IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 09/30/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 1,768 1,885 10,058 $18,067,636.19 OUTPATIENT 9,901 22,338 3,724,353 $5,440,256.74 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 39 64 1,223 $899,138.85 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 362 859 24,651 $9,711,035.46 INTER CARE INT DISABLED 17 56 1,628 $872,531.57 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,099 2,814 588,412 $6,871,781.42 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 11,926 37,344 130,751 $2,803,298.02 CLINIC SERVICES 3,680 6,834 7,021 $13,262,385.27 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 1,868 3,429 11,592 $430,883.40 HABILITATION SERVICES 40 298 3,243 $455,791.38 BEHAVIORAL HLTH INTERVENTN SVC 62 417 3,671 $96,283.95 REHAB SUPPORT SERVICES 4 6 43 $3,636.21 AMBULANCE SERVICES 546 738 724 $277,308.70 LOCAL EDUCATION AGENCY 1,315 34,825 132,403 $3,493,424.99 INFANT TODDLER 390 1,063 2,329 $33,766.62 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 4,630 38,818 37,483 $4,661,858.17 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 12,619 26,768 23,699 $57,541.69 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 296 399 395 $51,022.67 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 269 265 255 $493,542.85 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 743 2,137 2,134 $8,942,062.14 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,671 10,288 10,288 $1,276,698.25 MEDICAL SUPPLIES 2,264 7,080 357,221 $616,031.21 HEALTH HOME PROVIDER 130 260 115 $21,448.94 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 762,316 1,814,397 1,809,190 $2,705,007,791.10 OTHER PRACTITIONER 6,587 19,962 116,646 $2,957,241.40 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 09/30/24) 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 255 327 319 $51,467.14 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 546 626 743 $37,304.58 CHIROPRACTIC 421 1,429 1,504 $19,388.80 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 431 704 1,103 $27,330.39 PREPAID AMBULATORY HEALTH PLAN 744,613 1,830,944 1,826,213 $27,948,790.60 PHYSICAL DISABILITIES SVCS 7 29 2,256 $17,739.01 BRAIN INJ WAIVER SERVICES 139 878 22,526 $1,753,898.07 PSYCHIATRIC 1,019 2,151 2,591 $177,280.96 RESIDENTIAL CARE FACILITY 251 666 17,531 $163,644.58 ID WAIVER SERVICE 577 3,159 153,366 $9,081,836.42 CHILDRENS MENTAL HEALTH SVC 32 100 14,599 $74,117.84 AIDS WAIVER SERVICES 2 10 795 $7,939.21 ELDERLY WAIVER SERVICES 29 233 5,392 $107,376.85 ILL & HANDICAPPED WAIVER SVCS 283 1,039 56,490 $1,862,511.13 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 582 1,792 14,130 $912,798.00 UNASSIGNED 5 0 0 $5,951,605.94- * A L L C A T E G O R I E S * 784,817 3,877,431 9,119,086 $2,823,096,214.83 *** END OF REPORT ***