IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/22/24 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 38 87 $178124 0 $0 87 $178124 $4687 $2047 ADAMS 11 26 $46625 0 $0 26 $46625 $4239 $1793 ALLAMAKEE 27 64 $114956 0 $0 64 $114956 $4258 $1796 APPANOOSE 60 139 $258901 0 $0 139 $258901 $4315 $1863 AUDUBON 11 25 $50918 0 $0 25 $50918 $4629 $2037 BENTON 42 98 $195698 0 $0 98 $195698 $4659 $1997 BLACK HAWK 361 825 $1660566 0 $0 825 $1660566 $4600 $2013 BOONE 48 116 $227328 0 $0 116 $227328 $4736 $1960 BREMER 17 47 $83814 0 $0 47 $83814 $4930 $1783 BUCHANAN 34 78 $170975 0 $0 78 $170975 $5029 $2192 BUENA VIST 36 75 $160223 0 $4940 75 $165163 $4588 $2202 BUTLER 18 44 $81082 0 $0 44 $81082 $4505 $1843 CALHOUN 31 63 $109433 0 $1678 63 $111111 $3584 $1764 CARROLL 44 106 $201339 0 $0 106 $201339 $4576 $1899 CASS 39 88 $180152 0 $0 88 $180152 $4619 $2047 CEDAR 32 59 $122924 0 $1099 59 $124023 $3876 $2102 CERRO GORD 100 228 $473721 0 $0 228 $473721 $4737 $2078 CHEROKEE 17 42 $69318 0 $0 42 $69318 $4078 $1650 CHICKASAW 33 75 $143992 0 $0 75 $143992 $4363 $1920 CLARKE 44 100 $186265 0 $0 100 $186265 $4233 $1863 CLAY 56 128 $245166 0 $0 128 $245166 $4378 $1915 CLAYTON 31 86 $147501 0 $0 86 $147501 $4758 $1715 CLINTON 118 288 $592851 0 $0 288 $592851 $5024 $2059 CRAWFORD 16 35 $69047 0 $0 35 $69047 $4315 $1973 DALLAS 147 322 $625721 0 $0 322 $625721 $4257 $1943 DAVIS 17 41 $61997 0 $0 41 $61997 $3647 $1512 DECATUR 40 86 $168000 0 $0 86 $168000 $4200 $1953 DELAWARE 35 75 $158446 0 $0 75 $158446 $4527 $2113 DES MOINES 81 191 $350172 0 $0 191 $350172 $4323 $1833 DICKINSON 38 92 $176202 0 $0 92 $176202 $4637 $1915 DUBUQUE 155 366 $651747 0 $0 366 $651747 $4205 $1781 EMMET 13 36 $62791 0 $0 36 $62791 $4830 $1744 FAYETTE 57 147 $248100 0 $0 147 $248100 $4353 $1688 FLOYD 41 84 $146702 0 $0 84 $146702 $3578 $1746 FRANKLIN 17 36 $72452 0 $0 36 $72452 $4262 $2013 FREMONT 14 31 $59649 0 $0 31 $59649 $4261 $1924 GREENE 20 47 $86680 0 $0 47 $86680 $4334 $1844 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/22/24 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 16 33 $58634 0 $0 33 $58634 $3665 $1777 GUTHRIE 31 77 $126043 0 $0 77 $126043 $4066 $1637 HAMILTON 22 51 $92723 0 $0 51 $92723 $4215 $1818 HANCOCK 17 44 $82043 0 $0 44 $82043 $4826 $1865 HARDIN 42 95 $182758 0 $0 95 $182758 $4351 $1924 HARRISON 34 83 $146117 0 $0 83 $146117 $4298 $1760 HENRY 43 99 $191618 0 $0 99 $191618 $4456 $1936 HOWARD 21 41 $96650 0 $0 41 $96650 $4602 $2357 HUMBOLDT 15 34 $55848 0 $0 34 $55848 $3723 $1643 IDA 18 50 $88468 0 $44 50 $88512 $4917 $1770 IOWA 23 48 $90791 0 $0 48 $90791 $3947 $1891 JACKSON 36 85 $173906 0 $0 85 $173906 $4831 $2046 JASPER 76 178 $342082 0 $0 178 $342082 $4501 $1922 JEFFERSON 42 100 $189752 0 $0 100 $189752 $4518 $1898 JOHNSON 200 442 $892285 0 $0 442 $892285 $4461 $2019 JONES 38 90 $164887 0 $0 90 $164887 $4339 $1832 KEOKUK 23 49 $86659 0 $0 49 $86659 $3768 $1769 KOSSUTH 31 64 $141526 0 $0 64 $141526 $4565 $2211 LEE 76 182 $309155 0 $1517 182 $310672 $4088 $1707 LINN 478 1081 $2078669 0 $1678 1081 $2080347 $4352 $1924 LOUISA 13 32 $60640 0 $0 32 $60640 $4665 $1895 LUCAS 30 70 $136553 0 $0 70 $136553 $4552 $1951 LYON 12 38 $76860 0 $0 38 $76860 $6405 $2023 MADISON 32 81 $145995 0 $0 81 $145995 $4562 $1802 MAHASKA 68 168 $291168 0 $0 168 $291168 $4282 $1733 MARION 78 187 $332523 0 $0 187 $332523 $4263 $1778 MARSHALL 81 183 $342992 0 $0 183 $342992 $4234 $1874 MILLS 18 41 $83783 0 $0 41 $83783 $4655 $2043 MITCHELL 23 49 $85316 0 $0 49 $85316 $3709 $1741 MONONA 21 51 $93950 0 $0 51 $93950 $4474 $1842 MONROE 36 74 $164527 0 $0 74 $164527 $4570 $2223 MONTGOMERY 22 52 $98034 0 $0 52 $98034 $4456 $1885 MUSCATINE 109 242 $507607 0 $1202 242 $508809 $4668 $2103 O BRIEN 29 72 $146876 0 $0 72 $146876 $5065 $2040 OSCEOLA 7 15 $29794 0 $0 15 $29794 $4256 $1986 PAGE 54 116 $252404 0 $0 116 $252404 $4674 $2176 PALO ALTO 14 40 $65136 0 $0 40 $65136 $4653 $1628 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 06/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/22/24 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 34 84 $177895 0 $289 84 $178184 $5241 $2121 POCAHONTAS 18 42 $85085 0 $0 42 $85085 $4727 $2026 POLK 1472 3358 $6525076 0 $4598 3358 $6529674 $4436 $1945 POTTAWATTA 516 1146 $2255899 0 $2780 1146 $2258679 $4377 $1971 POWESHIEK 35 73 $126901 0 $0 73 $126901 $3626 $1738 RINGGOLD 24 55 $108405 0 $0 55 $108405 $4517 $1971 SAC 17 46 $105465 0 $0 46 $105465 $6204 $2293 SCOTT 421 911 $1817727 0 $3472 911 $1821199 $4326 $1999 SHELBY 25 47 $93792 0 $0 47 $93792 $3752 $1996 SIOUX 21 44 $83526 0 $0 44 $83526 $3977 $1898 STORY 99 211 $433369 0 $0 211 $433369 $4377 $2054 TAMA 11 21 $48238 0 $0 21 $48238 $4385 $2297 TAYLOR 15 35 $56720 0 $0 35 $56720 $3781 $1621 UNION 45 115 $191943 0 $0 115 $191943 $4265 $1669 VAN BUREN 23 49 $89477 0 $0 49 $89477 $3890 $1826 WAPELLO 126 293 $579930 0 $0 293 $579930 $4603 $1979 WARREN 105 244 $490496 1 $1173 245 $491669 $4683 $2007 WASHINGTON 37 94 $210371 0 $0 94 $210371 $5686 $2238 WAYNE 23 49 $103009 0 $0 49 $103009 $4479 $2102 WEBSTER 85 193 $402807 0 $1658 193 $404465 $4758 $2096 WINNEBAGO 21 52 $104968 0 $0 52 $104968 $4998 $2019 WINNESHIEK 25 59 $110881 0 $0 59 $110881 $4435 $1879 WOODBURY 168 361 $639069 0 $2910 361 $641979 $3821 $1778 WORTH 7 20 $30976 0 $0 20 $30976 $4425 $1549 WRIGHT 184 388 $796669 0 $4510 388 $801179 $4354 $2065 CENT. OFF 11 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 7436 16903 $32813044 1 $33548 16904 $32846592 $4417 $1943