IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 10/31/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 2,138 2,351 12,891 $25,499,862.51 OUTPATIENT 11,312 28,402 4,873,685 $6,735,171.36 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 45 86 1,643 $1,634,714.99 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 403 1,151 32,944 $12,335,346.00 INTER CARE INT DISABLED 19 67 1,943 $923,944.37 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,257 3,752 788,028 $9,974,592.58 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 13,664 48,399 169,937 $3,425,812.94 CLINIC SERVICES 4,473 8,935 9,022 $23,806,699.31 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 2,296 4,493 16,033 $559,913.76 HABILITATION SERVICES 43 397 4,574 $635,848.26 BEHAVIORAL HLTH INTERVENTN SVC 63 529 4,347 $115,512.23 REHAB SUPPORT SERVICES 4 8 85 $7,160.43 AMBULANCE SERVICES 654 903 886 $383,576.94 LOCAL EDUCATION AGENCY 2,222 55,554 242,943 $7,370,774.50 INFANT TODDLER 422 1,274 2,840 $41,606.50 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 5,236 49,684 47,264 $5,817,760.49 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 14,081 36,069 31,598 $76,312.26 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 363 521 517 $64,550.62 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 318 314 304 $578,896.76 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 758 2,900 2,890 $12,112,981.24 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,698 14,159 14,159 $1,781,751.38 MEDICAL SUPPLIES 2,582 9,101 455,471 $739,162.92 HEALTH HOME PROVIDER 147 354 209 $39,286.01 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 772,635 2,418,481 2,411,636 $3,711,509,227.66 OTHER PRACTITIONER 8,877 35,125 174,901 $5,639,348.09 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 10/31/24) 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 302 393 385 $61,789.47 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 688 822 983 $49,733.62 CHIROPRACTIC 478 1,828 1,923 $26,651.38 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 538 933 1,508 $34,133.49 PREPAID AMBULATORY HEALTH PLAN 755,567 2,440,411 2,433,925 $37,148,907.25 PHYSICAL DISABILITIES SVCS 7 39 2,726 $21,400.38 BRAIN INJ WAIVER SERVICES 143 1,181 34,082 $2,326,854.33 PSYCHIATRIC 1,186 2,825 3,423 $228,246.07 RESIDENTIAL CARE FACILITY 293 919 24,519 $225,799.64 ID WAIVER SERVICE 587 4,127 195,641 $15,021,971.81 CHILDRENS MENTAL HEALTH SVC 34 131 18,222 $92,199.66 AIDS WAIVER SERVICES 2 13 1,158 $10,369.39 ELDERLY WAIVER SERVICES 30 294 6,982 $133,070.55 ILL & HANDICAPPED WAIVER SVCS 287 1,387 70,454 $2,532,078.64 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 588 2,365 18,877 $1,219,454.20 UNASSIGNED 6 0 0 $8,044,973.54- * A L L C A T E G O R I E S * 796,281 5,180,677 12,115,558 $3,882,897,500.45 *** END OF REPORT ***