IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 07/31/24) * * * * * 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 705 710 3,468 $8,261,597.36 $2,382.24 $13.31 4.9 $11,718.58 OUTPATIENT 4,754 7,525 1,357,491 $1,683,561.73 $1.24 $2.71 285.5 $354.14 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 21 22 382 $271,885.30 $711.74 $0.44 18.2 $12,946.92 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 245 266 7,583 $4,504,489.17 $594.02 $7.25 31.0 $18,385.67 INTER CARE INT DISABLED 13 16 469 $255,358.48 $544.47 $0.41 36.1 $19,642.96 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 677 1,048 200,093 $2,448,210.26 $12.24 $3.94 295.6 $3,616.26 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 6,213 13,553 44,413 $1,076,977.86 $24.25 $1.73 7.1 $173.34 CLINIC SERVICES 1,517 2,149 2,393 $3,407,429.17 $1,423.92 $5.49 1.6 $2,246.16 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 807 1,204 3,771 $136,538.58 $36.21 $0.22 4.7 $169.19 HABILITATION SERVICES 34 87 1,146 $143,781.79 $125.46 $0.23 33.7 $4,228.88 BEHAVIORAL HLTH INTERVENTN SVC 41 109 1,402 $38,360.60 $27.36 $0.06 34.2 $935.62 REHAB SUPPORT SERVICES 3 2 47- $2,624.01- $55.83 $0.00 15.7- $874.67- AMBULANCE SERVICES 211 252 249 $103,769.94 $416.75 $0.17 1.2 $491.80 LOCAL EDUCATION AGENCY 434 14,907 52,309 $813,783.87 $15.56 $1.31 120.5 $1,875.08 INFANT TODDLER 283 530 1,153 $16,983.63 $14.73 $0.03 4.1 $60.01 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 2,950 13,613 12,912 $1,130,450.97 $87.55 $28.88 4.4 $383.20 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 10,406 8,847 8,720 $21,960.90 $2.52 $0.04 .8 $2.11 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 130 159 157 $18,083.33 $115.18 $0.03 1.2 $139.10 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 73 72 70 $156,958.65 $2,242.27 $17.31 1.0 $2,150.12 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 699 699 699 $2,914,807.00 $4,169.97 $4.69 1.0 $4,169.97 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,587 3,831 3,831 $465,874.05 $121.61 $0.75 2.4 $293.56 MEDICAL SUPPLIES 1,464 2,938 143,573 $238,875.98 $1.66 $6.10 98.1 $163.17 HEALTH HOME PROVIDER 93 100 55 $10,757.42 $195.59 $0.02 .6 $115.67 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 737,257 606,035 604,410 $848,052,249.92 $1,403.11 $1,365.79 .8 $1,150.28 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 07/31/24) * * * * * 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 3,319 7,103 47,466 $1,013,444.68 $21.35 $1.63 14.3 $305.35 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 104 125 116 $16,024.43 $138.14 $0.41 1.1 $154.08 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 207 225 271 $12,550.44 $46.31 $0.02 1.3 $60.63 CHIROPRACTIC 249 531 558 $6,659.34 $11.93 $0.17 2.2 $26.74 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 200 253 343 $10,638.42 $31.02 $0.02 1.7 $53.19 PREPAID AMBULATORY HEALTH PLAN 720,409 611,645 610,785 $9,381,858.96 $15.36 $15.11 .8 $13.02 PHYSICAL DISABILITIES SVCS 6 10 741 $3,678.79 $4.96 $0.01 123.5 $613.13 BRAIN INJ WAIVER SERVICES 131 285 6,773 $537,331.43 $79.33 $0.87 51.7 $4,101.77 PSYCHIATRIC 616 825 980 $73,196.12 $74.69 $0.12 1.6 $118.82 RESIDENTIAL CARE FACILITY 184 177 4,310 $36,786.71 $8.54 $0.06 23.4 $199.93 ID WAIVER SERVICE 547 1,093 50,339 $2,970,917.34 $59.02 $6,215.31 92.0 $5,431.29 CHILDRENS MENTAL HEALTH SVC 27 37 5,515 $26,921.62 $4.88 $791.81 204.3 $997.10 AIDS WAIVER SERVICES 2 3 255 $2,512.98 $9.85 $837.66 127.5 $1,256.49 ELDERLY WAIVER SERVICES 28 74 1,759 $27,721.03 $15.76 $117.96 62.8 $990.04 ILL & HANDICAPPED WAIVER SVCS 260 356 20,087 $615,580.60 $30.65 $5,699.82 77.3 $2,367.62 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 552 570 4,362 $281,785.20 $64.60 $0.45 7.9 $510.48 UNASSIGNED 3 0 0 $7,215,857.46- $0.00 $11.62- .0 $0.00 * 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 $275.78 $1,423.64 4.2 $1,166.61 *** END OF REPORT ***