IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 11/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 11/23/24 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 3 $776 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 $288 0 0 $0 BENTON 1 1 $227 0 0 $0 BLACK HAWK 0 0 $0 0 2 $3,383 BOONE 2 2 $621 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 1 $358 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $293 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 0 $0 0 0 $0 CHEROKEE 3 3 $5,320 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 3 3 $693 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $358 0 0 $0 CLINTON 1 1 $229 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 $536 0 0 $0 DUBUQUE 1 1 $268 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $3,777 0 0 $0 FLOYD 3 3 $1,010 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 $585 0 0 $0 HARRISON 3 3 $646 0 0 $0 HENRY 2 2 $523 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $268 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 2 2 $459 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 11/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 11/23/24 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 0 $0 0 0 $0 KOSSUTH 1 1 $2 0 0 $0 LEE 2 2 $410 0 0 $0 LINN 10 11 $2,842 0 5 $54,191 LOUISA 1 1 $222 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 1 $0 0 0 $0 MADISON 1 1 $293 0 0 $0 MAHASKA 0 0 $0 0 0 $0 MARION 1 1 $7,934 0 0 $0 MARSHALL 1 1 $268 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 $623 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 $523 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 36 33 $7,317 1 7 $3,287 POTTAWATTA 1 1 $293 0 3 $22,605 POWESHIEK 1 1 $2 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 2 5 $460 0 2 $0 SHELBY 0 0 $0 0 0 $0 SIOUX 1 2 $276 0 0 $0 STORY 7 7 $1,786 0 0 $0 TAMA 2 2 $175 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 $353 0 0 $0 WARREN 3 3 $603 0 0 $0 WASHINGTON 2 2 $502 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 0 0 $0 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 0 0 $0 0 0 $0 WOODBURY 9 9 $2,269 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 11/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 11/23/24 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 $496 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 11/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 11/23/24 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 130 130 $44,901 1 18 $83,468 *** END OF REPORT ***