IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 02/29/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/26/24 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 29 65 $146391 0 $0 65 $146391 $5048 $2252 ADAMS 11 25 $53231 0 $0 25 $53231 $4839 $2129 ALLAMAKEE 27 65 $146386 0 $0 65 $146386 $5422 $2252 APPANOOSE 66 140 $288339 0 $0 140 $288339 $4369 $2060 AUDUBON 11 25 $53238 0 $0 25 $53238 $4840 $2130 BENTON 48 103 $208510 0 $0 103 $208510 $4344 $2024 BLACK HAWK 374 809 $1590416 0 $0 809 $1590416 $4252 $1966 BOONE 52 124 $248393 0 $0 124 $248393 $4777 $2003 BREMER 20 47 $93171 0 $0 47 $93171 $4659 $1982 BUCHANAN 39 75 $133664 0 $0 75 $133664 $3427 $1782 BUENA VIST 39 73 $155462 0 $6116 73 $161578 $4143 $2213 BUTLER 24 46 $93177 0 $0 46 $93177 $3882 $2026 CALHOUN 23 63 $137272 0 $1323 63 $138595 $6026 $2200 CARROLL 45 110 $269923 0 $0 110 $269923 $5998 $2454 CASS 39 84 $190733 0 $0 84 $190733 $4891 $2271 CEDAR 26 55 $137491 0 $0 55 $137491 $5288 $2500 CERRO GORD 102 226 $426616 0 $0 226 $426616 $4183 $1888 CHEROKEE 24 46 $84746 0 $0 46 $84746 $3531 $1842 CHICKASAW 35 77 $146148 0 $0 77 $146148 $4176 $1898 CLARKE 45 101 $204579 0 $0 101 $204579 $4546 $2026 CLAY 51 112 $239281 0 $0 112 $239281 $4692 $2136 CLAYTON 32 83 $138044 0 $0 83 $138044 $4314 $1663 CLINTON 131 285 $598619 0 $0 285 $598619 $4570 $2100 CRAWFORD 19 38 $75442 0 $0 38 $75442 $3971 $1985 DALLAS 123 271 $567550 0 $0 271 $567550 $4614 $2094 DAVIS 17 34 $79850 0 $0 34 $79850 $4697 $2349 DECATUR 39 82 $190737 0 $0 82 $190737 $4891 $2326 DELAWARE 30 62 $124209 0 $0 62 $124209 $4140 $2003 DES MOINES 91 192 $416987 0 $0 192 $416987 $4582 $2172 DICKINSON 38 91 $203769 0 $0 91 $203769 $5362 $2239 DUBUQUE 162 361 $775838 0 $0 361 $775838 $4789 $2149 EMMET 18 38 $62132 0 $0 38 $62132 $3452 $1635 FAYETTE 57 138 $227115 0 $0 138 $227115 $3984 $1646 FLOYD 42 82 $125999 0 $0 82 $125999 $3000 $1537 FRANKLIN 15 30 $57670 0 $0 30 $57670 $3845 $1922 FREMONT 18 36 $88722 0 $0 36 $88722 $4929 $2465 GREENE 21 47 $97608 0 $0 47 $97608 $4648 $2077 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 02/29/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/26/24 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 12 32 $53942 0 $0 32 $53942 $4495 $1686 GUTHRIE 34 78 $128944 0 $0 78 $128944 $3792 $1653 HAMILTON 26 52 $72058 0 $0 52 $72058 $2771 $1386 HANCOCK 18 44 $85265 0 $0 44 $85265 $4737 $1938 HARDIN 48 103 $199682 0 $0 103 $199682 $4160 $1939 HARRISON 42 89 $211301 0 $0 89 $211301 $5031 $2374 HENRY 43 93 $191022 0 $0 93 $191022 $4442 $2054 HOWARD 16 34 $62082 0 $0 34 $62082 $3880 $1826 HUMBOLDT 14 40 $93142 0 $0 40 $93142 $6653 $2329 IDA 25 54 $106502 1 $209 55 $106711 $4268 $1940 IOWA 20 43 $88751 0 $0 43 $88751 $4438 $2064 JACKSON 32 76 $142714 0 $0 76 $142714 $4460 $1878 JASPER 72 169 $306172 0 $0 169 $306172 $4252 $1812 JEFFERSON 52 109 $221842 0 $0 109 $221842 $4266 $2035 JOHNSON 194 402 $856775 0 $0 402 $856775 $4416 $2131 JONES 37 81 $190742 0 $0 81 $190742 $5155 $2355 KEOKUK 25 50 $106474 0 $0 50 $106474 $4259 $2129 KOSSUTH 32 63 $124225 0 $0 63 $124225 $3882 $1972 LEE 83 182 $363878 0 $1248 182 $365126 $4399 $2006 LINN 468 1049 $2083780 0 $5893 1049 $2089673 $4465 $1992 LOUISA 12 35 $70983 0 $0 35 $70983 $5915 $2028 LUCAS 27 61 $124231 0 $0 61 $124231 $4601 $2037 LYON 15 38 $79573 0 $0 38 $79573 $5305 $2094 MADISON 36 86 $177458 0 $0 86 $177458 $4929 $2063 MAHASKA 73 178 $257704 0 $0 178 $257704 $3530 $1448 MARION 81 180 $359332 0 $0 180 $359332 $4436 $1996 MARSHALL 84 183 $236325 0 $0 183 $236325 $2813 $1291 MILLS 20 40 $84264 0 $0 40 $84264 $4213 $2107 MITCHELL 19 48 $106460 0 $0 48 $106460 $5603 $2218 MONONA 22 49 $93165 0 $0 49 $93165 $4235 $1901 MONROE 30 64 $133064 0 $0 64 $133064 $4435 $2079 MONTGOMERY 25 58 $115341 0 $0 58 $115341 $4614 $1989 MUSCATINE 109 232 $483318 0 $1420 232 $484738 $4447 $2089 O BRIEN 27 68 $146413 0 $0 68 $146413 $5423 $2153 OSCEOLA 8 16 $35484 0 $0 16 $35484 $4436 $2218 PAGE 52 119 $244224 0 $0 119 $244224 $4697 $2052 PALO ALTO 16 47 $83800 0 $0 47 $83800 $5238 $1783 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 02/29/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/26/24 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 32 79 $146873 0 $0 79 $146873 $4590 $1859 POCAHONTAS 19 42 $97598 0 $0 42 $97598 $5137 $2324 POLK 1548 3386 $6964617 0 $9937 3386 $6974554 $4506 $2060 POTTAWATTA 455 971 $2068767 0 $3418 971 $2072185 $4554 $2134 POWESHIEK 35 66 $133085 0 $0 66 $133085 $3802 $2016 RINGGOLD 25 56 $128644 0 $0 56 $128644 $5146 $2297 SAC 23 49 $137477 0 $0 49 $137477 $5977 $2806 SCOTT 418 902 $1802515 0 $3223 902 $1805738 $4320 $2002 SHELBY 24 46 $93172 0 $0 46 $93172 $3882 $2025 SIOUX 24 44 $93168 0 $0 44 $93168 $3882 $2117 STORY 96 217 $465529 0 $0 217 $465529 $4849 $2145 TAMA 9 15 $31057 0 $0 15 $31057 $3451 $2070 TAYLOR 16 34 $67041 0 $0 34 $67041 $4190 $1972 UNION 50 115 $204329 0 $0 115 $204329 $4087 $1777 VAN BUREN 19 46 $88745 0 $0 46 $88745 $4671 $1929 WAPELLO 140 311 $639619 0 $0 311 $639619 $4569 $2057 WARREN 94 224 $492125 0 $0 224 $492125 $5235 $2197 WASHINGTON 42 102 $190816 0 $0 102 $190816 $4543 $1871 WAYNE 25 49 $106471 0 $0 49 $106471 $4259 $2173 WEBSTER 89 193 $341942 0 $966 193 $342908 $3853 $1777 WINNEBAGO 22 44 $84037 0 $0 44 $84037 $3820 $1910 WINNESHIEK 28 56 $115100 0 $0 56 $115100 $4111 $2055 WOODBURY 163 352 $702005 0 $998 352 $703003 $4313 $1997 WORTH 8 21 $27163 0 $0 21 $27163 $3395 $1293 WRIGHT 118 240 $550045 1 $1287 241 $551332 $4672 $2288 CENT. OFF 16 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 7470 16346 $33169830 2 $36038 16348 $33205868 $4445 $2031