IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 10/31/24) * * * * * 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 471 466 2,833 $7,432,226.32 $2,623.45 $11.97 6.0 $15,779.67 OUTPATIENT 4,019 6,064 1,149,332 $1,294,914.62 $1.13 $2.09 286.0 $322.20 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 19 22 420 $735,576.14 $1,751.37 $1.18 22.1 $38,714.53 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 236 292 8,293 $2,624,310.54 $316.45 $4.23 35.1 $11,119.96 INTER CARE INT DISABLED 12 11 315 $51,412.80 $163.22 $0.08 26.3 $4,284.40 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 665 938 199,616 $3,102,811.16 $15.54 $5.00 300.2 $4,665.88 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,233 11,055 39,186 $622,514.92 $15.89 $1.00 7.5 $118.96 CLINIC SERVICES 1,545 2,101 2,001 $10,544,314.04 $5,269.52 $16.98 1.3 $6,824.80 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 684 1,064 4,441 $129,030.36 $29.05 $0.21 6.5 $188.64 HABILITATION SERVICES 35 99 1,331 $180,056.88 $135.28 $0.29 38.0 $5,144.48 BEHAVIORAL HLTH INTERVENTN SVC 38 112 676 $19,228.28 $28.44 $0.03 17.8 $506.01 REHAB SUPPORT SERVICES 2 2 42 $3,524.22 $83.91 $0.01 21.0 $1,762.11 AMBULANCE SERVICES 154 165 162 $106,268.24 $655.98 $0.17 1.1 $690.05 LOCAL EDUCATION AGENCY 1,639 20,729 110,540 $3,877,349.51 $35.08 $6.24 67.4 $2,365.68 INFANT TODDLER 139 211 511 $7,839.88 $15.34 $0.01 3.7 $56.40 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 2,776 10,866 9,781 $1,155,902.32 $118.18 $28.32 3.5 $416.39 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 8,631 9,301 7,899 $18,770.57 $2.38 $0.03 .9 $2.17 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 113 122 122 $13,527.95 $110.88 $0.02 1.1 $119.72 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 49 49 49 $85,353.91 $1,741.92 $8.98 1.0 $1,741.92 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 724 763 756 $3,170,919.10 $4,194.34 $5.11 1.0 $4,379.72 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,550 3,871 3,871 $505,053.13 $130.47 $0.81 2.5 $325.84 MEDICAL SUPPLIES 1,277 2,021 98,250 $123,131.71 $1.25 $3.02 76.9 $96.42 HEALTH HOME PROVIDER 73 94 94 $17,837.07 $189.76 $0.03 1.3 $244.34 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 686,132 604,084 602,446 $6,501,436.56 $1,670.69 $1,620.73 .9 $1,466.92 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 10/31/24) * * * * * 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 4,165 15,163 58,255 $2,682,106.69 $46.04 $4.32 14.0 $643.96 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 59 66 66 $10,322.33 $156.40 $0.25 1.1 $174.95 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 173 196 240 $12,429.04 $51.79 $0.02 1.4 $71.84 CHIROPRACTIC 208 399 419 $7,262.58 $17.33 $0.18 2.0 $34.92 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 185 229 405 $6,803.10 $16.80 $0.01 2.2 $36.77 PREPAID AMBULATORY HEALTH PLAN 695,787 609,467 607,712 $9,200,116.65 $15.14 $14.81 .9 $13.22 PHYSICAL DISABILITIES SVCS 7 10 470 $3,661.37 $7.79 $0.01 67.1 $523.05 BRAIN INJ WAIVER SERVICES 137 303 11,556 $572,956.26 $49.58 $0.92 84.4 $4,182.16 PSYCHIATRIC 434 674 832 $50,965.11 $61.26 $0.08 1.9 $117.43 RESIDENTIAL CARE FACILITY 213 253 6,988 $62,155.06 $8.89 $0.10 32.8 $291.81 ID WAIVER SERVICE 541 968 42,275 $5,940,135.39 $140.51 $0.00 78.1 $10,979.92 CHILDRENS MENTAL HEALTH SVC 26 31 3,623 $18,081.82 $4.99 $4,520.46 139.3 $695.45 AIDS WAIVER SERVICES 2 3 363 $2,430.18 $6.69 $0.00 181.5 $1,215.09 ELDERLY WAIVER SERVICES 30 61 1,590 $25,693.70 $16.16 $5,138.74 53.0 $856.46 ILL & HANDICAPPED WAIVER SVCS 256 348 13,964 $669,567.51 $47.95 $0.00 54.5 $2,615.50 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 537 573 4,747 $306,656.20 $64.60 $0.49 8.8 $571.05 UNASSIGNED 2 0 0 $2,093,367.60- $0.00 $3.37- .0 $0.00 * A L L C A T E G O R I E S * 706,273 1,303,246 2,996,472 $59,801,285.62 $353.68 $1,706.56 4.2 $1,500.55 *** END OF REPORT ***