IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 $846 0 0 $0 ADAMS 0 0 $0 0 0 $0 ALLAMAKEE 0 0 $0 0 0 $0 APPANOOSE 2 2 $734 0 0 $0 AUDUBON 1 1 $320 0 0 $0 BENTON 1 1 $247 0 0 $0 BLACK HAWK 0 0 $0 0 3 $1,189 BOONE 1 2 $452 0 0 $0 BREMER 0 0 $0 0 0 $0 BUCHANAN 1 1 $339 0 0 $0 BUENA VIST 0 0 $0 0 0 $0 BUTLER 0 0 $0 0 0 $0 CALHOUN 1 1 $421 0 0 $0 CARROLL 0 0 $0 0 0 $0 CASS 1 1 $314 0 0 $0 CEDAR 0 0 $0 0 0 $0 CERRO GORD 0 0 $0 0 0 $0 CHEROKEE 3 3 $784 0 0 $0 CHICKASAW 0 0 $0 0 0 $0 CLARKE 2 2 $556 0 0 $0 CLAY 0 0 $0 0 0 $0 CLAYTON 1 1 $421 0 0 $0 CLINTON 1 1 $250 0 0 $0 CRAWFORD 0 0 $0 0 0 $0 DALLAS 2 2 $671 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 $536 0 0 $0 DUBUQUE 1 1 $0 0 0 $0 EMMET 0 0 $0 0 0 $0 FAYETTE 8 8 $4,109 0 0 $0 FLOYD 3 3 $1,150 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 2 3 $335 0 0 $0 HARRISON 3 3 $712 0 0 $0 HENRY 2 2 $575 0 0 $0 HOWARD 1 1 $246 0 0 $0 HUMBOLDT 0 0 $0 0 0 $0 IDA 1 1 $274 0 0 $0 IOWA 0 0 $0 0 0 $0 JACKSON 2 2 $500 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 $235 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 $239 0 0 $0 LEE 2 2 $470 0 0 $0 LINN 8 8 $1,812 1 7 $37,386 LOUISA 1 1 $242 0 0 $0 LUCAS 0 0 $0 0 0 $0 LYON 0 0 $0 0 0 $0 MADISON 3 3 $807 0 0 $0 MAHASKA 1 1 $408 0 0 $0 MARION 1 1 $8,311 0 0 $0 MARSHALL 5 5 $1,168 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 6 6 $1,473 0 1 $68 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 $575 0 0 $0 POCAHONTAS 0 0 $0 0 0 $0 POLK 31 32 $7,841 0 4 $4,633 POTTAWATTA 1 1 $325 0 1 $23,503 POWESHIEK 0 0 $0 0 0 $0 RINGGOLD 1 1 $305 0 0 $0 SAC 0 0 $0 0 0 $0 SCOTT 3 3 $502 0 3 $962 SHELBY 0 0 $0 0 0 $0 SIOUX 1 1 $274 0 0 $0 STORY 9 9 $11,364 0 0 $0 TAMA 1 1 $13 0 0 $0 TAYLOR 1 1 $250 0 0 $0 UNION 2 2 $565 0 0 $0 VAN BUREN 0 0 $0 0 0 $0 WAPELLO 2 2 $802 0 0 $0 WARREN 3 3 $690 0 0 $0 WASHINGTON 2 2 $565 0 0 $0 WAYNE 0 0 $0 0 0 $0 WEBSTER 1 1 $246 0 0 $0 WINNEBAGO 0 0 $0 0 0 $0 WINNESHIEK 1 1 $240 0 0 $0 WOODBURY 9 9 $1,093 0 0 $0 WORTH 0 0 $0 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 4 $1,253 0 0 $0 IAMM1800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 4 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 146 149 $57,381 1 19 $67,744 *** END OF REPORT ***