IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 $1,441 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 1 2 $671 0 0 $0 BLACK HAWK 0 1 $15,454 0 4 $2,087 BOONE 2 2 $702 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 0 $0 0 2 $12,471 BUTLER 0 0 $0 0 0 $0 CALHOUN 1 2 $459 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $344 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 2 $75 0 0 $0 CHEROKEE 3 3 $9,001 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 3 $744 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 0 1 $275 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 0 $0 0 0 $0 DICKINSON 2 2 $602 0 0 $0 DUBUQUE 1 1 $301 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $2,859 0 0 $0 FLOYD 3 4 $914 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 3 3 $1,015 0 0 $0 HARRISON 3 3 $662 0 0 $0 HENRY 2 2 $524 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $280 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 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 $276 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 2 2 $604 0 0 $0 LINN 10 11 $2,588 1 1 $2,561 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 1 1 $521 0 0 $0 MADISON 1 1 $262 0 0 $0 MAHASKA 0 0 $0 0 0 $0 MARION 1 1 $407 0 0 $0 MARSHALL 1 1 $267 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 0 $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 $50 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 2 $612 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 25 26 $7,128 0 4 $33,949 POTTAWATTA 1 1 $291 0 1 $6,403 POWESHIEK 1 1 $2 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 5 5 $464 0 2 $34,069 SHELBY 0 0 $0 0 0 $0 SIOUX 3 3 $557 0 0 $0 STORY 8 8 $2,230 0 0 $0 TAMA 1 1 $837 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 1 1 $351 0 0 $0 WARREN 2 2 $444 0 0 $0 WASHINGTON 1 2 $751 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 2 2 $369 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 0 0 $0 0 0 $0 WOODBURY 9 9 $1,377 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 $479 0 0 $0 CENT. OFF 0 4 $3,826 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 120 131 $61,324 1 14 $91,543 *** END OF REPORT ***