IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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) (FISCAL YTD TOTALS AS OF 04/30/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 4,596 5,339 30,031 $87,914,261.47 OUTPATIENT 17,854 60,446 10,579,877 $14,625,785.81 CHILD PART HOSP 0 0 0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 ADULT PART HOSP 0 0 0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 SKILLED NURSING FACILITY 106 245 5,008 $2,954,905.23 IHAWP IOWA PLAN LITE 0 0 0 $0.00 IHAWP IOWA PLAN FULL 1 0 0 $0.89- IHAWP HMO 1 0 0 $64.32- IHAWP PCP 0 0 0 $0.00 INTERMEDIATE CARE FACILITY 460 2,378 69,047 $12,419,720.27 INTER CARE INT DISABLED 29 244 6,986 $3,594,837.08 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,939 8,054 2,242,839 $18,427,969.27 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 23,633 122,917 371,889 $13,440,592.22 CLINIC SERVICES 7,450 18,049 18,549 $45,260,246.84 MEP CASE MANAGEMENT 1 0 0 $79,839.10- EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 4,463 9,784 28,649 $957,356.92 HABILITATION SERVICES 63 1,089 8,443 $1,169,474.80 BEHAVIORAL HLTH INTERVENTN SVC 107 1,217 8,233 $236,985.87 REHAB SUPPORT SERVICES 4 31 627 $35,005.41 AMBULANCE SERVICES 1,553 2,364 2,497 $1,096,514.32 LOCAL EDUCATION AGENCY 3,890 273,129 1,808,909 $41,692,393.84 INFANT TODDLER 830 4,873 10,640 $151,768.91 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 8,922 127,036 120,296 $13,436,841.33 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 22,480 113,900 101,921 $242,856.65 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 636 1,082 1,091 $118,034.91 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 EPSDT SCREENING 553 611 568 $964,236.85 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 802 6,830 6,767 $28,223,903.62 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,233 37,266 37,939 $4,503,626.57 MEDICAL SUPPLIES 3,701 17,098 795,224 $1,482,362.32 HEALTH HOME PROVIDER 335 1,539 788 $121,595.48 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 883,119 6,549,710 6,531,322 $6,336,651,241.08 OTHER PRACTITIONER 16,715 189,874 689,447 $32,000,114.78 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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) (FISCAL YTD TOTALS AS OF 04/30/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT FAMILY CENTERED PROGRAM 0 0 0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 DENTAL 790 836 835 $82,641.45 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,707 2,223 2,591 $131,578.52 CHIROPRACTIC 830 4,884 5,350 $76,980.79 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 853 1,952 3,177 $78,910.98 PREPAID AMBULATORY HEALTH PLAN 824,691 6,608,167 6,596,938 $92,777,764.26 PHYSICAL DISABILITIES SVCS 8 83 6,479 $38,165.28 BRAIN INJ WAIVER SERVICES 155 3,064 95,044 $5,499,047.31 PSYCHIATRIC 2,145 7,395 8,814 $565,961.24 RESIDENTIAL CARE FACILITY 409 3,055 87,189 $756,042.54 ID WAIVER SERVICE 643 9,785 470,668 $19,576,988.65 CHILDRENS MENTAL HEALTH SVC 39 324 45,950 $224,862.04 AIDS WAIVER SERVICES 2 14 171 $13,423.88 ELDERLY WAIVER SERVICES 29 662 19,661 $335,701.62 ILL & HANDICAPPED WAIVER SVCS 324 3,443 187,471 $6,231,512.18 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 648 6,287 50,840 $3,284,264.00 UNASSIGNED 5 0 0 $27,781,294.98 * A L L C A T E G O R I E S * 913,550 14,207,279 31,058,765 $6,819,097,867.26 *** END OF REPORT ***