IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 08/31/23) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 1,007 1,015 5,641 $14,216,997.43 OUTPATIENT 7,106 13,565 2,470,790 $2,892,324.13 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 37 52 922 $345,379.32 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 240 445 12,872 $3,568,795.91 INTER CARE INT DISABLED 25 56 1,631 $824,227.07 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,014 1,776 485,163 $3,997,605.68 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 9,032 24,855 79,673 $1,801,959.30 CLINIC SERVICES 2,341 3,772 3,946 $5,905,955.36 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 1,250 2,053 7,524 $180,932.48 HABILITATION SERVICES 39 236 1,773 $292,744.90 BEHAVIORAL HLTH INTERVENTN SVC 71 294 2,126 $70,833.27 REHAB SUPPORT SERVICES 4 6 129 $7,202.07 AMBULANCE SERVICES 407 514 508 $329,183.32 LOCAL EDUCATION AGENCY 822 16,240 145,259 $2,178,847.28 INFANT TODDLER 387 1,136 2,498 $34,176.77 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 4,358 27,426 25,367 $2,512,778.79 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 11,482 21,617 20,243 $46,529.65 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 189 221 221 $26,519.34 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 104 113 107 $183,200.57 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 687 1,354 1,348 $5,502,031.00 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,975 8,476 8,476 $943,393.72 MEDICAL SUPPLIES 1,837 4,298 193,235 $365,475.25 HEALTH HOME PROVIDER 243 367 99 $15,106.40 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 815,418 1,417,222 1,412,787 $1,152,220,720.60 OTHER PRACTITIONER 6,104 20,688 117,356 $2,273,840.69 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 08/31/23) 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 228 239 239 $22,231.26 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 365 413 469 $21,235.76 CHIROPRACTIC 398 1,138 1,244 $19,987.30 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 303 423 638 $17,461.85 PREPAID AMBULATORY HEALTH PLAN 726,587 1,429,045 1,428,035 $19,219,299.46 PHYSICAL DISABILITIES SVCS 3 13 1,716 $6,768.32 BRAIN INJ WAIVER SERVICES 150 640 18,967 $1,077,099.09 PSYCHIATRIC 812 1,628 1,916 $93,517.33 RESIDENTIAL CARE FACILITY 322 666 18,308 $154,552.48 ID WAIVER SERVICE 596 2,029 114,881 $4,961,010.20 CHILDRENS MENTAL HEALTH SVC 28 61 8,287 $40,912.55 AIDS WAIVER SERVICES 1 3 3 $2,881.08 ELDERLY WAIVER SERVICES 25 138 3,855 $64,954.88 ILL & HANDICAPPED WAIVER SVCS 295 689 37,165 $1,216,197.90 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 600 1,296 10,169 $656,917.40 UNASSIGNED 3 0 0 $2,431,621.75 * A L L C A T E G O R I E S * 837,560 3,006,218 6,645,586 $1,230,743,408.91 *** END OF REPORT ***