IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS ADAIR 5 5 $1,371 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 1 $286 0 0 $0 BENTON 2 2 $479 0 0 $0 BLACK HAWK 0 0 $0 0 4 $12,545 BOONE 2 2 $704 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 0 $0 0 0 $0 BUTLER 0 0 $0 0 0 $0 CALHOUN 2 2 $462 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 2 $2,269 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 2 $0 0 0 $0 CHEROKEE 3 3 $1,865 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 3 $747 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 0 1 $726 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 0 2 $0 0 0 $0 DICKINSON 2 2 $603 0 0 $0 DUBUQUE 1 1 $301 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $1,827 0 0 $0 FLOYD 3 4 $916 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 $285 0 0 $0 HARRISON 3 3 $664 0 0 $0 HENRY 2 2 $526 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $281 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 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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 $277 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 2 2 $605 0 0 $0 LINN 10 12 $2,359 0 1 $1,799 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 1 1 $1,330 0 0 $0 MADISON 1 1 $263 0 0 $0 MAHASKA 0 1 $0 0 0 $0 MARION 1 1 $407 0 0 $0 MARSHALL 0 0 $0 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 0 1 $0 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 $51 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 2 $614 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 25 26 $6,994 0 3 $171 POTTAWATTA 1 1 $291 0 1 $323 POWESHIEK 1 1 $53 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 5 5 $465 0 4 $35,124 SHELBY 0 0 $0 0 0 $0 SIOUX 3 3 $521 0 0 $0 STORY 8 9 $2,240 0 0 $0 TAMA 1 1 $12 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 $446 0 0 $0 WASHINGTON 1 2 $530 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 0 1 $0 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 0 0 $0 0 0 $0 WOODBURY 9 9 $1,496 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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 $516 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 04/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/27/24 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 117 133 $33,803 0 13 $49,964 *** END OF REPORT ***