IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 $947 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 $293 0 0 $0 BENTON 1 1 $264 0 0 $0 BLACK HAWK 0 0 $0 0 2 $24,429 BOONE 2 2 $675 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 $432 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $286 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 0 $0 0 0 $0 CHEROKEE 3 3 $1,533 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 2 3 $538 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $432 0 0 $0 CLINTON 1 1 $254 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 $574 0 0 $0 DUBUQUE 1 1 $275 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 7 7 $3,232 0 0 $0 FLOYD 3 3 $1,134 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 $816 0 0 $0 HARRISON 3 3 $756 0 0 $0 HENRY 2 2 $552 0 0 $0 HOWARD 0 0 $0 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $287 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 2 2 $508 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 $478 0 0 $0 LINN 10 10 $2,168 0 2 $1,165 LOUISA 1 1 $259 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 1 1 $298 0 0 $0 MAHASKA 0 0 $0 0 0 $0 MARION 1 1 $8,092 0 0 $0 MARSHALL 1 1 $287 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 $1,079 0 1 $652 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 $552 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 30 31 $7,909 0 4 $29,105- POTTAWATTA 1 1 $298 0 2 $2,582 POWESHIEK 0 0 $0 0 0 $0 RINGGOLD 0 0 $0 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 2 2 $508 0 1 $348 SHELBY 0 0 $0 0 0 $0 SIOUX 1 1 $287 0 0 $0 STORY 7 7 $2,096 0 0 $0 TAMA 2 2 $143 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 $399 0 0 $0 WARREN 3 3 $720 0 0 $0 WASHINGTON 2 2 $542 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 $1,798 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 $907 0 0 $0 CENT. OFF 0 4 $1,455 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 127 129 $45,291 0 12 $72 *** END OF REPORT ***