IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 08/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/24/24 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 08/31/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 1,223 1,266 6,664 $14,337,684.05 OUTPATIENT 7,348 14,296 2,397,840 $3,641,141.62 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 27 36 695 $555,329.70 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 310 550 15,731 $6,969,007.17 INTER CARE INT DISABLED 15 31 904 $504,213.09 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 905 1,849 363,388 $4,599,281.62 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 9,192 24,310 86,631 $1,869,552.13 CLINIC SERVICES 2,569 4,250 4,372 $7,266,298.85 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 1,310 2,160 7,145 $262,744.85 HABILITATION SERVICES 37 202 2,146 $320,615.42 BEHAVIORAL HLTH INTERVENTN SVC 62 271 2,739 $70,345.64 REHAB SUPPORT SERVICES 3 4 1- $55.83- AMBULANCE SERVICES 362 462 453 $162,501.56 LOCAL EDUCATION AGENCY 609 24,251 73,477 $1,812,282.44 INFANT TODDLER 340 790 1,674 $24,468.25 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 3,769 24,891 23,739 $2,708,019.20 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 11,534 17,828 17,694 $43,319.02 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 202 266 263 $33,197.01 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 160 155 150 $282,515.39 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 727 1,417 1,414 $5,920,338.12 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,639 7,249 7,249 $904,533.55 MEDICAL SUPPLIES 1,879 4,779 245,617 $398,419.68 HEALTH HOME PROVIDER 120 173 28 $4,721.93 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 749,357 1,210,234 1,207,363 $1,863,949,737.61 OTHER PRACTITIONER 4,703 12,018 74,059 $1,641,218.07 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 08/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/24/24 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 08/31/24) 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 178 220 211 $33,602.68 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 344 377 457 $20,901.72 CHIROPRACTIC 347 982 1,030 $12,079.30 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 326 447 616 $19,063.71 PREPAID AMBULATORY HEALTH PLAN 732,368 1,217,391 1,216,097 $18,872,587.55 PHYSICAL DISABILITIES SVCS 7 18 936 $10,724.88 BRAIN INJ WAIVER SERVICES 137 581 16,236 $1,158,708.34 PSYCHIATRIC 815 1,428 1,776 $126,344.46 RESIDENTIAL CARE FACILITY 234 392 9,591 $81,479.95 ID WAIVER SERVICE 564 1,999 90,853 $5,935,121.47 CHILDRENS MENTAL HEALTH SVC 32 67 9,561 $45,076.09 AIDS WAIVER SERVICES 2 7 482 $5,102.39 ELDERLY WAIVER SERVICES 29 148 3,826 $74,779.06 ILL & HANDICAPPED WAIVER SVCS 273 663 32,671 $1,184,525.97 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 577 1,183 9,092 $587,343.20 UNASSIGNED 4 0 0 $6,681,796.95- * A L L C A T E G O R I E S * 771,439 2,579,641 5,934,869 $1,939,767,073.96 *** END OF REPORT ***