IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 09/30/23) * * * * * 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 557 566 2,898 $10,084,277.96 $3,479.74 $14.47 5.2 $18,104.63 OUTPATIENT 4,128 6,141 962,465 $1,417,734.70 $1.47 $2.03 233.2 $343.44 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 17 18 337 $178,888.83 $530.83 $0.26 19.8 $10,522.87 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 193 209 6,205 $2,404,609.05 $387.53 $3.45 32.2 $12,459.11 INTER CARE INT DISABLED 23 29 815 $409,986.54 $503.05 $0.59 35.4 $17,825.50 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 594 866 200,676 $2,048,368.47 $10.21 $2.94 337.8 $3,448.43 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 6,188 13,242 37,053 $968,093.28 $26.13 $1.39 6.0 $156.45 CLINIC SERVICES 1,120 1,536 1,531 $6,789,482.46 $4,434.67 $9.75 1.4 $6,062.04 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 635 967 2,650 $81,712.62 $30.83 $0.12 4.2 $128.68 HABILITATION SERVICES 35 102 687 $90,428.32 $131.63 $0.13 19.6 $2,583.67 BEHAVIORAL HLTH INTERVENTN SVC 47 172 1,004 $28,294.96 $28.18 $0.04 21.4 $602.02 REHAB SUPPORT SERVICES 2 2 46 $2,568.18 $55.83 $0.00 23.0 $1,284.09 AMBULANCE SERVICES 187 228 228 $89,633.46 $393.13 $0.13 1.2 $479.32 LOCAL EDUCATION AGENCY 662 7,277 94,410 $1,944,001.97 $20.59 $2.79 142.6 $2,936.56 INFANT TODDLER 238 510 1,090 $18,196.55 $16.69 $0.03 4.6 $76.46 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 3,211 12,762 11,750 $1,487,931.12 $126.63 $38.17 3.7 $463.39 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 10,108 10,580 8,262 $18,750.50 $2.27 $0.03 .8 $1.86 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 100 106 107 $9,898.09 $92.51 $0.01 1.1 $98.98 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 52 48 47 $90,672.92 $1,929.21 $11.17 .9 $1,743.71 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 684 671 660 $2,790,650.20 $4,228.26 $4.01 1.0 $4,079.90 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,772 3,753 3,753 $398,387.28 $106.15 $0.57 2.1 $224.82 MEDICAL SUPPLIES 1,091 1,525 71,087 $121,322.02 $1.71 $3.11 65.2 $111.20 HEALTH HOME PROVIDER 173 168 101 $13,341.72 $132.10 $0.02 .6 $77.12 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 808,465 675,462 674,294 $647,426,480.91 $960.15 $929.31 .8 $800.81 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 09/30/23) * * * * * 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 2,520 7,429 43,022 $1,097,068.42 $25.50 $1.57 17.1 $435.34 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 96 111 113 $13,077.71 $115.73 $0.34 1.2 $136.23 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 175 198 226 $10,774.97 $47.68 $0.02 1.3 $61.57 CHIROPRACTIC 239 456 505 $9,941.54 $19.69 $0.26 2.1 $41.60 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 169 213 439 $5,462.07 $12.44 $0.01 2.6 $32.32 PREPAID AMBULATORY HEALTH PLAN 661,015 682,116 681,027 $9,193,061.70 $13.50 $13.20 1.0 $13.91 PHYSICAL DISABILITIES SVCS 3 6 854 $3,361.04 $3.94 $0.00 284.7 $1,120.35 BRAIN INJ WAIVER SERVICES 142 290 9,127 $533,002.03 $58.40 $0.77 64.3 $3,753.54 PSYCHIATRIC 518 803 980 $64,545.25 $65.86 $0.09 1.9 $124.60 RESIDENTIAL CARE FACILITY 255 279 8,231 $74,022.68 $8.99 $0.11 32.3 $290.29 ID WAIVER SERVICE 559 994 52,177 $2,718,076.48 $52.09 $271.70 93.3 $4,862.39 CHILDRENS MENTAL HEALTH SVC 27 33 3,764 $18,920.35 $5.03 $26.17 139.4 $700.75 AIDS WAIVER SERVICES 1 1 1 $1,237.04 $1,237.04 $53.78 1.0 $1,237.04 ELDERLY WAIVER SERVICES 24 58 1,968 $37,391.57 $19.00 $6.50 82.0 $1,557.98 ILL & HANDICAPPED WAIVER SVCS 265 319 20,783 $644,907.11 $31.03 $361.09 78.4 $2,433.61 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 603 660 5,739 $370,739.40 $64.60 $0.53 9.5 $614.82 UNASSIGNED 1 0 0 $79,158.90- $0.00 $0.11- .0 $79,158.90- * A L L C A T E G O R I E S * 827,170 1,430,906 2,911,112 $693,630,142.57 $238.27 $995.63 3.5 $838.56 *** END OF REPORT ***