IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 29 92 $111551 0 $0 92 $111551 $3847 $1213 ADAMS 10 30 $55135 0 $0 30 $55135 $5514 $1838 ALLAMAKEE 28 70 $111338 0 $0 70 $111338 $3976 $1591 APPANOOSE 57 138 $219296 0 $0 138 $219296 $3847 $1589 AUDUBON 12 29 $53070 0 $0 29 $53070 $4423 $1830 BENTON 41 107 $192400 0 $0 107 $192400 $4693 $1798 BLACK HAWK 373 876 $1709283 0 $653 876 $1709936 $4584 $1952 BOONE 49 129 $200181 0 $0 129 $200181 $4085 $1552 BREMER 23 64 $133223 0 $0 64 $133223 $5792 $2082 BUCHANAN 31 71 $130341 0 $0 71 $130341 $4205 $1836 BUENA VIST 35 89 $95926 0 $4593 89 $100519 $2872 $1129 BUTLER 19 46 $80397 0 $0 46 $80397 $4231 $1748 CALHOUN 35 71 $140109 0 $648 71 $140757 $4022 $1982 CARROLL 43 110 $183687 0 $0 110 $183687 $4272 $1670 CASS 35 86 $165456 0 $763 86 $166219 $4749 $1933 CEDAR 30 68 $126335 1 $850 69 $127185 $4240 $1843 CERRO GORD 99 254 $485749 0 $0 254 $485749 $4907 $1912 CHEROKEE 20 47 $70734 0 $0 47 $70734 $3537 $1505 CHICKASAW 31 85 $131657 0 $0 85 $131657 $4247 $1549 CLARKE 44 107 $203545 0 $0 107 $203545 $4626 $1902 CLAY 66 154 $302776 0 $0 154 $302776 $4588 $1966 CLAYTON 25 87 $139644 0 $0 87 $139644 $5586 $1605 CLINTON 118 301 $516477 0 $0 301 $516477 $4377 $1716 CRAWFORD 17 39 $67193 0 $0 39 $67193 $3953 $1723 DALLAS 164 366 $788349 0 $0 366 $788349 $4807 $2154 DAVIS 17 41 $74530 0 $0 41 $74530 $4384 $1818 DECATUR 41 96 $176038 0 $0 96 $176038 $4294 $1834 DELAWARE 36 85 $152864 0 $0 85 $152864 $4246 $1798 DES MOINES 80 195 $335772 0 $0 195 $335772 $4197 $1722 DICKINSON 34 90 $109989 0 $0 90 $109989 $3235 $1222 DUBUQUE 164 395 $713218 0 $0 395 $713218 $4349 $1806 EMMET 13 40 $65055 0 $0 40 $65055 $5004 $1626 FAYETTE 63 160 $261511 0 $0 160 $261511 $4151 $1634 FLOYD 42 95 $178601 0 $0 95 $178601 $4252 $1880 FRANKLIN 17 34 $74479 0 $0 34 $74479 $4381 $2191 FREMONT 16 42 $51902 0 $0 42 $51902 $3244 $1236 GREENE 25 61 $102035 0 $0 61 $102035 $4081 $1673 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 13 38 $60838 0 $0 38 $60838 $4680 $1601 GUTHRIE 35 77 $135262 0 $0 77 $135262 $3865 $1757 HAMILTON 23 62 $88200 0 $0 62 $88200 $3835 $1423 HANCOCK 20 55 $87427 0 $0 55 $87427 $4371 $1590 HARDIN 42 99 $152598 0 $0 99 $152598 $3633 $1541 HARRISON 33 99 $98715 0 $0 99 $98715 $2991 $997 HENRY 41 101 $178579 0 $0 101 $178579 $4356 $1768 HOWARD 19 48 $77130 0 $0 48 $77130 $4059 $1607 HUMBOLDT 15 41 $38637 0 $0 41 $38637 $2576 $942 IDA 17 48 $74705 1 $25- 49 $74680 $4393 $1524 IOWA 23 55 $100395 0 $0 55 $100395 $4365 $1825 JACKSON 32 90 $149787 0 $0 90 $149787 $4681 $1664 JASPER 85 193 $404069 0 $0 193 $404069 $4754 $2094 JEFFERSON 48 125 $196040 0 $0 125 $196040 $4084 $1568 JOHNSON 216 510 $1010310 0 $0 510 $1010310 $4677 $1981 JONES 40 93 $167720 0 $0 93 $167720 $4193 $1803 KEOKUK 22 47 $82882 0 $0 47 $82882 $3767 $1763 KOSSUTH 30 75 $137954 0 $0 75 $137954 $4598 $1839 LEE 79 191 $342570 0 $1402 191 $343972 $4354 $1801 LINN 514 1220 $2314074 0 $3509 1220 $2317583 $4509 $1900 LOUISA 14 41 $66205 0 $0 41 $66205 $4729 $1615 LUCAS 35 72 $145773 0 $0 72 $145773 $4165 $2025 LYON 10 39 $64935 0 $0 39 $64935 $6494 $1665 MADISON 31 96 $139596 0 $0 96 $139596 $4503 $1454 MAHASKA 67 180 $276750 0 $0 180 $276750 $4131 $1538 MARION 67 189 $272935 0 $0 189 $272935 $4074 $1444 MARSHALL 83 197 $333882 0 $0 197 $333882 $4023 $1695 MILLS 17 40 $56786 0 $0 40 $56786 $3340 $1420 MITCHELL 24 53 $88213 0 $0 53 $88213 $3676 $1664 MONONA 20 62 $101806 0 $0 62 $101806 $5090 $1642 MONROE 38 88 $166432 0 $0 88 $166432 $4380 $1891 MONTGOMERY 19 59 $98598 0 $0 59 $98598 $5189 $1671 MUSCATINE 107 256 $390967 0 $1010 256 $391977 $3663 $1531 O BRIEN 28 74 $122302 0 $0 74 $122302 $4368 $1653 OSCEOLA 6 15 $24320 0 $0 15 $24320 $4053 $1621 PAGE 58 127 $260846 0 $0 127 $260846 $4497 $2054 PALO ALTO 13 40 $75335 0 $0 40 $75335 $5795 $1883 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 35 92 $171054 0 $628 92 $171682 $4905 $1866 POCAHONTAS 19 47 $74693 0 $0 47 $74693 $3931 $1589 POLK 1495 3577 $6731287 0 $2789 3577 $6734076 $4504 $1883 POTTAWATTA 558 1375 $2682906 0 $2552 1375 $2685458 $4813 $1953 POWESHIEK 31 78 $131753 0 $0 78 $131753 $4250 $1689 RINGGOLD 25 60 $96855 0 $0 60 $96855 $3874 $1614 SAC 20 57 $96828 0 $0 57 $96828 $4841 $1699 SCOTT 439 985 $1888974 1 $3482 986 $1892456 $4311 $1919 SHELBY 26 60 $113966 0 $0 60 $113966 $4383 $1899 SIOUX 17 47 $64703 0 $0 47 $64703 $3806 $1377 STORY 108 256 $526658 0 $0 256 $526658 $4876 $2057 TAMA 11 28 $58353 0 $0 28 $58353 $5305 $2084 TAYLOR 15 34 $68882 0 $0 34 $68882 $4592 $2026 UNION 41 131 $171404 0 $0 131 $171404 $4181 $1308 VAN BUREN 23 58 $89713 0 $0 58 $89713 $3901 $1547 WAPELLO 127 317 $570913 0 $0 317 $570913 $4495 $1801 WARREN 107 271 $441702 0 $932 271 $442634 $4137 $1633 WASHINGTON 46 119 $240761 0 $0 119 $240761 $5234 $2023 WAYNE 20 52 $77731 0 $0 52 $77731 $3887 $1495 WEBSTER 88 219 $392067 0 $274 219 $392341 $4458 $1792 WINNEBAGO 20 53 $98361 0 $0 53 $98361 $4918 $1856 WINNESHIEK 24 62 $105953 0 $0 62 $105953 $4415 $1709 WOODBURY 176 405 $757066 0 $2242 405 $759308 $4314 $1875 WORTH 8 23 $56612 0 $0 23 $56612 $7077 $2461 WRIGHT 160 400 $662378 0 $2588 400 $664966 $4156 $1662 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 7614 18551 $33664992 3 $28890 18554 $33693882 $4425 $1816