IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 02/29/24) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED INPATIENT 567 578 2,835 $9,422,584.62 $3,323.66 $14.57 5.0 $16,618.32 OUTPATIENT 3,978 5,778 980,596 $1,395,821.55 $1.42 $2.16 246.5 $350.89 CHILD PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 SKILLED NURSING FACILITY 14 13 317 $295,293.27 $931.52 $0.46 22.6 $21,092.38 IHAWP IOWA PLAN LITE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP HMO 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP PCP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 INTERMEDIATE CARE FACILITY 216 247 7,295 $2,801,261.71 $384.00 $4.33 33.8 $12,968.80 INTER CARE INT DISABLED 25 38 1,076 $533,702.81 $496.01 $0.82 43.0 $21,348.11 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 477 692 154,296 $1,490,630.89 $9.66 $2.30 323.5 $3,125.01 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,219 10,626 34,818 $707,694.72 $20.33 $1.09 6.7 $135.60 CLINIC SERVICES 1,195 1,621 1,767 $5,238,602.48 $2,964.69 $8.10 1.5 $4,383.77 MEP CASE MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 LAB AND RADIOLOGICAL 600 896 2,479 $89,765.28 $36.21 $0.14 4.1 $149.61 HABILITATION SERVICES 36 106 797 $87,397.15 $109.66 $0.14 22.1 $2,427.70 BEHAVIORAL HLTH INTERVENTN SVC 26 75 477 $12,466.15 $26.13 $0.02 18.3 $479.47 REHAB SUPPORT SERVICES 3 3 69 $3,852.27 $55.83 $0.01 23.0 $1,284.09 AMBULANCE SERVICES 159 175 174 $38,240.23 $219.77 $0.06 1.1 $240.50 LOCAL EDUCATION AGENCY 2,025 32,358 216,175 $5,047,346.51 $23.35 $7.80 106.8 $2,492.52 INFANT TODDLER 10 12 19 $117.03 $6.16 $0.00 1.9 $11.70 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PRESCRIBED DRUGS 2,742 9,847 9,178 $1,290,399.41 $140.60 $27.64 3.3 $470.61 IOWA-PLAN-PMIC 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DRUG CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 NEMT SERVICES 14,888 21,690 19,884 $47,594.66 $2.39 $0.07 1.3 $3.20 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 91 105 104 $8,426.64 $81.03 $0.01 1.1 $92.60 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EPSDT SCREENING 64 63 62 $109,403.44 $1,764.57 $9.86 1.0 $1,709.43 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 670 668 668 $2,784,109.63 $4,167.83 $4.30 1.0 $4,155.39 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,642 3,489 3,489 $427,847.84 $122.63 $0.66 2.1 $260.57 MEDICAL SUPPLIES 1,095 1,630 73,748 $183,331.85 $2.49 $3.93 67.3 $167.43 HEALTH HOME PROVIDER 143 181 181 $25,740.36 $142.21 $0.04 1.3 $180.00 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP QHP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MCO 604,708 642,486 641,591 $630,459,481.87 $982.65 $974.55 1.1 $1,042.58 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 02/29/24) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED OTHER PRACTITIONER 3,679 24,104 62,811 $4,478,041.59 $71.29 $6.92 17.1 $1,217.19 FAMILY CENTERED PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DENTAL 46 48 48 $10,221.77 $212.95 $0.22 1.0 $222.21 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 179 196 209 $14,861.41 $71.11 $0.02 1.2 $83.02 CHIROPRACTIC 205 374 395 $7,202.14 $18.23 $0.15 1.9 $35.13 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 132 164 227 $8,666.11 $38.18 $0.01 1.7 $65.65 PREPAID AMBULATORY HEALTH PLAN 756,494 648,411 647,349 $9,809,789.36 $15.15 $15.16 .9 $12.97 PHYSICAL DISABILITIES SVCS 4 6 1,059 $11,165.15 $10.54 $0.02 264.8 $2,791.29 BRAIN INJ WAIVER SERVICES 136 275 9,037 $557,541.75 $61.70 $0.86 66.4 $4,099.57 PSYCHIATRIC 390 623 764 $73,557.20 $96.28 $0.11 2.0 $188.61 RESIDENTIAL CARE FACILITY 210 269 7,562 $74,703.11 $9.88 $0.12 36.0 $355.73 ID WAIVER SERVICE 511 833 33,714 $2,419,606.76 $71.77 $386.15 66.0 $4,735.04 CHILDRENS MENTAL HEALTH SVC 24 32 4,919 $23,475.45 $4.77 $70.92 205.0 $978.14 AIDS WAIVER SERVICES 1 1 1 $1,201.04 $1,201.04 $85.79 1.0 $1,201.04 ELDERLY WAIVER SERVICES 24 63 1,894 $32,829.10 $17.33 $11.08 78.9 $1,367.88 ILL & HANDICAPPED WAIVER SVCS 242 333 15,541 $626,672.16 $40.32 $569.70 64.2 $2,589.55 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 545 584 5,010 $323,646.00 $64.60 $0.50 9.2 $593.85 UNASSIGNED 1 0 0 $11,258,717.67 $0.00 $17.40 .0 $0.00 * A L L C A T E G O R I E S * 769,475 1,409,693 2,942,635 $692,233,010.14 $235.24 $1,070.04 3.8 $899.62 *** END OF REPORT ***