IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 08/31/23) * * * * * 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 486 486 2,935 $7,474,266.82 $2,546.60 $10.33 6.0 $15,379.15 OUTPATIENT 4,027 5,897 925,322 $1,262,987.35 $1.36 $1.74 229.8 $313.63 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 25 25 475 $155,369.46 $327.09 $0.21 19.0 $6,214.78 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 199 227 6,675 $3,331,469.62 $499.10 $4.60 33.5 $16,741.05 INTER CARE INT DISABLED 22 32 939 $451,968.94 $481.33 $0.62 42.7 $20,544.04 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 774 823 282,530 $1,969,295.54 $6.97 $2.72 365.0 $2,544.31 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,381 11,041 35,679 $782,373.61 $21.93 $1.08 6.6 $145.40 CLINIC SERVICES 1,227 1,636 1,823 $2,797,735.98 $1,534.69 $3.87 1.5 $2,280.14 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 656 957 3,000 $94,308.49 $31.44 $0.13 4.6 $143.76 HABILITATION SERVICES 31 80 565 $87,278.54 $154.48 $0.12 18.2 $2,815.44 BEHAVIORAL HLTH INTERVENTN SVC 56 155 1,124 $33,558.37 $29.86 $0.05 20.1 $599.26 REHAB SUPPORT SERVICES 4 3 63 $3,517.29 $55.83 $0.00 15.8 $879.32 AMBULANCE SERVICES 208 260 257 $227,272.23 $884.33 $0.31 1.2 $1,092.65 LOCAL EDUCATION AGENCY 328 6,964 56,050 $739,532.23 $13.19 $1.02 170.9 $2,254.67 INFANT TODDLER 209 373 717 $9,449.83 $13.18 $0.01 3.4 $45.21 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 3,258 12,537 12,206 $1,116,988.20 $91.51 $25.57 3.7 $342.84 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 10,154 10,748 10,748 $24,827.88 $2.31 $0.03 1.1 $2.45 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 112 122 122 $16,609.05 $136.14 $0.02 1.1 $148.30 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 51 60 58 $86,653.03 $1,494.02 $8.31 1.1 $1,699.08 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 670 692 686 $2,819,350.28 $4,109.84 $3.90 1.0 $4,207.99 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,879 4,738 4,738 $522,789.72 $110.34 $0.72 2.5 $278.23 MEDICAL SUPPLIES 1,240 1,981 84,526 $161,908.39 $1.92 $3.71 68.2 $130.57 HEALTH HOME PROVIDER 157 141 1 $5,911.95 $5,911.95 $0.01 .0 $37.66 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 815,004 694,495 691,613 $531,122,757.61 $767.95 $733.78 .8 $651.68 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 08/31/23) * * * * * 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 2,446 6,695 51,493 $988,207.12 $19.19 $1.37 21.1 $404.01 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 109 107 107 $11,180.56 $104.49 $0.26 1.0 $102.57 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 182 195 212 $10,769.19 $50.80 $0.01 1.2 $59.17 CHIROPRACTIC 264 523 569 $8,680.22 $15.26 $0.20 2.2 $32.88 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 148 188 245 $8,301.28 $33.88 $0.01 1.7 $56.09 PREPAID AMBULATORY HEALTH PLAN 678,556 699,232 699,214 $9,427,655.79 $13.48 $13.02 1.0 $13.89 PHYSICAL DISABILITIES SVCS 3 7 862 $3,407.28 $3.95 $0.00 287.3 $1,135.76 BRAIN INJ WAIVER SERVICES 144 307 8,785 $548,320.84 $62.42 $0.76 61.0 $3,807.78 PSYCHIATRIC 461 753 887 $43,772.15 $49.35 $0.06 1.9 $94.95 RESIDENTIAL CARE FACILITY 265 278 7,843 $71,270.57 $9.09 $0.10 29.6 $268.95 ID WAIVER SERVICE 544 921 57,011 $2,300,956.33 $40.36 $218.95 104.8 $4,229.70 CHILDRENS MENTAL HEALTH SVC 21 26 3,535 $17,212.39 $4.87 $22.35 168.3 $819.64 AIDS WAIVER SERVICES 1 2 2 $1,644.04 $822.02 $58.72 2.0 $1,644.04 ELDERLY WAIVER SERVICES 24 65 1,718 $26,469.49 $15.41 $4.26 71.6 $1,102.90 ILL & HANDICAPPED WAIVER SVCS 256 321 14,361 $575,544.40 $40.08 $299.76 56.1 $2,248.22 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 559 673 5,090 $328,814.00 $64.60 $0.45 9.1 $588.22 UNASSIGNED 1 0 0 $218,676.00- $0.00 $0.30- .0 $218,676.00- * A L L C A T E G O R I E S * 833,490 1,464,766 2,974,786 $569,451,710.06 $191.43 $786.73 3.6 $683.21 *** END OF REPORT ***