IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/22/24 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 06/30/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 5,645 6,741 36,940 $119,253,213.73 OUTPATIENT 20,383 75,335 13,724,004 $18,433,519.14 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 119 279 5,708 $3,547,798.54 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 544 2,928 84,382 $26,319,440.01 INTER CARE INT DISABLED 30 289 8,293 $4,295,853.47 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 2,105 9,854 2,745,871 $23,077,208.50 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 26,208 146,712 454,304 $15,327,350.96 CLINIC SERVICES 8,551 21,620 22,229 $52,903,855.34 MEP CASE MANAGEMENT 1 0 0 $79,839.10- EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 5,185 11,999 35,339 $1,209,797.65 HABILITATION SERVICES 64 1,240 10,332 $1,434,791.66 BEHAVIORAL HLTH INTERVENTN SVC 115 1,482 10,055 $284,451.68 REHAB SUPPORT SERVICES 4 36 739 $41,258.37 AMBULANCE SERVICES 1,813 2,893 3,023 $1,476,526.56 LOCAL EDUCATION AGENCY 4,293 401,264 2,573,033 $60,807,394.89 INFANT TODDLER 953 5,946 12,813 $182,673.29 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 9,775 150,125 141,185 $15,367,931.12 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 24,469 132,462 117,844 $281,963.34 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 697 1,216 1,525 $133,956.41 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 694 759 716 $1,261,170.05 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 845 8,262 8,188 $34,157,243.02 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,292 43,572 44,245 $5,328,424.80 MEDICAL SUPPLIES 4,163 22,065 1,005,183 $1,849,814.41 HEALTH HOME PROVIDER 343 1,759 980 $158,478.60 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 898,332 7,770,936 7,749,450 $7,811,575,159.23 OTHER PRACTITIONER 18,756 266,479 966,396 $47,916,381.59 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/22/24 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 06/30/24) 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 888 1,027 998 $118,149.49 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 2,005 2,649 3,114 $162,229.97 CHIROPRACTIC 908 5,834 6,354 $90,273.69 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 959 2,298 3,862 $93,191.85 PREPAID AMBULATORY HEALTH PLAN 842,678 7,839,159 7,825,448 $111,109,659.77 PHYSICAL DISABILITIES SVCS 9 101 7,972 $48,322.98 BRAIN INJ WAIVER SERVICES 157 3,630 108,271 $6,531,644.48 PSYCHIATRIC 2,427 9,029 10,768 $692,057.44 RESIDENTIAL CARE FACILITY 433 3,753 107,008 $933,773.18 ID WAIVER SERVICE 650 11,692 554,747 $24,972,456.89 CHILDRENS MENTAL HEALTH SVC 42 376 51,777 $252,911.29 AIDS WAIVER SERVICES 2 20 633 $17,877.04 ELDERLY WAIVER SERVICES 33 792 23,154 $396,042.53 ILL & HANDICAPPED WAIVER SVCS 326 4,096 217,972 $7,403,581.83 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 655 7,552 61,804 $3,992,538.40 UNASSIGNED 6 0 0 $24,002,260.11 * A L L C A T E G O R I E S * 929,767 16,978,261 38,746,659 $8,427,362,722.99 *** END OF REPORT ***