IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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 80 $146094 0 $0 80 $146094 $4427 $1826 ADAMS 12 31 $68378 0 $0 31 $68378 $5698 $2206 ALLAMAKEE 27 70 $112506 0 $0 70 $112506 $4167 $1607 APPANOOSE 68 156 $302829 0 $0 156 $302829 $4453 $1941 AUDUBON 10 25 $45727 0 $0 25 $45727 $4573 $1829 BENTON 42 115 $148802 0 $0 115 $148802 $3543 $1294 BLACK HAWK 374 906 $1653666 0 $0 906 $1653666 $4422 $1825 BOONE 55 133 $198081 0 $0 133 $198081 $3601 $1489 BREMER 19 55 $88819 0 $0 55 $88819 $4675 $1615 BUCHANAN 35 87 $137291 0 $0 87 $137291 $3923 $1578 BUENA VIST 37 77 $154129 0 $6459 77 $160588 $4340 $2086 BUTLER 16 48 $78409 0 $0 48 $78409 $4901 $1634 CALHOUN 24 72 $111728 0 $1608 72 $113336 $4722 $1574 CARROLL 47 123 $222948 0 $0 123 $222948 $4744 $1813 CASS 38 95 $158004 0 $0 95 $158004 $4158 $1663 CEDAR 27 62 $124022 0 $0 62 $124022 $4593 $2000 CERRO GORD 96 252 $397696 0 $0 252 $397696 $4143 $1578 CHEROKEE 18 47 $32107 0 $0 47 $32107 $1784 $683 CHICKASAW 33 87 $163648 0 $0 87 $163648 $4959 $1881 CLARKE 43 113 $209547 0 $0 113 $209547 $4873 $1854 CLAY 55 140 $252885 0 $0 140 $252885 $4598 $1806 CLAYTON 32 101 $134159 0 $0 101 $134159 $4192 $1328 CLINTON 125 318 $551019 0 $0 318 $551019 $4408 $1733 CRAWFORD 19 43 $67587 0 $0 43 $67587 $3557 $1572 DALLAS 139 347 $642805 0 $0 347 $642805 $4624 $1852 DAVIS 19 40 $90335 0 $0 40 $90335 $4754 $2258 DECATUR 41 90 $168310 0 $0 90 $168310 $4105 $1870 DELAWARE 34 84 $154890 0 $0 84 $154890 $4556 $1844 DES MOINES 85 210 $362922 0 $0 210 $362922 $4270 $1728 DICKINSON 39 113 $176731 0 $0 113 $176731 $4532 $1564 DUBUQUE 164 414 $637664 0 $0 414 $637664 $3888 $1540 EMMET 18 48 $88354 0 $0 48 $88354 $4909 $1841 FAYETTE 59 169 $305491 0 $0 169 $305491 $5178 $1808 FLOYD 45 95 $188907 0 $0 95 $188907 $4198 $1988 FRANKLIN 17 41 $81364 0 $0 41 $81364 $4786 $1984 FREMONT 14 36 $74197 0 $0 36 $74197 $5300 $2061 GREENE 19 57 $93950 0 $0 57 $93950 $4945 $1648 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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 43 $85651 0 $0 43 $85651 $6118 $1992 GUTHRIE 32 88 $138428 0 $0 88 $138428 $4326 $1573 HAMILTON 27 58 $110530 0 $0 58 $110530 $4094 $1906 HANCOCK 19 47 $83345 0 $0 47 $83345 $4387 $1773 HARDIN 42 111 $177637 0 $0 111 $177637 $4229 $1600 HARRISON 38 101 $205788 0 $0 101 $205788 $5415 $2038 HENRY 47 112 $213992 0 $0 112 $213992 $4553 $1911 HOWARD 19 43 $97836 0 $0 43 $97836 $5149 $2275 HUMBOLDT 14 38 $56764 0 $0 38 $56764 $4055 $1494 IDA 23 62 $90998 0 $304 62 $91302 $3970 $1473 IOWA 20 48 $89516 0 $0 48 $89516 $4476 $1865 JACKSON 32 87 $112450 0 $0 87 $112450 $3514 $1293 JASPER 76 197 $338824 0 $0 197 $338824 $4458 $1720 JEFFERSON 46 117 $195562 0 $0 117 $195562 $4251 $1671 JOHNSON 202 469 $931239 0 $0 469 $931239 $4610 $1986 JONES 35 94 $142207 0 $0 94 $142207 $4063 $1513 KEOKUK 25 58 $109750 0 $0 58 $109750 $4390 $1892 KOSSUTH 29 72 $130693 0 $0 72 $130693 $4507 $1815 LEE 83 213 $357017 0 $3713 213 $360730 $4346 $1694 LINN 485 1176 $2288253 0 $5195 1176 $2293448 $4729 $1950 LOUISA 9 38 $43115 0 $0 38 $43115 $4791 $1135 LUCAS 24 76 $108939 0 $0 76 $108939 $4539 $1433 LYON 15 42 $80190 0 $0 42 $80190 $5346 $1909 MADISON 35 92 $169712 0 $0 92 $169712 $4849 $1845 MAHASKA 75 204 $368204 0 $0 204 $368204 $4909 $1805 MARION 84 206 $393001 0 $0 206 $393001 $4679 $1908 MARSHALL 87 206 $368352 0 $0 206 $368352 $4234 $1788 MILLS 21 42 $68348 0 $0 42 $68348 $3255 $1627 MITCHELL 21 55 $99428 0 $0 55 $99428 $4735 $1808 MONONA 21 57 $92821 0 $0 57 $92821 $4420 $1628 MONROE 31 75 $150462 0 $0 75 $150462 $4854 $2006 MONTGOMERY 25 66 $126339 0 $0 66 $126339 $5054 $1914 MUSCATINE 113 262 $506977 0 $923 262 $507900 $4495 $1939 O BRIEN 30 82 $148671 0 $0 82 $148671 $4956 $1813 OSCEOLA 7 16 $33492 0 $0 16 $33492 $4785 $2093 PAGE 49 117 $189359 0 $0 117 $189359 $3864 $1618 PALO ALTO 14 55 $73832 0 $0 55 $73832 $5274 $1342 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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 34 88 $155540 0 $123 88 $155663 $4578 $1769 POCAHONTAS 19 46 $79403 0 $0 46 $79403 $4179 $1726 POLK 1508 3729 $6935524 1 $7313 3730 $6942837 $4604 $1861 POTTAWATTA 502 1167 $2201874 0 $1674 1167 $2203548 $4390 $1888 POWESHIEK 34 83 $155432 0 $0 83 $155432 $4572 $1873 RINGGOLD 25 60 $92736 0 $0 60 $92736 $3709 $1546 SAC 17 51 $60869 0 $0 51 $60869 $3581 $1194 SCOTT 422 1001 $1952702 0 $3084 1001 $1955786 $4635 $1954 SHELBY 26 55 $101025 0 $0 55 $101025 $3886 $1837 SIOUX 26 49 $92954 0 $0 49 $92954 $3575 $1897 STORY 102 237 $454257 0 $0 237 $454257 $4454 $1917 TAMA 11 22 $49648 0 $0 22 $49648 $4513 $2257 TAYLOR 17 42 $65697 0 $0 42 $65697 $3865 $1564 UNION 48 132 $226529 0 $0 132 $226529 $4719 $1716 VAN BUREN 20 55 $120116 0 $0 55 $120116 $6006 $2184 WAPELLO 132 337 $584890 0 $0 337 $584890 $4431 $1736 WARREN 101 265 $538964 0 $0 265 $538964 $5336 $2034 WASHINGTON 38 112 $163386 0 $0 112 $163386 $4300 $1459 WAYNE 24 52 $106300 0 $0 52 $106300 $4429 $2044 WEBSTER 85 216 $402785 0 $1658 216 $404443 $4758 $1872 WINNEBAGO 24 58 $121242 0 $0 58 $121242 $5052 $2090 WINNESHIEK 28 63 $115014 0 $0 63 $115014 $4108 $1826 WOODBURY 166 392 $747474 0 $1946 392 $749420 $4515 $1912 WORTH 10 28 $43704 0 $0 28 $43704 $4370 $1561 WRIGHT 164 355 $738532 1 $2284 356 $740816 $4517 $2081 CENT. OFF 14 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 7544 18600 $33910320 2 $36284 18602 $33946604 $4500 $1825