IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 04/30/24) * * * * * 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 562 582 3,716 $8,263,878.05 $2,223.86 $13.22 6.6 $14,704.41 OUTPATIENT 3,667 5,786 1,080,169 $1,365,309.32 $1.26 $2.18 294.6 $372.32 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 22 24 456 $269,066.76 $590.06 $0.43 20.7 $12,230.31 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 252 324 9,354 $5,338,811.70- $570.75- $8.54- 37.1 $21,185.76- INTER CARE INT DISABLED 18 20 596 $314,899.36 $528.35 $0.50 33.1 $17,494.41 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 632 932 194,226 $1,875,717.98 $9.66 $3.00 307.3 $2,967.91 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 6,470 15,044 41,135 $1,189,800.58 $28.92 $1.90 6.4 $183.89 CLINIC SERVICES 1,602 2,294 2,877 $3,863,837.79 $1,343.01 $6.18 1.8 $2,411.88 MEP CASE MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 LAB AND RADIOLOGICAL 752 1,086 3,015 $108,464.24 $35.97 $0.17 4.0 $144.23 HABILITATION SERVICES 32 103 1,188 $135,204.03 $113.81 $0.22 37.1 $4,225.13 BEHAVIORAL HLTH INTERVENTN SVC 40 163 1,351 $35,831.66 $26.52 $0.06 33.8 $895.79 REHAB SUPPORT SERVICES 3 3 63 $3,517.29 $55.83 $0.01 21.0 $1,172.43 AMBULANCE SERVICES 223 277 276 $45,960.78 $166.52 $0.07 1.2 $206.10 LOCAL EDUCATION AGENCY 2,342 45,861 291,243 $7,330,087.03 $25.17 $11.73 124.4 $3,129.84 INFANT TODDLER 267 495 1,165 $15,799.85 $13.56 $0.03 4.4 $59.18 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 3,781 23,692 21,027 $2,268,431.67 $107.88 $56.99 5.6 $599.96 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 11,125 9,225 8,340 $22,385.54 $2.68 $0.04 .7 $2.01 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 86 98 98 $10,296.23 $105.06 $0.02 1.1 $119.72 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 61 73 71 $98,810.29 $1,391.69 $11.09 1.2 $1,619.84 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 695 723 714 $2,968,468.46 $4,157.52 $4.75 1.0 $4,271.18 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,606 3,835 3,835 $486,137.07 $126.76 $0.78 2.4 $302.70 MEDICAL SUPPLIES 640 987 53,079 $113,220.01 $2.13 $2.84 82.9 $176.91 HEALTH HOME PROVIDER 95 118 55 $9,449.02 $171.80 $0.02 .6 $99.46 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 765,344 605,977 604,148 $853,181,582.05 $1,412.21 $1,365.09 .8 $1,114.77 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 04/30/24) * * * * * 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 5,181 30,085 81,981 $5,714,718.67 $69.71 $9.14 15.8 $1,103.01 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 58 56 56 $6,332.58 $113.08 $0.16 1.0 $109.18 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 211 233 260 $17,045.11 $65.56 $0.03 1.2 $80.78 CHIROPRACTIC 256 534 568 $7,853.23 $13.83 $0.20 2.2 $30.68 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 187 242 339 $9,995.17 $29.48 $0.02 1.8 $53.45 PREPAID AMBULATORY HEALTH PLAN 742,668 611,220 609,816 $9,353,346.65 $15.34 $14.97 .8 $12.59 PHYSICAL DISABILITIES SVCS 6 12 1,606- $2,306.59- $1.44 $0.00 267.7- $384.43- BRAIN INJ WAIVER SERVICES 140 299 7,044 $494,314.60 $70.18 $0.79 50.3 $3,530.82 PSYCHIATRIC 465 865 959 $65,618.74 $68.42 $0.10 2.1 $141.12 RESIDENTIAL CARE FACILITY 221 408 11,313 $100,155.00 $8.85 $0.16 51.2 $453.19 ID WAIVER SERVICE 541 1,084 44,828 $1,051,635.57- $23.46- $334.28- 82.9 $1,943.87- CHILDRENS MENTAL HEALTH SVC 25 30 2,616 $12,489.56 $4.77 $67.15 104.6 $499.58 AIDS WAIVER SERVICES 2 4 161 $1,919.52 $11.92 $239.94 80.5 $959.76 ELDERLY WAIVER SERVICES 25 59 1,693 $33,083.55 $19.54 $21.75 67.7 $1,323.34 ILL & HANDICAPPED WAIVER SVCS 267 365 18,375 $680,009.82 $37.01 $1,137.14 68.8 $2,546.85 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 579 652 5,410 $349,486.00 $64.60 $0.56 9.3 $603.60 UNASSIGNED 1 0 0 $6,557,998.97 $0.00 $10.49 .0 $0.00 * A L L C A T E G O R I E S * 785,330 1,363,870 3,106,010 $900,987,768.37 $290.08 $1,441.58 4.0 $1,147.27 *** END OF REPORT ***