IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 04/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/26/25 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 $839 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 $335 0 0 $0 BENTON 1 1 $248 0 0 $0 BLACK HAWK 0 0 $0 1 3 $18,772 BOONE 2 2 $285 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 1 1 $333 0 0 $0 BUENA VIST 0 0 $0 0 0 $0 BUTLER 0 0 $0 0 0 $0 CALHOUN 1 1 $434 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $329 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 0 $0 0 0 $0 CHEROKEE 3 3 $911 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 2 2 $539 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $434 0 0 $0 CLINTON 1 1 $254 0 0 $0 CRAWFORD 0 0 $0 0 0 $0 DALLAS 2 2 $688 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 $533 0 0 $0 DUBUQUE 1 1 $260 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 8 8 $4,223 0 0 $0 FLOYD 3 3 $1,189 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 $660 0 0 $0 HARRISON 3 3 $717 0 0 $0 HENRY 2 2 $594 0 0 $0 HOWARD 1 1 $246 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $272 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 04/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/26/25 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 $242 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 $484 0 0 $0 LINN 9 10 $1,797 2 3 $420 LOUISA 1 1 $243 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 3 3 $822 0 0 $0 MAHASKA 1 1 $408 0 0 $0 MARION 1 1 $8,463 0 0 $0 MARSHALL 5 5 $1,167 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 1 $0 MUSCATINE 4 4 $1,068 0 2 $164- 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 $594 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 32 32 $7,814 0 2 $103 POTTAWATTA 1 1 $340 0 1 $68 POWESHIEK 0 0 $0 0 0 $0 RINGGOLD 1 1 $305 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 3 3 $510 1 3 $1,004 SHELBY 0 0 $0 0 0 $0 SIOUX 1 1 $272 0 0 $0 STORY 9 9 $11,196 0 0 $0 TAMA 1 2 $114 0 0 $0 TAYLOR 1 1 $246 0 0 $0 UNION 2 2 $544 0 0 $0 VAN BUREN 0 0 $0 0 0 $0 WAPELLO 2 2 $802 0 0 $0 WARREN 3 3 $704 0 0 $0 WASHINGTON 2 2 $587 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 0 0 $0 0 1 $8,372 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 1 1 $233 0 0 $0 WOODBURY 9 9 $2,702 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 04/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/26/25 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 $498 0 0 $0 CENT. OFF 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 04/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/26/25 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 145 147 $57,007 4 16 $28,577 *** END OF REPORT ***