IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 09/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/24/23 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 09/30/23) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 1,485 1,581 8,539 $24,301,275.39 OUTPATIENT 8,864 19,706 3,433,255 $4,310,058.83 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 44 70 1,259 $524,268.15 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 255 654 19,077 $5,973,404.96 INTER CARE INT DISABLED 27 85 2,446 $1,234,213.61 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,188 2,642 685,839 $6,045,974.15 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 11,930 38,097 116,726 $2,770,052.58 CLINIC SERVICES 3,011 5,308 5,477 $12,695,437.82 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 1,712 3,020 10,174 $262,645.10 HABILITATION SERVICES 44 338 2,460 $383,173.22 BEHAVIORAL HLTH INTERVENTN SVC 76 466 3,130 $99,128.23 REHAB SUPPORT SERVICES 4 8 175 $9,770.25 AMBULANCE SERVICES 552 742 736 $418,816.78 LOCAL EDUCATION AGENCY 1,242 23,517 239,669 $4,122,849.25 INFANT TODDLER 447 1,646 3,588 $52,373.32 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 5,107 40,188 37,117 $4,000,709.91 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 12,420 32,197 28,505 $65,280.15 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 265 327 328 $36,417.43 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 153 161 154 $273,873.49 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 706 2,025 2,008 $8,292,681.20 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,007 12,229 12,229 $1,341,781.00 MEDICAL SUPPLIES 2,091 5,823 264,322 $486,797.27 HEALTH HOME PROVIDER 257 535 200 $28,448.12 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 825,040 2,092,684 2,087,081 $1,799,647,201.51 OTHER PRACTITIONER 7,448 28,117 160,378 $3,370,909.11 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 09/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/24/23 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 09/30/23) 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 306 350 352 $35,308.97 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 523 611 695 $32,010.73 CHIROPRACTIC 477 1,594 1,749 $29,928.84 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 401 636 1,077 $22,923.92 PREPAID AMBULATORY HEALTH PLAN 745,835 2,111,161 2,109,062 $28,412,361.16 PHYSICAL DISABILITIES SVCS 3 19 2,570 $10,129.36 BRAIN INJ WAIVER SERVICES 151 930 28,094 $1,610,101.12 PSYCHIATRIC 1,086 2,431 2,896 $158,062.58 RESIDENTIAL CARE FACILITY 328 945 26,539 $228,575.16 ID WAIVER SERVICE 606 3,023 167,058 $7,679,086.68 CHILDRENS MENTAL HEALTH SVC 31 94 12,051 $59,832.90 AIDS WAIVER SERVICES 1 4 4 $4,118.12 ELDERLY WAIVER SERVICES 25 196 5,823 $102,346.45 ILL & HANDICAPPED WAIVER SVCS 299 1,008 57,948 $1,861,105.01 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 622 1,956 15,908 $1,027,656.80 UNASSIGNED 3 0 0 $2,352,462.85 * A L L C A T E G O R I E S * 848,766 4,437,124 9,556,698 $1,924,373,551.48 *** END OF REPORT ***