IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 30 64 $156028 0 $0 64 $156028 $5201 $2438 ADAMS 10 24 $55560 0 $0 24 $55560 $5556 $2315 ALLAMAKEE 30 63 $148580 0 $0 63 $148580 $4953 $2358 APPANOOSE 59 121 $255057 0 $0 121 $255057 $4323 $2108 AUDUBON 12 24 $51790 0 $0 24 $51790 $4316 $2158 BENTON 42 85 $193387 0 $0 85 $193387 $4604 $2275 BLACK HAWK 377 758 $1773312 0 $717 758 $1774029 $4706 $2340 BOONE 56 112 $257309 0 $0 112 $257309 $4595 $2297 BREMER 29 69 $160534 0 $0 69 $160534 $5536 $2327 BUCHANAN 31 59 $139313 0 $0 59 $139313 $4494 $2361 BUENA VIST 41 74 $206043 1 $7476 75 $213519 $5208 $2847 BUTLER 16 34 $80435 0 $0 34 $80435 $5027 $2366 CALHOUN 33 63 $141333 0 $0 63 $141333 $4283 $2243 CARROLL 42 83 $184833 0 $0 83 $184833 $4401 $2227 CASS 35 69 $173950 1 $327 70 $174277 $4979 $2490 CEDAR 31 61 $148869 1 $1134 62 $150003 $4839 $2419 CERRO GORD 104 223 $508384 0 $0 223 $508384 $4888 $2280 CHEROKEE 21 42 $109497 0 $0 42 $109497 $5214 $2607 CHICKASAW 32 63 $126377 0 $0 63 $126377 $3949 $2006 CLARKE 43 89 $199039 0 $0 89 $199039 $4629 $2236 CLAY 61 128 $277585 0 $0 128 $277585 $4551 $2169 CLAYTON 23 55 $127044 0 $0 55 $127044 $5524 $2310 CLINTON 115 242 $541454 0 $0 242 $541454 $4708 $2237 CRAWFORD 17 33 $71921 0 $0 33 $71921 $4231 $2179 DALLAS 160 337 $739711 0 $0 337 $739711 $4623 $2195 DAVIS 20 43 $94278 0 $0 43 $94278 $4714 $2193 DECATUR 39 81 $180893 0 $0 81 $180893 $4638 $2233 DELAWARE 38 79 $168330 0 $0 79 $168330 $4430 $2131 DES MOINES 82 174 $381927 0 $0 174 $381927 $4658 $2195 DICKINSON 31 67 $142047 0 $0 67 $142047 $4582 $2120 DUBUQUE 165 328 $762853 0 $0 328 $762853 $4623 $2326 EMMET 15 31 $68187 0 $0 31 $68187 $4546 $2200 FAYETTE 58 115 $247529 0 $0 115 $247529 $4268 $2152 FLOYD 39 82 $171938 0 $0 82 $171938 $4409 $2097 FRANKLIN 20 44 $107863 0 $0 44 $107863 $5393 $2451 FREMONT 15 30 $65724 0 $0 30 $65724 $4382 $2191 GREENE 23 50 $105866 0 $0 50 $105866 $4603 $2117 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 13 27 $59841 0 $0 27 $59841 $4603 $2216 GUTHRIE 30 59 $127504 0 $0 59 $127504 $4250 $2161 HAMILTON 20 44 $103287 0 $0 44 $103287 $5164 $2347 HANCOCK 16 40 $84045 0 $0 40 $84045 $5253 $2101 HARDIN 41 86 $188237 0 $0 86 $188237 $4591 $2189 HARRISON 37 75 $177628 0 $0 75 $177628 $4801 $2368 HENRY 45 86 $192794 0 $0 86 $192794 $4284 $2242 HOWARD 17 34 $65456 0 $0 34 $65456 $3850 $1925 HUMBOLDT 11 26 $48890 0 $0 26 $48890 $4445 $1880 IDA 15 33 $63850 0 $0 33 $63850 $4257 $1935 IOWA 26 52 $116418 0 $0 52 $116418 $4478 $2239 JACKSON 35 75 $177835 0 $0 75 $177835 $5081 $2371 JASPER 90 181 $388998 0 $0 181 $388998 $4322 $2149 JEFFERSON 48 94 $199860 0 $0 94 $199860 $4164 $2126 JOHNSON 226 460 $1063610 0 $4283 460 $1067893 $4725 $2322 JONES 41 82 $200579 0 $0 82 $200579 $4892 $2446 KEOKUK 20 37 $79014 0 $0 37 $79014 $3951 $2136 KOSSUTH 26 56 $123087 0 $0 56 $123087 $4734 $2198 LEE 87 173 $380294 1 $1297 174 $381591 $4386 $2193 LINN 541 1083 $2492602 1 $5013 1084 $2497615 $4617 $2304 LOUISA 14 31 $62082 0 $0 31 $62082 $4434 $2003 LUCAS 34 72 $170096 0 $0 72 $170096 $5003 $2362 LYON 13 30 $68686 0 $0 30 $68686 $5284 $2290 MADISON 36 71 $153816 0 $0 71 $153816 $4273 $2166 MAHASKA 59 129 $267087 0 $0 129 $267087 $4527 $2070 MARION 66 141 $320314 0 $0 141 $320314 $4853 $2272 MARSHALL 87 175 $383692 0 $0 175 $383692 $4410 $2193 MILLS 18 37 $82177 0 $0 37 $82177 $4565 $2221 MITCHELL 23 50 $144037 0 $0 50 $144037 $6262 $2881 MONONA 22 45 $133218 0 $0 45 $133218 $6055 $2960 MONROE 35 75 $171636 0 $0 75 $171636 $4904 $2288 MONTGOMERY 17 38 $66725 0 $0 38 $66725 $3925 $1756 MUSCATINE 115 238 $540601 0 $865 238 $541466 $4708 $2275 O BRIEN 27 58 $118834 0 $0 58 $118834 $4401 $2049 OSCEOLA 7 14 $30562 0 $0 14 $30562 $4366 $2183 PAGE 57 119 $267102 0 $0 119 $267102 $4686 $2245 PALO ALTO 16 31 $79167 0 $0 31 $79167 $4948 $2554 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 38 84 $180424 1 $1008 85 $181432 $4775 $2134 POCAHONTAS 19 41 $89072 0 $0 41 $89072 $4688 $2172 POLK 1540 3118 $7028378 2 $4463 3120 $7032841 $4567 $2254 POTTAWATTA 576 1185 $2747621 2 $6139 1187 $2753760 $4781 $2320 POWESHIEK 30 61 $124196 0 $0 61 $124196 $4140 $2036 RINGGOLD 27 55 $131005 0 $0 55 $131005 $4852 $2382 SAC 21 43 $91384 0 $0 43 $91384 $4352 $2125 SCOTT 476 938 $2065383 2 $4276 940 $2069659 $4348 $2202 SHELBY 25 50 $115575 0 $0 50 $115575 $4623 $2312 SIOUX 17 31 $59533 0 $0 31 $59533 $3502 $1920 STORY 110 226 $500668 0 $0 226 $500668 $4552 $2215 TAMA 14 26 $63793 0 $0 26 $63793 $4557 $2454 TAYLOR 19 35 $77060 0 $0 35 $77060 $4056 $2202 UNION 40 84 $168869 0 $0 84 $168869 $4222 $2010 VAN BUREN 25 51 $118955 0 $0 51 $118955 $4758 $2332 WAPELLO 131 272 $652841 0 $0 272 $652841 $4984 $2400 WARREN 110 224 $546157 1 $1639 225 $547796 $4980 $2435 WASHINGTON 45 94 $215087 0 $0 94 $215087 $4780 $2288 WAYNE 22 44 $103726 0 $0 44 $103726 $4715 $2357 WEBSTER 90 183 $439019 0 $0 183 $439019 $4878 $2399 WINNEBAGO 26 49 $109542 0 $0 49 $109542 $4213 $2236 WINNESHIEK 25 53 $121336 0 $0 53 $121336 $4853 $2289 WOODBURY 186 362 $852116 6 $7103 368 $859219 $4619 $2335 WORTH 9 18 $41532 0 $0 18 $41532 $4615 $2307 WRIGHT 145 304 $649982 1 $1339 305 $651321 $4492 $2135 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 7801 15887 $36011695 20 $47079 15907 $36058774 $4622 $2267