IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 05/31/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 5,238 6,179 33,624 $113,770,199.01 OUTPATIENT 19,196 68,416 11,931,047 $16,471,911.21 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 115 264 5,332 $3,163,695.49 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 503 2,648 76,319 $26,409,813.51 INTER CARE INT DISABLED 30 271 7,755 $3,991,902.25 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 2,025 8,904 2,587,258 $20,557,800.24 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 25,011 135,491 419,740 $14,475,166.38 CLINIC SERVICES 8,037 19,914 20,480 $48,335,204.43 MEP CASE MANAGEMENT 1 0 0 $79,839.10- EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 4,860 10,993 32,289 $1,076,766.88 HABILITATION SERVICES 63 1,154 9,286 $1,288,108.20 BEHAVIORAL HLTH INTERVENTN SVC 113 1,374 9,234 $263,492.56 REHAB SUPPORT SERVICES 4 34 693 $38,690.19 AMBULANCE SERVICES 1,698 2,635 2,766 $1,291,605.78 LOCAL EDUCATION AGENCY 4,066 324,011 2,150,219 $49,765,898.06 INFANT TODDLER 895 5,452 11,798 $168,883.57 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 9,366 139,161 131,147 $14,428,285.52 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 23,679 123,440 110,309 $262,815.89 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 678 1,172 1,333 $128,210.69 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 634 697 654 $1,135,507.34 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 821 7,536 7,467 $31,146,165.85 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,264 40,704 41,377 $4,962,133.17 MEDICAL SUPPLIES 4,002 20,199 923,995 $1,702,435.86 HEALTH HOME PROVIDER 339 1,647 874 $138,434.32 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 890,912 7,160,154 7,140,055 $6,988,006,506.16 OTHER PRACTITIONER 17,760 221,414 800,593 $37,761,983.01 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 05/31/24) 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 825 883 857 $88,561.52 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,844 2,421 2,836 $147,055.46 CHIROPRACTIC 873 5,384 5,861 $82,236.57 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 909 2,136 3,428 $86,169.41 PREPAID AMBULATORY HEALTH PLAN 833,924 7,223,040 7,210,620 $101,648,351.99 PHYSICAL DISABILITIES SVCS 9 90 6,622 $39,829.31 BRAIN INJ WAIVER SERVICES 156 3,338 101,957 $6,020,095.62 PSYCHIATRIC 2,285 8,180 9,721 $623,540.94 RESIDENTIAL CARE FACILITY 422 3,328 94,864 $822,280.31 ID WAIVER SERVICE 648 10,734 511,993 $22,260,625.76 CHILDRENS MENTAL HEALTH SVC 42 348 48,399 $236,749.55 AIDS WAIVER SERVICES 2 16 457 $14,666.30 ELDERLY WAIVER SERVICES 31 726 21,495 $365,698.39 ILL & HANDICAPPED WAIVER SVCS 325 3,759 200,378 $6,802,060.20 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 654 6,898 55,994 $3,617,212.40 UNASSIGNED 6 0 0 $17,065,459.59 * A L L C A T E G O R I E S * 921,919 15,575,145 34,731,126 $7,540,582,304.58 *** END OF REPORT ***