IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 09/30/24) * * * * * 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 638 619 3,394 $3,729,952.14 $1,098.98 $6.00 5.3 $5,846.32 OUTPATIENT 5,170 8,042 1,326,513 $1,799,115.12 $1.36 $2.89 256.6 $347.99 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 22 28 528 $343,809.15 $651.15 $0.55 24.0 $15,627.69 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 243 309 8,920 $2,742,028.29 $307.40 $4.41 36.7 $11,284.07 INTER CARE INT DISABLED 16 25 724 $368,318.48 $508.73 $0.59 45.3 $23,019.91 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 639 965 225,024 $2,272,499.80 $10.10 $3.66 352.2 $3,556.34 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 6,157 13,034 44,120 $933,745.89 $21.16 $1.50 7.2 $151.66 CLINIC SERVICES 1,754 2,584 2,649 $5,996,086.42 $2,263.53 $9.65 1.5 $3,418.52 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 820 1,269 4,447 $168,138.55 $37.81 $0.27 5.4 $205.05 HABILITATION SERVICES 33 96 1,097 $135,175.96 $123.22 $0.22 33.2 $4,096.24 BEHAVIORAL HLTH INTERVENTN SVC 45 146 932 $25,938.31 $27.83 $0.04 20.7 $576.41 REHAB SUPPORT SERVICES 3 2 44 $3,692.04 $83.91 $0.01 14.7 $1,230.68 AMBULANCE SERVICES 236 276 271 $114,807.14 $423.64 $0.18 1.1 $486.47 LOCAL EDUCATION AGENCY 990 10,574 58,926 $1,681,142.55 $28.53 $2.70 59.5 $1,698.12 INFANT TODDLER 176 273 655 $9,298.37 $14.20 $0.01 3.7 $52.83 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 3,131 13,927 13,744 $1,953,838.97 $142.16 $48.65 4.4 $624.03 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 8,506 8,940 6,005 $14,222.67 $2.37 $0.02 .7 $1.67 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 124 133 132 $17,825.66 $135.04 $0.03 1.1 $143.76 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 112 110 105 $211,027.46 $2,009.79 $21.34 .9 $1,884.17 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 720 720 720 $3,021,724.02 $4,196.84 $4.86 1.0 $4,196.84 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,519 3,039 3,039 $372,164.70 $122.46 $0.60 2.0 $245.01 MEDICAL SUPPLIES 1,346 2,301 111,604 $217,611.53 $1.95 $5.42 82.9 $161.67 HEALTH HOME PROVIDER 72 87 87 $16,727.01 $192.26 $0.03 1.2 $232.32 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 712,958 604,163 601,827 $841,058,053.49 $1,397.51 $1,353.02 .8 $1,179.67 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 09/30/24) * * * * * 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 3,093 7,944 42,587 $1,316,023.33 $30.90 $2.12 13.8 $425.48 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 96 107 108 $17,864.46 $165.41 $0.44 1.1 $186.09 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 226 249 286 $16,402.86 $57.35 $0.03 1.3 $72.58 CHIROPRACTIC 242 447 474 $7,309.50 $15.42 $0.18 2.0 $30.20 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 179 257 487 $8,266.68 $16.97 $0.01 2.7 $46.18 PREPAID AMBULATORY HEALTH PLAN 706,853 613,553 610,116 $9,076,203.05 $14.88 $14.60 .9 $12.84 PHYSICAL DISABILITIES SVCS 6 11 1,320 $7,014.13 $5.31 $0.01 220.0 $1,169.02 BRAIN INJ WAIVER SERVICES 133 297 6,290 $595,189.73 $94.62 $0.96 47.3 $4,475.11 PSYCHIATRIC 438 723 815 $50,936.50 $62.50 $0.08 1.9 $116.29 RESIDENTIAL CARE FACILITY 206 274 7,940 $82,164.63 $10.35 $0.13 38.5 $398.86 ID WAIVER SERVICE 540 1,160 62,513 $3,146,714.95 $50.34 $0.00 115.8 $5,827.25 CHILDRENS MENTAL HEALTH SVC 22 33 5,038 $29,041.75 $5.76 $7,260.44 229.0 $1,320.08 AIDS WAIVER SERVICES 2 3 313 $2,836.82 $9.06 $0.00 156.5 $1,418.41 ELDERLY WAIVER SERVICES 28 85 1,566 $32,597.79 $20.82 $2,173.19 55.9 $1,164.21 ILL & HANDICAPPED WAIVER SVCS 267 376 23,819 $677,985.16 $28.46 $75,331.68 89.2 $2,539.27 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 566 609 5,038 $325,454.80 $64.60 $0.52 8.9 $575.01 UNASSIGNED 2 0 0 $730,191.01 $0.00 $1.17 .0 $365,095.51 * A L L C A T E G O R I E S * 731,100 1,297,790 3,184,217 $883,329,140.87 $277.41 $1,421.02 4.4 $1,208.22 *** END OF REPORT ***