IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 07/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 07/27/24 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 07/31/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 705 710 3,468 $8,261,597.36 OUTPATIENT 4,754 7,525 1,357,491 $1,683,561.73 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 21 22 382 $271,885.30 IHAWP IOWA PLAN LITE 0 0 0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 IHAWP HMO 0 0 0 $0.00 IHAWP PCP 0 0 0 $0.00 INTERMEDIATE CARE FACILITY 245 266 7,583 $4,504,489.17 INTER CARE INT DISABLED 13 16 469 $255,358.48 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 677 1,048 200,093 $2,448,210.26 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 6,213 13,553 44,413 $1,076,977.86 CLINIC SERVICES 1,517 2,149 2,393 $3,407,429.17 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 807 1,204 3,771 $136,538.58 HABILITATION SERVICES 34 87 1,146 $143,781.79 BEHAVIORAL HLTH INTERVENTN SVC 41 109 1,402 $38,360.60 REHAB SUPPORT SERVICES 3 2 47- $2,624.01- AMBULANCE SERVICES 211 252 249 $103,769.94 LOCAL EDUCATION AGENCY 434 14,907 52,309 $813,783.87 INFANT TODDLER 283 530 1,153 $16,983.63 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 2,950 13,613 12,912 $1,130,450.97 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 10,406 8,847 8,720 $21,960.90 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 130 159 157 $18,083.33 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 73 72 70 $156,958.65 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 699 699 699 $2,914,807.00 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,587 3,831 3,831 $465,874.05 MEDICAL SUPPLIES 1,464 2,938 143,573 $238,875.98 HEALTH HOME PROVIDER 93 100 55 $10,757.42 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 737,257 606,035 604,410 $848,052,249.92 OTHER PRACTITIONER 3,319 7,103 47,466 $1,013,444.68 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 07/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 07/27/24 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 07/31/24) 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 104 125 116 $16,024.43 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 207 225 271 $12,550.44 CHIROPRACTIC 249 531 558 $6,659.34 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 200 253 343 $10,638.42 PREPAID AMBULATORY HEALTH PLAN 720,409 611,645 610,785 $9,381,858.96 PHYSICAL DISABILITIES SVCS 6 10 741 $3,678.79 BRAIN INJ WAIVER SERVICES 131 285 6,773 $537,331.43 PSYCHIATRIC 616 825 980 $73,196.12 RESIDENTIAL CARE FACILITY 184 177 4,310 $36,786.71 ID WAIVER SERVICE 547 1,093 50,339 $2,970,917.34 CHILDRENS MENTAL HEALTH SVC 27 37 5,515 $26,921.62 AIDS WAIVER SERVICES 2 3 255 $2,512.98 ELDERLY WAIVER SERVICES 28 74 1,759 $27,721.03 ILL & HANDICAPPED WAIVER SVCS 260 356 20,087 $615,580.60 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 552 570 4,362 $281,785.20 UNASSIGNED 3 0 0 $7,215,857.46- * A L L C A T E G O R I E S * 757,728 1,301,986 3,205,362 $883,971,872.58 *** END OF REPORT ***