IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 30 95 $123866 0 $0 95 $123866 $4129 $1304 ADAMS 11 30 $47239 0 $0 30 $47239 $4294 $1575 ALLAMAKEE 28 77 $124418 0 $0 77 $124418 $4444 $1616 APPANOOSE 55 146 $211522 0 $0 146 $211522 $3846 $1449 AUDUBON 13 30 $43206 0 $0 30 $43206 $3324 $1440 BENTON 42 115 $168477 0 $0 115 $168477 $4011 $1465 BLACK HAWK 373 915 $1626806 0 $4355 915 $1631161 $4373 $1783 BOONE 47 132 $191931 0 $0 132 $191931 $4084 $1454 BREMER 19 53 $66806 0 $0 53 $66806 $3516 $1260 BUCHANAN 32 81 $147330 0 $0 81 $147330 $4604 $1819 BUENA VIST 34 90 $166702 0 $5618 90 $172320 $5068 $1915 BUTLER 18 58 $87722 0 $0 58 $87722 $4873 $1512 CALHOUN 34 80 $159148 0 $2108 80 $161256 $4743 $2016 CARROLL 44 119 $198989 0 $0 119 $198989 $4522 $1672 CASS 38 89 $179689 0 $0 89 $179689 $4729 $2019 CEDAR 32 68 $110765 1 $1306 69 $112071 $3502 $1624 CERRO GORD 96 264 $357031 0 $0 264 $357031 $3719 $1352 CHEROKEE 17 49 $67349 0 $0 49 $67349 $3962 $1374 CHICKASAW 30 81 $114253 0 $0 81 $114253 $3808 $1411 CLARKE 44 117 $167300 0 $0 117 $167300 $3802 $1430 CLAY 64 145 $238132 0 $0 145 $238132 $3721 $1642 CLAYTON 26 95 $73776 0 $0 95 $73776 $2838 $777 CLINTON 123 316 $497378 0 $0 316 $497378 $4044 $1574 CRAWFORD 16 41 $64337 0 $0 41 $64337 $4021 $1569 DALLAS 157 364 $683943 0 $0 364 $683943 $4356 $1879 DAVIS 17 44 $71737 0 $0 44 $71737 $4220 $1630 DECATUR 42 102 $181080 0 $0 102 $181080 $4311 $1775 DELAWARE 35 85 $134842 0 $0 85 $134842 $3853 $1586 DES MOINES 77 209 $303944 0 $0 209 $303944 $3947 $1454 DICKINSON 34 104 $170970 0 $0 104 $170970 $5029 $1644 DUBUQUE 167 416 $651372 0 $0 416 $651372 $3900 $1566 EMMET 16 41 $71580 0 $0 41 $71580 $4474 $1746 FAYETTE 57 165 $246105 0 $0 165 $246105 $4318 $1492 FLOYD 45 94 $189314 0 $0 94 $189314 $4207 $2014 FRANKLIN 17 37 $98729 0 $0 37 $98729 $5808 $2668 FREMONT 16 42 $89214 0 $0 42 $89214 $5576 $2124 GREENE 25 68 $108550 0 $0 68 $108550 $4342 $1596 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 37 $54941 0 $0 37 $54941 $3924 $1485 GUTHRIE 34 92 $113385 0 $0 92 $113385 $3335 $1232 HAMILTON 22 63 $101828 0 $0 63 $101828 $4629 $1616 HANCOCK 20 58 $88314 0 $0 58 $88314 $4416 $1523 HARDIN 40 108 $159553 0 $0 108 $159553 $3989 $1477 HARRISON 31 108 $150205 0 $0 108 $150205 $4845 $1391 HENRY 42 106 $164597 0 $0 106 $164597 $3919 $1553 HOWARD 20 44 $73316 0 $0 44 $73316 $3666 $1666 HUMBOLDT 15 45 $67287 0 $0 45 $67287 $4486 $1495 IDA 17 57 $61312 0 $0 57 $61312 $3607 $1076 IOWA 22 54 $118774 0 $0 54 $118774 $5399 $2200 JACKSON 34 89 $133792 0 $0 89 $133792 $3935 $1503 JASPER 79 207 $344579 0 $0 207 $344579 $4362 $1665 JEFFERSON 45 128 $183651 0 $0 128 $183651 $4081 $1435 JOHNSON 209 507 $947813 0 $0 507 $947813 $4535 $1869 JONES 37 99 $141155 0 $0 99 $141155 $3815 $1426 KEOKUK 22 53 $74587 0 $0 53 $74587 $3390 $1407 KOSSUTH 29 78 $118656 0 $0 78 $118656 $4092 $1521 LEE 78 203 $343740 0 $975 203 $344715 $4419 $1698 LINN 504 1245 $2249587 0 $2367 1245 $2251954 $4468 $1809 LOUISA 13 39 $37770 0 $0 39 $37770 $2905 $968 LUCAS 32 81 $154531 0 $0 81 $154531 $4829 $1908 LYON 11 39 $54157 0 $0 39 $54157 $4923 $1389 MADISON 30 98 $108050 0 $0 98 $108050 $3602 $1103 MAHASKA 67 199 $276749 0 $0 199 $276749 $4131 $1391 MARION 69 209 $280030 0 $0 209 $280030 $4058 $1340 MARSHALL 82 205 $325180 0 $0 205 $325180 $3966 $1586 MILLS 16 48 $68406 0 $0 48 $68406 $4275 $1425 MITCHELL 24 54 $103710 0 $0 54 $103710 $4321 $1921 MONONA 24 72 $79834 0 $0 72 $79834 $3326 $1109 MONROE 38 92 $181946 0 $0 92 $181946 $4788 $1978 MONTGOMERY 20 62 $62852 0 $0 62 $62852 $3143 $1014 MUSCATINE 106 272 $441350 0 $865 272 $442215 $4172 $1626 O BRIEN 30 71 $123327 0 $0 71 $123327 $4111 $1737 OSCEOLA 6 16 $21525 0 $0 16 $21525 $3588 $1345 PAGE 56 129 $210760 0 $0 129 $210760 $3764 $1634 PALO ALTO 14 51 $48831 0 $0 51 $48831 $3488 $957 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 34 90 $117627 1 $2294 91 $119921 $3527 $1318 POCAHONTAS 18 51 $82794 0 $0 51 $82794 $4600 $1623 POLK 1484 3758 $6384368 0 $3830 3758 $6388198 $4305 $1700 POTTAWATTA 566 1384 $2569913 1 $4633 1385 $2574546 $4549 $1859 POWESHIEK 31 79 $107422 0 $0 79 $107422 $3465 $1360 RINGGOLD 26 63 $79017 0 $0 63 $79017 $3039 $1254 SAC 21 61 $142132 0 $0 61 $142132 $6768 $2330 SCOTT 432 1013 $1779941 0 $3393 1013 $1783334 $4128 $1760 SHELBY 27 65 $120586 0 $0 65 $120586 $4466 $1855 SIOUX 18 49 $65342 0 $0 49 $65342 $3630 $1334 STORY 107 262 $445109 0 $0 262 $445109 $4160 $1699 TAMA 12 28 $61982 0 $0 28 $61982 $5165 $2214 TAYLOR 15 38 $48659 0 $0 38 $48659 $3244 $1281 UNION 43 139 $174136 0 $0 139 $174136 $4050 $1253 VAN BUREN 23 60 $105521 0 $0 60 $105521 $4588 $1759 WAPELLO 129 333 $570924 0 $0 333 $570924 $4426 $1714 WARREN 107 285 $481499 1 $1146 286 $482645 $4511 $1688 WASHINGTON 45 126 $214936 0 $0 126 $214936 $4776 $1706 WAYNE 20 52 $73617 0 $0 52 $73617 $3681 $1416 WEBSTER 90 231 $396364 0 $492 231 $396856 $4410 $1718 WINNEBAGO 20 52 $74229 0 $0 52 $74229 $3711 $1427 WINNESHIEK 23 65 $90552 0 $0 65 $90552 $3937 $1393 WOODBURY 174 417 $688366 0 $4838 417 $693204 $3984 $1662 WORTH 10 25 $40446 0 $0 25 $40446 $4045 $1618 WRIGHT 166 399 $640023 0 $773 399 $640796 $3860 $1606 CENT. OFF 9 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 7573 19300 $32061137 4 $38993 19304 $32100130 $4239 $1663