IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 07/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 07/27/24 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 36 94 $154802 0 $0 94 $154802 $4300 $1647 ADAMS 10 28 $48570 0 $0 28 $48570 $4857 $1735 ALLAMAKEE 28 75 $123121 0 $0 75 $123121 $4397 $1642 APPANOOSE 58 159 $260884 0 $0 159 $260884 $4498 $1641 AUDUBON 12 28 $54490 0 $0 28 $54490 $4541 $1946 BENTON 42 118 $174869 0 $0 118 $174869 $4164 $1482 BLACK HAWK 366 950 $1726696 0 $0 950 $1726696 $4718 $1818 BOONE 47 128 $212673 0 $0 128 $212673 $4525 $1662 BREMER 18 56 $95391 0 $0 56 $95391 $5300 $1703 BUCHANAN 32 93 $153118 0 $0 93 $153118 $4785 $1646 BUENA VIST 36 82 $158148 0 $4984 82 $163132 $4531 $1989 BUTLER 18 52 $83802 0 $0 52 $83802 $4656 $1612 CALHOUN 31 79 $176140 0 $2724 79 $178864 $5770 $2264 CARROLL 43 119 $196383 0 $0 119 $196383 $4567 $1650 CASS 37 92 $162639 0 $0 92 $162639 $4396 $1768 CEDAR 33 66 $152672 1 $1085 67 $153757 $4659 $2295 CERRO GORD 95 261 $436928 0 $0 261 $436928 $4599 $1674 CHEROKEE 16 52 $68279 0 $0 52 $68279 $4267 $1313 CHICKASAW 35 94 $168104 0 $0 94 $168104 $4803 $1788 CLARKE 41 116 $201941 0 $0 116 $201941 $4925 $1741 CLAY 61 145 $241563 0 $0 145 $241563 $3960 $1666 CLAYTON 30 105 $150216 0 $0 105 $150216 $5007 $1431 CLINTON 122 326 $510678 0 $0 326 $510678 $4186 $1566 CRAWFORD 16 40 $80732 0 $0 40 $80732 $5046 $2018 DALLAS 148 354 $674551 0 $0 354 $674551 $4558 $1906 DAVIS 17 46 $67729 0 $0 46 $67729 $3984 $1472 DECATUR 41 96 $203561 0 $0 96 $203561 $4965 $2120 DELAWARE 38 83 $155071 0 $0 83 $155071 $4081 $1868 DES MOINES 81 209 $345576 0 $0 209 $345576 $4266 $1653 DICKINSON 40 104 $194220 0 $0 104 $194220 $4856 $1868 DUBUQUE 165 427 $699216 0 $0 427 $699216 $4238 $1638 EMMET 15 40 $47617 0 $0 40 $47617 $3174 $1190 FAYETTE 59 165 $245669 0 $0 165 $245669 $4164 $1489 FLOYD 40 87 $169105 0 $0 87 $169105 $4228 $1944 FRANKLIN 16 38 $80307 0 $0 38 $80307 $5019 $2113 FREMONT 15 38 $70133 0 $0 38 $70133 $4676 $1846 GREENE 23 60 $101270 0 $0 60 $101270 $4403 $1688 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 07/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 07/27/24 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 15 44 $86948 0 $0 44 $86948 $5797 $1976 GUTHRIE 33 97 $137448 0 $0 97 $137448 $4165 $1417 HAMILTON 24 59 $99516 0 $0 59 $99516 $4147 $1687 HANCOCK 19 52 $64029 0 $0 52 $64029 $3370 $1231 HARDIN 42 113 $213470 0 $0 113 $213470 $5083 $1889 HARRISON 34 102 $167716 0 $0 102 $167716 $4933 $1644 HENRY 41 110 $177835 0 $0 110 $177835 $4337 $1617 HOWARD 20 44 $101774 0 $0 44 $101774 $5089 $2313 HUMBOLDT 17 42 $85861 0 $0 42 $85861 $5051 $2044 IDA 17 60 $74762 1 $108 61 $74870 $4404 $1227 IOWA 23 53 $103813 0 $0 53 $103813 $4514 $1959 JACKSON 32 94 $170860 0 $0 94 $170860 $5339 $1818 JASPER 79 201 $357273 0 $0 201 $357273 $4522 $1777 JEFFERSON 43 117 $174428 0 $0 117 $174428 $4056 $1491 JOHNSON 203 499 $940455 0 $0 499 $940455 $4633 $1885 JONES 36 102 $161885 0 $0 102 $161885 $4497 $1587 KEOKUK 22 53 $80181 0 $0 53 $80181 $3645 $1513 KOSSUTH 29 76 $128913 0 $0 76 $128913 $4445 $1696 LEE 80 204 $352587 0 $1409 204 $353996 $4425 $1735 LINN 486 1224 $2345410 0 $2075 1224 $2347485 $4830 $1918 LOUISA 13 42 $64940 0 $0 42 $64940 $4995 $1546 LUCAS 31 82 $155813 0 $0 82 $155813 $5026 $1900 LYON 11 43 $58820 0 $0 43 $58820 $5347 $1368 MADISON 33 96 $132056 0 $0 96 $132056 $4002 $1376 MAHASKA 70 204 $295095 0 $0 204 $295095 $4216 $1447 MARION 75 218 $371364 0 $0 218 $371364 $4952 $1704 MARSHALL 84 206 $385709 0 $0 206 $385709 $4592 $1872 MILLS 19 49 $74292 0 $0 49 $74292 $3910 $1516 MITCHELL 22 54 $112272 0 $0 54 $112272 $5103 $2079 MONONA 24 66 $108673 0 $0 66 $108673 $4528 $1647 MONROE 36 87 $176518 0 $0 87 $176518 $4903 $2029 MONTGOMERY 21 61 $101720 0 $0 61 $101720 $4844 $1668 MUSCATINE 113 267 $458396 0 $1132 267 $459528 $4067 $1721 O BRIEN 29 77 $123665 0 $0 77 $123665 $4264 $1606 OSCEOLA 7 16 $29396 0 $0 16 $29396 $4199 $1837 PAGE 54 131 $246874 0 $0 131 $246874 $4572 $1885 PALO ALTO 15 52 $57181 0 $0 52 $57181 $3812 $1100 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 07/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 07/27/24 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 95 $162388 1 $516 96 $162904 $4791 $1697 POCAHONTAS 17 50 $86731 0 $0 50 $86731 $5102 $1735 POLK 1485 3805 $6827462 0 $3228 3805 $6830690 $4600 $1795 POTTAWATTA 528 1273 $2425571 0 $4672 1273 $2430243 $4603 $1909 POWESHIEK 34 80 $161162 0 $0 80 $161162 $4740 $2015 RINGGOLD 27 63 $110839 0 $0 63 $110839 $4105 $1759 SAC 19 55 $78981 0 $0 55 $78981 $4157 $1436 SCOTT 434 1006 $1920951 0 $3710 1006 $1924661 $4435 $1913 SHELBY 26 58 $134358 0 $0 58 $134358 $5168 $2317 SIOUX 19 46 $75684 0 $0 46 $75684 $3983 $1645 STORY 102 246 $487695 0 $0 246 $487695 $4781 $1983 TAMA 9 24 $39861 0 $0 24 $39861 $4429 $1661 TAYLOR 14 41 $52850 0 $0 41 $52850 $3775 $1289 UNION 45 138 $189917 0 $0 138 $189917 $4220 $1376 VAN BUREN 24 61 $127932 0 $0 61 $127932 $5331 $2097 WAPELLO 130 331 $589835 0 $0 331 $589835 $4537 $1782 WARREN 103 276 $463040 0 $1192 276 $464232 $4507 $1682 WASHINGTON 39 114 $169754 0 $0 114 $169754 $4353 $1489 WAYNE 22 53 $89385 0 $0 53 $89385 $4063 $1687 WEBSTER 90 218 $376730 0 $1099 218 $377829 $4198 $1733 WINNEBAGO 21 60 $99855 0 $0 60 $99855 $4755 $1664 WINNESHIEK 23 64 $102187 0 $0 64 $102187 $4443 $1597 WOODBURY 167 410 $775484 0 $1400 410 $776884 $4652 $1895 WORTH 9 24 $32993 0 $0 24 $32993 $3666 $1375 WRIGHT 176 407 $778301 0 $1589 407 $779890 $4431 $1916 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 7521 19200 $34184758 3 $30923 19203 $34215681 $4549 $1782