IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 36 80 $167329 0 $0 80 $167329 $4648 $2092 ADAMS 11 29 $69964 0 $0 29 $69964 $6360 $2413 ALLAMAKEE 27 62 $129571 0 $0 62 $129571 $4799 $2090 APPANOOSE 62 140 $274700 0 $0 140 $274700 $4431 $1962 AUDUBON 10 23 $46093 0 $0 23 $46093 $4609 $2004 BENTON 41 96 $171683 0 $0 96 $171683 $4187 $1788 BLACK HAWK 360 809 $1688932 0 $0 809 $1688932 $4691 $2088 BOONE 51 118 $225325 0 $0 118 $225325 $4418 $1910 BREMER 18 50 $105670 0 $0 50 $105670 $5871 $2113 BUCHANAN 34 74 $137210 0 $0 74 $137210 $4036 $1854 BUENA VIST 37 74 $121668 1 $4884 75 $126552 $3420 $1687 BUTLER 17 42 $71246 0 $0 42 $71246 $4191 $1696 CALHOUN 27 63 $104485 1 $2503 64 $106988 $3963 $1672 CARROLL 44 105 $171768 0 $0 105 $171768 $3904 $1636 CASS 39 85 $178303 0 $0 85 $178303 $4572 $2098 CEDAR 28 56 $111407 1 $486 57 $111893 $3996 $1963 CERRO GORD 100 224 $418288 0 $0 224 $418288 $4183 $1867 CHEROKEE 17 42 $69354 0 $0 42 $69354 $4080 $1651 CHICKASAW 31 76 $103434 0 $0 76 $103434 $3337 $1361 CLARKE 44 98 $163338 0 $0 98 $163338 $3712 $1667 CLAY 56 125 $259133 0 $0 125 $259133 $4627 $2073 CLAYTON 32 82 $139040 0 $0 82 $139040 $4345 $1696 CLINTON 120 276 $497262 0 $0 276 $497262 $4144 $1802 CRAWFORD 15 36 $59384 0 $0 36 $59384 $3959 $1650 DALLAS 141 313 $611438 0 $0 313 $611438 $4336 $1953 DAVIS 18 39 $73096 0 $0 39 $73096 $4061 $1874 DECATUR 40 87 $191115 0 $0 87 $191115 $4778 $2197 DELAWARE 36 78 $127369 0 $0 78 $127369 $3538 $1633 DES MOINES 81 191 $328389 0 $0 191 $328389 $4054 $1719 DICKINSON 39 95 $172798 0 $0 95 $172798 $4431 $1819 DUBUQUE 161 358 $694701 0 $0 358 $694701 $4315 $1941 EMMET 16 39 $59560 0 $0 39 $59560 $3723 $1527 FAYETTE 58 148 $288824 0 $0 148 $288824 $4980 $1952 FLOYD 43 83 $173417 0 $0 83 $173417 $4033 $2089 FRANKLIN 17 36 $51251 0 $0 36 $51251 $3015 $1424 FREMONT 13 31 $55948 0 $0 31 $55948 $4304 $1805 GREENE 19 46 $66980 0 $0 46 $66980 $3525 $1456 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 13 36 $49597 0 $0 36 $49597 $3815 $1378 GUTHRIE 30 72 $105793 0 $0 72 $105793 $3526 $1469 HAMILTON 23 51 $89457 0 $0 51 $89457 $3889 $1754 HANCOCK 18 46 $78957 0 $0 46 $78957 $4387 $1716 HARDIN 40 93 $151282 0 $0 93 $151282 $3782 $1627 HARRISON 35 83 $137406 0 $0 83 $137406 $3926 $1655 HENRY 43 97 $171172 0 $0 97 $171172 $3981 $1765 HOWARD 20 37 $74955 0 $0 37 $74955 $3748 $2026 HUMBOLDT 16 40 $76785 0 $0 40 $76785 $4799 $1920 IDA 20 49 $81944 1 $834 50 $82778 $4139 $1656 IOWA 22 48 $95288 0 $0 48 $95288 $4331 $1985 JACKSON 33 79 $155012 0 $0 79 $155012 $4697 $1962 JASPER 79 182 $346474 0 $0 182 $346474 $4386 $1904 JEFFERSON 44 100 $151962 0 $0 100 $151962 $3454 $1520 JOHNSON 201 433 $872940 0 $0 433 $872940 $4343 $2016 JONES 38 83 $172627 0 $0 83 $172627 $4543 $2080 KEOKUK 24 51 $95809 0 $0 51 $95809 $3992 $1879 KOSSUTH 31 64 $112599 0 $0 64 $112599 $3632 $1759 LEE 79 187 $334078 1 $4834 188 $338912 $4290 $1803 LINN 474 1059 $2194399 1 $3877 1060 $2198276 $4638 $2074 LOUISA 11 29 $43805 0 $0 29 $43805 $3982 $1511 LUCAS 26 62 $123022 0 $0 62 $123022 $4732 $1984 LYON 15 38 $80154 0 $0 38 $80154 $5344 $2109 MADISON 33 77 $138266 0 $0 77 $138266 $4190 $1796 MAHASKA 69 174 $333449 0 $0 174 $333449 $4833 $1916 MARION 81 183 $356986 0 $0 183 $356986 $4407 $1951 MARSHALL 80 183 $366153 0 $0 183 $366153 $4577 $2001 MILLS 21 41 $88046 0 $0 41 $88046 $4193 $2147 MITCHELL 23 44 $73917 0 $0 44 $73917 $3214 $1680 MONONA 20 46 $91784 0 $0 46 $91784 $4589 $1995 MONROE 33 70 $149673 0 $0 70 $149673 $4536 $2138 MONTGOMERY 23 55 $96976 0 $0 55 $96976 $4216 $1763 MUSCATINE 111 240 $486796 1 $923 241 $487719 $4394 $2024 O BRIEN 30 71 $123822 0 $0 71 $123822 $4127 $1744 OSCEOLA 7 15 $16225 0 $0 15 $16225 $2318 $1082 PAGE 54 112 $235273 0 $0 112 $235273 $4357 $2101 PALO ALTO 13 41 $48534 0 $0 41 $48534 $3733 $1184 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 36 81 $155297 1 $350 82 $155647 $4324 $1898 POCAHONTAS 17 40 $85300 0 $0 40 $85300 $5018 $2133 POLK 1467 3310 $6636051 3 $4057 3313 $6640108 $4526 $2004 POTTAWATTA 505 1109 $2345737 1 $1803 1110 $2347540 $4649 $2115 POWESHIEK 33 76 $143878 0 $0 76 $143878 $4360 $1893 RINGGOLD 25 54 $100477 0 $0 54 $100477 $4019 $1861 SAC 18 40 $66318 0 $0 40 $66318 $3684 $1658 SCOTT 416 899 $1775057 2 $4199 901 $1779256 $4277 $1975 SHELBY 22 49 $100011 0 $0 49 $100011 $4546 $2041 SIOUX 23 46 $93341 0 $0 46 $93341 $4058 $2029 STORY 96 216 $422917 0 $0 216 $422917 $4405 $1958 TAMA 11 24 $72094 0 $0 24 $72094 $6554 $3004 TAYLOR 16 33 $57250 0 $0 33 $57250 $3578 $1735 UNION 46 113 $199211 0 $0 113 $199211 $4331 $1763 VAN BUREN 19 46 $86579 0 $0 46 $86579 $4557 $1882 WAPELLO 129 292 $630804 0 $0 292 $630804 $4890 $2160 WARREN 106 242 $409202 0 $0 242 $409202 $3860 $1691 WASHINGTON 38 90 $168780 0 $0 90 $168780 $4442 $1875 WAYNE 24 48 $93572 0 $0 48 $93572 $3899 $1949 WEBSTER 84 188 $299607 0 $1382 188 $300989 $3583 $1601 WINNEBAGO 24 52 $102863 0 $0 52 $102863 $4286 $1978 WINNESHIEK 26 58 $123340 0 $0 58 $123340 $4744 $2127 WOODBURY 163 357 $746677 3 $1064 360 $747741 $4587 $2077 WORTH 8 22 $33780 0 $0 22 $33780 $4223 $1535 WRIGHT 186 380 $792432 1 $2002 381 $794434 $4271 $2085 CENT. OFF 12 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 7422 16645 $32521465 18 $33198 16663 $32554663 $4386 $1954