IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS ADAIR 2 2 $500 0 0 $0 ADAMS 0 0 $0 0 0 $0 ALLAMAKEE 0 0 $0 0 0 $0 APPANOOSE 0 0 $0 0 0 $0 AUDUBON 1 1 $294 0 0 $0 BENTON 1 1 $2 0 0 $0 BLACK HAWK 0 0 $0 0 0 $0 BOONE 2 2 $522 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 1 1 $305 0 1 $17,436 BUTLER 0 0 $0 0 0 $0 CALHOUN 2 2 $612 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 2 2 $901 0 0 $0 CEDAR 1 1 $2 0 0 $0 CERRO GORD 2 2 $7 0 0 $0 CHEROKEE 0 0 $0 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 4 4 $978 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $2 0 0 $0 CLINTON 0 0 $0 0 0 $0 CRAWFORD 0 0 $0 0 0 $0 DALLAS 0 0 $0 0 0 $0 DAVIS 0 0 $0 0 0 $0 DECATUR 0 0 $0 0 0 $0 DELAWARE 0 0 $0 0 0 $0 DES MOINES 2 2 $757 0 0 $0 DICKINSON 2 3 $591 0 0 $0 DUBUQUE 1 1 $228 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 4 4 $739 0 0 $0 FLOYD 2 2 $587 0 0 $0 FRANKLIN 0 0 $0 0 0 $0 FREMONT 0 0 $0 0 0 $0 GREENE 0 0 $0 0 0 $0 GRUNDY 0 0 $0 0 0 $0 GUTHRIE 0 0 $0 0 0 $0 HAMILTON 0 0 $0 0 0 $0 HANCOCK 0 0 $0 0 0 $0 HARDIN 1 1 $306 0 0 $0 HARRISON 3 3 $633 0 0 $0 HENRY 1 1 $194 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $184 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS JASPER 0 0 $0 0 0 $0 JEFFERSON 0 1 $19,622 0 0 $0 JOHNSON 0 0 $0 0 1 $137 JONES 0 0 $0 0 0 $0 KEOKUK 1 1 $294 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 1 1 $293 0 0 $0 LINN 11 12 $3,075 2 5 $45,691 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 0 0 $0 0 0 $0 MAHASKA 1 1 $2 0 0 $0 MARION 1 1 $294 0 0 $0 MARSHALL 1 1 $6,815 0 0 $0 MILLS 0 0 $0 0 0 $0 MITCHELL 0 0 $0 0 0 $0 MONONA 0 0 $0 0 0 $0 MONROE 1 1 $2 0 0 $0 MONTGOMERY 0 0 $0 0 0 $0 MUSCATINE 1 2 $159 0 0 $0 O BRIEN 0 1 $0 0 0 $0 OSCEOLA 0 0 $0 0 0 $0 PAGE 1 1 $294 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 3 3 $684 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 21 20 $3,929 0 0 $0 POTTAWATTA 0 0 $0 0 1 $101 POWESHIEK 1 1 $2 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 0 0 $0 1 5 $3,883 SHELBY 0 0 $0 0 0 $0 SIOUX 1 1 $346 0 0 $0 STORY 3 3 $502 0 0 $0 TAMA 1 1 $18 0 0 $0 TAYLOR 0 0 $0 0 0 $0 UNION 0 0 $0 0 0 $0 VAN BUREN 0 0 $0 0 0 $0 WAPELLO 0 1 $0 0 0 $0 WARREN 2 2 $369 0 0 $0 WASHINGTON 2 2 $420 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 1 1 $2 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 0 0 $0 0 0 $0 WOODBURY 2 3 $35 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS WRIGHT 0 0 $0 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/25/23 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS STATE TOT 92 97 $45,521 3 13 $67,251 *** END OF REPORT ***