IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 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 27 57 $124173 0 $0 57 $124173 $4599 $2178 ADAMS 9 22 $44363 0 $0 22 $44363 $4929 $2017 ALLAMAKEE 28 60 $133079 0 $0 60 $133079 $4753 $2218 APPANOOSE 68 144 $283928 0 $0 144 $283928 $4175 $1972 AUDUBON 12 27 $62097 0 $0 27 $62097 $5175 $2300 BENTON 52 102 $199950 0 $0 102 $199950 $3845 $1960 BLACK HAWK 384 825 $1620089 0 $0 825 $1620089 $4219 $1964 BOONE 54 115 $230669 0 $0 115 $230669 $4272 $2006 BREMER 21 47 $88729 0 $0 47 $88729 $4225 $1888 BUCHANAN 41 80 $146618 0 $0 80 $146618 $3576 $1833 BUENA VIST 38 73 $155660 0 $3962 73 $159622 $4201 $2187 BUTLER 24 48 $106465 0 $0 48 $106465 $4436 $2218 CALHOUN 25 61 $119836 0 $1254 61 $121090 $4844 $1985 CARROLL 46 108 $204371 0 $0 108 $204371 $4443 $1892 CASS 39 81 $155595 0 $0 81 $155595 $3990 $1921 CEDAR 29 55 $102319 0 $0 55 $102319 $3528 $1860 CERRO GORD 105 227 $457152 0 $0 227 $457152 $4354 $2014 CHEROKEE 24 48 $93164 0 $0 48 $93164 $3882 $1941 CHICKASAW 31 74 $112067 0 $0 74 $112067 $3615 $1514 CLARKE 40 99 $190778 0 $0 99 $190778 $4769 $1927 CLAY 56 115 $201443 0 $0 115 $201443 $3597 $1752 CLAYTON 34 89 $164154 0 $0 89 $164154 $4828 $1844 CLINTON 134 294 $550852 0 $0 294 $550852 $4111 $1874 CRAWFORD 19 38 $75432 0 $0 38 $75432 $3970 $1985 DALLAS 115 255 $524010 0 $0 255 $524010 $4557 $2055 DAVIS 18 35 $57693 0 $0 35 $57693 $3205 $1648 DECATUR 40 83 $177456 0 $0 83 $177456 $4436 $2138 DELAWARE 29 64 $106659 0 $0 64 $106659 $3678 $1667 DES MOINES 96 190 $403730 0 $0 190 $403730 $4206 $2125 DICKINSON 37 88 $169161 0 $0 88 $169161 $4572 $1922 DUBUQUE 170 368 $728841 0 $0 368 $728841 $4287 $1981 EMMET 17 39 $75421 0 $0 39 $75421 $4437 $1934 FAYETTE 52 135 $275093 0 $0 135 $275093 $5290 $2038 FLOYD 42 80 $186327 0 $0 80 $186327 $4436 $2329 FRANKLIN 13 28 $48809 0 $0 28 $48809 $3755 $1743 FREMONT 19 32 $88709 0 $0 32 $88709 $4669 $2772 GREENE 23 50 $102035 0 $0 50 $102035 $4436 $2041 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 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 15 30 $44372 0 $0 30 $44372 $2958 $1479 GUTHRIE 39 84 $168582 0 $0 84 $168582 $4323 $2007 HAMILTON 27 56 $115325 0 $0 56 $115325 $4271 $2059 HANCOCK 18 42 $84280 0 $0 42 $84280 $4682 $2007 HARDIN 48 107 $217399 0 $0 107 $217399 $4529 $2032 HARRISON 42 89 $185836 0 $0 89 $185836 $4425 $2088 HENRY 45 95 $182142 0 $0 95 $182142 $4048 $1917 HOWARD 14 33 $57661 0 $0 33 $57661 $4119 $1747 HUMBOLDT 17 36 $75423 0 $0 36 $75423 $4437 $2095 IDA 27 57 $115359 0 $437 57 $115796 $4289 $2032 IOWA 19 45 $84572 0 $0 45 $84572 $4451 $1879 JACKSON 38 79 $168601 0 $0 79 $168601 $4437 $2134 JASPER 75 177 $346311 0 $0 177 $346311 $4617 $1957 JEFFERSON 50 114 $213160 0 $0 114 $213160 $4263 $1870 JOHNSON 191 399 $790396 0 $0 399 $790396 $4138 $1981 JONES 37 79 $159706 0 $0 79 $159706 $4316 $2022 KEOKUK 25 48 $97615 0 $0 48 $97615 $3905 $2034 KOSSUTH 34 69 $150561 0 $0 69 $150561 $4428 $2182 LEE 87 185 $341692 0 $1322 185 $343014 $3943 $1854 LINN 467 1054 $2173080 0 $4624 1054 $2177704 $4663 $2066 LOUISA 12 36 $66551 0 $0 36 $66551 $5546 $1849 LUCAS 27 61 $93630 0 $0 61 $93630 $3468 $1535 LYON 15 40 $71497 0 $0 40 $71497 $4766 $1787 MADISON 36 86 $177496 0 $0 86 $177496 $4930 $2064 MAHASKA 76 187 $350944 0 $0 187 $350944 $4618 $1877 MARION 85 179 $350757 0 $0 179 $350757 $4127 $1960 MARSHALL 83 183 $368238 0 $0 183 $368238 $4437 $2012 MILLS 21 39 $79867 0 $0 39 $79867 $3803 $2048 MITCHELL 18 45 $84296 0 $0 45 $84296 $4683 $1873 MONONA 20 54 $102308 0 $0 54 $102308 $5115 $1895 MONROE 32 67 $137494 0 $0 67 $137494 $4297 $2052 MONTGOMERY 26 58 $124211 0 $0 58 $124211 $4777 $2142 MUSCATINE 111 236 $515187 0 $1001 236 $516188 $4650 $2187 O BRIEN 26 66 $128667 0 $0 66 $128667 $4949 $1950 OSCEOLA 8 16 $26891 0 $0 16 $26891 $3361 $1681 PAGE 53 119 $248440 0 $0 119 $248440 $4688 $2088 PALO ALTO 15 47 $84840 0 $0 47 $84840 $5656 $1805 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 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 29 72 $137567 0 $0 72 $137567 $4744 $1911 POCAHONTAS 20 40 $84294 0 $0 40 $84294 $4215 $2107 POLK 1577 3429 $6984805 0 $6991 3429 $6991796 $4434 $2039 POTTAWATTA 415 863 $1820586 0 $2293 863 $1822879 $4392 $2112 POWESHIEK 31 63 $123961 0 $0 63 $123961 $3999 $1968 RINGGOLD 23 58 $124211 0 $0 58 $124211 $5400 $2142 SAC 23 48 $110875 0 $0 48 $110875 $4821 $2310 SCOTT 419 903 $1859459 1 $2846 904 $1862305 $4445 $2060 SHELBY 22 47 $93171 0 $0 47 $93171 $4235 $1982 SIOUX 25 44 $88727 0 $0 44 $88727 $3549 $2017 STORY 98 216 $488717 0 $0 216 $488717 $4987 $2263 TAMA 8 16 $31058 0 $0 16 $31058 $3882 $1941 TAYLOR 17 36 $62101 0 $0 36 $62101 $3653 $1725 UNION 51 113 $235189 0 $0 113 $235189 $4612 $2081 VAN BUREN 21 52 $88732 0 $0 52 $88732 $4225 $1706 WAPELLO 149 320 $634387 0 $0 320 $634387 $4258 $1982 WARREN 92 218 $444182 0 $0 218 $444182 $4828 $2038 WASHINGTON 43 106 $217386 0 $0 106 $217386 $5055 $2051 WAYNE 25 52 $119783 0 $0 52 $119783 $4791 $2304 WEBSTER 92 201 $399643 0 $3644 201 $403287 $4384 $2006 WINNEBAGO 21 44 $80129 0 $0 44 $80129 $3816 $1821 WINNESHIEK 28 59 $115381 0 $0 59 $115381 $4121 $1956 WOODBURY 174 352 $723675 3 $7495 355 $731170 $4202 $2060 WORTH 10 22 $44359 0 $0 22 $44359 $4436 $2016 WRIGHT 98 205 $421838 0 $641 205 $422479 $4311 $2061 CENT. OFF 17 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 7518 16312 $32884530 4 $36510 16316 $32921040 $4379 $2018