IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 09/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/24/23 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 20 49 $114919 0 $0 49 $114919 $5746 $2345 ADAMS 7 18 $44762 0 $0 18 $44762 $6395 $2487 ALLAMAKEE 24 53 $131278 0 $0 53 $131278 $5470 $2477 APPANOOSE 66 150 $343232 0 $0 150 $343232 $5200 $2288 AUDUBON 10 21 $50557 0 $0 21 $50557 $5056 $2407 BENTON 50 100 $239993 0 $0 100 $239993 $4800 $2400 BLACK HAWK 395 822 $1983946 0 $0 822 $1983946 $5023 $2414 BOONE 49 113 $282266 0 $0 113 $282266 $5761 $2498 BREMER 21 43 $109909 0 $0 43 $109909 $5234 $2556 BUCHANAN 47 85 $199363 0 $0 85 $199363 $4242 $2345 BUENA VIST 40 73 $179853 0 $4228 73 $184081 $4602 $2522 BUTLER 23 40 $101285 0 $0 40 $101285 $4404 $2532 CALHOUN 25 60 $148859 1 $2673 61 $151532 $6061 $2484 CARROLL 51 106 $254040 0 $0 106 $254040 $4981 $2397 CASS 35 74 $192626 0 $0 74 $192626 $5504 $2603 CEDAR 23 39 $92656 0 $0 39 $92656 $4029 $2376 CERRO GORD 105 230 $553827 0 $0 230 $553827 $5275 $2408 CHEROKEE 26 47 $120612 0 $0 47 $120612 $4639 $2566 CHICKASAW 33 67 $153714 0 $0 67 $153714 $4658 $2294 CLARKE 38 90 $217973 0 $0 90 $217973 $5736 $2422 CLAY 58 113 $269236 0 $0 113 $269236 $4642 $2383 CLAYTON 35 86 $207058 0 $0 86 $207058 $5916 $2408 CLINTON 149 303 $726321 0 $0 303 $726321 $4875 $2397 CRAWFORD 18 42 $102060 0 $0 42 $102060 $5670 $2430 DALLAS 93 230 $557648 0 $0 230 $557648 $5996 $2425 DAVIS 19 38 $78414 0 $0 38 $78414 $4127 $2064 DECATUR 32 72 $172697 0 $0 72 $172697 $5397 $2399 DELAWARE 25 67 $156769 0 $0 67 $156769 $6271 $2340 DES MOINES 93 183 $455437 0 $0 183 $455437 $4897 $2489 DICKINSON 34 82 $208597 0 $0 82 $208597 $6135 $2544 DUBUQUE 159 351 $826533 0 $0 351 $826533 $5198 $2355 EMMET 20 39 $103427 0 $0 39 $103427 $5171 $2652 FAYETTE 52 121 $289762 0 $0 121 $289762 $5572 $2395 FLOYD 47 83 $203198 0 $0 83 $203198 $4323 $2448 FRANKLIN 13 32 $74409 0 $0 32 $74409 $5724 $2325 FREMONT 15 28 $74325 0 $0 28 $74325 $4955 $2654 GREENE 22 48 $119336 0 $0 48 $119336 $5424 $2486 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 09/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/24/23 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 14 32 $68616 0 $0 32 $68616 $4901 $2144 GUTHRIE 40 85 $198861 0 $0 85 $198861 $4972 $2340 HAMILTON 27 46 $101604 0 $0 46 $101604 $3763 $2209 HANCOCK 20 40 $89526 0 $0 40 $89526 $4476 $2238 HARDIN 53 101 $234760 0 $0 101 $234760 $4429 $2324 HARRISON 45 86 $204270 0 $0 86 $204270 $4539 $2375 HENRY 54 103 $256112 0 $0 103 $256112 $4743 $2487 HOWARD 14 32 $70247 0 $0 32 $70247 $5018 $2195 HUMBOLDT 16 37 $75161 0 $0 37 $75161 $4698 $2031 IDA 24 55 $130571 1 $226 56 $130797 $5450 $2336 IOWA 20 45 $109723 0 $0 45 $109723 $5486 $2438 JACKSON 38 79 $184758 0 $0 79 $184758 $4862 $2339 JASPER 74 171 $396569 0 $0 171 $396569 $5359 $2319 JEFFERSON 53 106 $232006 0 $0 106 $232006 $4377 $2189 JOHNSON 184 385 $895060 0 $0 385 $895060 $4864 $2325 JONES 38 88 $211333 0 $0 88 $211333 $5561 $2402 KEOKUK 30 50 $125555 0 $0 50 $125555 $4185 $2511 KOSSUTH 31 61 $151531 0 $0 61 $151531 $4888 $2484 LEE 93 187 $493713 1 $1429 188 $495142 $5324 $2634 LINN 459 1015 $2423787 2 $16463 1017 $2440250 $5316 $2399 LOUISA 14 32 $80078 0 $0 32 $80078 $5720 $2502 LUCAS 32 62 $136426 0 $0 62 $136426 $4263 $2200 LYON 13 34 $85413 0 $0 34 $85413 $6570 $2512 MADISON 39 91 $245739 0 $0 91 $245739 $6301 $2700 MAHASKA 81 188 $463606 0 $0 188 $463606 $5724 $2466 MARION 92 182 $440943 0 $0 182 $440943 $4793 $2423 MARSHALL 91 186 $431612 0 $0 186 $431612 $4743 $2320 MILLS 17 29 $66066 0 $0 29 $66066 $3886 $2278 MITCHELL 16 47 $106283 0 $0 47 $106283 $6643 $2261 MONONA 19 58 $138756 0 $0 58 $138756 $7303 $2392 MONROE 31 67 $143557 0 $0 67 $143557 $4631 $2143 MONTGOMERY 24 53 $125727 0 $0 53 $125727 $5239 $2372 MUSCATINE 112 222 $515616 1 $923 223 $516539 $4612 $2316 O BRIEN 28 69 $165180 0 $0 69 $165180 $5899 $2394 OSCEOLA 7 16 $40530 0 $0 16 $40530 $5790 $2533 PAGE 48 110 $234986 0 $0 110 $234986 $4896 $2136 PALO ALTO 17 47 $111444 0 $0 47 $111444 $6556 $2371 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 09/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/24/23 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 30 70 $164014 0 $0 70 $164014 $5467 $2343 POCAHONTAS 16 35 $74254 0 $0 35 $74254 $4641 $2122 POLK 1628 3381 $8221121 3 $6963 3384 $8228084 $5054 $2431 POTTAWATTA 309 646 $1518230 1 $1695 647 $1519925 $4919 $2349 POWESHIEK 34 64 $152314 0 $0 64 $152314 $4480 $2380 RINGGOLD 27 54 $125916 0 $0 54 $125916 $4664 $2332 SAC 19 42 $73344 0 $0 42 $73344 $3860 $1746 SCOTT 432 886 $2184060 3 $3907 889 $2187967 $5065 $2461 SHELBY 16 36 $65642 0 $0 36 $65642 $4103 $1823 SIOUX 23 43 $97951 0 $0 43 $97951 $4259 $2278 STORY 82 186 $439118 0 $0 186 $439118 $5355 $2361 TAMA 13 14 $43687 0 $0 14 $43687 $3361 $3121 TAYLOR 18 34 $77579 0 $0 34 $77579 $4310 $2282 UNION 54 116 $263902 0 $0 116 $263902 $4887 $2275 VAN BUREN 22 53 $124766 0 $0 53 $124766 $5671 $2354 WAPELLO 159 334 $796888 0 $0 334 $796888 $5012 $2386 WARREN 81 198 $486021 0 $0 198 $486021 $6000 $2455 WASHINGTON 46 102 $228561 0 $0 102 $228561 $4969 $2241 WAYNE 24 49 $112492 0 $0 49 $112492 $4687 $2296 WEBSTER 95 194 $461282 1 $1267 195 $462549 $4869 $2372 WINNEBAGO 24 42 $104167 0 $0 42 $104167 $4340 $2480 WINNESHIEK 33 60 $140693 0 $0 60 $140693 $4263 $2345 WOODBURY 175 346 $861285 4 $837 350 $862122 $4926 $2463 WORTH 9 22 $54891 0 $0 22 $54891 $6099 $2495 WRIGHT 57 119 $266718 0 $0 119 $266718 $4679 $2241 CENT. OFF 18 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 7424 15621 $37465518 18 $40611 15639 $37506129 $5052 $2398