002,08/31/09,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,4,259,"4,669.41",IAMM4400-R002,08/31/09,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,41,2223,"39,591.47",IAMM4400-R002,08/31/09,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,CHILDRENS MENTAL HEALTH SVC,97,5790,"101,650.36",IAMM4400-R002,08/31/09,DISABLED,CHILDRENS MENTAL HEALTH SVC,33,1336,"30,677.90",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,1,72,"1,099.98",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,327,16227,"325,834.71",IAMM4400-R002,08/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,CHILDRENS MENTAL HEALTH SVC,40,2310,"39,361.30",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,9,503,"13,463.38",IAMM4400-R002,08/31/09,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,3,56,"1,191.45",IAMM4400-R002,08/31/09,TOTAL,CHILDRENS MENTAL HEALTH SVC,553,28776,"557,539.96"
IAMM4400-R002,08/31/09,ADC - ADULT,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,AGED,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,AIDS WAIVER SERVICES,17,1512,"16,752.37",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,34,2828,"29,264.27",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,AIDS WAIVER SERVICES,49,4340,"46,016.64"
IAMM4400-R002,08/31/09,ADC - ADULT,ELDERLY WAIVER SERVICES,1,0,-961.38,IAMM4400-R002,08/31/09,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,AGED,ELDERLY WAIVER SERVICES,3804,176330,"2,692,473.74",IAMM4400-R002,08/31/09,BLIND,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,ELDERLY WAIVER SERVICES,41,1097,"28,020.51",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,3,"2,304.00",IAMM4400-R002,08/31/09,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6583,315555,"4,030,605.24",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,2,38,817.40,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,ELDERLY WAIVER SERVICES,3,51,"32,470.18",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,3,129,"3,002.05",IAMM4400-R002,08/31/09,TOTAL,ELDERLY WAIVER SERVICES,9987,493203,"6,788,731.74"
IAMM4400-R002,08/31/09,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,ILL & HANDICAPPED WAIVER SVCS,2040,115029,"1,888,971.22",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,35,2774,"46,418.26",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,167,10371,"185,132.07",IAMM4400-R002,08/31/09,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,13,100.23,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,54,810.00,IAMM4400-R002,08/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,10,224,"4,360.14",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,2,285,"2,136.32",IAMM4400-R002,08/31/09,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2250,128750,"2,127,928.24"
IAMM4400-R002,08/31/09,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,0.00
IAMM4400-R002,08/31/09,ADC - ADULT,MEP SERVICES,4,6,"2,092.44",IAMM4400-R002,08/31/09,ADC - CHILD,MEP SERVICES,35,36,"15,082.08",IAMM4400-R002,08/31/09,AGED,MEP SERVICES,107,126,"32,432.90",IAMM4400-R002,08/31/09,BLIND,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,MEP SERVICES,86,88,"35,217.09",IAMM4400-R002,08/31/09,DISABLED,MEP SERVICES,1245,1475,"375,401.52",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,221,277,"70,439.60",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,MEP SERVICES,8545,10485,"2,680,365.96",IAMM4400-R002,08/31/09,FEDERAL ONLY,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,MEP SERVICES,2,4,843.83,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,MEP SERVICES,302,307,"134,127.21",IAMM4400-R002,08/31/09,STATE ONLY,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,MEP SERVICES,156,177,"47,772.73",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,4,4,"1,073.61",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,1,3,886.68,IAMM4400-R002,08/31/09,OTHER,MEP SERVICES,45,47,"17,997.62",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,MEP SERVICES,10,10,"3,513.00",IAMM4400-R002,08/31/09,REFUGEE TXXI,MEP SERVICES,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,MEP SERVICES,6,7,"2,207.60",IAMM4400-R002,08/31/09,TOTAL,MEP SERVICES,10743,13052,"3,419,453.87"
IAMM4400-R002,08/31/09,ADC - ADULT,UNASSIGNED,4,0,0.00,IAMM4400-R002,08/31/09,ADC - CHILD,UNASSIGNED,2,0,0.00,IAMM4400-R002,08/31/09,AGED,UNASSIGNED,1,0,0.00,IAMM4400-R002,08/31/09,BLIND,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,CMAP,UNASSIGNED,1,0,0.00,IAMM4400-R002,08/31/09,DISABLED,UNASSIGNED,4,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,7,0,0.00,IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL ONLY,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,OTHER,UNASSIGNED,9,0,"-606,609.84",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,UNASSIGNED,1,0,0.00,IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,OTHER TXXI,UNASSIGNED,1,0,0.00,IAMM4400-R002,08/31/09,REFUGEE TXXI,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,UNASSIGNED,0,0,0.00,IAMM4400-R002,08/31/09,TOTAL,UNASSIGNED,30,0,"-606,609.84"
IAMM4400-R002,08/31/09,ADC - ADULT,* A L L  C A T E G O R I E S *,53189,456627,"20,707,155.77",IAMM4400-R002,08/31/09,ADC - CHILD,* A L L  C A T E G O R I E S *,74898,412318,"13,777,563.76",IAMM4400-R002,08/31/09,AGED,* A L L  C A T E G O R I E S *,16638,916884,"24,146,785.30",IAMM4400-R002,08/31/09,BLIND,* A L L  C A T E G O R I E S *,2,3,63.06,IAMM4400-R002,08/31/09,CMAP,* A L L  C A T E G O R I E S *,16652,154991,"6,342,846.77",IAMM4400-R002,08/31/09,DISABLED,* A L L  C A T E G O R I E S *,55293,2382096,"58,571,522.87",IAMM4400-R002,08/31/09,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,0.00,IAMM4400-R002,08/31/09,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10070,290410,"6,856,259.40",IAMM4400-R002,08/31/09,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11697,1542062,"62,534,455.59",IAMM4400-R002,08/31/09,FEDERAL ONLY,* A L L  C A T E G O R I E S *,156,1293,"47,180.20",IAMM4400-R002,08/31/09,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,12,321,"5,142.00",IAMM4400-R002,08/31/09,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,344,29644,"839,716.14",IAMM4400-R002,08/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,324,4304,"242,714.13",IAMM4400-R002,08/31/09,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,16328,1622666,"36,871,431.23",IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,0.00,IAMM4400-R002,08/31/09,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,0.00,IAMM4400-R002,08/31/09,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1859,38037,"1,263,244.76",IAMM4400-R002,08/31/09,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,1080,37829,"2,517,434.37",IAMM4400-R002,08/31/09,OTHER,* A L L  C A T E G O R I E S *,105483,701584,"35,762,485.27",IAMM4400-R002,08/31/09,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,249,8032,"570,417.12",IAMM4400-R002,08/31/09,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,84,184,"49,232.15",IAMM4400-R002,08/31/09,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,12,63,"6,747.45",IAMM4400-R002,08/31/09,OTHER TXXI,* A L L  C A T E G O R I E S *,14051,82491,"2,886,338.41",IAMM4400-R002,08/31/09,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,0.00,IAMM4400-R002,08/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,1485,29828,"1,118,360.27",IAMM4400-R002,08/31/09,TOTAL,* A L L  C A T E G O R I E S *,379906,8711667,"275,117,096.02"