IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 $124081 0 $0 50 $124081 $5909 $2482 ADAMS 8 17 $44728 0 $0 17 $44728 $5591 $2631 ALLAMAKEE 24 55 $135717 0 $0 55 $135717 $5655 $2468 APPANOOSE 68 147 $351457 0 $0 147 $351457 $5168 $2391 AUDUBON 11 22 $52814 0 $0 22 $52814 $4801 $2401 BENTON 55 101 $243531 0 $0 101 $243531 $4428 $2411 BLACK HAWK 396 831 $2019363 1 $628 832 $2019991 $5101 $2428 BOONE 52 120 $280126 0 $0 120 $280126 $5387 $2334 BREMER 24 45 $109097 0 $0 45 $109097 $4546 $2424 BUCHANAN 44 85 $192664 0 $0 85 $192664 $4379 $2267 BUENA VIST 41 71 $175477 1 $3805 72 $179282 $4373 $2490 BUTLER 24 41 $92183 0 $0 41 $92183 $3841 $2248 CALHOUN 24 61 $120681 0 $1920 61 $122601 $5108 $2010 CARROLL 52 109 $255743 0 $0 109 $255743 $4918 $2346 CASS 36 75 $189081 0 $0 75 $189081 $5252 $2521 CEDAR 24 42 $92175 0 $0 42 $92175 $3841 $2195 CERRO GORD 108 234 $526273 0 $0 234 $526273 $4873 $2249 CHEROKEE 24 43 $94950 0 $0 43 $94950 $3956 $2208 CHICKASAW 32 66 $160561 0 $0 66 $160561 $5018 $2433 CLARKE 35 93 $221339 0 $0 93 $221339 $6324 $2380 CLAY 59 120 $292657 0 $0 120 $292657 $4960 $2439 CLAYTON 39 85 $184544 0 $0 85 $184544 $4732 $2171 CLINTON 150 304 $737880 0 $0 304 $737880 $4919 $2427 CRAWFORD 19 44 $83586 0 $0 44 $83586 $4399 $1900 DALLAS 95 228 $541009 0 $0 228 $541009 $5695 $2373 DAVIS 19 39 $84864 0 $0 39 $84864 $4467 $2176 DECATUR 33 75 $186197 0 $0 75 $186197 $5642 $2483 DELAWARE 25 69 $161961 0 $0 69 $161961 $6478 $2347 DES MOINES 89 179 $433612 0 $0 179 $433612 $4872 $2422 DICKINSON 37 84 $195225 0 $0 84 $195225 $5276 $2324 DUBUQUE 158 360 $843875 0 $0 360 $843875 $5341 $2344 EMMET 21 37 $79462 0 $0 37 $79462 $3784 $2148 FAYETTE 52 119 $277550 0 $0 119 $277550 $5338 $2332 FLOYD 50 87 $196338 0 $0 87 $196338 $3927 $2257 FRANKLIN 15 31 $70094 0 $0 31 $70094 $4673 $2261 FREMONT 14 29 $67353 0 $0 29 $67353 $4811 $2323 GREENE 22 45 $101393 0 $0 45 $101393 $4609 $2253 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 13 32 $81357 0 $0 32 $81357 $6258 $2542 GUTHRIE 40 86 $202588 0 $0 86 $202588 $5065 $2356 HAMILTON 26 51 $118550 0 $0 51 $118550 $4560 $2325 HANCOCK 17 35 $73826 0 $0 35 $73826 $4343 $2109 HARDIN 53 102 $258997 0 $0 102 $258997 $4887 $2539 HARRISON 44 85 $204961 0 $0 85 $204961 $4658 $2411 HENRY 55 102 $240470 0 $0 102 $240470 $4372 $2358 HOWARD 15 31 $74466 0 $0 31 $74466 $4964 $2402 HUMBOLDT 16 38 $97512 0 $0 38 $97512 $6095 $2566 IDA 22 49 $113156 1 $286 50 $113442 $5156 $2269 IOWA 19 43 $99041 0 $0 43 $99041 $5213 $2303 JACKSON 39 85 $193880 0 $0 85 $193880 $4971 $2281 JASPER 78 172 $416545 0 $0 172 $416545 $5340 $2422 JEFFERSON 55 108 $266254 0 $0 108 $266254 $4841 $2465 JOHNSON 188 391 $907610 0 $0 391 $907610 $4828 $2321 JONES 39 88 $184244 0 $0 88 $184244 $4724 $2094 KEOKUK 31 53 $132167 0 $0 53 $132167 $4263 $2494 KOSSUTH 31 63 $142546 0 $0 63 $142546 $4598 $2263 LEE 96 186 $440934 1 $1509 187 $442443 $4609 $2366 LINN 455 1025 $2442518 2 $7457 1027 $2449975 $5385 $2386 LOUISA 14 31 $77661 0 $0 31 $77661 $5547 $2505 LUCAS 32 67 $158638 0 $0 67 $158638 $4957 $2368 LYON 14 35 $63004 0 $0 35 $63004 $4500 $1800 MADISON 39 88 $210710 0 $0 88 $210710 $5403 $2394 MAHASKA 81 191 $494265 0 $0 191 $494265 $6102 $2588 MARION 91 186 $447889 0 $0 186 $447889 $4922 $2408 MARSHALL 94 188 $443493 0 $0 188 $443493 $4718 $2359 MILLS 17 30 $83555 0 $0 30 $83555 $4915 $2785 MITCHELL 18 50 $118657 0 $0 50 $118657 $6592 $2373 MONONA 21 61 $135181 0 $0 61 $135181 $6437 $2216 MONROE 31 68 $177213 0 $0 68 $177213 $5717 $2606 MONTGOMERY 29 57 $137361 0 $0 57 $137361 $4737 $2410 MUSCATINE 114 228 $562117 1 $2475 229 $564592 $4953 $2465 O BRIEN 29 73 $165958 0 $0 73 $165958 $5723 $2273 OSCEOLA 8 17 $35960 0 $0 17 $35960 $4495 $2115 PAGE 45 118 $300565 0 $0 118 $300565 $6679 $2547 PALO ALTO 15 47 $103003 0 $0 47 $103003 $6867 $2192 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 28 69 $156710 0 $0 69 $156710 $5597 $2271 POCAHONTAS 13 37 $92257 0 $0 37 $92257 $7097 $2493 POLK 1626 3411 $8435269 3 $6453 3414 $8441722 $5192 $2473 POTTAWATTA 312 641 $1534901 1 $1559 642 $1536460 $4925 $2393 POWESHIEK 34 61 $153024 0 $0 61 $153024 $4501 $2509 RINGGOLD 27 59 $138302 0 $0 59 $138302 $5122 $2344 SAC 19 46 $103232 0 $0 46 $103232 $5433 $2244 SCOTT 435 884 $2190710 3 $4452 887 $2195162 $5046 $2475 SHELBY 18 38 $95434 0 $0 38 $95434 $5302 $2511 SIOUX 22 42 $106838 0 $0 42 $106838 $4856 $2544 STORY 82 188 $494835 0 $0 188 $494835 $6035 $2632 TAMA 13 12 $20105 0 $0 12 $20105 $1547 $1675 TAYLOR 19 38 $91977 0 $0 38 $91977 $4841 $2420 UNION 57 120 $308850 0 $0 120 $308850 $5418 $2574 VAN BUREN 23 55 $119928 0 $0 55 $119928 $5214 $2181 WAPELLO 168 337 $815340 0 $0 337 $815340 $4853 $2419 WARREN 79 194 $461030 0 $0 194 $461030 $5836 $2376 WASHINGTON 47 107 $245776 0 $0 107 $245776 $5229 $2297 WAYNE 24 53 $119061 0 $0 53 $119061 $4961 $2246 WEBSTER 97 193 $457611 1 $1083 194 $458694 $4729 $2364 WINNEBAGO 22 43 $109966 0 $0 43 $109966 $4998 $2557 WINNESHIEK 31 58 $155951 0 $0 58 $155951 $5031 $2689 WOODBURY 175 354 $864681 4 $1235 358 $865916 $4948 $2419 WORTH 9 23 $59964 0 $0 23 $59964 $6663 $2607 WRIGHT 47 101 $229143 0 $0 101 $229143 $4875 $2269 CENT. OFF 19 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 7470 15767 $37987388 19 $32862 15786 $38020250 $5090 $2408