IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 $890 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 $347 0 0 $0 BENTON 1 1 $228 0 0 $0 BLACK HAWK 0 1 $51 0 1 $229 BOONE 2 2 $705 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 0 0 $0 0 0 $0 BUENA VIST 0 0 $0 0 0 $0 BUTLER 0 0 $0 0 0 $0 CALHOUN 1 2 $457 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $351 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 2 $891 0 0 $0 CHEROKEE 3 3 $1,598 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 3 $737 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $358 0 0 $0 CLINTON 1 1 $231 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 $604 0 0 $0 DUBUQUE 1 1 $302 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $4,484 0 0 $0 FLOYD 3 4 $1,173 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 $571 0 0 $0 HARRISON 3 3 $663 0 0 $0 HENRY 2 2 $589 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $302 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 2 2 $462 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 $14- 0 0 $0 KOSSUTH 0 0 $0 0 0 $0 LEE 2 3 $473 0 0 $0 LINN 10 12 $2,554 0 3 $675 LOUISA 1 0 $0 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 1 1 $326 0 0 $0 MAHASKA 0 0 $0 0 0 $0 MARION 1 1 $15,560 0 0 $0 MARSHALL 1 1 $269 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 0 $0 0 0 $0 PALO ALTO 0 0 $0 0 0 $0 PLYMOUTH 2 2 $614 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 31 34 $7,771 0 4 $58,144 POTTAWATTA 1 1 $351 0 0 $0 POWESHIEK 1 1 $2 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 2 2 $691 0 1 $298 SHELBY 0 0 $0 0 0 $0 SIOUX 1 3 $523 0 0 $0 STORY 8 8 $2,393 0 0 $0 TAMA 2 2 $47 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 $355 0 0 $0 WARREN 2 2 $445 0 0 $0 WASHINGTON 2 2 $561 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 0 2 $3 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 0 0 $0 0 0 $0 WOODBURY 9 9 $1,688 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 $484 0 0 $0 CENT. OFF 0 2 $817 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 124 139 $52,552 0 9 $59,348 *** END OF REPORT ***