IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 12/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/28/24 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 25 66 $108694 0 $0 66 $108694 $4348 $1647 ADAMS 10 25 $55674 0 $0 25 $55674 $5567 $2227 ALLAMAKEE 31 63 $148892 0 $0 63 $148892 $4803 $2363 APPANOOSE 58 115 $236528 0 $0 115 $236528 $4078 $2057 AUDUBON 12 26 $52405 0 $0 26 $52405 $4367 $2016 BENTON 43 87 $176463 0 $0 87 $176463 $4104 $2028 BLACK HAWK 374 774 $1737865 0 $472 774 $1738337 $4648 $2246 BOONE 53 111 $270152 0 $0 111 $270152 $5097 $2434 BREMER 27 67 $162865 0 $0 67 $162865 $6032 $2431 BUCHANAN 30 63 $129988 0 $0 63 $129988 $4333 $2063 BUENA VIST 36 76 $158274 0 $3289 76 $161563 $4488 $2126 BUTLER 16 37 $32565 0 $0 37 $32565 $2035 $880 CALHOUN 32 67 $125160 0 $0 67 $125160 $3911 $1868 CARROLL 38 86 $182986 0 $0 86 $182986 $4815 $2128 CASS 33 72 $146417 0 $110 72 $146527 $4440 $2035 CEDAR 29 65 $139116 0 $1124 65 $140240 $4836 $2158 CERRO GORD 107 225 $474861 0 $0 225 $474861 $4438 $2110 CHEROKEE 20 39 $85644 0 $0 39 $85644 $4282 $2196 CHICKASAW 29 69 $124066 0 $0 69 $124066 $4278 $1798 CLARKE 45 94 $224318 0 $0 94 $224318 $4985 $2386 CLAY 62 136 $260829 0 $0 136 $260829 $4207 $1918 CLAYTON 23 56 $118931 0 $0 56 $118931 $5171 $2124 CLINTON 116 250 $519020 0 $0 250 $519020 $4474 $2076 CRAWFORD 17 35 $77077 0 $0 35 $77077 $4534 $2202 DALLAS 166 342 $802059 0 $0 342 $802059 $4832 $2345 DAVIS 21 43 $121577 0 $0 43 $121577 $5789 $2827 DECATUR 38 83 $170603 0 $0 83 $170603 $4490 $2055 DELAWARE 39 84 $174057 0 $0 84 $174057 $4463 $2072 DES MOINES 81 170 $368799 0 $0 170 $368799 $4553 $2169 DICKINSON 36 77 $143839 0 $0 77 $143839 $3996 $1868 DUBUQUE 159 341 $730849 0 $0 341 $730849 $4597 $2143 EMMET 16 38 $96659 0 $0 38 $96659 $6041 $2544 FAYETTE 61 126 $252996 0 $0 126 $252996 $4147 $2008 FLOYD 45 87 $202564 0 $0 87 $202564 $4501 $2328 FRANKLIN 17 37 $92060 0 $0 37 $92060 $5415 $2488 FREMONT 15 32 $77765 0 $0 32 $77765 $5184 $2430 GREENE 24 54 $119673 0 $0 54 $119673 $4986 $2216 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 12/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/28/24 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 14 28 $55491 0 $0 28 $55491 $3964 $1982 GUTHRIE 32 65 $138332 0 $0 65 $138332 $4323 $2128 HAMILTON 22 47 $85085 0 $0 47 $85085 $3868 $1810 HANCOCK 17 43 $80232 0 $0 43 $80232 $4720 $1866 HARDIN 44 90 $207411 0 $0 90 $207411 $4714 $2305 HARRISON 36 74 $197957 0 $0 74 $197957 $5499 $2675 HENRY 42 90 $186794 0 $0 90 $186794 $4447 $2075 HOWARD 19 40 $83536 0 $0 40 $83536 $4397 $2088 HUMBOLDT 12 31 $54482 0 $0 31 $54482 $4540 $1757 IDA 18 35 $77220 1 $25 36 $77245 $4291 $2146 IOWA 24 49 $100414 0 $0 49 $100414 $4184 $2049 JACKSON 32 77 $158184 0 $0 77 $158184 $4943 $2054 JASPER 91 184 $414467 0 $0 184 $414467 $4555 $2253 JEFFERSON 49 102 $234779 0 $0 102 $234779 $4791 $2302 JOHNSON 227 462 $1032739 0 $0 462 $1032739 $4550 $2235 JONES 42 78 $179644 0 $0 78 $179644 $4277 $2303 KEOKUK 21 39 $76142 0 $0 39 $76142 $3626 $1952 KOSSUTH 27 61 $116117 0 $0 61 $116117 $4301 $1904 LEE 86 174 $398810 0 $1359 174 $400169 $4653 $2300 LINN 524 1075 $2436596 0 $2776 1075 $2439372 $4655 $2269 LOUISA 16 31 $71221 0 $0 31 $71221 $4451 $2297 LUCAS 33 72 $167103 0 $0 72 $167103 $5064 $2321 LYON 12 30 $76508 0 $0 30 $76508 $6376 $2550 MADISON 35 73 $163251 0 $0 73 $163251 $4664 $2236 MAHASKA 65 145 $311338 0 $0 145 $311338 $4790 $2147 MARION 66 145 $309594 0 $0 145 $309594 $4691 $2135 MARSHALL 82 174 $380214 0 $0 174 $380214 $4637 $2185 MILLS 19 39 $92279 0 $0 39 $92279 $4857 $2366 MITCHELL 24 49 $109624 0 $0 49 $109624 $4568 $2237 MONONA 22 43 $84390 0 $0 43 $84390 $3836 $1963 MONROE 39 77 $197800 0 $0 77 $197800 $5072 $2569 MONTGOMERY 20 43 $85274 0 $0 43 $85274 $4264 $1983 MUSCATINE 115 226 $485529 0 $1228 226 $486757 $4233 $2154 O BRIEN 29 64 $128586 0 $0 64 $128586 $4434 $2009 OSCEOLA 7 16 $26619 0 $0 16 $26619 $3803 $1664 PAGE 57 122 $271877 0 $0 122 $271877 $4770 $2229 PALO ALTO 12 31 $57175 0 $0 31 $57175 $4765 $1844 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 12/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/28/24 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 40 80 $169877 1 $697 81 $170574 $4264 $2106 POCAHONTAS 17 35 $82828 0 $0 35 $82828 $4872 $2367 POLK 1536 3142 $7182877 1 $2711 3143 $7185588 $4678 $2286 POTTAWATTA 557 1199 $2572067 1 $7086 1200 $2579153 $4630 $2149 POWESHIEK 30 64 $127687 0 $0 64 $127687 $4256 $1995 RINGGOLD 25 52 $106156 0 $0 52 $106156 $4246 $2041 SAC 18 43 $92866 0 $0 43 $92866 $5159 $2160 SCOTT 471 930 $2131993 1 $6360 931 $2138353 $4540 $2297 SHELBY 26 52 $117100 0 $0 52 $117100 $4504 $2252 SIOUX 16 33 $63367 0 $0 33 $63367 $3960 $1920 STORY 113 233 $559804 0 $0 233 $559804 $4954 $2403 TAMA 11 24 $54174 0 $0 24 $54174 $4925 $2257 TAYLOR 18 30 $79249 0 $0 30 $79249 $4403 $2642 UNION 40 90 $184229 0 $0 90 $184229 $4606 $2047 VAN BUREN 25 53 $137695 0 $0 53 $137695 $5508 $2598 WAPELLO 131 274 $621196 0 $0 274 $621196 $4742 $2267 WARREN 107 226 $504269 1 $895 227 $505164 $4721 $2225 WASHINGTON 44 95 $211200 0 $0 95 $211200 $4800 $2223 WAYNE 22 46 $117368 0 $0 46 $117368 $5335 $2551 WEBSTER 84 185 $394352 0 $0 185 $394352 $4695 $2132 WINNEBAGO 22 43 $97724 0 $0 43 $97724 $4442 $2273 WINNESHIEK 27 56 $130173 0 $0 56 $130173 $4821 $2325 WOODBURY 177 357 $772031 1 $10123 358 $782154 $4419 $2185 WORTH 9 18 $37457 0 $0 18 $37457 $4162 $2081 WRIGHT 153 340 $700429 0 $1395 340 $701824 $4587 $2064 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 7744 16142 $35683272 7 $39650 16149 $35722922 $4613 $2212