IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 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 01/31/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 3,421 3,829 21,263 $63,373,395.96 OUTPATIENT 14,956 44,558 7,724,418 $10,694,594.22 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 85 186 3,692 $1,957,608.34 IHAWP IOWA PLAN LITE 0 0 0 $0.00 IHAWP IOWA PLAN FULL 1 0 0 $0.89- IHAWP HMO 1 0 0 $64.32- IHAWP PCP 0 0 0 $0.00 INTERMEDIATE CARE FACILITY 341 1,572 45,982 $14,143,195.62 INTER CARE INT DISABLED 29 170 4,848 $2,468,974.86 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,640 5,759 1,766,634 $13,740,413.78 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 19,365 87,184 267,929 $6,338,945.92 CLINIC SERVICES 5,750 12,642 12,449 $29,765,746.72 MEP CASE MANAGEMENT 1 0 0 $7,946.37 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 3,345 6,931 20,425 $680,110.63 HABILITATION SERVICES 57 814 5,845 $848,514.96 BEHAVIORAL HLTH INTERVENTN SVC 95 892 5,915 $176,966.67 REHAB SUPPORT SERVICES 4 20 433 $24,174.39 AMBULANCE SERVICES 1,188 1,677 1,813 $898,889.90 LOCAL EDUCATION AGENCY 3,222 159,204 1,074,479 $23,504,930.70 INFANT TODDLER 616 3,233 7,284 $103,968.61 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 7,628 93,389 88,933 $9,874,216.65 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 16,642 73,335 65,001 $152,167.69 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 522 819 829 $92,757.25 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 398 426 386 $677,344.48 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 758 4,759 4,705 $19,640,070.16 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,142 26,615 27,288 $3,169,182.02 MEDICAL SUPPLIES 3,373 13,689 620,058 $1,092,430.11 HEALTH HOME PROVIDER 316 1,189 594 $93,771.68 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 858,799 4,667,458 4,653,737 $4,007,802,582.63 OTHER PRACTITIONER 13,375 108,374 452,816 $16,919,923.28 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 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 01/31/24) 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 581 703 702 $69,260.36 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,303 1,641 1,947 $90,630.60 CHIROPRACTIC 705 3,565 3,945 $55,655.16 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 658 1,375 2,385 $51,408.92 PREPAID AMBULATORY HEALTH PLAN 796,454 4,709,143 4,701,441 $64,487,564.91 PHYSICAL DISABILITIES SVCS 5 58 5,983 $24,484.04 BRAIN INJ WAIVER SERVICES 154 2,185 69,574 $3,898,975.83 PSYCHIATRIC 1,760 5,367 6,453 $379,928.81 RESIDENTIAL CARE FACILITY 379 2,104 60,657 $522,577.66 ID WAIVER SERVICE 632 6,967 349,000 $15,781,729.12 CHILDRENS MENTAL HEALTH SVC 34 225 34,739 $170,463.62 AIDS WAIVER SERVICES 1 8 8 $9,066.28 ELDERLY WAIVER SERVICES 28 490 14,658 $238,283.29 ILL & HANDICAPPED WAIVER SVCS 314 2,404 133,902 $4,314,011.39 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 640 4,502 36,000 $2,325,600.00 UNASSIGNED 4 0 0 $6,709,092.62 * A L L C A T E G O R I E S * 886,428 10,059,461 22,299,150 $4,327,371,491.00 *** END OF REPORT ***