IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/25/23 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 23 47 $102417 0 $0 47 $102417 $4453 $2179 ADAMS 8 18 $39912 0 $0 18 $39912 $4989 $2217 ALLAMAKEE 28 52 $124132 0 $0 52 $124132 $4433 $2387 APPANOOSE 65 127 $284110 0 $0 127 $284110 $4371 $2237 AUDUBON 12 25 $53222 0 $0 25 $53222 $4435 $2129 BENTON 52 90 $191050 0 $0 90 $191050 $3674 $2123 BLACK HAWK 390 753 $1648459 0 $0 753 $1648459 $4227 $2189 BOONE 53 105 $230586 0 $0 105 $230586 $4351 $2196 BREMER 23 43 $88869 0 $0 43 $88869 $3864 $2067 BUCHANAN 41 76 $155570 0 $0 76 $155570 $3794 $2047 BUENA VIST 39 70 $155220 1 $3590 71 $158810 $4072 $2237 BUTLER 24 45 $110846 0 $0 45 $110846 $4619 $2463 CALHOUN 20 47 $89369 0 $975 47 $90344 $4517 $1922 CARROLL 47 93 $221700 0 $0 93 $221700 $4717 $2384 CASS 36 70 $164096 0 $0 70 $164096 $4558 $2344 CEDAR 25 42 $93128 0 $0 42 $93128 $3725 $2217 CERRO GORD 106 207 $439535 0 $0 207 $439535 $4147 $2123 CHEROKEE 26 46 $102000 0 $0 46 $102000 $3923 $2217 CHICKASAW 33 72 $155367 0 $0 72 $155367 $4708 $2158 CLARKE 42 96 $217276 0 $0 96 $217276 $5173 $2263 CLAY 55 102 $226160 0 $0 102 $226160 $4112 $2217 CLAYTON 37 81 $195032 0 $0 81 $195032 $5271 $2408 CLINTON 133 261 $554571 0 $0 261 $554571 $4170 $2125 CRAWFORD 19 34 $75396 0 $0 34 $75396 $3968 $2218 DALLAS 106 210 $479084 0 $0 210 $479084 $4520 $2281 DAVIS 17 30 $57998 0 $0 30 $57998 $3412 $1933 DECATUR 36 76 $203757 0 $0 76 $203757 $5660 $2681 DELAWARE 28 54 $119728 0 $0 54 $119728 $4276 $2217 DES MOINES 96 176 $399523 0 $0 176 $399523 $4162 $2270 DICKINSON 33 72 $159813 0 $0 72 $159813 $4843 $2220 DUBUQUE 162 328 $736341 0 $0 328 $736341 $4545 $2245 EMMET 16 34 $70689 0 $0 34 $70689 $4418 $2079 FAYETTE 53 112 $274697 0 $0 112 $274697 $5183 $2453 FLOYD 46 66 $146352 0 $0 66 $146352 $3182 $2217 FRANKLIN 12 25 $48933 0 $0 25 $48933 $4078 $1957 FREMONT 17 28 $62084 0 $0 28 $62084 $3652 $2217 GREENE 23 46 $106432 0 $0 46 $106432 $4627 $2314 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/25/23 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 12 26 $57660 0 $0 26 $57660 $4805 $2218 GUTHRIE 41 86 $199528 0 $0 86 $199528 $4867 $2320 HAMILTON 29 41 $97532 0 $0 41 $97532 $3363 $2379 HANCOCK 18 34 $79834 0 $0 34 $79834 $4435 $2348 HARDIN 51 94 $208436 0 $0 94 $208436 $4087 $2217 HARRISON 41 71 $147206 0 $0 71 $147206 $3590 $2073 HENRY 48 90 $195024 0 $0 90 $195024 $4063 $2167 HOWARD 14 26 $62225 0 $0 26 $62225 $4445 $2393 HUMBOLDT 15 32 $70952 0 $0 32 $70952 $4730 $2217 IDA 27 52 $115378 1 $1688 53 $117066 $4336 $2209 IOWA 20 44 $110856 0 $0 44 $110856 $5543 $2519 JACKSON 38 61 $137478 0 $0 61 $137478 $3618 $2254 JASPER 76 158 $354790 0 $0 158 $354790 $4668 $2246 JEFFERSON 48 94 $204435 0 $0 94 $204435 $4259 $2175 JOHNSON 190 357 $807174 0 $0 357 $807174 $4248 $2261 JONES 36 76 $168524 0 $0 76 $168524 $4681 $2217 KEOKUK 27 43 $88873 0 $0 43 $88873 $3292 $2067 KOSSUTH 35 60 $137476 0 $0 60 $137476 $3928 $2291 LEE 87 168 $363988 1 $1275 169 $365263 $4198 $2161 LINN 462 947 $2091525 2 $3696 949 $2095221 $4535 $2208 LOUISA 12 32 $79806 0 $0 32 $79806 $6651 $2494 LUCAS 28 57 $133030 0 $0 57 $133030 $4751 $2334 LYON 15 38 $115288 0 $0 38 $115288 $7686 $3034 MADISON 38 81 $177164 0 $0 81 $177164 $4662 $2187 MAHASKA 79 175 $390643 0 $0 175 $390643 $4945 $2232 MARION 84 162 $350834 0 $0 162 $350834 $4177 $2166 MARSHALL 88 169 $408612 0 $0 169 $408612 $4643 $2418 MILLS 20 35 $79814 0 $0 35 $79814 $3991 $2280 MITCHELL 16 40 $106406 0 $0 40 $106406 $6650 $2660 MONONA 20 50 $110601 0 $0 50 $110601 $5530 $2212 MONROE 32 60 $133012 0 $0 60 $133012 $4157 $2217 MONTGOMERY 27 51 $110611 0 $0 51 $110611 $4097 $2169 MUSCATINE 115 214 $497020 1 $1141 215 $498161 $4332 $2317 O BRIEN 29 55 $115485 0 $0 55 $115485 $3982 $2100 OSCEOLA 7 16 $39894 0 $0 16 $39894 $5699 $2493 PAGE 51 107 $239891 0 $0 107 $239891 $4704 $2242 PALO ALTO 16 44 $97568 0 $0 44 $97568 $6098 $2217 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/25/23 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 65 $146509 0 $0 65 $146509 $4884 $2254 POCAHONTAS 19 37 $80172 0 $0 37 $80172 $4220 $2167 POLK 1596 3139 $6940635 4 $7347 3143 $6947982 $4353 $2211 POTTAWATTA 394 730 $1698059 1 $9811 731 $1707870 $4335 $2336 POWESHIEK 32 56 $119982 0 $0 56 $119982 $3749 $2143 RINGGOLD 25 48 $106428 0 $0 48 $106428 $4257 $2217 SAC 21 38 $88686 0 $0 38 $88686 $4223 $2334 SCOTT 417 823 $1837146 3 $3720 826 $1840866 $4415 $2229 SHELBY 19 34 $75396 0 $0 34 $75396 $3968 $2218 SIOUX 24 36 $79820 0 $0 36 $79820 $3326 $2217 STORY 97 195 $461337 0 $0 195 $461337 $4756 $2366 TAMA 11 15 $35466 0 $0 15 $35466 $3224 $2364 TAYLOR 18 34 $75372 0 $0 34 $75372 $4187 $2217 UNION 52 101 $221923 0 $0 101 $221923 $4268 $2197 VAN BUREN 22 47 $97741 0 $0 47 $97741 $4443 $2080 WAPELLO 151 289 $647310 0 $0 289 $647310 $4287 $2240 WARREN 85 190 $425471 0 $0 190 $425471 $5006 $2239 WASHINGTON 43 91 $204185 0 $0 91 $204185 $4748 $2244 WAYNE 26 44 $97560 0 $0 44 $97560 $3752 $2217 WEBSTER 95 178 $400326 2 $2203 180 $402529 $4237 $2236 WINNEBAGO 21 40 $88692 0 $0 40 $88692 $4223 $2217 WINNESHIEK 28 56 $124172 0 $0 56 $124172 $4435 $2217 WOODBURY 173 315 $737058 5 $10568 320 $747626 $4322 $2336 WORTH 9 18 $39912 0 $0 18 $39912 $4435 $2217 WRIGHT 81 161 $364041 1 $1409 162 $365450 $4512 $2256 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 7480 14585 $32661426 22 $47423 14607 $32708849 $4373 $2239