IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 06/30/24) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED INPATIENT 560 562 3,316 $5,483,014.72 $1,653.50 $8.83 5.9 $9,791.10 OUTPATIENT 6,244 6,919 1,792,957 $1,961,607.93 $1.09 $3.16 287.1 $314.16 CHILD PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 SKILLED NURSING FACILITY 12 15 376 $384,103.05 $1,021.55 $0.62 31.3 $32,008.59 IHAWP IOWA PLAN LITE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP HMO 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP PCP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 INTERMEDIATE CARE FACILITY 229 280 8,063 $90,373.50- $11.21- $0.15- 35.2 $394.64- INTER CARE INT DISABLED 16 18 538 $303,951.22 $564.97 $0.49 33.6 $18,996.95 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 605 950 158,613 $2,519,408.26 $15.88 $4.06 262.2 $4,164.31 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,568 11,221 34,564 $852,184.58 $24.66 $1.37 6.2 $153.05 CLINIC SERVICES 1,296 1,706 1,749 $4,568,650.91 $2,612.15 $7.35 1.3 $3,525.19 MEP CASE MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 LAB AND RADIOLOGICAL 673 1,006 3,050 $133,030.77 $43.62 $0.21 4.5 $197.67 HABILITATION SERVICES 29 86 1,046 $146,683.46 $140.23 $0.24 36.1 $5,058.05 BEHAVIORAL HLTH INTERVENTN SVC 37 108 821 $20,959.12 $25.53 $0.03 22.2 $566.46 REHAB SUPPORT SERVICES 2 2 46 $2,568.18 $55.83 $0.00 23.0 $1,284.09 AMBULANCE SERVICES 201 258 257 $184,920.78 $719.54 $0.30 1.3 $920.00 LOCAL EDUCATION AGENCY 2,895 77,253 422,814 $11,041,496.83 $26.11 $17.77 146.0 $3,813.99 INFANT TODDLER 283 494 1,015 $13,789.72 $13.59 $0.02 3.6 $48.73 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PRESCRIBED DRUGS 2,710 10,964 10,038 $939,645.60 $93.61 $27.25 3.7 $346.73 IOWA-PLAN-PMIC 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DRUG CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 NEMT SERVICES 10,614 9,022 7,535 $19,147.45 $2.54 $0.03 .7 $1.80 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 66 44 192 $5,745.72 $29.93 $0.01 2.9 $87.06 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EPSDT SCREENING 62 62 62 $125,662.71 $2,026.82 $19.39 1.0 $2,026.82 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 710 726 721 $3,011,077.17 $4,176.25 $4.85 1.0 $4,240.95 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,521 2,868 2,868 $366,291.63 $127.72 $0.59 1.9 $240.82 MEDICAL SUPPLIES 1,132 1,866 81,188 $147,378.55 $1.82 $4.27 71.7 $130.19 HEALTH HOME PROVIDER 96 112 106 $20,044.28 $189.10 $0.03 1.1 $208.79 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP QHP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MCO 574,583 610,782 609,395 $823,568,653.07 $1,351.45 $1,325.64 1.1 $1,433.33 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 06/30/24) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED OTHER PRACTITIONER 5,564 45,065 165,803 $10,154,398.58 $61.24 $16.34 29.8 $1,825.02 FAMILY CENTERED PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DENTAL 105 144 141 $29,587.97 $209.84 $0.86 1.3 $281.79 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 218 228 278 $15,174.51 $54.58 $0.02 1.3 $69.61 CHIROPRACTIC 212 450 493 $8,037.12 $16.30 $0.23 2.3 $37.91 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 137 162 434 $7,022.44 $16.18 $0.01 3.2 $51.26 PREPAID AMBULATORY HEALTH PLAN 736,860 616,119 614,828 $9,461,307.78 $15.39 $15.23 .8 $12.84 PHYSICAL DISABILITIES SVCS 5 11 1,350 $8,493.67 $6.29 $0.01 270.0 $1,698.73 BRAIN INJ WAIVER SERVICES 136 292 6,314 $511,548.86 $81.02 $0.82 46.4 $3,761.39 PSYCHIATRIC 466 849 1,047 $68,516.50 $65.44 $0.11 2.2 $147.03 RESIDENTIAL CARE FACILITY 261 425 12,144 $111,492.87 $9.18 $0.18 46.5 $427.18 ID WAIVER SERVICE 538 958 42,754 $2,711,831.13 $63.43 $2,280.77 79.5 $5,040.58 CHILDRENS MENTAL HEALTH SVC 24 28 3,378 $16,161.74 $4.78 $215.49 140.8 $673.41 AIDS WAIVER SERVICES 2 4 176 $3,210.74 $18.24 $802.69 88.0 $1,605.37 ELDERLY WAIVER SERVICES 27 66 1,659 $30,344.14 $18.29 $68.19 61.4 $1,123.86 ILL & HANDICAPPED WAIVER SVCS 253 337 17,594 $601,521.63 $34.19 $2,506.34 69.5 $2,377.56 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 571 654 5,810 $375,326.00 $64.60 $0.60 10.2 $657.31 UNASSIGNED 1 0 0 $6,936,800.52 $0.00 $11.17 .0 $0.00 * A L L C A T E G O R I E S * 748,293 1,403,116 4,015,533 $886,780,418.41 $220.84 $1,427.39 5.4 $1,185.07 *** END OF REPORT ***