IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS ADAIR 3 3 $809 0 0 $0 ADAMS 0 0 $0 0 0 $0 ALLAMAKEE 0 0 $0 0 0 $0 APPANOOSE 0 0 $0 0 0 $0 AUDUBON 1 2 $229 0 0 $0 BENTON 1 1 $2 0 0 $0 BLACK HAWK 0 0 $0 0 2 $17,315 BOONE 2 2 $539 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 1 $0 0 0 $0 BUTLER 0 0 $0 0 0 $0 CALHOUN 2 2 $619 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 2 $230 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 2 2 $838 0 0 $0 CHEROKEE 0 0 $0 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 4 $663 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $2 0 0 $0 CLINTON 1 1 $2 0 0 $0 CRAWFORD 0 0 $0 0 0 $0 DALLAS 0 0 $0 0 0 $0 DAVIS 0 0 $0 0 0 $0 DECATUR 0 0 $0 0 0 $0 DELAWARE 0 0 $0 0 0 $0 DES MOINES 2 2 $5 0 0 $0 DICKINSON 2 3 $474 0 0 $0 DUBUQUE 1 1 $235 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $1,493 0 0 $0 FLOYD 2 2 $619 0 0 $0 FRANKLIN 0 0 $0 0 0 $0 FREMONT 0 0 $0 0 0 $0 GREENE 0 0 $0 0 0 $0 GRUNDY 0 0 $0 0 0 $0 GUTHRIE 0 0 $0 0 0 $0 HAMILTON 0 0 $0 0 0 $0 HANCOCK 0 0 $0 0 0 $0 HARDIN 2 2 $311 0 0 $0 HARRISON 3 3 $630 0 0 $0 HENRY 2 2 $395 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $235 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS JASPER 0 0 $0 0 0 $0 JEFFERSON 0 0 $0 0 0 $0 JOHNSON 0 0 $0 0 0 $0 JONES 0 0 $0 0 0 $0 KEOKUK 1 1 $304 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 2 2 $495 0 0 $0 LINN 10 13 $1,580 0 3 $208 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 1 1 $646 0 0 $0 MADISON 1 1 $196 0 0 $0 MAHASKA 1 1 $2 0 0 $0 MARION 1 1 $309 0 0 $0 MARSHALL 0 1 $0 0 0 $0 MILLS 0 0 $0 0 0 $0 MITCHELL 0 0 $0 0 0 $0 MONONA 0 0 $0 0 0 $0 MONROE 1 1 $2 0 0 $0 MONTGOMERY 0 0 $0 0 0 $0 MUSCATINE 0 0 $0 0 0 $0 O BRIEN 0 0 $0 0 0 $0 OSCEOLA 0 0 $0 0 0 $0 PAGE 1 1 $304 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 2 $432 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 27 27 $5,769 0 3 $6,474 POTTAWATTA 1 1 $234 0 2 $1,905 POWESHIEK 1 1 $1,550 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 3 3 $7 0 3 $1,416 SHELBY 0 0 $0 0 0 $0 SIOUX 3 3 $570 0 0 $0 STORY 8 8 $1,594 0 0 $0 TAMA 1 1 $12 0 0 $0 TAYLOR 0 0 $0 0 0 $0 UNION 0 0 $0 0 0 $0 VAN BUREN 0 0 $0 0 0 $0 WAPELLO 0 0 $0 0 0 $0 WARREN 2 2 $395 0 0 $0 WASHINGTON 2 2 $534 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 1 1 $2 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 0 0 $0 0 0 $0 WOODBURY 9 9 $1,240 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS WRIGHT 2 2 $582 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS STATE TOT 120 127 $25,111 0 12 $27,320 *** END OF REPORT ***