IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 03/31/24) * * * * * 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 361 350 2,217 $6,854,402.84 $3,091.75 $10.62 6.1 $18,987.27 OUTPATIENT 3,059 4,324 794,694 $1,170,060.72 $1.47 $1.81 259.8 $382.50 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 18 22 543 $432,936.86 $797.31 $0.67 30.2 $24,052.05 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 207 235 6,416 $814,074.64 $126.88 $1.26 31.0 $3,932.73 INTER CARE INT DISABLED 19 16 466 $277,260.05 $594.98 $0.43 24.5 $14,592.63 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 489 671 127,683 $1,321,206.62 $10.35 $2.05 261.1 $2,701.85 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 4,962 10,063 28,007 $5,204,151.00 $185.82 $8.06 5.6 $1,048.80 CLINIC SERVICES 1,099 1,492 1,456 $6,392,059.85 $4,390.15 $9.90 1.3 $5,816.25 MEP CASE MANAGEMENT 1 0 0 $87,785.47- $0.00 $0.14- .0 $87,785.47- EHR INCENTIVE PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 LAB AND RADIOLOGICAL 589 871 2,730 $79,016.77 $28.94 $0.12 4.6 $134.15 HABILITATION SERVICES 25 66 613 $98,358.66 $160.45 $0.15 24.5 $3,934.35 BEHAVIORAL HLTH INTERVENTN SVC 24 87 490 $11,721.39 $23.92 $0.02 20.4 $488.39 REHAB SUPPORT SERVICES 3 5 62 $3,461.46 $55.83 $0.01 20.7 $1,153.82 AMBULANCE SERVICES 191 235 234 $113,423.41 $484.72 $0.18 1.2 $593.84 LOCAL EDUCATION AGENCY 2,091 35,706 227,012 $5,810,029.60 $25.59 $9.00 108.6 $2,778.59 INFANT TODDLER 421 1,133 2,172 $31,883.42 $14.68 $0.05 5.2 $75.73 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 51 108 1,158 $3,793.60 $3.28 $0.11 22.7 $74.38 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 9,038 9,650 8,696 $20,708.76 $2.38 $0.03 1.0 $2.29 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 53 60 60 $6,554.79 $109.25 $0.01 1.1 $123.68 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 40 49 49 $78,678.64 $1,605.69 $13.13 1.2 $1,966.97 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 680 680 680 $2,831,255.37 $4,163.61 $4.39 1.0 $4,163.61 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,625 3,327 3,327 $420,459.64 $126.38 $0.65 2.0 $258.74 MEDICAL SUPPLIES 595 792 48,339 $93,380.35 $1.93 $2.70 81.2 $156.94 HEALTH HOME PROVIDER 66 51 42- $7,365.58- $175.37 $0.01- .6- $111.60- 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 790,315 633,789 631,846 $845,207,594.53 $1,337.68 $1,309.59 .8 $1,069.46 IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 03/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/24/24 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 03/31/24) * * * * * 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 4,726 27,311 91,839 $4,887,431.24 $53.22 $7.57 19.4 $1,034.16 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 150 29 29 $3,173.26- $109.42- $0.09- .2 $21.16- ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 142 153 175 $9,041.40 $51.67 $0.01 1.2 $63.67 CHIROPRACTIC 224 411 442 $6,270.26 $14.19 $0.18 2.0 $27.99 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 146 171 226 $8,840.78 $39.12 $0.01 1.5 $60.55 PREPAID AMBULATORY HEALTH PLAN 604,655 639,393 638,332 $9,127,063.34 $14.30 $14.14 1.1 $15.09 PHYSICAL DISABILITIES SVCS 5 7 1,043 $4,822.68 $4.62 $0.01 208.6 $964.54 BRAIN INJ WAIVER SERVICES 139 305 9,389 $548,215.13 $58.39 $0.85 67.5 $3,943.99 PSYCHIATRIC 347 540 638 $46,856.49 $73.44 $0.07 1.8 $135.03 RESIDENTIAL CARE FACILITY 222 274 7,657 $58,606.77 $7.65 $0.09 34.5 $263.99 ID WAIVER SERVICE 523 901 43,126 $2,427,288.34 $56.28 $500.06 82.5 $4,641.09 CHILDRENS MENTAL HEALTH SVC 25 37 3,676 $18,433.41 $5.01 $69.82 147.0 $737.34 AIDS WAIVER SERVICES 1 1 1 $1,237.04 $1,237.04 $137.45 1.0 $1,237.04 ELDERLY WAIVER SERVICES 21 50 1,416 $31,505.68 $22.25 $13.94 67.4 $1,500.27 ILL & HANDICAPPED WAIVER SVCS 259 341 19,653 $610,818.81 $31.08 $681.72 75.9 $2,358.37 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 518 549 4,420 $285,532.00 $64.60 $0.44 8.5 $551.22 UNASSIGNED 2 0 0 $3,255,485.72 $0.00 $5.04 .0 $0.00 * A L L C A T E G O R I E S * 805,939 1,374,255 2,710,970 $898,505,597.75 $331.43 $1,392.17 3.4 $1,114.86 *** END OF REPORT ***