IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 33 75 $151248 0 $0 75 $151248 $4583 $2017 ADAMS 11 29 $78979 0 $0 29 $78979 $7180 $2723 ALLAMAKEE 25 60 $108095 0 $0 60 $108095 $4324 $1802 APPANOOSE 68 139 $252556 0 $0 139 $252556 $3714 $1817 AUDUBON 10 24 $48026 0 $0 24 $48026 $4803 $2001 BENTON 44 104 $199437 0 $0 104 $199437 $4533 $1918 BLACK HAWK 372 822 $1662130 0 $0 822 $1662130 $4468 $2022 BOONE 51 124 $224980 0 $0 124 $224980 $4411 $1814 BREMER 21 49 $93817 0 $0 49 $93817 $4467 $1915 BUCHANAN 36 73 $112729 0 $0 73 $112729 $3131 $1544 BUENA VIST 38 74 $178611 1 $4831 75 $183442 $4827 $2446 BUTLER 20 45 $81489 0 $0 45 $81489 $4074 $1811 CALHOUN 25 59 $91441 1 $1103 60 $92544 $3702 $1542 CARROLL 48 111 $204801 0 $0 111 $204801 $4267 $1845 CASS 40 82 $163496 0 $0 82 $163496 $4087 $1994 CEDAR 28 62 $124143 0 $0 62 $124143 $4434 $2002 CERRO GORD 99 227 $462823 0 $0 227 $462823 $4675 $2039 CHEROKEE 19 44 $78348 0 $0 44 $78348 $4124 $1781 CHICKASAW 36 78 $157294 0 $0 78 $157294 $4369 $2017 CLARKE 46 103 $219162 0 $0 103 $219162 $4764 $2128 CLAY 52 114 $198017 0 $0 114 $198017 $3808 $1737 CLAYTON 34 90 $179895 0 $0 90 $179895 $5291 $1999 CLINTON 124 288 $541473 0 $0 288 $541473 $4367 $1880 CRAWFORD 19 41 $84621 0 $0 41 $84621 $4454 $2064 DALLAS 130 281 $543671 0 $0 281 $543671 $4182 $1935 DAVIS 16 36 $67397 0 $0 36 $67397 $4212 $1872 DECATUR 40 85 $195058 0 $0 85 $195058 $4876 $2295 DELAWARE 34 74 $189242 0 $0 74 $189242 $5566 $2557 DES MOINES 86 186 $376605 0 $0 186 $376605 $4379 $2025 DICKINSON 37 100 $187201 0 $0 100 $187201 $5059 $1872 DUBUQUE 162 369 $657650 0 $0 369 $657650 $4060 $1782 EMMET 17 38 $70830 0 $0 38 $70830 $4166 $1864 FAYETTE 57 143 $290327 0 $0 143 $290327 $5093 $2030 FLOYD 44 82 $183312 0 $0 82 $183312 $4166 $2236 FRANKLIN 16 30 $61182 0 $0 30 $61182 $3824 $2039 FREMONT 16 36 $80306 0 $0 36 $80306 $5019 $2231 GREENE 20 52 $105334 0 $0 52 $105334 $5267 $2026 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 14 30 $53172 0 $0 30 $53172 $3798 $1772 GUTHRIE 32 74 $124306 0 $0 74 $124306 $3885 $1680 HAMILTON 26 51 $107049 0 $0 51 $107049 $4117 $2099 HANCOCK 18 42 $78531 0 $0 42 $78531 $4363 $1870 HARDIN 45 102 $186401 0 $0 102 $186401 $4142 $1827 HARRISON 42 93 $183370 0 $0 93 $183370 $4366 $1972 HENRY 45 92 $172919 0 $0 92 $172919 $3843 $1880 HOWARD 18 37 $74762 0 $0 37 $74762 $4153 $2021 HUMBOLDT 13 39 $46729 0 $0 39 $46729 $3595 $1198 IDA 26 54 $104399 0 $298 54 $104697 $4027 $1939 IOWA 19 45 $97802 0 $0 45 $97802 $5147 $2173 JACKSON 32 71 $121625 0 $0 71 $121625 $3801 $1713 JASPER 72 173 $345972 0 $0 173 $345972 $4805 $2000 JEFFERSON 51 114 $232219 0 $0 114 $232219 $4553 $2037 JOHNSON 202 426 $835685 0 $0 426 $835685 $4137 $1962 JONES 36 79 $166686 0 $0 79 $166686 $4630 $2110 KEOKUK 24 48 $86738 0 $0 48 $86738 $3614 $1807 KOSSUTH 34 65 $135922 0 $0 65 $135922 $3998 $2091 LEE 82 187 $364451 1 $923 188 $365374 $4456 $1943 LINN 482 1050 $2131772 2 $2561 1052 $2134333 $4428 $2029 LOUISA 13 34 $72496 0 $0 34 $72496 $5577 $2132 LUCAS 27 58 $121844 0 $0 58 $121844 $4513 $2101 LYON 15 38 $80317 0 $0 38 $80317 $5354 $2114 MADISON 37 86 $170404 0 $0 86 $170404 $4606 $1981 MAHASKA 73 171 $342133 0 $0 171 $342133 $4687 $2001 MARION 84 180 $375666 0 $0 180 $375666 $4472 $2087 MARSHALL 83 186 $378357 0 $0 186 $378357 $4559 $2034 MILLS 18 37 $66890 0 $0 37 $66890 $3716 $1808 MITCHELL 21 51 $110932 0 $0 51 $110932 $5282 $2175 MONONA 21 54 $134139 0 $0 54 $134139 $6388 $2484 MONROE 29 67 $139329 0 $0 67 $139329 $4804 $2080 MONTGOMERY 26 58 $109130 0 $0 58 $109130 $4197 $1882 MUSCATINE 112 234 $486594 1 $4389 235 $490983 $4384 $2089 O BRIEN 31 70 $133755 0 $0 70 $133755 $4315 $1911 OSCEOLA 8 16 $35096 0 $0 16 $35096 $4387 $2194 PAGE 49 116 $234625 0 $0 116 $234625 $4788 $2023 PALO ALTO 15 44 $80116 0 $0 44 $80116 $5341 $1821 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 36 81 $160475 0 $0 81 $160475 $4458 $1981 POCAHONTAS 20 42 $87320 0 $0 42 $87320 $4366 $2079 POLK 1541 3390 $6936183 3 $10009 3393 $6946192 $4508 $2047 POTTAWATTA 480 1038 $2173038 1 $3480 1039 $2176518 $4534 $2095 POWESHIEK 37 71 $143670 0 $0 71 $143670 $3883 $2024 RINGGOLD 24 59 $115767 0 $0 59 $115767 $4824 $1962 SAC 19 49 $88176 0 $0 49 $88176 $4641 $1800 SCOTT 425 909 $1936959 2 $3014 911 $1939973 $4565 $2129 SHELBY 26 55 $123246 0 $0 55 $123246 $4740 $2241 SIOUX 24 46 $90786 0 $0 46 $90786 $3783 $1974 STORY 96 218 $451765 0 $0 218 $451765 $4706 $2072 TAMA 9 17 $39865 0 $0 17 $39865 $4429 $2345 TAYLOR 16 33 $57589 0 $0 33 $57589 $3599 $1745 UNION 49 116 $244864 0 $0 116 $244864 $4997 $2111 VAN BUREN 20 47 $82828 0 $0 47 $82828 $4141 $1762 WAPELLO 139 313 $631232 0 $0 313 $631232 $4541 $2017 WARREN 102 236 $496453 0 $0 236 $496453 $4867 $2104 WASHINGTON 39 104 $233354 0 $0 104 $233354 $5983 $2244 WAYNE 24 52 $111480 0 $0 52 $111480 $4645 $2144 WEBSTER 89 201 $402844 1 $717 202 $403561 $4534 $1998 WINNEBAGO 25 48 $102668 0 $0 48 $102668 $4107 $2139 WINNESHIEK 27 59 $134608 0 $0 59 $134608 $4985 $2281 WOODBURY 163 358 $712453 1 $2725 359 $715178 $4388 $1992 WORTH 10 19 $26186 0 $0 19 $26186 $2619 $1378 WRIGHT 132 274 $570067 1 $658 275 $570725 $4324 $2075 CENT. OFF 15 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 7536 16636 $33581935 15 $34708 16651 $33616643 $4461 $2019