IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 08/31/24) * * * * * 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 588 556 3,196 $6,076,086.69 $1,901.15 $9.81 5.4 $10,333.48 OUTPATIENT 4,320 6,771 1,040,349 $1,957,579.89 $1.88 $3.16 240.8 $453.14 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 15 14 313 $283,444.40 $905.57 $0.46 20.9 $18,896.29 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 252 284 8,148 $2,464,518.00 $302.47 $3.98 32.3 $9,779.83 INTER CARE INT DISABLED 11 15 435 $248,854.61 $572.08 $0.40 39.5 $22,623.15 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 574 801 163,295 $2,151,071.36 $13.17 $3.47 284.5 $3,747.51 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,413 10,757 42,218 $792,574.27 $18.77 $1.28 7.8 $146.42 CLINIC SERVICES 1,475 2,101 1,979 $3,858,869.68 $1,949.91 $6.23 1.3 $2,616.18 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 641 956 3,374 $126,206.27 $37.41 $0.20 5.3 $196.89 HABILITATION SERVICES 33 115 1,000 $176,833.63 $176.83 $0.29 30.3 $5,358.59 BEHAVIORAL HLTH INTERVENTN SVC 50 162 1,337 $31,985.04 $23.92 $0.05 26.7 $639.70 REHAB SUPPORT SERVICES 2 2 46 $2,568.18 $55.83 $0.00 23.0 $1,284.09 AMBULANCE SERVICES 168 210 204 $58,731.62 $287.90 $0.09 1.2 $349.59 LOCAL EDUCATION AGENCY 373 9,344 21,168 $998,498.57 $47.17 $1.61 56.8 $2,676.94 INFANT TODDLER 167 260 521 $7,484.62 $14.37 $0.01 3.1 $44.82 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 2,777 11,278 10,827 $1,577,568.23 $145.71 $44.99 3.9 $568.08 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 8,209 8,981 8,974 $21,358.12 $2.38 $0.03 1.1 $2.60 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 97 107 106 $15,113.68 $142.58 $0.02 1.1 $155.81 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 90 83 80 $125,556.74 $1,569.46 $18.47 .9 $1,395.07 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 699 718 715 $3,005,531.12 $4,203.54 $4.85 1.0 $4,299.76 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,562 3,418 3,418 $438,659.50 $128.34 $0.71 2.2 $280.83 MEDICAL SUPPLIES 1,199 1,841 102,044 $159,543.70 $1.56 $4.55 85.1 $133.06 HEALTH HOME PROVIDER 83 73 27- $6,035.49- $223.54 $0.01- .3- $72.72- 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 721,873 604,199 602,953 $15,897,487.69 $1,684.87 $1,640.22 .8 $1,407.31 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 08/31/24) * * * * * 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 2,191 4,915 26,593 $627,773.39 $23.61 $1.01 12.1 $286.52 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 83 95 95 $17,578.25 $185.03 $0.50 1.1 $211.79 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 148 152 186 $8,351.28 $44.90 $0.01 1.3 $56.43 CHIROPRACTIC 230 451 472 $5,419.96 $11.48 $0.15 2.1 $23.57 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 162 194 273 $8,425.29 $30.86 $0.01 1.7 $52.01 PREPAID AMBULATORY HEALTH PLAN 707,913 605,746 605,312 $9,490,728.59 $15.68 $15.32 .9 $13.41 PHYSICAL DISABILITIES SVCS 6 8 195 $7,046.09 $36.13 $0.01 32.5 $1,174.35 BRAIN INJ WAIVER SERVICES 135 296 9,463 $621,376.91 $65.66 $1.00 70.1 $4,602.79 PSYCHIATRIC 386 603 796 $53,148.34 $66.77 $0.09 2.1 $137.69 RESIDENTIAL CARE FACILITY 163 215 5,281 $44,693.24 $8.46 $0.07 32.4 $274.19 ID WAIVER SERVICE 528 906 40,514 $2,964,204.13 $73.16 $13,352.27 76.7 $5,614.02 CHILDRENS MENTAL HEALTH SVC 21 30 4,046 $18,154.47 $4.49 $864.50 192.7 $864.50 AIDS WAIVER SERVICES 2 4 227 $2,589.41 $11.41 $2,589.41 113.5 $1,294.71 ELDERLY WAIVER SERVICES 27 74 2,067 $47,058.03 $22.77 $331.39 76.6 $1,742.89 ILL & HANDICAPPED WAIVER SVCS 238 307 12,584 $568,945.37 $45.21 $11,378.91 52.9 $2,390.53 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 567 613 4,730 $305,558.00 $64.60 $0.49 8.3 $538.90 UNASSIGNED 2 0 0 $534,060.51 $0.00 $0.86 .0 $267,030.26 * A L L C A T E G O R I E S * 741,030 1,277,655 2,729,507 $55,795,201.38 $386.81 $1,704.64 3.7 $1,424.77 *** END OF REPORT ***