IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS ADAIR 1 3 $303 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 0 1 $0 0 0 $0 BENTON 1 1 $2 0 0 $0 BLACK HAWK 0 0 $0 0 0 $0 BOONE 2 2 $527 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 1 $0 0 1 $253 BUTLER 0 0 $0 0 0 $0 CALHOUN 2 2 $606 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 2 2 $1,469 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 2 2 $499 0 0 $0 CHEROKEE 0 0 $0 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 4 $647 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 1 $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 $4 0 0 $0 DICKINSON 2 2 $460 0 0 $0 DUBUQUE 1 1 $230 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $1,457 0 0 $0 FLOYD 2 2 $606 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 $303 0 0 $0 HARRISON 3 3 $615 0 0 $0 HENRY 2 2 $384 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $192 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 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 0 $0 0 0 $0 JOHNSON 0 0 $0 0 0 $0 JONES 0 0 $0 0 0 $0 KEOKUK 1 1 $297 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 1 1 $297 0 0 $0 LINN 8 10 $2,043 0 2 $32 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 1 1 $192 0 0 $0 MAHASKA 1 1 $2 0 0 $0 MARION 1 1 $303 0 0 $0 MARSHALL 0 1 $8 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 $65- 0 1 $2,784- O BRIEN 0 0 $0 0 0 $0 OSCEOLA 0 0 $0 0 0 $0 PAGE 1 1 $297 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 3 $423 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 26 25 $5,232 0 2 $138,349- POTTAWATTA 0 0 $0 0 2 $65 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 0 2 $259 SHELBY 0 0 $0 0 0 $0 SIOUX 1 1 $169 0 0 $0 STORY 5 5 $1,008 0 0 $0 TAMA 1 1 $11 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 0 $0 0 0 $0 WARREN 2 2 $384 0 0 $0 WASHINGTON 2 2 $347 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 4 5 $1,733 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 08/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/28/23 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 96 102 $21,009 0 11 $140,523- *** END OF REPORT ***