IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 11/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 11/23/24 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 61 $136829 0 $0 61 $136829 $4718 $2243 ADAMS 10 25 $49202 0 $0 25 $49202 $4920 $1968 ALLAMAKEE 30 59 $135884 0 $0 59 $135884 $4529 $2303 APPANOOSE 59 110 $239748 0 $0 110 $239748 $4064 $2180 AUDUBON 12 25 $46562 0 $0 25 $46562 $3880 $1862 BENTON 43 84 $202173 0 $0 84 $202173 $4702 $2407 BLACK HAWK 373 721 $1628539 0 $1089 721 $1629628 $4369 $2260 BOONE 52 102 $246533 0 $0 102 $246533 $4741 $2417 BREMER 28 64 $157500 0 $0 64 $157500 $5625 $2461 BUCHANAN 30 62 $129374 0 $0 62 $129374 $4312 $2087 BUENA VIST 36 68 $170064 0 $5168 68 $175232 $4868 $2577 BUTLER 18 37 $92198 0 $0 37 $92198 $5122 $2492 CALHOUN 32 67 $154396 0 $0 67 $154396 $4825 $2304 CARROLL 40 87 $170147 0 $0 87 $170147 $4254 $1956 CASS 32 65 $115180 0 $255 65 $115435 $3607 $1776 CEDAR 30 58 $109811 0 $1269 58 $111080 $3703 $1915 CERRO GORD 100 205 $438543 0 $0 205 $438543 $4385 $2139 CHEROKEE 20 38 $107284 0 $0 38 $107284 $5364 $2823 CHICKASAW 30 60 $141203 0 $0 60 $141203 $4707 $2353 CLARKE 43 87 $188792 0 $0 87 $188792 $4391 $2170 CLAY 62 129 $276544 0 $0 129 $276544 $4460 $2144 CLAYTON 26 55 $110518 0 $0 55 $110518 $4251 $2009 CLINTON 118 237 $519244 0 $0 237 $519244 $4400 $2191 CRAWFORD 16 32 $81920 0 $0 32 $81920 $5120 $2560 DALLAS 165 313 $705065 0 $0 313 $705065 $4273 $2253 DAVIS 21 35 $75372 0 $0 35 $75372 $3589 $2153 DECATUR 40 82 $177898 0 $0 82 $177898 $4447 $2169 DELAWARE 36 72 $165900 0 $0 72 $165900 $4608 $2304 DES MOINES 80 169 $361637 0 $0 169 $361637 $4520 $2140 DICKINSON 36 73 $167446 0 $0 73 $167446 $4651 $2294 DUBUQUE 161 326 $671548 0 $0 326 $671548 $4171 $2060 EMMET 16 26 $53230 0 $0 26 $53230 $3327 $2047 FAYETTE 61 120 $307305 0 $0 120 $307305 $5038 $2561 FLOYD 43 82 $175359 0 $0 82 $175359 $4078 $2139 FRANKLIN 18 34 $95272 0 $0 34 $95272 $5293 $2802 FREMONT 15 28 $64116 0 $0 28 $64116 $4274 $2290 GREENE 26 48 $103838 0 $0 48 $103838 $3994 $2163 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 11/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 11/23/24 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 12 24 $52662 0 $0 24 $52662 $4389 $2194 GUTHRIE 34 64 $152482 0 $0 64 $152482 $4485 $2383 HAMILTON 22 44 $119041 0 $0 44 $119041 $5411 $2705 HANCOCK 19 42 $94732 0 $0 42 $94732 $4986 $2256 HARDIN 44 87 $221442 0 $0 87 $221442 $5033 $2545 HARRISON 36 69 $173276 0 $0 69 $173276 $4813 $2511 HENRY 42 82 $174870 0 $0 82 $174870 $4164 $2133 HOWARD 19 38 $102446 0 $0 38 $102446 $5392 $2696 HUMBOLDT 15 31 $72086 0 $0 31 $72086 $4806 $2325 IDA 17 34 $78264 0 $0 34 $78264 $4604 $2302 IOWA 23 46 $102446 0 $0 46 $102446 $4454 $2227 JACKSON 33 74 $151246 0 $0 74 $151246 $4583 $2044 JASPER 87 170 $399979 0 $0 170 $399979 $4597 $2353 JEFFERSON 49 94 $224372 0 $0 94 $224372 $4579 $2387 JOHNSON 215 424 $998639 0 $0 424 $998639 $4645 $2355 JONES 41 76 $174632 0 $0 76 $174632 $4259 $2298 KEOKUK 20 40 $86198 0 $0 40 $86198 $4310 $2155 KOSSUTH 31 63 $134581 0 $0 63 $134581 $4341 $2136 LEE 83 157 $286341 0 $1080 157 $287421 $3463 $1831 LINN 513 1015 $2358950 0 $2370 1015 $2361320 $4603 $2326 LOUISA 15 30 $73436 0 $0 30 $73436 $4896 $2448 LUCAS 35 68 $163595 0 $0 68 $163595 $4674 $2406 LYON 11 24 $38538 0 $0 24 $38538 $3503 $1606 MADISON 32 65 $152308 0 $0 65 $152308 $4760 $2343 MAHASKA 68 136 $316468 0 $0 136 $316468 $4654 $2327 MARION 64 131 $274966 0 $0 131 $274966 $4296 $2099 MARSHALL 85 169 $401072 0 $0 169 $401072 $4718 $2373 MILLS 20 35 $84904 0 $0 35 $84904 $4245 $2426 MITCHELL 24 44 $97656 0 $0 44 $97656 $4069 $2219 MONONA 20 39 $79520 0 $0 39 $79520 $3976 $2039 MONROE 38 76 $168956 0 $0 76 $168956 $4446 $2223 MONTGOMERY 19 39 $84606 0 $0 39 $84606 $4453 $2169 MUSCATINE 106 216 $499708 0 $865 216 $500573 $4722 $2317 O BRIEN 29 59 $115710 0 $0 59 $115710 $3990 $1961 OSCEOLA 7 15 $34118 0 $0 15 $34118 $4874 $2275 PAGE 62 118 $258052 0 $0 118 $258052 $4162 $2187 PALO ALTO 12 28 $58038 0 $0 28 $58038 $4837 $2073 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 11/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 11/23/24 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 37 75 $169299 0 $437 75 $169736 $4587 $2263 POCAHONTAS 19 34 $84996 0 $0 34 $84996 $4473 $2500 POLK 1512 2978 $6828158 0 $3540 2978 $6831698 $4518 $2294 POTTAWATTA 541 1096 $2497151 0 $4334 1096 $2501485 $4624 $2282 POWESHIEK 31 63 $135984 0 $0 63 $135984 $4387 $2158 RINGGOLD 26 48 $108770 0 $0 48 $108770 $4183 $2266 SAC 21 42 $99468 0 $0 42 $99468 $4737 $2368 SCOTT 450 870 $1909937 1 $3589 871 $1913526 $4252 $2197 SHELBY 25 48 $109130 0 $0 48 $109130 $4365 $2274 SIOUX 16 31 $65242 0 $0 31 $65242 $4078 $2105 STORY 114 217 $500155 0 $0 217 $500155 $4387 $2305 TAMA 12 24 $56910 0 $0 24 $56910 $4743 $2371 TAYLOR 16 26 $56836 0 $0 26 $56836 $3552 $2186 UNION 39 82 $168516 0 $0 82 $168516 $4321 $2055 VAN BUREN 25 46 $103908 0 $0 46 $103908 $4156 $2259 WAPELLO 126 255 $567692 0 $0 255 $567692 $4505 $2226 WARREN 104 210 $497802 0 $970 210 $498772 $4796 $2375 WASHINGTON 43 91 $209122 0 $0 91 $209122 $4863 $2298 WAYNE 20 39 $94042 0 $0 39 $94042 $4702 $2411 WEBSTER 86 172 $378063 0 $0 172 $378063 $4396 $2198 WINNEBAGO 21 41 $89414 0 $0 41 $89414 $4258 $2181 WINNESHIEK 26 49 $122137 0 $0 49 $122137 $4698 $2493 WOODBURY 174 337 $775464 0 $1828 337 $777292 $4467 $2307 WORTH 8 18 $22596 0 $0 18 $22596 $2825 $1255 WRIGHT 160 319 $697911 0 $1194 319 $699105 $4369 $2192 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 7650 15123 $34181213 1 $27988 15124 $34209201 $4472 $2262