IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/24/23 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 $806 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 0 0 $0 0 0 $0 BENTON 1 1 $41 0 0 $0 BLACK HAWK 0 0 $0 0 2 $1,653 BOONE 2 2 $536 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 0 $0 0 1 $2,066 BUTLER 0 0 $0 0 0 $0 CALHOUN 2 2 $616 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 2 2 $251 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 2 2 $26 0 0 $0 CHEROKEE 0 0 $0 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 3 $657 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 $4 0 0 $0 DICKINSON 2 2 $467 0 0 $0 DUBUQUE 1 1 $233 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 6 7 $1,117 0 0 $0 FLOYD 2 2 $616 0 1 $683 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 $310 0 0 $0 HARRISON 3 3 $626 0 0 $0 HENRY 2 2 $392 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $233 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 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/24/23 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 $302 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 2 2 $492 0 0 $0 LINN 10 10 $1,825 0 0 $0 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 1 1 $157 0 0 $0 MADISON 1 1 $196 0 0 $0 MAHASKA 1 1 $2 0 0 $0 MARION 1 1 $308 0 0 $0 MARSHALL 0 0 $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 $302 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 2 $429 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 26 26 $6,402 0 2 $1,157 POTTAWATTA 0 0 $0 0 2 $375 POWESHIEK 1 1 $48 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 3 3 $6 0 1 $2 SHELBY 0 0 $0 0 0 $0 SIOUX 3 3 $432 0 0 $0 STORY 8 8 $1,621 0 0 $0 TAMA 1 1 $667 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 $392 0 0 $0 WASHINGTON 2 2 $529 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 7 7 $837 0 1 $171 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/24/23 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 $468 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/24/23 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 115 116 $22,371 0 10 $6,110 *** END OF REPORT ***