IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 E L D E R L Y W A I V E R S U M M A R Y B Y C O U N T Y ENROLLEES MEDICAL SERVICES WAIVER SERVICES TOTAL SERVICES AVG PAYMENT PER RECIP COUNTY ELIGIBLE RECIPS AMOUNT RECIPS AMOUNT RECIPS AMOUNT ELIGIBLE SERVED ADAIR 21 50 $100723 0 $0 50 $100723 $4796 $2014 ADAMS 6 15 $30140 0 $0 15 $30140 $5023 $2009 ALLAMAKEE 26 56 $111820 0 $0 56 $111820 $4301 $1997 APPANOOSE 74 154 $357709 0 $0 154 $357709 $4834 $2323 AUDUBON 11 22 $39617 0 $0 22 $39617 $3602 $1801 BENTON 52 97 $220747 0 $0 97 $220747 $4245 $2276 BLACK HAWK 388 830 $1751421 0 $0 830 $1751421 $4514 $2110 BOONE 53 113 $223714 0 $0 113 $223714 $4221 $1980 BREMER 24 45 $96030 0 $0 45 $96030 $4001 $2134 BUCHANAN 45 86 $166285 0 $0 86 $166285 $3695 $1934 BUENA VIST 39 70 $142913 1 $5687 71 $148600 $3810 $2093 BUTLER 25 44 $91327 0 $0 44 $91327 $3653 $2076 CALHOUN 26 61 $135721 0 $2406 61 $138127 $5313 $2264 CARROLL 53 107 $217850 0 $0 107 $217850 $4110 $2036 CASS 33 69 $136167 0 $0 69 $136167 $4126 $1973 CEDAR 25 44 $82934 0 $0 44 $82934 $3317 $1885 CERRO GORD 114 243 $519046 0 $0 243 $519046 $4553 $2136 CHEROKEE 25 49 $107834 0 $0 49 $107834 $4313 $2201 CHICKASAW 29 60 $138393 0 $0 60 $138393 $4772 $2307 CLARKE 33 91 $160398 0 $0 91 $160398 $4861 $1763 CLAY 59 119 $244685 0 $0 119 $244685 $4147 $2056 CLAYTON 35 91 $181559 0 $0 91 $181559 $5187 $1995 CLINTON 151 308 $664600 0 $0 308 $664600 $4401 $2158 CRAWFORD 25 46 $91327 0 $0 46 $91327 $3653 $1985 DALLAS 92 214 $455780 0 $0 214 $455780 $4954 $2130 DAVIS 21 40 $83086 0 $0 40 $83086 $3956 $2077 DECATUR 33 71 $147269 0 $0 71 $147269 $4463 $2074 DELAWARE 26 70 $159809 0 $0 70 $159809 $6147 $2283 DES MOINES 88 176 $382729 0 $0 176 $382729 $4349 $2175 DICKINSON 38 86 $187114 0 $0 86 $187114 $4924 $2176 DUBUQUE 158 355 $716125 0 $0 355 $716125 $4532 $2017 EMMET 20 41 $77773 0 $0 41 $77773 $3889 $1897 FAYETTE 57 117 $253118 0 $0 117 $253118 $4441 $2163 FLOYD 49 83 $168830 0 $0 83 $168830 $3446 $2034 FRANKLIN 15 33 $73901 0 $0 33 $73901 $4927 $2239 FREMONT 13 29 $56261 0 $0 29 $56261 $4328 $1940 GREENE 24 46 $100272 0 $0 46 $100272 $4178 $2180 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 E L D E R L Y W A I V E R S U M M A R Y B Y C O U N T Y ENROLLEES MEDICAL SERVICES WAIVER SERVICES TOTAL SERVICES AVG PAYMENT PER RECIP COUNTY ELIGIBLE RECIPS AMOUNT RECIPS AMOUNT RECIPS AMOUNT ELIGIBLE SERVED GRUNDY 14 33 $70821 0 $0 33 $70821 $5059 $2146 GUTHRIE 40 81 $166821 0 $0 81 $166821 $4171 $2060 HAMILTON 28 46 $88808 0 $0 46 $88808 $3172 $1931 HANCOCK 17 34 $73462 0 $0 34 $73462 $4321 $2161 HARDIN 56 101 $205568 0 $0 101 $205568 $3671 $2035 HARRISON 46 87 $179624 0 $0 87 $179624 $3905 $2065 HENRY 55 101 $218964 0 $0 101 $218964 $3981 $2168 HOWARD 14 28 $65407 0 $0 28 $65407 $4672 $2336 HUMBOLDT 19 40 $83522 0 $0 40 $83522 $4396 $2088 IDA 22 49 $100873 1 $153 50 $101026 $4592 $2021 IOWA 17 42 $78540 0 $0 42 $78540 $4620 $1870 JACKSON 43 84 $171496 0 $0 84 $171496 $3988 $2042 JASPER 82 169 $366838 0 $0 169 $366838 $4474 $2171 JEFFERSON 61 105 $233551 0 $0 105 $233551 $3829 $2224 JOHNSON 189 386 $784889 0 $0 386 $784889 $4153 $2033 JONES 41 88 $171186 0 $0 88 $171186 $4175 $1945 KEOKUK 30 54 $104985 0 $0 54 $104985 $3500 $1944 KOSSUTH 28 58 $109366 0 $0 58 $109366 $3906 $1886 LEE 93 185 $396421 1 $2444 186 $398865 $4289 $2144 LINN 460 1014 $2114174 1 $2257 1015 $2116431 $4601 $2085 LOUISA 14 31 $68970 0 $0 31 $68970 $4926 $2225 LUCAS 31 68 $144018 0 $0 68 $144018 $4646 $2118 LYON 14 33 $69884 0 $0 33 $69884 $4992 $2118 MADISON 37 94 $196064 0 $0 94 $196064 $5299 $2086 MAHASKA 79 185 $385227 0 $0 185 $385227 $4876 $2082 MARION 90 184 $382530 0 $0 184 $382530 $4250 $2079 MARSHALL 97 183 $405982 0 $0 183 $405982 $4185 $2218 MILLS 18 32 $61414 0 $0 32 $61414 $3412 $1919 MITCHELL 18 47 $103798 0 $0 47 $103798 $5767 $2208 MONONA 22 65 $128291 0 $0 65 $128291 $5831 $1974 MONROE 33 66 $144915 0 $0 66 $144915 $4391 $2196 MONTGOMERY 28 54 $121244 0 $0 54 $121244 $4330 $2245 MUSCATINE 116 225 $485504 1 $952 226 $486456 $4194 $2152 O BRIEN 34 74 $156553 0 $0 74 $156553 $4605 $2116 OSCEOLA 7 18 $39281 0 $0 18 $39281 $5612 $2182 PAGE 47 112 $232620 0 $0 112 $232620 $4949 $2077 PALO ALTO 18 47 $104058 0 $0 47 $104058 $5781 $2214 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 E L D E R L Y W A I V E R S U M M A R Y B Y C O U N T Y ENROLLEES MEDICAL SERVICES WAIVER SERVICES TOTAL SERVICES AVG PAYMENT PER RECIP COUNTY ELIGIBLE RECIPS AMOUNT RECIPS AMOUNT RECIPS AMOUNT ELIGIBLE SERVED PLYMOUTH 30 71 $154017 0 $0 71 $154017 $5134 $2169 POCAHONTAS 15 36 $77704 0 $0 36 $77704 $5180 $2158 POLK 1634 3385 $7238433 1 $4643 3386 $7243076 $4433 $2139 POTTAWATTA 264 542 $1166838 2 $1682 544 $1168520 $4426 $2148 POWESHIEK 35 63 $124549 0 $0 63 $124549 $3559 $1977 RINGGOLD 31 64 $121855 0 $0 64 $121855 $3931 $1904 SAC 18 39 $96945 0 $0 39 $96945 $5386 $2486 SCOTT 432 881 $1859138 2 $6547 883 $1865685 $4319 $2113 SHELBY 18 40 $91560 0 $0 40 $91560 $5087 $2289 SIOUX 25 44 $91768 0 $0 44 $91768 $3671 $2086 STORY 83 180 $387101 0 $0 180 $387101 $4664 $2151 TAMA 14 18 $31638 0 $0 18 $31638 $2260 $1758 TAYLOR 20 36 $73888 0 $0 36 $73888 $3694 $2052 UNION 57 116 $236534 0 $0 116 $236534 $4150 $2039 VAN BUREN 24 59 $126170 0 $0 59 $126170 $5257 $2138 WAPELLO 177 332 $676220 0 $0 332 $676220 $3820 $2037 WARREN 77 191 $391689 0 $0 191 $391689 $5087 $2051 WASHINGTON 44 102 $205387 0 $0 102 $205387 $4668 $2014 WAYNE 23 52 $105181 0 $0 52 $105181 $4573 $2023 WEBSTER 97 190 $379495 0 $1083 190 $380578 $3923 $2003 WINNEBAGO 21 38 $78839 0 $0 38 $78839 $3754 $2075 WINNESHIEK 27 47 $95793 0 $0 47 $95793 $3548 $2038 WOODBURY 178 345 $722919 4 $4495 349 $727414 $4087 $2084 WORTH 8 22 $47770 0 $0 22 $47770 $5971 $2171 WRIGHT 37 71 $144824 1 $209 72 $145033 $3920 $2014 CENT. OFF 20 0 $0 0 $0 0 $0 $0 $0 ENROLLEES MEDICAL SERVICES WAIVER SERVICES TOTAL SERVICES AVG PAYMENT PER RECIP COUNTY ELIGIBLE RECIPS AMOUNT RECIPS AMOUNT RECIPS AMOUNT ELIGIBLE SERVED STATE TOTAL 7473 15498 $32616951 15 $32558 15513 $32649509 $4369 $2105