IAMM4400-R002ADCADULT_Report_Id,IAMM4400-R002ADCADULT_Report_as_of_Date,IAMM4400-R002ADCADULT_ProgramID,IAMM4400-R002ADCADULT_SVCCAT,ADCadult_Recips,ADCadult_Units,ADCadult_Amt,IAMM4400-R002ADCCHILD_Report_Id,IAMM4400-R002ADCCHILD_Report_as_of_Date,IAMM4400-R002ADCCHILD_ProgramID,IAMM4400-R002ADCCHILD_SVCCAT,ADCchild_Recips,ADCchild_Units,ADCchild_Amt,IAMM4400-R002AGED_Report_Id,IAMM4400-R002AGED_Report_as_of_Date,IAMM4400-R002AGED_ProgramID,IAMM4400-R002AGED_SVCCAT,Aged_Recps,Aged_units,Aged_Amt,IAMM4400-R002BLIND_Report_Id,IAMM4400-R002BLIND_Report_as_of_Date,IAMM4400-R002BLIND_ProgramID,IAMM4400-R002BLIND_SVCCAT,IAMM4400-R002BLIND_Blind_recips,IAMM4400-R002BLIND_Blind_units,IAMM4400-R002BLIND_Blind_amt,IAMM4400-R002CMAP_Report_Id,IAMM4400-R002CMAP_Report_as_of_Date,IAMM4400-R002CMAP_ProgramID,IAMM4400-R002CMAP_SVCCAT,Cmap_Recips,Cmap_Units,Cmap_Amt,IAMM4400-R002DISABLED_Report_Id,IAMM4400-R002DISABLED_Report_as_of_Date,IAMM4400-R002DISABLED_ProgramID,IAMM4400-R002DISABLED_SVCCAT,Disab_Recips,Disab_Units,Disab_Amt,IAMM4400-R002DSH_Report_Id,IAMM4400-R002DSH_Report_as_of_Date,IAMM4400-R002DSH_ProgramID,IAMM4400-R002DSH_SVCCAT,dsh_recips,dsh_units,dsh_amt,IAMM4400-R002FCPRESUBSUB_Report_Id,IAMM4400-R002FCPRESUBSUB_Report_as_of_Date,IAMM4400-R002FCPRESUBSUB_ProgramID,IAMM4400-R002FCPRESUBSUB_SVCCAT,FCpresubsub_recips,fcpresubsub_Units,fcpresubsub_amt,IAMM4400-R002FEDCNTY_Report_Id,IAMM4400-R002FEDCNTY_Report_as_of_Date,IAMM4400-R002FEDCNTY_ProgramID,IAMM4400-R002FEDCNTY_SVCCAT,Fedcnty_recips,Fedcnty_units,Fedcnty_amt,IAMM4400-R002FEDONLY_Report_Id,IAMM4400-R002FEDONLY_Report_as_of_Date,IAMM4400-R002FEDONLY_ProgramID,IAMM4400-R002FEDONLY_SVCCAT,Fed_Recips,Fed_Units,Fed_amt,IAMM4400-R002ICAREMHI_Report_Id,IAMM4400-R002ICAREMHI_Report_as_of_Date,IAMM4400-R002ICAREMHI_ProgramID,IAMM4400-R002ICAREMHI_SVCCAT,IcareMHI_recips,Icare_units,Icare_amt,IAMM4400-R002ICAREPMIC_Report_Id,IAMM4400-R002ICAREPMIC_Report_as_of_Date,IAMM4400-R002ICAREPMIC_ProgramID,IAMM4400-R002ICAREPMIC_SVCCAT,IcarePMIC_recips,IcarePMIC_units,IcarePMIC_amt,IAMM4400-R002ICARESTATEONLY_Report_Id,IAMM4400-R002ICARESTATEONLY_Report_as_of_Date,IAMM4400-R002ICARESTATEONLY_ProgramID,IAMM4400-R002ICARESTATEONLY_SVCCAT,IcareSO_recips,IcareSO_units,IcareSO_amt,IAMM4400-R002ICF_Report_Id,IAMM4400-R002ICF_Report_as_of_Date,IAMM4400-R002ICF_ProgramID,IAMM4400-R002ICF_SVCCAT,IFC_Recips,ICF_units,ICF_amt,IAMM4400-R002MEDICAIDAGED_Report_Id,IAMM4400-R002MEDICAIDAGED_Report_as_of_Date,IAMM4400-R002MEDICAIDAGED_ProgramID,IAMM4400-R002MEDICAIDAGED_SVCCAT,FMaged_recips,FMaged_units,FMaged_amt,IAMM4400-R002MEDICAIDBLIND_Report_Id,IAMM4400-R002MEDICAIDBLIND_Report_as_of_Date,IAMM4400-R002MEDICAIDBLIND_ProgramID,IAMM4400-R002MEDICAIDBLIND_SVCCAT,IAMM4400-R002MEDICAIDBLIND_Blind_recips,IAMM4400-R002MEDICAIDBLIND_Blind_units,IAMM4400-R002MEDICAIDBLIND_Blind_amt,IAMM4400-R002MNNOSPND_Report_Id,IAMM4400-R002MNNOSPND_Report_as_of_Date,IAMM4400-R002MNNOSPND_ProgramID,IAMM4400-R002MNNOSPND_SVCCAT,nospnd_recips,nospnd_units,nospnd_amt,IAMM4400-R002MNWITHSPND_Report_Id,IAMM4400-R002MNWITHSPND_Report_as_of_Date,IAMM4400-R002MNWITHSPND_ProgramID,IAMM4400-R002MNWITHSPND_SVCCAT,Spend_recips,spend_units,spend_amt,IAMM4400-R002OTHER_Report_Id,IAMM4400-R002OTHER_Report_as_of_Date,IAMM4400-R002OTHER_ProgramID,IAMM4400-R002OTHER_SVCCAT,Other_Recips,Other_Units,Other_Amt,IAMM4400-R002OTHERBCC_Report_Id,IAMM4400-R002OTHERBCC_Report_as_of_Date,IAMM4400-R002OTHERBCC_ProgramID,IAMM4400-R002OTHERBCC_SVCCAT,BCC_Recips,BCC_Units,BCC_Amt,IAMM4400-R002OTHERICAREADLT_Report_Id,IAMM4400-R002OTHERICAREADLT_Report_as_of_Date,IAMM4400-R002OTHERICAREADLT_ProgramID,IAMM4400-R002OTHERICAREADLT_SVCCAT,Icareadlt_recips,Icareadlt_units,Icareadlt_amt,IAMM4400-R002OTHERICAREOB_Report_Id,IAMM4400-R002OTHERICAREOB_Report_as_of_Date,IAMM4400-R002OTHERICAREOB_ProgramID,IAMM4400-R002OTHERICAREOB_SVCCAT,Icareob_recips,Icareob_units,Icareob_amt,IAMM4400-R002OTHERTXIX_Report_Id,IAMM4400-R002OTHERTXIX_Report_as_of_Date,IAMM4400-R002OTHERTXIX_ProgramID,IAMM4400-R002OTHERTXIX_SVCCAT,Oxix_recips,Oxix_Units,Oxix_Amt,IAMM4400-R002REFUGEETXIX_Report_Id,IAMM4400-R002REFUGEETXIX_Report_as_of_Date,IAMM4400-R002REFUGEETXIX_ProgramID,IAMM4400-R002REFUGEETXIX_SVCCAT,Refugee_Recips,Refugee_Units,Refugee_amt,IAMM4400-R002STATEONLY_Report_Id,IAMM4400-R002STATEONLY_Report_as_of_Date,IAMM4400-R002STATEONLY_ProgramID,IAMM4400-R002STATEONLY_SVCCAT,SO_recips,SO_units,SO_amt,IAMM4400-R002TOTAL_Report_Id,IAMM4400-R002TOTAL_Report_as_of_Date,IAMM4400-R002TOTAL_ProgramID,IAMM4400-R002TOTAL_SVCCAT,TOTAL_recips,TOTAL_units,TOTAL_amt
IAMM4400-R002,11/30/07,ADC - ADULT,INPATIENT,517,2172,"$2,391,385.91 ",IAMM4400-R002,11/30/07,ADC - CHILD,INPATIENT,303,2151,"$2,635,923.84 ",IAMM4400-R002,11/30/07,AGED,INPATIENT,451,1904,"$475,264.54 ",IAMM4400-R002,11/30/07,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,INPATIENT,339,7251,"$1,642,754.72 ",IAMM4400-R002,11/30/07,DISABLED,INPATIENT,1492,8939,"$5,716,366.96 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,35,353,"$157,080.82 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,INPATIENT,134,539,"$301,152.07 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,INPATIENT,1,3,"$3,769.68 ",IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,INPATIENT,1,5,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,INPATIENT,6,111,"$28,324.47 ",IAMM4400-R002,11/30/07,STATE ONLY,INPATIENT,3,13,"$13,200.55 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,INPATIENT,621,2939,"$642,275.11 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,INPATIENT,38,226,"$151,605.04 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,INPATIENT,110,597,"$752,279.10 ",IAMM4400-R002,11/30/07,OTHER,INPATIENT,1540,8711,"$8,040,984.70 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,INPATIENT,3,25,"$22,418.86 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,INPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,INPATIENT,57,359,"$265,621.54 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,INPATIENT,25,288,"$250,379.74 ",IAMM4400-R002,11/30/07,TOTAL,INPATIENT,5649,36586,"$23,490,787.65 "
IAMM4400-R002,11/30/07,ADC - ADULT,OUTPATIENT,7502,90217,"$3,234,788.49 ",IAMM4400-R002,11/30/07,ADC - CHILD,OUTPATIENT,6391,35209,"$1,392,792.45 ",IAMM4400-R002,11/30/07,AGED,OUTPATIENT,3465,49414,"$444,064.25 ",IAMM4400-R002,11/30/07,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,OUTPATIENT,1630,13822,"$446,010.06 ",IAMM4400-R002,11/30/07,DISABLED,OUTPATIENT,13922,245192,"$4,860,968.91 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,855,6545,"$212,763.08 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,OUTPATIENT,2286,35278,"$413,712.28 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,OUTPATIENT,24,274,"$4,332.77 ",IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,OUTPATIENT,7,76,$800.73 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,OUTPATIENT,26,226,"$6,243.98 ",IAMM4400-R002,11/30/07,STATE ONLY,OUTPATIENT,40,420,"$11,951.16 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,OUTPATIENT,4891,83354,"$572,687.42 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,407,7027,"$220,478.71 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,350,8405,"$200,733.90 ",IAMM4400-R002,11/30/07,OTHER,OUTPATIENT,10008,79130,"$2,323,677.06 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,OUTPATIENT,92,1381,"$83,821.76 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,OUTPATIENT,1,18,$283.90 ,IAMM4400-R002,11/30/07,OTHER TXXI,OUTPATIENT,979,7563,"$236,236.42 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,OUTPATIENT,317,3511,"$148,691.70 ",IAMM4400-R002,11/30/07,TOTAL,OUTPATIENT,52750,667062,"$14,815,039.03 "
IAMM4400-R002,11/30/07,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,SKILLED NURSING FACILITY,1,24,"$9,972.96 ",IAMM4400-R002,11/30/07,AGED,SKILLED NURSING FACILITY,134,1797,"$81,333.94 ",IAMM4400-R002,11/30/07,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,SKILLED NURSING FACILITY,144,3460,"$1,467,111.79 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,3,"$1,575.25 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,4,73,"$13,251.26 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,269,3469,"$9,469.59 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,2,20,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,2,12,$0.00 ,IAMM4400-R002,11/30/07,OTHER,SKILLED NURSING FACILITY,4,52,$344.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,SKILLED NURSING FACILITY,556,8910,"$1,583,058.79 "
IAMM4400-R002,11/30/07,ADC - ADULT,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,INTERMEDIATE CARE FACILITY,4150,125761,"$9,709,838.95 ",IAMM4400-R002,11/30/07,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,INTERMEDIATE CARE FACILITY,519,15269,"$1,472,865.94 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,7,180,"$17,369.45 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7443,224454,"$21,108,375.41 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,1,31,"$2,452.02 ",IAMM4400-R002,11/30/07,OTHER,INTERMEDIATE CARE FACILITY,1,41,"$3,384.11 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,INTERMEDIATE CARE FACILITY,12078,365736,"$32,314,285.88 "
IAMM4400-R002,11/30/07,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,INTER CARE MENTAL RETARDA,17,599,"$183,911.78 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,11,385,"$130,322.49 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2118,64698,"$23,446,924.11 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,INTER CARE MENTAL RETARDA,1,0,"($2,329,117.00)",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,INTER CARE MENTAL RETARDA,2142,65682,"$21,432,041.38 "
IAMM4400-R002,11/30/07,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,NURSING FAC FOR MENTAL ILL,3,70,"$10,350.29 ",IAMM4400-R002,11/30/07,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,18,619,"$115,866.40 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,NURSING FAC FOR MENTAL ILL,21,689,"$126,216.69 "
IAMM4400-R002,11/30/07,ADC - ADULT,HOME HEALTH,57,404,"$26,631.10 ",IAMM4400-R002,11/30/07,ADC - CHILD,HOME HEALTH,274,961,"$52,181.33 ",IAMM4400-R002,11/30/07,AGED,HOME HEALTH,1885,31898,"$1,228,624.67 ",IAMM4400-R002,11/30/07,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,HOME HEALTH,44,651,"$7,992.54 ",IAMM4400-R002,11/30/07,DISABLED,HOME HEALTH,2880,70747,"$2,017,045.85 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,42,3262,"$96,133.85 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,HOME HEALTH,914,41339,"$927,153.78 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,HOME HEALTH,3,109,$541.42 ,IAMM4400-R002,11/30/07,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,HOME HEALTH,2979,60455,"$2,206,629.73 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,41,456,"$12,594.39 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,22,1681,"$27,023.77 ",IAMM4400-R002,11/30/07,OTHER,HOME HEALTH,479,1714,"$266,742.07 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,HOME HEALTH,3,36,"$4,084.88 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,HOME HEALTH,30,95,"$2,899.77 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,HOME HEALTH,12,195,"$13,197.74 ",IAMM4400-R002,11/30/07,TOTAL,HOME HEALTH,9615,214003,"$6,889,476.89 "
IAMM4400-R002,11/30/07,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,LEAD INSPECTION AGENCY,4,4,"$1,509.40 ",IAMM4400-R002,11/30/07,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,LEAD INSPECTION AGENCY,6,6,"$2,264.10 "
IAMM4400-R002,11/30/07,ADC - ADULT,PHYSICIAN,14320,28576,"$2,465,864.43 ",IAMM4400-R002,11/30/07,ADC - CHILD,PHYSICIAN,19478,34023,"$2,176,420.15 ",IAMM4400-R002,11/30/07,AGED,PHYSICIAN,6404,38050,"$385,994.19 ",IAMM4400-R002,11/30/07,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,PHYSICIAN,3858,7032,"$511,962.72 ",IAMM4400-R002,11/30/07,DISABLED,PHYSICIAN,23898,115315,"$3,516,042.85 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2470,3983,"$235,362.71 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,PHYSICIAN,4431,17687,"$340,885.71 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,PHYSICIAN,34,55,"$6,547.17 ",IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,PHYSICIAN,10,29,$397.33 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,PHYSICIAN,80,135,"$6,836.39 ",IAMM4400-R002,11/30/07,STATE ONLY,PHYSICIAN,74,160,"$10,200.50 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,PHYSICIAN,7370,43711,"$483,009.40 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,752,2208,"$144,001.03 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,647,2666,"$179,456.00 ",IAMM4400-R002,11/30/07,OTHER,PHYSICIAN,27559,51739,"$4,257,496.74 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,PHYSICIAN,147,517,"$136,714.87 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,PHYSICIAN,1,0,$426.08 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,PHYSICIAN,2,2,$934.48 ,IAMM4400-R002,11/30/07,OTHER TXXI,PHYSICIAN,3178,5083,"$321,913.94 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PHYSICIAN,554,1186,"$95,848.68 ",IAMM4400-R002,11/30/07,TOTAL,PHYSICIAN,113138,352157,"$15,276,315.37 "
IAMM4400-R002,11/30/07,ADC - ADULT,CLINIC SERVICES,2270,2947,"$357,583.80 ",IAMM4400-R002,11/30/07,ADC - CHILD,CLINIC SERVICES,2995,3332,"$427,618.43 ",IAMM4400-R002,11/30/07,AGED,CLINIC SERVICES,546,282,"$37,576.91 ",IAMM4400-R002,11/30/07,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,CLINIC SERVICES,722,899,"$114,465.12 ",IAMM4400-R002,11/30/07,DISABLED,CLINIC SERVICES,3098,3332,"$478,563.31 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,444,520,"$60,531.25 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,CLINIC SERVICES,320,328,"$41,958.91 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,CLINIC SERVICES,2,2,$302.87 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,CLINIC SERVICES,2,0,$41.80 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,18,21,"$2,951.77 ",IAMM4400-R002,11/30/07,STATE ONLY,CLINIC SERVICES,17,20,"$2,339.26 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,575,221,"$45,355.12 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,110,155,"$21,003.54 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,57,59,"$7,402.86 ",IAMM4400-R002,11/30/07,OTHER,CLINIC SERVICES,5218,6813,"$798,485.71 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,15,15,"$2,450.05 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,CLINIC SERVICES,2,3,$270.33 ,IAMM4400-R002,11/30/07,OTHER TXXI,CLINIC SERVICES,531,589,"$70,264.11 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,CLINIC SERVICES,99,113,"$15,105.28 ",IAMM4400-R002,11/30/07,TOTAL,CLINIC SERVICES,16833,19651,"$2,484,270.43 "
IAMM4400-R002,11/30/07,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,LAB AND RADIOLOGICAL,2071,4581,"$97,968.75 ",IAMM4400-R002,11/30/07,ADC - CHILD,LAB AND RADIOLOGICAL,808,1876,"$25,656.73 ",IAMM4400-R002,11/30/07,AGED,LAB AND RADIOLOGICAL,455,213,"$2,713.43 ",IAMM4400-R002,11/30/07,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,LAB AND RADIOLOGICAL,271,743,"$14,971.92 ",IAMM4400-R002,11/30/07,DISABLED,LAB AND RADIOLOGICAL,1910,4335,"$62,441.25 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,175,456,"$7,071.91 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,267,396,"$4,819.01 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,LAB AND RADIOLOGICAL,4,37,$807.19 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,4,17,$284.62 ,IAMM4400-R002,11/30/07,STATE ONLY,LAB AND RADIOLOGICAL,10,30,$495.73 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,545,271,"$2,822.79 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,63,117,"$2,482.20 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,36,149,"$2,347.97 ",IAMM4400-R002,11/30/07,OTHER,LAB AND RADIOLOGICAL,1836,4955,"$89,724.69 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,24,79,"$1,409.07 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,3,5,$106.77 ,IAMM4400-R002,11/30/07,OTHER TXXI,LAB AND RADIOLOGICAL,118,349,"$4,120.15 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,LAB AND RADIOLOGICAL,63,175,"$2,840.14 ",IAMM4400-R002,11/30/07,TOTAL,LAB AND RADIOLOGICAL,8634,18784,"$323,084.32 "
IAMM4400-R002,11/30/07,ADC - ADULT,HABILITATION SERVICES,15,194,"$8,696.31 ",IAMM4400-R002,11/30/07,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,HABILITATION SERVICES,33,973,"$52,284.82 ",IAMM4400-R002,11/30/07,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,HABILITATION SERVICES,13,347,"$15,282.53 ",IAMM4400-R002,11/30/07,DISABLED,HABILITATION SERVICES,1869,55404,"$2,662,369.12 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,3,28,"$1,510.76 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,9,212,"$8,989.84 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,HABILITATION SERVICES,2,9,$782.29 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,HABILITATION SERVICES,6,129,"$5,832.52 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,12,273,"$10,697.63 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,39,1310,"$93,746.45 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,7,282,"$15,892.07 ",IAMM4400-R002,11/30/07,OTHER,HABILITATION SERVICES,2,51,"$2,527.92 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,HABILITATION SERVICES,5,78,"$3,534.33 ",IAMM4400-R002,11/30/07,TOTAL,HABILITATION SERVICES,2009,59290,"$2,882,146.59 "
IAMM4400-R002,11/30/07,ADC - ADULT,REMEDIAL SERVICES,53,1843,"$25,682.05 ",IAMM4400-R002,11/30/07,ADC - CHILD,REMEDIAL SERVICES,876,30187,"$482,795.86 ",IAMM4400-R002,11/30/07,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,REMEDIAL SERVICES,332,12111,"$192,287.32 ",IAMM4400-R002,11/30/07,DISABLED,REMEDIAL SERVICES,326,15107,"$211,188.09 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,1479,113625,"$1,214,771.23 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,55,1639,"$29,279.27 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,48,2511,"$32,463.02 ",IAMM4400-R002,11/30/07,STATE ONLY,REMEDIAL SERVICES,5,172,"$3,360.42 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,2,47,$975.29 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,5,82,$989.52 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,REMEDIAL SERVICES,711,24208,"$400,723.59 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,REMEDIAL SERVICES,153,5410,"$86,772.89 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,REMEDIAL SERVICES,35,2159,"$23,234.10 ",IAMM4400-R002,11/30/07,TOTAL,REMEDIAL SERVICES,4018,209101,"$2,704,522.65 "
IAMM4400-R002,11/30/07,ADC - ADULT,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,REHAB SUPPORT SERVICES,3,258,"$13,484.96 ",IAMM4400-R002,11/30/07,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,REHAB SUPPORT SERVICES,1,0,($0.64),IAMM4400-R002,11/30/07,DISABLED,REHAB SUPPORT SERVICES,134,2373,"$139,432.04 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,1,72,"$4,361.76 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,3,42,"$2,740.48 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,2,30,"$1,281.20 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,3,13,$842.81 ,IAMM4400-R002,11/30/07,OTHER,REHAB SUPPORT SERVICES,2,2,"($18,424.00)",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,REHAB SUPPORT SERVICES,147,2790,"$143,718.61 "
IAMM4400-R002,11/30/07,ADC - ADULT,AMBULANCE SERVICES,176,176,"$28,285.44 ",IAMM4400-R002,11/30/07,ADC - CHILD,AMBULANCE SERVICES,88,93,"$17,063.63 ",IAMM4400-R002,11/30/07,AGED,AMBULANCE SERVICES,285,346,"$28,474.46 ",IAMM4400-R002,11/30/07,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,AMBULANCE SERVICES,41,41,"$5,744.91 ",IAMM4400-R002,11/30/07,DISABLED,AMBULANCE SERVICES,739,894,"$102,965.63 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,19,20,"$3,748.99 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,100,127,"$13,383.42 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,1,1,$81.93 ,IAMM4400-R002,11/30/07,STATE ONLY,AMBULANCE SERVICES,1,1,$286.82 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,466,590,"$48,671.60 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,17,17,"$1,830.73 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,26,27,"$3,091.21 ",IAMM4400-R002,11/30/07,OTHER,AMBULANCE SERVICES,129,132,"$24,967.39 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,1,2,"$3,782.06 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,AMBULANCE SERVICES,12,11,"$2,094.20 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,AMBULANCE SERVICES,8,8,"$1,070.53 ",IAMM4400-R002,11/30/07,TOTAL,AMBULANCE SERVICES,2096,2486,"$285,542.95 "
IAMM4400-R002,11/30/07,ADC - ADULT,LOCAL EDUCATION AGENCY,2,224,"$3,261.46 ",IAMM4400-R002,11/30/07,ADC - CHILD,LOCAL EDUCATION AGENCY,48,9092,"$40,910.41 ",IAMM4400-R002,11/30/07,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,LOCAL EDUCATION AGENCY,19,2638,"$11,863.46 ",IAMM4400-R002,11/30/07,DISABLED,LOCAL EDUCATION AGENCY,247,59473,"$320,653.30 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,55,16849,"$97,277.13 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,265,86676,"$523,008.38 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,5,716,"$3,386.23 ",IAMM4400-R002,11/30/07,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,14,1919,"$12,263.80 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,LOCAL EDUCATION AGENCY,66,10925,"$49,983.68 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,LOCAL EDUCATION AGENCY,13,4547,"$19,331.31 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,LOCAL EDUCATION AGENCY,729,193059,"$1,081,939.16 "
IAMM4400-R002,11/30/07,ADC - ADULT,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,EARLY ACCESS SERVICES,58,163,"$4,653.56 ",IAMM4400-R002,11/30/07,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,EARLY ACCESS SERVICES,15,56,"$1,401.16 ",IAMM4400-R002,11/30/07,DISABLED,EARLY ACCESS SERVICES,49,181,"$4,287.34 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,13,35,"$1,181.64 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,24,209,"$3,841.81 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,3,19,$283.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,EARLY ACCESS SERVICES,59,267,"$6,507.99 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,EARLY ACCESS SERVICES,2,13,$335.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,EARLY ACCESS SERVICES,1,3,$150.00 ,IAMM4400-R002,11/30/07,TOTAL,EARLY ACCESS SERVICES,217,946,"$22,641.50 "
IAMM4400-R002,11/30/07,ADC - ADULT,PRESCRIBED DRUGS,18615,50537,"$2,559,703.16 ",IAMM4400-R002,11/30/07,ADC - CHILD,PRESCRIBED DRUGS,17840,31614,"$1,695,729.13 ",IAMM4400-R002,11/30/07,AGED,PRESCRIBED DRUGS,2982,4098,"$64,172.16 ",IAMM4400-R002,11/30/07,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,PRESCRIBED DRUGS,4146,10008,"$589,392.43 ",IAMM4400-R002,11/30/07,DISABLED,PRESCRIBED DRUGS,22872,93108,"$6,972,435.41 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4816,12103,"$1,051,763.16 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,5699,17244,"$1,340,777.41 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,PRESCRIBED DRUGS,28,70,"$1,017.37 ",IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,3,4,$27.74 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,210,710,"$63,854.81 ",IAMM4400-R002,11/30/07,STATE ONLY,PRESCRIBED DRUGS,74,171,"$10,485.87 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,9988,19770,"$357,811.59 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,860,2891,"$165,566.41 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,230,830,"$81,416.48 ",IAMM4400-R002,11/30/07,OTHER,PRESCRIBED DRUGS,24087,42299,"$2,184,248.26 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,162,603,"$36,989.95 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,PRESCRIBED DRUGS,3261,5770,"$375,284.27 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PRESCRIBED DRUGS,874,3614,"$222,084.37 ",IAMM4400-R002,11/30/07,TOTAL,PRESCRIBED DRUGS,115323,295444,"$17,772,759.98 "
IAMM4400-R002,11/30/07,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,DRUG CAPITATION,1,0,($0.52),IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,DRUG CAPITATION,1,0,($0.52)
IAMM4400-R002,11/30/07,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,FAMILY PLANNING SERVICES,4405,5027,"$381,830.44 ",IAMM4400-R002,11/30/07,ADC - CHILD,FAMILY PLANNING SERVICES,731,798,"$61,373.77 ",IAMM4400-R002,11/30/07,AGED,FAMILY PLANNING SERVICES,2,2,$11.54 ,IAMM4400-R002,11/30/07,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,FAMILY PLANNING SERVICES,122,141,"$11,726.70 ",IAMM4400-R002,11/30/07,DISABLED,FAMILY PLANNING SERVICES,115,142,"$9,878.64 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,30,31,"$1,997.58 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,21,21,$601.33 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,FAMILY PLANNING SERVICES,4,4,$247.17 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,19,21,"$2,391.05 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,5,5,$294.13 ,IAMM4400-R002,11/30/07,OTHER,FAMILY PLANNING SERVICES,224,247,"$23,194.10 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,1,1,$107.25 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,FAMILY PLANNING SERVICES,42,49,"$3,800.93 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,FAMILY PLANNING SERVICES,4,5,$305.40 ,IAMM4400-R002,11/30/07,TOTAL,FAMILY PLANNING SERVICES,5716,6494,"$497,760.03 "
IAMM4400-R002,11/30/07,ADC - ADULT,IOWA PLAN PROGRAM,35618,40552,"$1,180,640.15 ",IAMM4400-R002,11/30/07,ADC - CHILD,IOWA PLAN PROGRAM,58682,65059,"$602,237.08 ",IAMM4400-R002,11/30/07,AGED,IOWA PLAN PROGRAM,2,2,$107.30 ,IAMM4400-R002,11/30/07,BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,IOWA PLAN PROGRAM,11411,12936,"$252,663.56 ",IAMM4400-R002,11/30/07,DISABLED,IOWA PLAN PROGRAM,46552,48309,"$3,335,395.91 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,9802,10252,"$945,659.26 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10320,10415,"$646,682.32 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,IOWA PLAN PROGRAM,91,115,"$2,837.67 ",IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,11,11,$759.07 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,244,260,"$23,073.83 ",IAMM4400-R002,11/30/07,STATE ONLY,IOWA PLAN PROGRAM,222,265,"$35,447.14 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2006,2093,"$130,781.59 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1355,1530,"$52,739.71 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,IOWA PLAN PROGRAM,76328,87888,"$2,020,896.51 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,201,207,"$20,377.35 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,IOWA PLAN PROGRAM,11679,12855,"$128,796.18 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,IOWA PLAN PROGRAM,1461,1545,"$147,023.50 ",IAMM4400-R002,11/30/07,TOTAL,IOWA PLAN PROGRAM,265077,294294,"$9,526,118.13 "
IAMM4400-R002,11/30/07,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,EPSDT SCREENING,141,153,"$6,793.86 ",IAMM4400-R002,11/30/07,ADC - CHILD,EPSDT SCREENING,3760,3943,"$310,002.76 ",IAMM4400-R002,11/30/07,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,EPSDT SCREENING,724,739,"$66,277.98 ",IAMM4400-R002,11/30/07,DISABLED,EPSDT SCREENING,286,299,"$12,778.80 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,257,267,"$13,876.43 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,EPSDT SCREENING,73,77,"$2,782.73 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,8,8,$198.95 ,IAMM4400-R002,11/30/07,STATE ONLY,EPSDT SCREENING,4,4,$133.44 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,5,5,$78.05 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,11,11,$344.86 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,1,1,$898.66 ,IAMM4400-R002,11/30/07,OTHER,EPSDT SCREENING,5450,5747,"$569,929.29 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,EPSDT SCREENING,436,441,"$29,845.60 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,EPSDT SCREENING,6,6,$329.70 ,IAMM4400-R002,11/30/07,TOTAL,EPSDT SCREENING,11099,11701,"$1,014,271.11 "
IAMM4400-R002,11/30/07,ADC - ADULT,HMO SERVICES,920,966,"$230,456.52 ",IAMM4400-R002,11/30/07,ADC - CHILD,HMO SERVICES,1558,1631,"$215,758.62 ",IAMM4400-R002,11/30/07,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,HMO SERVICES,292,293,"$39,568.42 ",IAMM4400-R002,11/30/07,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,1,1,$88.65 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,HMO SERVICES,1537,1628,"$264,630.14 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,HMO SERVICES,242,248,"$34,745.00 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,HMO SERVICES,4540,4767,"$785,247.35 "
IAMM4400-R002,11/30/07,ADC - ADULT,PATIENT MANAGEMENT,21429,21429,"$42,858.00 ",IAMM4400-R002,11/30/07,ADC - CHILD,PATIENT MANAGEMENT,37336,37334,"$74,668.00 ",IAMM4400-R002,11/30/07,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,PATIENT MANAGEMENT,6655,6655,"$13,310.00 ",IAMM4400-R002,11/30/07,DISABLED,PATIENT MANAGEMENT,6,6,$12.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,88,88,$176.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,PATIENT MANAGEMENT,75,75,$150.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,9,9,$18.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,PATIENT MANAGEMENT,50616,50609,"$101,218.00 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,PATIENT MANAGEMENT,8302,8302,"$16,604.00 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,11/30/07,TOTAL,PATIENT MANAGEMENT,124517,124508,"$249,016.00 "
IAMM4400-R002,11/30/07,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,230,543,"$19,085.29 ",IAMM4400-R002,11/30/07,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,331,812,"$21,647.41 ",IAMM4400-R002,11/30/07,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,HEALTH INS PREMIUM PAYMENT,37,80,"$3,287.77 ",IAMM4400-R002,11/30/07,DISABLED,HEALTH INS PREMIUM PAYMENT,627,1363,"$144,749.64 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,163,355,"$14,004.82 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,534,1144,"$127,650.94 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,21,45,"$4,385.42 ",IAMM4400-R002,11/30/07,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,35,72,"$9,776.26 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,7,11,$914.63 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,HEALTH INS PREMIUM PAYMENT,2325,6261,"$150,131.44 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,47,103,"$4,318.50 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,HEALTH INS PREMIUM PAYMENT,2,4,$488.86 ,IAMM4400-R002,11/30/07,TOTAL,HEALTH INS PREMIUM PAYMENT,4359,10793,"$500,440.98 "
IAMM4400-R002,11/30/07,ADC - ADULT,MEDICAL SUPPLIES,798,31224,"$184,705.66 ",IAMM4400-R002,11/30/07,ADC - CHILD,MEDICAL SUPPLIES,675,12188,"$95,552.60 ",IAMM4400-R002,11/30/07,AGED,MEDICAL SUPPLIES,2366,165522,"$226,954.42 ",IAMM4400-R002,11/30/07,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,MEDICAL SUPPLIES,131,2133,"$22,226.12 ",IAMM4400-R002,11/30/07,DISABLED,MEDICAL SUPPLIES,7811,651657,"$1,502,324.60 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,189,13787,"$68,398.05 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,1911,280136,"$466,141.31 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,MEDICAL SUPPLIES,1,1,$6.85 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,11,1853,"$1,675.36 ",IAMM4400-R002,11/30/07,STATE ONLY,MEDICAL SUPPLIES,3,122,$96.38 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,3986,379100,"$493,035.63 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,113,6715,"$14,129.10 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,57,934,"$8,072.39 ",IAMM4400-R002,11/30/07,OTHER,MEDICAL SUPPLIES,810,19714,"$121,425.43 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,24,423,"$6,044.35 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,MEDICAL SUPPLIES,112,4985,"$15,955.49 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MEDICAL SUPPLIES,106,5333,"$33,707.10 ",IAMM4400-R002,11/30/07,TOTAL,MEDICAL SUPPLIES,18773,1575827,"$3,260,450.84 "
IAMM4400-R002,11/30/07,ADC - ADULT,OTHER PRACTITIONER,1187,2775,"$152,933.92 ",IAMM4400-R002,11/30/07,ADC - CHILD,OTHER PRACTITIONER,1699,3987,"$147,883.64 ",IAMM4400-R002,11/30/07,AGED,OTHER PRACTITIONER,260,1033,"$11,653.64 ",IAMM4400-R002,11/30/07,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,OTHER PRACTITIONER,416,987,"$46,342.64 ",IAMM4400-R002,11/30/07,DISABLED,OTHER PRACTITIONER,1957,11175,"$298,597.15 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,426,1649,"$49,028.91 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,699,9262,"$239,416.68 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,OTHER PRACTITIONER,1,1,$37.91 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,OTHER PRACTITIONER,2,5,$32.22 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,19,173,"$3,820.84 ",IAMM4400-R002,11/30/07,STATE ONLY,OTHER PRACTITIONER,8,12,"$1,833.77 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,388,2104,"$37,078.05 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,46,133,"$7,964.75 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,41,120,"$9,456.96 ",IAMM4400-R002,11/30/07,OTHER,OTHER PRACTITIONER,2610,6242,"$296,237.58 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,12,113,"$3,191.53 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,OTHER PRACTITIONER,300,973,"$29,883.62 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,OTHER PRACTITIONER,47,171,"$6,025.42 ",IAMM4400-R002,11/30/07,TOTAL,OTHER PRACTITIONER,10033,40915,"$1,341,419.23 "
IAMM4400-R002,11/30/07,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,DENTAL,2466,3178,"$524,162.98 ",IAMM4400-R002,11/30/07,ADC - CHILD,DENTAL,3490,4053,"$539,535.89 ",IAMM4400-R002,11/30/07,AGED,DENTAL,416,501,"$84,983.00 ",IAMM4400-R002,11/30/07,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,DENTAL,779,952,"$147,741.68 ",IAMM4400-R002,11/30/07,DISABLED,DENTAL,3133,3901,"$607,926.30 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,DENTAL,897,1066,"$152,692.96 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,DENTAL,1072,1186,"$106,062.22 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,DENTAL,20,25,"$2,674.21 ",IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,DENTAL,3,3,$569.59 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,DENTAL,15,16,"$1,238.46 ",IAMM4400-R002,11/30/07,STATE ONLY,DENTAL,5,6,$944.73 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,DENTAL,625,747,"$119,657.42 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,DENTAL,106,133,"$18,989.66 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,DENTAL,47,83,"$22,721.28 ",IAMM4400-R002,11/30/07,OTHER,DENTAL,4731,5524,"$780,047.87 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,DENTAL,14,19,"$2,860.85 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,DENTAL,987,1132,"$176,973.45 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,DENTAL,101,130,"$18,373.95 ",IAMM4400-R002,11/30/07,TOTAL,DENTAL,18834,22655,"$3,308,156.50 "
IAMM4400-R002,11/30/07,ADC - ADULT,OPTOMETRIST,1319,1545,"$115,708.09 ",IAMM4400-R002,11/30/07,ADC - CHILD,OPTOMETRIST,1344,1554,"$103,114.40 ",IAMM4400-R002,11/30/07,AGED,OPTOMETRIST,633,953,"$20,216.25 ",IAMM4400-R002,11/30/07,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,OPTOMETRIST,361,414,"$28,240.81 ",IAMM4400-R002,11/30/07,DISABLED,OPTOMETRIST,2200,2890,"$140,222.00 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,405,459,"$27,838.35 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,OPTOMETRIST,568,680,"$28,253.67 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,OPTOMETRIST,2,3,$153.68 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,OPTOMETRIST,1,2,$75.27 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,6,7,$391.73 ,IAMM4400-R002,11/30/07,STATE ONLY,OPTOMETRIST,7,8,$432.11 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,OPTOMETRIST,775,1007,"$24,352.02 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,83,109,"$6,402.30 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,31,38,"$2,851.22 ",IAMM4400-R002,11/30/07,OTHER,OPTOMETRIST,1771,2011,"$129,691.21 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,7,9,$790.39 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,OPTOMETRIST,431,495,"$30,998.29 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,OPTOMETRIST,59,71,"$5,525.57 ",IAMM4400-R002,11/30/07,TOTAL,OPTOMETRIST,9984,12255,"$665,257.36 "
IAMM4400-R002,11/30/07,ADC - ADULT,CHIROPRACTIC,1470,3413,"$121,034.95 ",IAMM4400-R002,11/30/07,ADC - CHILD,CHIROPRACTIC,748,1371,"$44,315.19 ",IAMM4400-R002,11/30/07,AGED,CHIROPRACTIC,403,1172,"$8,238.18 ",IAMM4400-R002,11/30/07,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,CHIROPRACTIC,192,408,"$14,640.17 ",IAMM4400-R002,11/30/07,DISABLED,CHIROPRACTIC,2061,5506,"$74,081.65 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,127,286,"$8,680.25 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,CHIROPRACTIC,243,524,"$8,112.44 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,4,6,$163.52 ,IAMM4400-R002,11/30/07,STATE ONLY,CHIROPRACTIC,1,3,$168.45 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,284,732,"$5,383.62 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,88,204,"$6,127.22 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,13,25,$704.43 ,IAMM4400-R002,11/30/07,OTHER,CHIROPRACTIC,1246,2716,"$85,285.00 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,7,17,$517.25 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,CHIROPRACTIC,235,432,"$14,417.45 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,CHIROPRACTIC,44,82,"$2,600.24 ",IAMM4400-R002,11/30/07,TOTAL,CHIROPRACTIC,7125,16897,"$394,470.01 "
IAMM4400-R002,11/30/07,ADC - ADULT,PODIATRIC,233,326,"$39,005.66 ",IAMM4400-R002,11/30/07,ADC - CHILD,PODIATRIC,77,107,"$11,965.14 ",IAMM4400-R002,11/30/07,AGED,PODIATRIC,765,1241,"$11,716.18 ",IAMM4400-R002,11/30/07,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,PODIATRIC,19,23,"$1,922.33 ",IAMM4400-R002,11/30/07,DISABLED,PODIATRIC,1180,2062,"$63,847.54 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,30,41,"$3,128.93 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,PODIATRIC,484,723,"$15,279.59 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,PODIATRIC,1,1,$7.12 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,PODIATRIC,1,1,$32.36 ,IAMM4400-R002,11/30/07,STATE ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,PODIATRIC,1443,2320,"$24,647.87 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,37,62,"$2,820.24 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,8,20,$523.24 ,IAMM4400-R002,11/30/07,OTHER,PODIATRIC,108,153,"$15,751.03 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,PODIATRIC,7,7,$294.87 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,PODIATRIC,26,34,"$3,535.54 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PODIATRIC,24,29,"$3,294.71 ",IAMM4400-R002,11/30/07,TOTAL,PODIATRIC,4433,7150,"$197,772.35 "
IAMM4400-R002,11/30/07,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,PHYSICAL DISABILITIES SVCS,373,15923,"$198,957.96 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,169,7064,"$76,965.61 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,PHYSICAL DISABILITIES SVCS,537,22987,"$275,923.57 "
IAMM4400-R002,11/30/07,ADC - ADULT,BRAIN INJ WAIVER SERVICES,1,1,$230.53 ,IAMM4400-R002,11/30/07,ADC - CHILD,BRAIN INJ WAIVER SERVICES,1,1,$174.91 ,IAMM4400-R002,11/30/07,AGED,BRAIN INJ WAIVER SERVICES,1,76,"$3,268.43 ",IAMM4400-R002,11/30/07,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,BRAIN INJ WAIVER SERVICES,1,4,$897.16 ,IAMM4400-R002,11/30/07,DISABLED,BRAIN INJ WAIVER SERVICES,269,15826,"$429,757.13 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,30,1511,"$36,188.74 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,227,12456,"$340,182.66 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,362,17243,"$544,024.29 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,BRAIN INJ WAIVER SERVICES,2,2,$470.53 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,BRAIN INJ WAIVER SERVICES,884,47120,"$1,355,194.38 "
IAMM4400-R002,11/30/07,ADC - ADULT,PSYCHIATRIC,18,39,"$2,322.14 ",IAMM4400-R002,11/30/07,ADC - CHILD,PSYCHIATRIC,2,2,$238.47 ,IAMM4400-R002,11/30/07,AGED,PSYCHIATRIC,171,249,"$6,742.14 ",IAMM4400-R002,11/30/07,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,PSYCHIATRIC,10,88,"$2,546.31 ",IAMM4400-R002,11/30/07,DISABLED,PSYCHIATRIC,2613,5605,"$159,140.80 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,8,15,"$1,111.02 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,PSYCHIATRIC,449,743,"$20,338.78 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,PSYCHIATRIC,1,1,$23.90 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,249,459,"$13,864.84 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,39,87,"$1,932.71 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,23,72,"$3,389.58 ",IAMM4400-R002,11/30/07,OTHER,PSYCHIATRIC,21,31,"$1,724.51 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,PSYCHIATRIC,2,2,$249.84 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,PSYCHIATRIC,4,6,$583.14 ,IAMM4400-R002,11/30/07,TOTAL,PSYCHIATRIC,3599,7399,"$214,208.18 "
IAMM4400-R002,11/30/07,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,RESIDENTIAL CARE FACILITY,319,9848,"$73,807.58 ",IAMM4400-R002,11/30/07,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,RESIDENTIAL CARE FACILITY,1,42,$487.70 ,IAMM4400-R002,11/30/07,DISABLED,RESIDENTIAL CARE FACILITY,1323,41456,"$334,270.58 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,15,296,"$1,280.95 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,3,-18,($32.18),IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,5,70,$216.66 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,RESIDENTIAL CARE FACILITY,1658,51694,"$410,031.29 "
IAMM4400-R002,11/30/07,ADC - ADULT,MR WAIVER SERVICE,1,26,$96.72 ,IAMM4400-R002,11/30/07,ADC - CHILD,MR WAIVER SERVICE,2,14,$379.46 ,IAMM4400-R002,11/30/07,AGED,MR WAIVER SERVICE,79,6414,"$220,534.14 ",IAMM4400-R002,11/30/07,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,MR WAIVER SERVICE,982,70316,"$2,738,603.82 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,184,7394,"$187,031.23 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,7944,581860,"$20,723,761.61 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,MR WAIVER SERVICE,1,20,$452.40 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,10,154,"$16,087.73 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,MR WAIVER SERVICE,3,36,"($17,272.58)",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,MR WAIVER SERVICE,3,44,$688.37 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MR WAIVER SERVICE,4,115,"$2,909.02 ",IAMM4400-R002,11/30/07,TOTAL,MR WAIVER SERVICE,9157,666393,"$23,873,271.92 "
IAMM4400-R002,11/30/07,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,4,140,"$3,536.50 ",IAMM4400-R002,11/30/07,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,25,1043,"$22,368.73 ",IAMM4400-R002,11/30/07,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,CHILDRENS MENTAL HEALTH SVC,52,2175,"$42,479.11 ",IAMM4400-R002,11/30/07,DISABLED,CHILDRENS MENTAL HEALTH SVC,37,1469,"$31,632.57 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,1,37,$816.21 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,190,7874,"$170,208.87 ",IAMM4400-R002,11/30/07,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,CHILDRENS MENTAL HEALTH SVC,51,1998,"$44,112.75 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,6,128,"$2,879.72 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,3,81,"$1,502.12 ",IAMM4400-R002,11/30/07,TOTAL,CHILDRENS MENTAL HEALTH SVC,369,14945,"$319,536.58 "
IAMM4400-R002,11/30/07,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,AIDS WAIVER SERVICES,10,502,"$6,838.23 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,32,3002,"$30,245.43 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,AIDS WAIVER SERVICES,42,3504,"$37,083.66 "
IAMM4400-R002,11/30/07,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,ELDERLY WAIVER SERVICES,2875,128882,"$1,708,232.33 ",IAMM4400-R002,11/30/07,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,ELDERLY WAIVER SERVICES,26,1525,"$22,546.01 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,20,$369.80 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6111,291358,"$3,278,933.08 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,ELDERLY WAIVER SERVICES,3,2,"($4,795.00)",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,ELDERLY WAIVER SERVICES,5,331,"$3,631.00 ",IAMM4400-R002,11/30/07,TOTAL,ELDERLY WAIVER SERVICES,8819,422118,"$5,008,917.22 "
IAMM4400-R002,11/30/07,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1737,85942,"$1,298,763.63 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,27,1287,"$29,853.06 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,151,6846,"$118,643.07 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,48,$830.40 ,IAMM4400-R002,11/30/07,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,4,63,$674.24 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,ILL & HANDICAPPED WAIVER SVCS,1,0,($135.00),IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,1,24,$302.28 ,IAMM4400-R002,11/30/07,TOTAL,ILL & HANDICAPPED WAIVER SVCS,1919,94210,"$1,448,931.68 "
IAMM4400-R002,11/30/07,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,11/30/07,ADC - ADULT,MEP SERVICES,5,5,"$1,887.03 ",IAMM4400-R002,11/30/07,ADC - CHILD,MEP SERVICES,36,59,"$17,888.54 ",IAMM4400-R002,11/30/07,AGED,MEP SERVICES,95,98,"$23,160.80 ",IAMM4400-R002,11/30/07,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,MEP SERVICES,60,80,"$29,039.86 ",IAMM4400-R002,11/30/07,DISABLED,MEP SERVICES,1238,1486,"$356,004.25 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,187,223,"$53,796.16 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,MEP SERVICES,7484,8514,"$2,059,572.08 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,MEP SERVICES,2,2,$445.74 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,MEP SERVICES,217,234,"$108,222.45 ",IAMM4400-R002,11/30/07,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,MEP SERVICES,117,124,"$30,162.16 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,3,3,$704.93 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,4,5,"$1,214.85 ",IAMM4400-R002,11/30/07,OTHER,MEP SERVICES,63,82,"$27,497.75 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,MEP SERVICES,6,6,"$2,370.84 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,MEP SERVICES,8,6,"$2,771.58 ",IAMM4400-R002,11/30/07,TOTAL,MEP SERVICES,9493,10927,"$2,714,739.02 "
IAMM4400-R002,11/30/07,ADC - ADULT,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,11/30/07,ADC - CHILD,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,11/30/07,AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,11/30/07,DISABLED,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,UNASSIGNED,3,-14,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER,UNASSIGNED,7,0,"$753,107.11 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,OTHER TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,11/30/07,TOTAL,UNASSIGNED,21,-4,"$753,107.11 "
IAMM4400-R002,11/30/07,ADC - ADULT,* A L L  C A T E G O R I E S *,45457,293213,"$14,207,139.34 ",IAMM4400-R002,11/30/07,ADC - CHILD,* A L L  C A T E G O R I E S *,65670,282685,"$11,232,332.49 ",IAMM4400-R002,11/30/07,AGED,* A L L  C A T E G O R I E S *,13776,571057,"$14,933,803.50 ",IAMM4400-R002,11/30/07,BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,11/30/07,CMAP,* A L L  C A T E G O R I E S *,12575,83749,"$4,277,526.57 ",IAMM4400-R002,11/30/07,DISABLED,* A L L  C A T E G O R I E S *,50615,1661089,"$41,955,356.13 ",IAMM4400-R002,11/30/07,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,11/30/07,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10002,196916,"$4,865,460.88 ",IAMM4400-R002,11/30/07,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11081,1181600,"$52,336,000.65 ",IAMM4400-R002,11/30/07,FEDERAL ONLY,* A L L  C A T E G O R I E S *,114,661,"$22,637.37 ",IAMM4400-R002,11/30/07,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,10,150,"$4,383.02 ",IAMM4400-R002,11/30/07,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,215,15091,"$459,228.83 ",IAMM4400-R002,11/30/07,STATE ONLY,* A L L  C A T E G O R I E S *,208,1540,"$97,456.02 ",IAMM4400-R002,11/30/07,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15370,1149856,"$30,455,898.91 ",IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,11/30/07,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,11/30/07,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1628,23558,"$931,040.38 ",IAMM4400-R002,11/30/07,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,762,16055,"$1,323,064.93 ",IAMM4400-R002,11/30/07,OTHER,* A L L  C A T E G O R I E S *,85020,421931,"$21,465,781.41 ",IAMM4400-R002,11/30/07,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,202,3454,"$325,855.34 ",IAMM4400-R002,11/30/07,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,0,0,$426.08 ,IAMM4400-R002,11/30/07,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,3,28,"$1,595.48 ",IAMM4400-R002,11/30/07,OTHER TXXI,* A L L  C A T E G O R I E S *,11304,60018,"$1,880,936.42 ",IAMM4400-R002,11/30/07,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,11/30/07,STATE ONLY,* A L L  C A T E G O R I E S *,1497,19270,"$1,005,512.20 ",IAMM4400-R002,11/30/07,TOTAL,* A L L  C A T E G O R I E S *,325509,5981921,"$201,781,435.95 "