IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS ADAIR 3 5 $1,092 0 0 $0 ADAMS 0 0 $0 0 0 $0 ALLAMAKEE 0 0 $0 0 0 $0 APPANOOSE 0 0 $0 0 0 $0 AUDUBON 1 1 $403 0 0 $0 BENTON 1 1 $227 0 0 $0 BLACK HAWK 0 1 $1,654 0 0 $0 BOONE 2 2 $858 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 0 $0 0 1 $1,791 BUTLER 0 0 $0 0 0 $0 CALHOUN 1 2 $644 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $462 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 1 $154 0 0 $0 CHEROKEE 3 3 $1,793 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 3 $806 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 0 0 $0 0 0 $0 CLINTON 1 1 $229 0 0 $0 CRAWFORD 0 0 $0 0 0 $0 DALLAS 0 0 $0 0 0 $0 DAVIS 0 0 $0 0 0 $0 DECATUR 0 0 $0 0 0 $0 DELAWARE 0 0 $0 0 0 $0 DES MOINES 0 0 $0 0 0 $0 DICKINSON 2 2 $728 0 0 $0 DUBUQUE 1 1 $364 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $2,111 0 0 $0 FLOYD 3 4 $1,355 0 0 $0 FRANKLIN 0 0 $0 0 0 $0 FREMONT 0 0 $0 0 0 $0 GREENE 0 0 $0 0 0 $0 GRUNDY 0 0 $0 0 0 $0 GUTHRIE 0 0 $0 0 0 $0 HAMILTON 0 0 $0 0 0 $0 HANCOCK 0 0 $0 0 0 $0 HARDIN 3 3 $538 0 0 $0 HARRISON 3 3 $682 0 0 $0 HENRY 2 2 $709 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $364 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 2 2 $459 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS JASPER 0 0 $0 0 0 $0 JEFFERSON 0 0 $0 0 0 $0 JOHNSON 0 0 $0 0 0 $0 JONES 0 0 $0 0 0 $0 KEOKUK 0 1 $46- 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 2 3 $584 0 0 $0 LINN 10 11 $3,216 0 2 $46 LOUISA 0 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 1 1 $386 0 0 $0 MAHASKA 0 0 $0 0 0 $0 MARION 1 1 $499 0 0 $0 MARSHALL 1 1 $268 0 0 $0 MILLS 0 0 $0 0 0 $0 MITCHELL 0 0 $0 0 0 $0 MONONA 0 0 $0 0 0 $0 MONROE 0 0 $0 0 0 $0 MONTGOMERY 0 0 $0 0 0 $0 MUSCATINE 3 3 $625 0 0 $0 O BRIEN 0 0 $0 0 0 $0 OSCEOLA 0 0 $0 0 0 $0 PAGE 0 1 $141 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 2 $786 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 29 28 $8,993 1 3 $8,004 POTTAWATTA 1 1 $408 0 1 $1,918 POWESHIEK 1 1 $2 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 2 2 $459 0 1 $27,165 SHELBY 0 0 $0 0 0 $0 SIOUX 2 3 $5,725 0 0 $0 STORY 8 8 $2,704 0 0 $0 TAMA 2 2 $38 0 0 $0 TAYLOR 0 0 $0 0 0 $0 UNION 0 0 $0 0 0 $0 VAN BUREN 0 0 $0 0 0 $0 WAPELLO 1 1 $353 0 0 $0 WARREN 2 2 $486 0 0 $0 WASHINGTON 1 2 $541 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 0 0 $0 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 0 0 $0 0 0 $0 WOODBURY 9 9 $3,069 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS WRIGHT 2 2 $505 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS STATE TOT 120 131 $45,394 1 8 $38,926 *** END OF REPORT ***