IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 25 51 $118084 0 $0 51 $118084 $4723 $2315 ADAMS 10 23 $53421 0 $0 23 $53421 $5342 $2323 ALLAMAKEE 30 63 $132124 0 $0 63 $132124 $4404 $2097 APPANOOSE 61 132 $326955 0 $0 132 $326955 $5360 $2477 AUDUBON 12 24 $52978 0 $0 24 $52978 $4415 $2207 BENTON 38 79 $164259 0 $0 79 $164259 $4323 $2079 BLACK HAWK 371 743 $1745911 0 $608 743 $1746519 $4708 $2351 BOONE 54 112 $242673 0 $0 112 $242673 $4494 $2167 BREMER 29 69 $154383 0 $0 69 $154383 $5324 $2237 BUCHANAN 35 68 $159156 0 $0 68 $159156 $4547 $2341 BUENA VIST 47 86 $205604 1 $5811 87 $211415 $4498 $2430 BUTLER 23 45 $125020 0 $0 45 $125020 $5436 $2778 CALHOUN 31 61 $143753 0 $0 61 $143753 $4637 $2357 CARROLL 45 95 $233241 0 $0 95 $233241 $5183 $2455 CASS 36 74 $182640 1 $290 75 $182930 $5081 $2439 CEDAR 30 61 $133409 0 $1124 61 $134533 $4484 $2205 CERRO GORD 113 232 $564692 0 $0 232 $564692 $4997 $2434 CHEROKEE 22 41 $93113 0 $0 41 $93113 $4232 $2271 CHICKASAW 34 72 $176474 0 $0 72 $176474 $5190 $2451 CLARKE 40 81 $171537 0 $0 81 $171537 $4288 $2118 CLAY 56 116 $266339 0 $0 116 $266339 $4756 $2296 CLAYTON 29 62 $145871 0 $0 62 $145871 $5030 $2353 CLINTON 119 232 $549521 0 $0 232 $549521 $4618 $2369 CRAWFORD 17 32 $73977 1 $653 33 $74630 $4390 $2262 DALLAS 158 342 $773332 0 $0 342 $773332 $4895 $2261 DAVIS 18 38 $97291 0 $0 38 $97291 $5405 $2560 DECATUR 41 81 $212285 0 $0 81 $212285 $5178 $2621 DELAWARE 31 69 $135461 0 $0 69 $135461 $4370 $1963 DES MOINES 86 174 $422659 0 $0 174 $422659 $4915 $2429 DICKINSON 30 61 $146088 0 $0 61 $146088 $4870 $2395 DUBUQUE 171 334 $748876 0 $0 334 $748876 $4379 $2242 EMMET 14 28 $64387 0 $0 28 $64387 $4599 $2300 FAYETTE 59 118 $288399 0 $0 118 $288399 $4888 $2444 FLOYD 32 71 $139170 0 $0 71 $139170 $4349 $1960 FRANKLIN 21 44 $108205 0 $0 44 $108205 $5153 $2459 FREMONT 13 30 $81419 0 $0 30 $81419 $6263 $2714 GREENE 23 45 $102457 0 $0 45 $102457 $4455 $2277 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 12 25 $52358 0 $0 25 $52358 $4363 $2094 GUTHRIE 29 57 $129928 0 $0 57 $129928 $4480 $2279 HAMILTON 20 39 $108525 0 $0 39 $108525 $5426 $2783 HANCOCK 14 34 $67989 0 $0 34 $67989 $4856 $2000 HARDIN 45 90 $219861 0 $0 90 $219861 $4886 $2443 HARRISON 34 70 $160199 0 $0 70 $160199 $4712 $2289 HENRY 43 86 $194647 0 $0 86 $194647 $4527 $2263 HOWARD 15 28 $59783 0 $0 28 $59783 $3986 $2135 HUMBOLDT 11 23 $53717 0 $0 23 $53717 $4883 $2336 IDA 17 35 $83402 0 $0 35 $83402 $4906 $2383 IOWA 25 49 $120943 0 $0 49 $120943 $4838 $2468 JACKSON 36 85 $191043 0 $0 85 $191043 $5307 $2248 JASPER 91 184 $404673 0 $0 184 $404673 $4447 $2199 JEFFERSON 47 95 $218307 0 $0 95 $218307 $4645 $2298 JOHNSON 218 444 $1030353 1 $527 445 $1030880 $4729 $2317 JONES 41 78 $184691 0 $0 78 $184691 $4505 $2368 KEOKUK 21 39 $101533 0 $0 39 $101533 $4835 $2603 KOSSUTH 27 55 $121629 0 $0 55 $121629 $4505 $2211 LEE 89 182 $419824 1 $1893 183 $421717 $4738 $2304 LINN 556 1122 $2690300 2 $2821 1124 $2693121 $4844 $2396 LOUISA 17 32 $73620 0 $0 32 $73620 $4331 $2301 LUCAS 35 70 $170903 0 $0 70 $170903 $4883 $2441 LYON 14 33 $69946 0 $0 33 $69946 $4996 $2120 MADISON 37 76 $186004 0 $0 76 $186004 $5027 $2447 MAHASKA 58 122 $321302 0 $0 122 $321302 $5540 $2634 MARION 70 145 $349105 0 $0 145 $349105 $4987 $2408 MARSHALL 90 179 $402807 0 $0 179 $402807 $4476 $2250 MILLS 18 41 $118839 0 $0 41 $118839 $6602 $2899 MITCHELL 22 43 $97693 0 $0 43 $97693 $4441 $2272 MONONA 20 43 $88743 0 $0 43 $88743 $4437 $2064 MONROE 36 75 $165003 0 $0 75 $165003 $4583 $2200 MONTGOMERY 18 38 $104014 0 $0 38 $104014 $5779 $2737 MUSCATINE 122 247 $556401 0 $1155 247 $557556 $4570 $2257 O BRIEN 30 61 $137259 0 $0 61 $137259 $4575 $2250 OSCEOLA 7 14 $32538 0 $0 14 $32538 $4648 $2324 PAGE 61 120 $271428 0 $0 120 $271428 $4450 $2262 PALO ALTO 15 33 $75976 0 $0 33 $75976 $5065 $2302 IAMM4600-R002 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 36 75 $166895 1 $73 76 $166968 $4638 $2197 POCAHONTAS 17 35 $75739 0 $0 35 $75739 $4455 $2164 POLK 1551 3109 $7295751 3 $4003 3112 $7299754 $4706 $2346 POTTAWATTA 591 1223 $2924444 2 $3815 1225 $2928259 $4955 $2390 POWESHIEK 35 67 $156806 1 $5299 68 $162105 $4632 $2384 RINGGOLD 29 59 $130036 0 $0 59 $130036 $4484 $2204 SAC 23 47 $138310 0 $0 47 $138310 $6013 $2943 SCOTT 480 957 $2245315 2 $6849 959 $2252164 $4692 $2348 SHELBY 29 57 $144557 0 $0 57 $144557 $4985 $2536 SIOUX 15 29 $65416 0 $0 29 $65416 $4361 $2256 STORY 110 209 $493387 0 $0 209 $493387 $4485 $2361 TAMA 12 27 $60445 0 $0 27 $60445 $5037 $2239 TAYLOR 21 37 $83304 0 $0 37 $83304 $3967 $2251 UNION 41 87 $200761 0 $0 87 $200761 $4897 $2308 VAN BUREN 26 53 $120896 0 $0 53 $120896 $4650 $2281 WAPELLO 129 264 $639495 0 $0 264 $639495 $4957 $2422 WARREN 104 213 $494386 1 $1575 214 $495961 $4769 $2318 WASHINGTON 47 93 $226226 0 $0 93 $226226 $4813 $2433 WAYNE 23 49 $107216 0 $0 49 $107216 $4662 $2188 WEBSTER 88 182 $424656 0 $0 182 $424656 $4826 $2333 WINNEBAGO 27 52 $123468 0 $0 52 $123468 $4573 $2374 WINNESHIEK 26 47 $113759 0 $0 47 $113759 $4375 $2420 WOODBURY 183 360 $886606 6 $4281 366 $890887 $4868 $2434 WORTH 9 18 $43061 0 $0 18 $43061 $4785 $2392 WRIGHT 138 283 $627267 1 $1443 284 $628710 $4556 $2214 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 7864 15913 $37358652 24 $42220 15937 $37400872 $4756 $2347