IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 06/30/23) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED INPATIENT 455 452 2,447 $28,407,400.74 $11,609.07 $36.13 5.4 $62,433.85 OUTPATIENT 4,126 5,901 896,119 $1,438,435.20 $1.61 $1.83 217.2 $348.63 CHILD PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 SKILLED NURSING FACILITY 22 24 345 $240,779.05 $697.91 $0.31 15.7 $10,944.50 IHAWP IOWA PLAN LITE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP HMO 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP PCP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 INTERMEDIATE CARE FACILITY 242 212 6,257 $2,871,890.34 $458.99 $3.65 25.9 $11,867.32 INTER CARE INT DISABLED 27 26 742 $328,894.64 $443.25 $0.42 27.5 $12,181.28 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 673 893 196,985 $2,029,959.82 $10.31 $2.58 292.7 $3,016.29 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,497 11,008 35,460 $826,252.33 $23.30 $1.05 6.5 $150.31 CLINIC SERVICES 1,225 1,640 1,397 $2,994,946.73 $2,143.84 $3.81 1.1 $2,444.85 MEP CASE MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 LAB AND RADIOLOGICAL 568 831 2,136 $57,791.95 $27.06 $0.07 3.8 $101.75 HABILITATION SERVICES 34 89 654 $115,028.32 $175.88 $0.15 19.2 $3,383.19 BEHAVIORAL HLTH INTERVENTN SVC 49 126 992 $29,189.25 $29.42 $0.04 20.2 $595.70 REHAB SUPPORT SERVICES 3 3 69 $3,852.27 $55.83 $0.00 23.0 $1,284.09 AMBULANCE SERVICES 150 165 164 $5,341.06 $32.57 $0.01 1.1 $35.61 LOCAL EDUCATION AGENCY 2,908 80,456 375,006 $12,433,151.09 $33.15 $15.81 129.0 $4,275.50 INFANT TODDLER 252 466 1,203 $15,859.78 $13.18 $0.02 4.8 $62.94 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PRESCRIBED DRUGS 3,208 11,853 10,479 $1,136,792.02 $108.48 $26.14 3.3 $354.36 IOWA-PLAN-PMIC 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DRUG CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 NEMT SERVICES 11,001 11,319 9,683 $22,082.25 $2.28 $0.03 .9 $2.01 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 70 68 68 $7,104.20 $104.47 $0.01 1.0 $101.49 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EPSDT SCREENING 59 575 573 $70,790.04 $123.54 $8.11 9.7 $1,199.83 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 665 662 657 $2,655,547.03 $4,041.93 $3.38 1.0 $3,993.30 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,983 4,372 4,372 $499,713.54 $114.30 $0.64 2.2 $252.00 MEDICAL SUPPLIES 1,260 1,887 94,355 $149,665.04 $1.59 $3.44 74.9 $118.78 HEALTH HOME PROVIDER 162 354 350 $65,058.42 $185.88 $0.08 2.2 $401.60 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP QHP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MCO 804,301 749,983 748,503 $523,012,413.85 $698.74 $665.10 .9 $650.27 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 06/30/23) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED OTHER PRACTITIONER 5,895 49,957 146,306 $10,832,452.20 $74.04 $13.78 24.8 $1,837.57 FAMILY CENTERED PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DENTAL 117 123 124 $15,116.40 $121.91 $0.35 1.1 $129.20 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 254 281 312 $15,528.52 $49.77 $0.02 1.2 $61.14 CHIROPRACTIC 277 494 510 $5,355.15 $10.50 $0.12 1.8 $19.33 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 155 195 274 $7,589.13 $27.70 $0.01 1.8 $48.96 PREPAID AMBULATORY HEALTH PLAN 744,294 757,473 756,723 $10,114,723.39 $13.37 $12.86 1.0 $13.59 PHYSICAL DISABILITIES SVCS 3 8 868 $3,441.96 $3.97 $0.00 289.3 $1,147.32 BRAIN INJ WAIVER SERVICES 136 291 7,899 $453,349.42 $57.39 $0.58 58.1 $3,333.45 PSYCHIATRIC 521 768 1,009 $54,797.78 $54.31 $0.07 1.9 $105.18 RESIDENTIAL CARE FACILITY 280 357 10,332 $93,829.96 $9.08 $0.12 36.9 $335.11 ID WAIVER SERVICE 538 927 40,720 $2,312,660.19 $56.79 $206.60 75.7 $4,298.62 CHILDRENS MENTAL HEALTH SVC 15 16 2,515 $11,824.07 $4.70 $13.85 167.7 $788.27 AIDS WAIVER SERVICES 1 1 1 $1,237.04 $1,237.04 $39.90 1.0 $1,237.04 ELDERLY WAIVER SERVICES 24 59 1,610 $32,559.80 $20.22 $4.72 67.1 $1,356.66 ILL & HANDICAPPED WAIVER SVCS 259 340 15,153 $529,026.37 $34.91 $254.83 58.5 $2,042.57 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 519 553 5,163 $333,529.80 $64.60 $0.42 9.9 $642.64 UNASSIGNED 1 0 0 $1,670,783.94 $0.00 $2.12 .0 $0.00 * A L L C A T E G O R I E S * 824,143 1,695,208 3,378,535 $605,905,744.08 $179.34 $770.52 4.1 $735.19 *** END OF REPORT ***