IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 01/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/25/25 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 $1,033 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 $295 0 0 $0 BENTON 1 1 $282 0 0 $0 BLACK HAWK 0 0 $0 0 1 $6,225 BOONE 2 2 $707 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 1 1 $353 0 0 $0 BUENA VIST 0 0 $0 0 0 $0 BUTLER 0 0 $0 0 0 $0 CALHOUN 1 1 $468 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $289 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 0 $0 0 0 $0 CHEROKEE 3 3 $2,273 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 2 3 $583 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $432 0 0 $0 CLINTON 1 1 $266 0 0 $0 CRAWFORD 0 0 $0 0 0 $0 DALLAS 2 2 $637 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 $592 0 0 $0 DUBUQUE 1 1 $285 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $3,483 0 0 $0 FLOYD 3 3 $1,196 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 $959 0 0 $0 HARRISON 3 3 $811 0 0 $0 HENRY 2 2 $566 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $296 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 2 2 $532 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 01/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/25/25 MEDICAID SUMMARY BY COUNTY MEDICALLY NEEDY - NO SPENDDOWN MEDICALLY NEEDY - WITH SPENDDOWN RECIPIENTS TOTAL RECIPIENTS TOTAL COUNTY ELIGIBLES SERVED PAYMENTS ELIGIBLES SERVED PAYMENTS JASPER 1 1 $222 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 $512 0 0 $0 LINN 10 10 $2,421 0 4 $770 LOUISA 1 1 $464 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 1 1 $300 0 0 $0 MAHASKA 0 0 $0 0 0 $0 MARION 1 1 $8,171 0 0 $0 MARSHALL 1 1 $296 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 4 4 $1,140 0 1 $36,507 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 $566 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 30 34 $8,358 0 4 $1,296- POTTAWATTA 1 1 $300 0 1 $624 POWESHIEK 0 0 $0 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 2 2 $532 0 1 $865 SHELBY 0 0 $0 0 0 $0 SIOUX 1 1 $304 0 0 $0 STORY 7 8 $2,324 0 0 $0 TAMA 2 2 $155 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 $422 0 0 $0 WARREN 3 3 $730 0 0 $0 WASHINGTON 2 2 $544 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 $1,894 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 01/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/25/25 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 $503 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 01/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/25/25 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 127 132 $46,518 0 12 $43,697 *** END OF REPORT ***