IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 $859 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 1 2 $278 0 0 $0 BENTON 0 1 $0 0 0 $0 BLACK HAWK 0 0 $0 0 1 $7,149 BOONE 2 2 $621 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 1 $12- 0 0 $0 BUTLER 0 0 $0 0 0 $0 CALHOUN 2 2 $719 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 2 $468 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 2 2 $23 0 0 $0 CHEROKEE 3 3 $369 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 4 $738 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $10 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 $536 0 0 $0 DUBUQUE 1 1 $268 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $1,545 0 0 $0 FLOYD 4 4 $1,111 0 0 $0 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 $664 0 0 $0 HARRISON 3 3 $647 0 0 $0 HENRY 2 2 $460 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $248 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 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 $291 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 2 2 $544 0 0 $0 LINN 11 13 $2,138 0 1 $0 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 1 1 $108 0 0 $0 MADISON 1 1 $196 0 0 $0 MAHASKA 1 1 $267 0 0 $0 MARION 1 1 $358 0 0 $0 MARSHALL 0 1 $400- 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 0 1 $50 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 2 $523 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 27 27 $6,183 0 3 $1,504 POTTAWATTA 1 1 $234 0 1 $986 POWESHIEK 1 1 $12 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 4 3 $7 0 2 $674 SHELBY 0 0 $0 0 0 $0 SIOUX 3 3 $481 0 0 $0 STORY 9 9 $1,963 0 0 $0 TAMA 1 1 $11 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 $421 0 0 $0 WASHINGTON 2 2 $664 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 9 9 $1,263 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 $4 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 126 132 $24,902 0 8 $10,314 *** END OF REPORT ***