IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (FISCAL YTD TOTALS AS OF 06/30/23) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 5,388 6,645 36,637 $116,897,825.35 OUTPATIENT 19,201 77,914 12,373,364 $18,651,868.64 CHILD PART HOSP 0 0 0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 ADULT PART HOSP 0 0 0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 SKILLED NURSING FACILITY 177 410 6,336 $2,753,043.45 IHAWP IOWA PLAN LITE 0 0 0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 IHAWP HMO 0 0 0 $0.00 IHAWP PCP 0 0 0 $0.00 INTERMEDIATE CARE FACILITY 338 2,620 76,177 $26,153,160.53 INTER CARE INT DISABLED 34 344 9,982 $4,800,199.17 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 2,182 10,735 3,085,785 $23,835,444.02 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 23,995 150,350 449,886 $15,615,833.27 CLINIC SERVICES 7,885 22,137 22,164 $41,388,033.73 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 5,332 12,965 35,730 $790,856.57 HABILITATION SERVICES 57 988 8,955 $1,437,245.14 BEHAVIORAL HLTH INTERVENTN SVC 132 2,226 14,195 $714,789.54 REHAB SUPPORT SERVICES 12 156 607 $31,231.56 AMBULANCE SERVICES 1,902 3,328 3,310 $1,471,063.45 LOCAL EDUCATION AGENCY 4,266 400,096 1,877,976 $63,011,782.91 INFANT TODDLER 834 4,963 10,750 $153,328.50 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 9,308 163,319 151,167 $16,151,367.85 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 20,188 127,436 105,359 $261,245.31 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 582 1,035 1,177 $98,528.21 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 EPSDT SCREENING 715 1,855 1,817 $1,178,909.54 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 769 7,717 7,691 $32,238,310.01 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,494 56,437 56,437 $5,903,539.35 MEDICAL SUPPLIES 4,736 24,948 1,182,958 $2,011,703.49 HEALTH HOME PROVIDER 343 2,740 2,685 $413,078.31 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 832,659 9,306,252 9,287,313 $6,616,220,370.70 OTHER PRACTITIONER 18,089 297,402 943,836 $50,461,311.70 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (FISCAL YTD TOTALS AS OF 06/30/23) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT FAMILY CENTERED PROGRAM 0 0 0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 DENTAL 1,500 1,923 1,903 $169,751.69 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 2,413 3,343 3,847 $190,617.22 CHIROPRACTIC 1,060 6,865 7,281 $124,611.55 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 941 2,385 3,250 $101,428.00 PREPAID AMBULATORY HEALTH PLAN 840,597 9,392,954 9,382,324 $125,494,765.70 PHYSICAL DISABILITIES SVCS 6 81 11,159 $178,203.20 BRAIN INJ WAIVER SERVICES 159 3,674 111,146 $5,695,493.37 PSYCHIATRIC 2,456 9,942 12,154 $669,805.72 RESIDENTIAL CARE FACILITY 474 4,509 125,491 $1,065,320.51 ID WAIVER SERVICE 690 11,800 581,655 $16,954,808.29 CHILDRENS MENTAL HEALTH SVC 43 352 48,461 $225,179.22 AIDS WAIVER SERVICES 1 13 13 $15,282.48 ELDERLY WAIVER SERVICES 28 747 19,736 $331,920.18 ILL & HANDICAPPED WAIVER SVCS 356 4,376 263,131 $7,256,479.92 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 696 7,659 62,749 $4,053,585.40 UNASSIGNED 4 0 0 $30,835,242.35 * A L L C A T E G O R I E S * 863,622 20,135,641 40,386,594 $7,236,006,565.10 *** END OF REPORT ***