IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 08/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/24/24 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 32 89 $128558 0 $0 89 $128558 $4017 $1444 ADAMS 10 29 $48561 0 $0 29 $48561 $4856 $1675 ALLAMAKEE 27 74 $95123 0 $0 74 $95123 $3523 $1285 APPANOOSE 57 153 $240653 0 $0 153 $240653 $4222 $1573 AUDUBON 12 29 $50023 0 $0 29 $50023 $4169 $1725 BENTON 41 117 $189950 0 $0 117 $189950 $4633 $1624 BLACK HAWK 370 934 $1679794 0 $1597 934 $1681391 $4544 $1800 BOONE 48 129 $208191 0 $0 129 $208191 $4337 $1614 BREMER 17 57 $99575 0 $0 57 $99575 $5857 $1747 BUCHANAN 34 89 $124713 0 $0 89 $124713 $3668 $1401 BUENA VIST 38 85 $157544 0 $5729 85 $163273 $4297 $1921 BUTLER 18 50 $80765 0 $0 50 $80765 $4487 $1615 CALHOUN 36 74 $125555 0 $1446 74 $127001 $3528 $1716 CARROLL 44 115 $173741 0 $0 115 $173741 $3949 $1511 CASS 38 91 $153958 0 $0 91 $153958 $4052 $1692 CEDAR 33 68 $139234 0 $506 68 $139740 $4235 $2055 CERRO GORD 96 258 $406281 0 $0 258 $406281 $4232 $1575 CHEROKEE 17 52 $55553 0 $0 52 $55553 $3268 $1068 CHICKASAW 35 88 $145842 0 $0 88 $145842 $4167 $1657 CLARKE 42 118 $185008 0 $0 118 $185008 $4405 $1568 CLAY 59 149 $289335 0 $0 149 $289335 $4904 $1942 CLAYTON 24 98 $115851 0 $0 98 $115851 $4827 $1182 CLINTON 124 324 $580508 0 $0 324 $580508 $4682 $1792 CRAWFORD 16 41 $67974 0 $0 41 $67974 $4248 $1658 DALLAS 151 352 $665238 0 $0 352 $665238 $4406 $1890 DAVIS 17 44 $75770 0 $0 44 $75770 $4457 $1722 DECATUR 42 99 $188763 0 $0 99 $188763 $4494 $1907 DELAWARE 36 85 $177651 0 $0 85 $177651 $4935 $2090 DES MOINES 79 207 $356720 0 $0 207 $356720 $4515 $1723 DICKINSON 39 103 $179624 0 $0 103 $179624 $4606 $1744 DUBUQUE 164 425 $745904 0 $0 425 $745904 $4548 $1755 EMMET 17 40 $93526 0 $0 40 $93526 $5502 $2338 FAYETTE 60 164 $284712 0 $0 164 $284712 $4745 $1736 FLOYD 44 92 $181300 0 $0 92 $181300 $4120 $1971 FRANKLIN 18 35 $74736 0 $0 35 $74736 $4152 $2135 FREMONT 17 40 $88128 0 $0 40 $88128 $5184 $2203 GREENE 26 65 $109621 0 $0 65 $109621 $4216 $1686 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 08/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/24/24 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 14 42 $69297 0 $0 42 $69297 $4950 $1650 GUTHRIE 33 98 $136739 0 $0 98 $136739 $4144 $1395 HAMILTON 25 65 $117538 0 $0 65 $117538 $4702 $1808 HANCOCK 19 55 $106760 0 $0 55 $106760 $5619 $1941 HARDIN 42 110 $189585 0 $0 110 $189585 $4514 $1724 HARRISON 34 104 $152122 0 $0 104 $152122 $4474 $1463 HENRY 42 109 $181204 0 $0 109 $181204 $4314 $1662 HOWARD 19 44 $90323 0 $0 44 $90323 $4754 $2053 HUMBOLDT 17 44 $85467 0 $0 44 $85467 $5027 $1942 IDA 17 59 $61219 0 $0 59 $61219 $3601 $1038 IOWA 21 50 $89291 0 $0 50 $89291 $4252 $1786 JACKSON 33 92 $132312 0 $0 92 $132312 $4009 $1438 JASPER 81 205 $364153 0 $0 205 $364153 $4496 $1776 JEFFERSON 45 120 $197849 0 $0 120 $197849 $4397 $1649 JOHNSON 204 498 $984934 0 $0 498 $984934 $4828 $1978 JONES 36 101 $126999 0 $0 101 $126999 $3528 $1257 KEOKUK 22 50 $84304 0 $0 50 $84304 $3832 $1686 KOSSUTH 29 80 $119216 0 $0 80 $119216 $4111 $1490 LEE 80 201 $338828 0 $1370 201 $340198 $4252 $1693 LINN 500 1234 $2219039 0 $2724 1234 $2221763 $4444 $1800 LOUISA 12 41 $47691 0 $0 41 $47691 $3974 $1163 LUCAS 31 79 $165905 0 $0 79 $165905 $5352 $2100 LYON 10 42 $44932 0 $0 42 $44932 $4493 $1070 MADISON 31 97 $133168 0 $0 97 $133168 $4296 $1373 MAHASKA 70 201 $317430 0 $0 201 $317430 $4535 $1579 MARION 76 212 $321740 0 $0 212 $321740 $4233 $1518 MARSHALL 81 204 $379193 0 $0 204 $379193 $4681 $1859 MILLS 19 49 $74180 0 $0 49 $74180 $3904 $1514 MITCHELL 24 53 $99006 0 $0 53 $99006 $4125 $1868 MONONA 24 68 $127154 0 $0 68 $127154 $5298 $1870 MONROE 38 89 $172622 0 $0 89 $172622 $4543 $1940 MONTGOMERY 20 61 $81176 0 $0 61 $81176 $4059 $1331 MUSCATINE 114 270 $531313 0 $1010 270 $532323 $4670 $1972 O BRIEN 28 74 $125349 0 $0 74 $125349 $4477 $1694 OSCEOLA 7 16 $29238 0 $0 16 $29238 $4177 $1827 PAGE 52 129 $228740 0 $0 129 $228740 $4399 $1773 PALO ALTO 14 56 $80938 0 $0 56 $80938 $5781 $1445 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 08/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/24/24 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 33 93 $153194 1 $410 94 $153604 $4655 $1634 POCAHONTAS 19 50 $87605 0 $0 50 $87605 $4611 $1752 POLK 1482 3793 $6939561 1 $3219 3794 $6942780 $4685 $1830 POTTAWATTA 541 1315 $2593900 1 $10914 1316 $2604814 $4815 $1979 POWESHIEK 33 81 $149944 0 $0 81 $149944 $4544 $1851 RINGGOLD 27 65 $156851 0 $0 65 $156851 $5809 $2413 SAC 21 60 $64164 0 $0 60 $64164 $3055 $1069 SCOTT 438 1011 $1989581 0 $3030 1011 $1992611 $4549 $1971 SHELBY 27 57 $118650 0 $0 57 $118650 $4394 $2082 SIOUX 18 47 $55377 0 $0 47 $55377 $3077 $1178 STORY 104 257 $465550 0 $0 257 $465550 $4476 $1811 TAMA 10 23 $43743 0 $0 23 $43743 $4374 $1902 TAYLOR 13 39 $52805 0 $0 39 $52805 $4062 $1354 UNION 43 141 $183862 0 $0 141 $183862 $4276 $1304 VAN BUREN 24 62 $120457 0 $0 62 $120457 $5019 $1943 WAPELLO 129 334 $629150 0 $0 334 $629150 $4877 $1884 WARREN 107 278 $463144 1 $1219 279 $464363 $4340 $1664 WASHINGTON 41 116 $192947 0 $0 116 $192947 $4706 $1663 WAYNE 22 54 $85943 0 $0 54 $85943 $3907 $1592 WEBSTER 92 227 $440243 0 $355 227 $440598 $4789 $1941 WINNEBAGO 21 56 $74749 0 $0 56 $74749 $3559 $1335 WINNESHIEK 23 65 $96521 0 $0 65 $96521 $4197 $1485 WOODBURY 168 415 $778863 0 $12430 415 $791293 $4710 $1907 WORTH 9 24 $60682 0 $0 24 $60682 $6742 $2528 WRIGHT 169 396 $745309 0 $1101 396 $746410 $4417 $1885 CENT. OFF 10 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 7566 19223 $34313732 4 $47060 19227 $34360792 $4541 $1787