IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 02/29/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/26/24 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 02/29/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 3,876 4,407 24,098 $72,795,980.58 OUTPATIENT 16,125 50,336 8,705,014 $12,090,415.77 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 87 199 4,009 $2,252,901.61 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 374 1,819 53,277 $16,944,457.33 INTER CARE INT DISABLED 29 208 5,924 $3,002,677.67 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,723 6,451 1,920,930 $15,231,044.67 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 20,816 97,810 302,747 $7,046,640.64 CLINIC SERVICES 6,304 14,263 14,216 $35,004,349.20 MEP CASE MANAGEMENT 1 0 0 $7,946.37 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 3,691 7,827 22,904 $769,875.91 HABILITATION SERVICES 63 920 6,642 $935,912.11 BEHAVIORAL HLTH INTERVENTN SVC 96 967 6,392 $189,432.82 REHAB SUPPORT SERVICES 4 23 502 $28,026.66 AMBULANCE SERVICES 1,290 1,852 1,987 $937,130.13 LOCAL EDUCATION AGENCY 3,477 191,562 1,290,654 $28,552,277.21 INFANT TODDLER 617 3,245 7,303 $104,085.64 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 8,057 103,236 98,111 $11,164,616.06 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 20,688 95,025 84,885 $199,762.35 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 570 924 933 $101,183.89 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 459 489 448 $786,747.92 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 771 5,427 5,373 $22,424,179.79 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,176 30,104 30,777 $3,597,029.86 MEDICAL SUPPLIES 3,542 15,319 693,806 $1,275,761.96 HEALTH HOME PROVIDER 321 1,370 775 $119,512.04 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 867,828 5,309,944 5,295,328 $4,638,262,064.50 OTHER PRACTITIONER 14,403 132,478 515,627 $21,397,964.87 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 02/29/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/26/24 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 02/29/24) 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 613 751 750 $79,482.13 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,439 1,837 2,156 $105,492.01 CHIROPRACTIC 745 3,939 4,340 $62,857.30 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 707 1,539 2,612 $60,075.03 PREPAID AMBULATORY HEALTH PLAN 807,091 5,357,554 5,348,790 $74,297,354.27 PHYSICAL DISABILITIES SVCS 6 64 7,042 $35,649.19 BRAIN INJ WAIVER SERVICES 154 2,460 78,611 $4,456,517.58 PSYCHIATRIC 1,892 5,990 7,217 $453,486.01 RESIDENTIAL CARE FACILITY 389 2,373 68,219 $597,280.77 ID WAIVER SERVICE 638 7,800 382,714 $18,201,335.88 CHILDRENS MENTAL HEALTH SVC 35 257 39,658 $193,939.07 AIDS WAIVER SERVICES 1 9 9 $10,267.32 ELDERLY WAIVER SERVICES 28 553 16,552 $271,112.39 ILL & HANDICAPPED WAIVER SVCS 316 2,737 149,443 $4,940,683.55 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 643 5,086 41,010 $2,649,246.00 UNASSIGNED 4 0 0 $17,967,810.29 * A L L C A T E G O R I E S * 897,151 11,469,154 25,241,785 $5,019,604,501.14 *** END OF REPORT ***