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-R002,10/31/07,ADC - ADULT,INPATIENT,762,2634,"$2,941,714.08 ",IAMM4400-R002,10/31/07,ADC - CHILD,INPATIENT,381,2406,"$2,272,663.80 ",IAMM4400-R002,10/31/07,AGED,INPATIENT,573,2092,"$523,235.53 ",IAMM4400-R002,10/31/07,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,INPATIENT,446,7522,"$2,212,139.72 ",IAMM4400-R002,10/31/07,DISABLED,INPATIENT,1953,11358,"$8,622,205.04 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,54,465,"$235,272.04 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,INPATIENT,161,731,"$465,182.75 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,INPATIENT,1,2,"$14,743.80 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,INPATIENT,3,8,"$2,976.00 ",IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,INPATIENT,9,217,"$34,034.91 ",IAMM4400-R002,10/31/07,STATE ONLY,INPATIENT,4,9,"$13,282.57 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,INPATIENT,799,3287,"$887,871.69 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,INPATIENT,54,275,"$239,240.24 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,INPATIENT,176,766,"$713,829.87 ",IAMM4400-R002,10/31/07,OTHER,INPATIENT,2055,11062,"$11,028,496.05 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,INPATIENT,8,15,"$21,864.73 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,INPATIENT,4,5,"$3,950.04 ",IAMM4400-R002,10/31/07,OTHER TXXI,INPATIENT,70,453,"$257,874.27 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,INPATIENT,24,236,"$151,778.42 ",IAMM4400-R002,10/31/07,TOTAL,INPATIENT,7489,43543,"$30,642,355.55 "
IAMM4400-R002,10/31/07,ADC - ADULT,OUTPATIENT,9099,110810,"$4,319,954.52 ",IAMM4400-R002,10/31/07,ADC - CHILD,OUTPATIENT,7494,42468,"$1,679,827.02 ",IAMM4400-R002,10/31/07,AGED,OUTPATIENT,4051,70241,"$611,650.70 ",IAMM4400-R002,10/31/07,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,OUTPATIENT,2026,17782,"$536,510.78 ",IAMM4400-R002,10/31/07,DISABLED,OUTPATIENT,16495,336695,"$5,576,778.09 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,1053,8717,"$243,890.05 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,OUTPATIENT,2692,41878,"$491,245.15 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,OUTPATIENT,23,233,"$3,988.32 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,OUTPATIENT,13,165,"$3,590.06 ",IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,OUTPATIENT,32,334,"$9,556.04 ",IAMM4400-R002,10/31/07,STATE ONLY,OUTPATIENT,51,547,"$11,467.43 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,OUTPATIENT,5412,106821,"$892,511.12 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,566,11010,"$268,483.76 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,469,8502,"$284,533.18 ",IAMM4400-R002,10/31/07,OTHER,OUTPATIENT,12146,99190,"$3,025,811.47 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,OUTPATIENT,111,2413,"$113,885.89 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,OUTPATIENT,2,0,$248.95 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,OUTPATIENT,1,12,$193.15 ,IAMM4400-R002,10/31/07,OTHER TXXI,OUTPATIENT,1196,7863,"$278,462.30 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,OUTPATIENT,353,4523,"$154,738.94 ",IAMM4400-R002,10/31/07,TOTAL,OUTPATIENT,62639,870204,"$18,507,326.92 "
IAMM4400-R002,10/31/07,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,SKILLED NURSING FACILITY,2,32,"$20,883.14 ",IAMM4400-R002,10/31/07,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,SKILLED NURSING FACILITY,165,1814,"$236,849.97 ",IAMM4400-R002,10/31/07,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,SKILLED NURSING FACILITY,173,4515,"$1,838,572.31 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,4,38,"$12,823.80 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,374,4355,"$43,081.84 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,4,52,"$1,163.32 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,2,15,$0.00 ,IAMM4400-R002,10/31/07,OTHER,SKILLED NURSING FACILITY,5,90,"$35,543.97 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,SKILLED NURSING FACILITY,721,10911,"$2,188,918.35 "
IAMM4400-R002,10/31/07,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,13,"$1,387.23 ",IAMM4400-R002,10/31/07,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,INTERMEDIATE CARE FACILITY,4343,130608,"$10,028,166.31 ",IAMM4400-R002,10/31/07,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,INTERMEDIATE CARE FACILITY,529,15465,"$1,501,432.24 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,4,100,"$9,736.36 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7723,229282,"$21,463,233.38 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,9,$793.53 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,1,20,"$2,132.00 ",IAMM4400-R002,10/31/07,OTHER,INTERMEDIATE CARE FACILITY,3,32,"$3,982.29 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,INTERMEDIATE CARE FACILITY,12550,375529,"$33,010,863.34 "
IAMM4400-R002,10/31/07,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,INTER CARE MENTAL RETARDA,17,680,"$222,576.29 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,10,286,"$102,813.32 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2139,65211,"$23,793,792.08 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,3,0,$114.94 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,INTER CARE MENTAL RETARDA,1,0,"($1,421,458.00)",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,INTER CARE MENTAL RETARDA,2165,66177,"$22,697,838.63 "
IAMM4400-R002,10/31/07,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,NURSING FAC FOR MENTAL ILL,3,90,"$14,288.17 ",IAMM4400-R002,10/31/07,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,18,524,"$98,020.35 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,NURSING FAC FOR MENTAL ILL,21,614,"$112,308.52 "
IAMM4400-R002,10/31/07,ADC - ADULT,HOME HEALTH,50,645,"$32,382.17 ",IAMM4400-R002,10/31/07,ADC - CHILD,HOME HEALTH,361,1717,"$62,213.04 ",IAMM4400-R002,10/31/07,AGED,HOME HEALTH,2258,47146,"$1,831,055.32 ",IAMM4400-R002,10/31/07,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,HOME HEALTH,69,219,"$11,882.88 ",IAMM4400-R002,10/31/07,DISABLED,HOME HEALTH,3599,101614,"$3,266,900.94 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,108,4279,"$119,061.86 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,HOME HEALTH,1089,55984,"$1,619,157.55 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,HOME HEALTH,2,26,"$1,848.10 ",IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,HOME HEALTH,2,41,$466.21 ,IAMM4400-R002,10/31/07,STATE ONLY,HOME HEALTH,1,6,$566.48 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,HOME HEALTH,3850,92317,"$3,534,585.11 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,66,970,"$25,109.20 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,19,1078,"$36,068.77 ",IAMM4400-R002,10/31/07,OTHER,HOME HEALTH,602,2756,"$1,061,938.48 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,HOME HEALTH,5,118,"$8,710.29 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,HOME HEALTH,51,170,"$6,030.06 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,HOME HEALTH,18,213,"$10,895.10 ",IAMM4400-R002,10/31/07,TOTAL,HOME HEALTH,12048,309299,"$11,628,871.56 "
IAMM4400-R002,10/31/07,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,LEAD INSPECTION AGENCY,4,4,"$1,509.40 ",IAMM4400-R002,10/31/07,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,LEAD INSPECTION AGENCY,2,2,$754.70 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,LEAD INSPECTION AGENCY,8,8,"$3,018.80 "
IAMM4400-R002,10/31/07,ADC - ADULT,PHYSICIAN,15950,33908,"$3,243,587.28 ",IAMM4400-R002,10/31/07,ADC - CHILD,PHYSICIAN,18875,34013,"$2,338,137.82 ",IAMM4400-R002,10/31/07,AGED,PHYSICIAN,6719,42619,"$440,055.66 ",IAMM4400-R002,10/31/07,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,PHYSICIAN,3980,7605,"$616,074.69 ",IAMM4400-R002,10/31/07,DISABLED,PHYSICIAN,25544,140234,"$4,372,913.13 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2511,4051,"$253,488.27 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,PHYSICIAN,4766,19195,"$400,787.75 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,PHYSICIAN,42,67,"$7,700.49 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,PHYSICIAN,14,73,$907.96 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,PHYSICIAN,60,101,"$4,673.97 ",IAMM4400-R002,10/31/07,STATE ONLY,PHYSICIAN,82,196,"$12,990.54 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,PHYSICIAN,8039,53871,"$551,309.16 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,875,2492,"$179,199.32 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,803,4139,"$257,696.66 ",IAMM4400-R002,10/31/07,OTHER,PHYSICIAN,28110,53841,"$4,999,385.39 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,PHYSICIAN,145,647,"$212,133.42 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,PHYSICIAN,3096,5090,"$354,167.50 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PHYSICIAN,586,1609,"$127,371.28 ",IAMM4400-R002,10/31/07,TOTAL,PHYSICIAN,117753,403751,"$18,372,580.29 "
IAMM4400-R002,10/31/07,ADC - ADULT,CLINIC SERVICES,2784,4350,"$504,819.58 ",IAMM4400-R002,10/31/07,ADC - CHILD,CLINIC SERVICES,3899,5159,"$635,753.31 ",IAMM4400-R002,10/31/07,AGED,CLINIC SERVICES,506,267,"$42,493.45 ",IAMM4400-R002,10/31/07,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,CLINIC SERVICES,960,1387,"$157,498.82 ",IAMM4400-R002,10/31/07,DISABLED,CLINIC SERVICES,3327,5633,"$757,742.66 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,566,783,"$97,068.00 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,CLINIC SERVICES,350,498,"$58,730.96 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,CLINIC SERVICES,1,2,$233.57 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,15,29,"$3,532.96 ",IAMM4400-R002,10/31/07,STATE ONLY,CLINIC SERVICES,8,12,$967.42 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,602,442,"$60,709.11 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,141,200,"$24,397.33 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,79,139,"$17,055.73 ",IAMM4400-R002,10/31/07,OTHER,CLINIC SERVICES,6834,10083,"$1,284,689.21 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,20,32,"$5,436.08 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,CLINIC SERVICES,688,880,"$101,940.68 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,CLINIC SERVICES,168,254,"$33,167.87 ",IAMM4400-R002,10/31/07,TOTAL,CLINIC SERVICES,20696,30150,"$3,786,236.74 "
IAMM4400-R002,10/31/07,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,LAB AND RADIOLOGICAL,2577,6215,"$134,635.94 ",IAMM4400-R002,10/31/07,ADC - CHILD,LAB AND RADIOLOGICAL,1248,2761,"$38,422.81 ",IAMM4400-R002,10/31/07,AGED,LAB AND RADIOLOGICAL,500,268,"$3,051.93 ",IAMM4400-R002,10/31/07,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,LAB AND RADIOLOGICAL,373,1064,"$19,050.24 ",IAMM4400-R002,10/31/07,DISABLED,LAB AND RADIOLOGICAL,2330,7987,"$105,794.95 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,228,613,"$9,358.97 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,318,685,"$7,412.17 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,LAB AND RADIOLOGICAL,19,155,"$3,137.65 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,2,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,6,24,$162.65 ,IAMM4400-R002,10/31/07,STATE ONLY,LAB AND RADIOLOGICAL,8,23,$511.83 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,653,491,"$6,324.89 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,94,231,"$4,299.73 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,46,123,"$2,509.60 ",IAMM4400-R002,10/31/07,OTHER,LAB AND RADIOLOGICAL,2554,6948,"$121,367.15 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,23,106,"$1,354.76 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,LAB AND RADIOLOGICAL,138,368,"$5,438.64 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,LAB AND RADIOLOGICAL,63,168,"$2,838.90 ",IAMM4400-R002,10/31/07,TOTAL,LAB AND RADIOLOGICAL,11096,28230,"$465,672.81 "
IAMM4400-R002,10/31/07,ADC - ADULT,HABILITATION SERVICES,12,167,"$6,635.81 ",IAMM4400-R002,10/31/07,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,HABILITATION SERVICES,29,1132,"$60,831.48 ",IAMM4400-R002,10/31/07,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,HABILITATION SERVICES,10,369,"$10,333.96 ",IAMM4400-R002,10/31/07,DISABLED,HABILITATION SERVICES,1740,58933,"$2,495,430.36 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,6,215,"$18,368.96 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,3,58,"$2,600.26 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,HABILITATION SERVICES,1,22,"$1,190.86 ",IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,HABILITATION SERVICES,8,115,"$4,988.57 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,9,135,"$5,394.80 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,34,1464,"$79,933.01 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,6,364,"$17,064.81 ",IAMM4400-R002,10/31/07,OTHER,HABILITATION SERVICES,1,8,$275.84 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,HABILITATION SERVICES,4,55,"$2,147.48 ",IAMM4400-R002,10/31/07,TOTAL,HABILITATION SERVICES,1855,63037,"$2,705,196.20 "
IAMM4400-R002,10/31/07,ADC - ADULT,REMEDIAL SERVICES,69,3167,"$38,287.26 ",IAMM4400-R002,10/31/07,ADC - CHILD,REMEDIAL SERVICES,785,24599,"$394,357.11 ",IAMM4400-R002,10/31/07,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,REMEDIAL SERVICES,341,13692,"$184,712.54 ",IAMM4400-R002,10/31/07,DISABLED,REMEDIAL SERVICES,327,15221,"$212,092.26 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,1806,292230,"$2,576,980.79 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,53,1553,"$27,433.54 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,38,1580,"$24,311.43 ",IAMM4400-R002,10/31/07,STATE ONLY,REMEDIAL SERVICES,9,296,"$5,797.79 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,1,28,$557.76 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,3,220,"$3,042.60 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,14,$0.00 ,IAMM4400-R002,10/31/07,OTHER,REMEDIAL SERVICES,624,22723,"$336,119.83 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,REMEDIAL SERVICES,139,8114,"$99,108.79 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,REMEDIAL SERVICES,72,12233,"$101,058.50 ",IAMM4400-R002,10/31/07,TOTAL,REMEDIAL SERVICES,4117,395670,"$4,003,860.20 "
IAMM4400-R002,10/31/07,ADC - ADULT,REHAB SUPPORT SERVICES,8,0,$733.38 ,IAMM4400-R002,10/31/07,ADC - CHILD,REHAB SUPPORT SERVICES,1,0,($0.81),IAMM4400-R002,10/31/07,AGED,REHAB SUPPORT SERVICES,9,-10,$519.33 ,IAMM4400-R002,10/31/07,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,REHAB SUPPORT SERVICES,3,0,($741.25),IAMM4400-R002,10/31/07,DISABLED,REHAB SUPPORT SERVICES,567,3953,"$206,999.36 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,1,0,$11.10 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,20,133,"$7,332.00 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,3,1,$72.23 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,5,42,"$2,123.62 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,4,-23,"($1,417.03)",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,7,72,"$2,647.26 ",IAMM4400-R002,10/31/07,OTHER,REHAB SUPPORT SERVICES,1,0,"($94,342.54)",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,REHAB SUPPORT SERVICES,2,42,"$1,895.63 ",IAMM4400-R002,10/31/07,TOTAL,REHAB SUPPORT SERVICES,614,4210,"$125,832.28 "
IAMM4400-R002,10/31/07,ADC - ADULT,AMBULANCE SERVICES,284,304,"$46,785.15 ",IAMM4400-R002,10/31/07,ADC - CHILD,AMBULANCE SERVICES,131,132,"$19,980.99 ",IAMM4400-R002,10/31/07,AGED,AMBULANCE SERVICES,313,389,"$30,938.38 ",IAMM4400-R002,10/31/07,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,AMBULANCE SERVICES,68,74,"$13,111.44 ",IAMM4400-R002,10/31/07,DISABLED,AMBULANCE SERVICES,1040,1329,"$179,910.01 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,32,33,"$5,031.84 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,110,142,"$16,053.69 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,AMBULANCE SERVICES,2,2,$362.05 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,AMBULANCE SERVICES,2,2,$238.25 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,545,702,"$59,931.69 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,15,16,"$2,877.91 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,40,43,"$6,157.62 ",IAMM4400-R002,10/31/07,OTHER,AMBULANCE SERVICES,225,235,"$42,153.24 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,AMBULANCE SERVICES,19,20,"$3,158.30 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,AMBULANCE SERVICES,10,11,"$1,869.39 ",IAMM4400-R002,10/31/07,TOTAL,AMBULANCE SERVICES,2819,3434,"$428,559.95 "
IAMM4400-R002,10/31/07,ADC - ADULT,LOCAL EDUCATION AGENCY,2,590,"$1,774.58 ",IAMM4400-R002,10/31/07,ADC - CHILD,LOCAL EDUCATION AGENCY,84,7866,"$38,016.93 ",IAMM4400-R002,10/31/07,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,LOCAL EDUCATION AGENCY,26,2287,"$11,056.33 ",IAMM4400-R002,10/31/07,DISABLED,LOCAL EDUCATION AGENCY,270,58519,"$357,247.30 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,53,14039,"$79,639.18 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,281,77122,"$434,402.29 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,6,1266,"$5,527.14 ",IAMM4400-R002,10/31/07,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,13,3617,"$26,214.14 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,LOCAL EDUCATION AGENCY,74,19488,"$98,122.62 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,LOCAL EDUCATION AGENCY,22,6668,"$25,284.73 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,LOCAL EDUCATION AGENCY,815,191462,"$1,077,285.24 "
IAMM4400-R002,10/31/07,ADC - ADULT,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,EARLY ACCESS SERVICES,76,426,"$11,442.81 ",IAMM4400-R002,10/31/07,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,EARLY ACCESS SERVICES,20,84,"$2,383.57 ",IAMM4400-R002,10/31/07,DISABLED,EARLY ACCESS SERVICES,66,423,"$9,937.81 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,25,88,"$2,831.56 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,22,226,"$4,591.90 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,3,9,$450.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,EARLY ACCESS SERVICES,84,356,"$8,356.18 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,EARLY ACCESS SERVICES,2,5,$215.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,EARLY ACCESS SERVICES,276,1617,"$40,208.83 "
IAMM4400-R002,10/31/07,ADC - ADULT,PRESCRIBED DRUGS,20796,63885,"$3,256,132.73 ",IAMM4400-R002,10/31/07,ADC - CHILD,PRESCRIBED DRUGS,18981,35876,"$1,916,417.74 ",IAMM4400-R002,10/31/07,AGED,PRESCRIBED DRUGS,3386,6762,"$103,353.35 ",IAMM4400-R002,10/31/07,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,PRESCRIBED DRUGS,4575,11750,"$696,531.65 ",IAMM4400-R002,10/31/07,DISABLED,PRESCRIBED DRUGS,24453,117745,"$8,913,641.11 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,5128,14589,"$1,299,965.13 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6004,22109,"$1,639,557.76 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,PRESCRIBED DRUGS,28,62,"$1,268.00 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,6,11,$106.83 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,208,867,"$80,595.52 ",IAMM4400-R002,10/31/07,STATE ONLY,PRESCRIBED DRUGS,89,243,"$13,998.17 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10789,26223,"$482,127.63 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,977,3907,"$215,168.11 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,263,1159,"$71,154.80 ",IAMM4400-R002,10/31/07,OTHER,PRESCRIBED DRUGS,25847,48676,"$2,335,805.83 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,166,784,"$45,170.43 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,1,0,$154.07 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,PRESCRIBED DRUGS,3627,6981,"$496,564.32 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PRESCRIBED DRUGS,929,4413,"$267,402.10 ",IAMM4400-R002,10/31/07,TOTAL,PRESCRIBED DRUGS,124152,366042,"$21,835,115.28 "
IAMM4400-R002,10/31/07,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,DRUG CAPITATION,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,FAMILY PLANNING SERVICES,7169,8668,"$658,525.57 ",IAMM4400-R002,10/31/07,ADC - CHILD,FAMILY PLANNING SERVICES,1130,1374,"$103,237.53 ",IAMM4400-R002,10/31/07,AGED,FAMILY PLANNING SERVICES,1,2,$21.38 ,IAMM4400-R002,10/31/07,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,FAMILY PLANNING SERVICES,206,239,"$19,462.64 ",IAMM4400-R002,10/31/07,DISABLED,FAMILY PLANNING SERVICES,141,172,"$10,396.86 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,27,33,"$2,682.33 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,9,16,"$1,029.20 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,FAMILY PLANNING SERVICES,12,12,$922.21 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,2,3,$86.64 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,53,63,"$4,830.61 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,10,11,$434.79 ,IAMM4400-R002,10/31/07,OTHER,FAMILY PLANNING SERVICES,353,420,"$34,807.80 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,FAMILY PLANNING SERVICES,73,98,"$7,367.32 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,FAMILY PLANNING SERVICES,13,16,"$1,200.39 ",IAMM4400-R002,10/31/07,TOTAL,FAMILY PLANNING SERVICES,9156,11127,"$845,005.27 "
IAMM4400-R002,10/31/07,ADC - ADULT,IOWA PLAN PROGRAM,34895,39474,"$1,064,862.30 ",IAMM4400-R002,10/31/07,ADC - CHILD,IOWA PLAN PROGRAM,57535,63195,"$604,072.62 ",IAMM4400-R002,10/31/07,AGED,IOWA PLAN PROGRAM,3,3,$244.82 ,IAMM4400-R002,10/31/07,BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,IOWA PLAN PROGRAM,11164,12699,"$237,942.96 ",IAMM4400-R002,10/31/07,DISABLED,IOWA PLAN PROGRAM,46219,47583,"$3,264,972.22 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,9707,10229,"$961,530.33 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10270,10362,"$637,727.39 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,IOWA PLAN PROGRAM,85,101,"$2,374.08 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,10,10,$691.25 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,218,233,"$21,371.22 ",IAMM4400-R002,10/31/07,STATE ONLY,IOWA PLAN PROGRAM,196,231,"$31,474.69 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,1960,2000,"$123,056.04 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1363,1516,"$49,241.46 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,IOWA PLAN PROGRAM,75241,85070,"$988,681.94 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,197,203,"$20,503.37 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,IOWA PLAN PROGRAM,11427,12567,"$128,485.21 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,IOWA PLAN PROGRAM,1452,1534,"$146,349.86 ",IAMM4400-R002,10/31/07,TOTAL,IOWA PLAN PROGRAM,261216,287010,"$8,283,581.76 "
IAMM4400-R002,10/31/07,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,EPSDT SCREENING,225,264,"$9,611.39 ",IAMM4400-R002,10/31/07,ADC - CHILD,EPSDT SCREENING,5038,5884,"$414,487.21 ",IAMM4400-R002,10/31/07,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,EPSDT SCREENING,1175,1365,"$102,097.63 ",IAMM4400-R002,10/31/07,DISABLED,EPSDT SCREENING,351,511,"$19,895.15 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,297,344,"$19,277.63 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,EPSDT SCREENING,91,136,"$4,900.15 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,EPSDT SCREENING,1,1,$35.35 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,20,32,"$1,185.59 ",IAMM4400-R002,10/31/07,STATE ONLY,EPSDT SCREENING,8,8,$274.23 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,10,11,$497.80 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,17,18,$560.48 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,3,3,$781.48 ,IAMM4400-R002,10/31/07,OTHER,EPSDT SCREENING,7578,8727,"$830,369.55 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,EPSDT SCREENING,656,704,"$42,589.00 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,EPSDT SCREENING,16,19,$864.71 ,IAMM4400-R002,10/31/07,TOTAL,EPSDT SCREENING,15416,18027,"$1,447,427.35 "
IAMM4400-R002,10/31/07,ADC - ADULT,HMO SERVICES,881,919,"$219,338.55 ",IAMM4400-R002,10/31/07,ADC - CHILD,HMO SERVICES,1530,1615,"$190,716.52 ",IAMM4400-R002,10/31/07,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,HMO SERVICES,305,310,"$41,797.27 ",IAMM4400-R002,10/31/07,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,1,1,$64.73 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,HMO SERVICES,1570,1643,"$256,683.40 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,HMO SERVICES,238,245,"$31,256.57 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,HMO SERVICES,4518,4733,"$739,857.04 "
IAMM4400-R002,10/31/07,ADC - ADULT,PATIENT MANAGEMENT,20704,20704,"$41,408.00 ",IAMM4400-R002,10/31/07,ADC - CHILD,PATIENT MANAGEMENT,36469,36467,"$72,934.00 ",IAMM4400-R002,10/31/07,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,PATIENT MANAGEMENT,6567,6567,"$13,134.00 ",IAMM4400-R002,10/31/07,DISABLED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,83,83,$166.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,PATIENT MANAGEMENT,63,63,$126.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,8,8,$16.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,PATIENT MANAGEMENT,50591,50585,"$101,170.00 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,PATIENT MANAGEMENT,8032,8032,"$16,064.00 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,PATIENT MANAGEMENT,122517,122509,"$245,018.00 "
IAMM4400-R002,10/31/07,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,251,656,"$22,600.94 ",IAMM4400-R002,10/31/07,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,343,963,"$24,002.84 ",IAMM4400-R002,10/31/07,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,HEALTH INS PREMIUM PAYMENT,37,97,"$3,568.86 ",IAMM4400-R002,10/31/07,DISABLED,HEALTH INS PREMIUM PAYMENT,661,1643,"$191,988.93 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,169,412,"$17,436.45 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,547,1340,"$162,784.24 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,20,48,"$5,099.55 ",IAMM4400-R002,10/31/07,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,35,83,"$11,848.37 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,6,10,$964.06 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,HEALTH INS PREMIUM PAYMENT,2420,7867,"$189,429.89 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,1,1,$31.84 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,47,137,"$6,459.68 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,HEALTH INS PREMIUM PAYMENT,3,7,$572.86 ,IAMM4400-R002,10/31/07,TOTAL,HEALTH INS PREMIUM PAYMENT,4540,13264,"$636,788.51 "
IAMM4400-R002,10/31/07,ADC - ADULT,MEDICAL SUPPLIES,971,37033,"$232,095.97 ",IAMM4400-R002,10/31/07,ADC - CHILD,MEDICAL SUPPLIES,711,11057,"$119,966.79 ",IAMM4400-R002,10/31/07,AGED,MEDICAL SUPPLIES,2615,200700,"$314,872.25 ",IAMM4400-R002,10/31/07,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,MEDICAL SUPPLIES,147,7333,"$27,284.16 ",IAMM4400-R002,10/31/07,DISABLED,MEDICAL SUPPLIES,8465,762607,"$1,811,757.71 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,205,20908,"$64,171.96 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2106,359568,"$603,150.27 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,MEDICAL SUPPLIES,1,1,$35.80 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,2,1,$248.68 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,14,2247,"$2,104.54 ",IAMM4400-R002,10/31/07,STATE ONLY,MEDICAL SUPPLIES,2,3,$226.38 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4563,434719,"$706,447.58 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,131,10092,"$16,213.63 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,78,2147,"$16,739.88 ",IAMM4400-R002,10/31/07,OTHER,MEDICAL SUPPLIES,909,21607,"$145,032.90 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,22,435,"$7,761.00 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,MEDICAL SUPPLIES,115,4514,"$19,856.19 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MEDICAL SUPPLIES,124,5595,"$22,753.34 ",IAMM4400-R002,10/31/07,TOTAL,MEDICAL SUPPLIES,20728,1880567,"$4,110,719.03 "
IAMM4400-R002,10/31/07,ADC - ADULT,OTHER PRACTITIONER,1401,2444,"$173,049.59 ",IAMM4400-R002,10/31/07,ADC - CHILD,OTHER PRACTITIONER,1929,3905,"$159,192.05 ",IAMM4400-R002,10/31/07,AGED,OTHER PRACTITIONER,273,1585,"$20,120.44 ",IAMM4400-R002,10/31/07,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,OTHER PRACTITIONER,432,800,"$43,688.48 ",IAMM4400-R002,10/31/07,DISABLED,OTHER PRACTITIONER,2299,13964,"$376,350.36 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,418,1960,"$61,586.57 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,822,11537,"$316,233.77 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,OTHER PRACTITIONER,1,2,$118.93 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,OTHER PRACTITIONER,1,2,$12.12 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,13,82,"$2,696.80 ",IAMM4400-R002,10/31/07,STATE ONLY,OTHER PRACTITIONER,6,10,$478.66 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,461,2961,"$67,957.47 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,79,257,"$12,005.39 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,49,131,"$6,581.09 ",IAMM4400-R002,10/31/07,OTHER,OTHER PRACTITIONER,2729,5714,"$279,215.61 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,8,17,"$1,134.17 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,OTHER PRACTITIONER,318,670,"$27,978.68 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,OTHER PRACTITIONER,47,180,"$7,416.69 ",IAMM4400-R002,10/31/07,TOTAL,OTHER PRACTITIONER,11185,46221,"$1,555,816.87 "
IAMM4400-R002,10/31/07,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,DENTAL,3312,4682,"$745,575.69 ",IAMM4400-R002,10/31/07,ADC - CHILD,DENTAL,5336,6595,"$897,514.22 ",IAMM4400-R002,10/31/07,AGED,DENTAL,501,640,"$105,049.91 ",IAMM4400-R002,10/31/07,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,DENTAL,1153,1557,"$258,319.15 ",IAMM4400-R002,10/31/07,DISABLED,DENTAL,4382,5830,"$826,518.85 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1194,1456,"$184,560.52 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,DENTAL,1459,1712,"$165,181.07 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,DENTAL,18,24,"$2,957.77 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,DENTAL,3,3,$164.67 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,DENTAL,23,27,"$2,335.06 ",IAMM4400-R002,10/31/07,STATE ONLY,DENTAL,10,11,"$1,781.82 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,DENTAL,984,1270,"$197,054.34 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,DENTAL,174,276,"$45,749.88 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,DENTAL,53,79,"$18,681.27 ",IAMM4400-R002,10/31/07,OTHER,DENTAL,7467,9236,"$1,187,749.13 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,DENTAL,18,20,"$2,321.50 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,DENTAL,1574,1919,"$283,375.15 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,DENTAL,113,142,"$18,112.20 ",IAMM4400-R002,10/31/07,TOTAL,DENTAL,27636,35479,"$4,943,002.20 "
IAMM4400-R002,10/31/07,ADC - ADULT,OPTOMETRIST,2022,2477,"$176,443.66 ",IAMM4400-R002,10/31/07,ADC - CHILD,OPTOMETRIST,1817,2172,"$138,907.84 ",IAMM4400-R002,10/31/07,AGED,OPTOMETRIST,805,1203,"$29,293.93 ",IAMM4400-R002,10/31/07,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,OPTOMETRIST,495,596,"$41,041.27 ",IAMM4400-R002,10/31/07,DISABLED,OPTOMETRIST,2965,3906,"$200,780.48 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,579,673,"$43,053.82 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,OPTOMETRIST,699,859,"$36,294.22 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,OPTOMETRIST,5,10,$542.46 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,11,12,$558.22 ,IAMM4400-R002,10/31/07,STATE ONLY,OPTOMETRIST,9,11,$653.42 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,OPTOMETRIST,992,1431,"$35,594.14 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,128,158,"$9,122.52 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,36,49,"$3,020.33 ",IAMM4400-R002,10/31/07,OTHER,OPTOMETRIST,2660,3080,"$196,583.39 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,10,14,"$1,033.76 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,OPTOMETRIST,550,640,"$40,604.60 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,OPTOMETRIST,84,100,"$7,350.36 ",IAMM4400-R002,10/31/07,TOTAL,OPTOMETRIST,13841,17391,"$960,878.42 "
IAMM4400-R002,10/31/07,ADC - ADULT,CHIROPRACTIC,1835,4754,"$166,143.73 ",IAMM4400-R002,10/31/07,ADC - CHILD,CHIROPRACTIC,933,1847,"$60,042.64 ",IAMM4400-R002,10/31/07,AGED,CHIROPRACTIC,406,1231,"$7,992.86 ",IAMM4400-R002,10/31/07,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,CHIROPRACTIC,230,594,"$20,192.52 ",IAMM4400-R002,10/31/07,DISABLED,CHIROPRACTIC,2216,6431,"$98,498.03 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,174,303,"$9,665.42 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,CHIROPRACTIC,295,696,"$11,395.02 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,CHIROPRACTIC,1,1,$8.37 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,3,4,$135.68 ,IAMM4400-R002,10/31/07,STATE ONLY,CHIROPRACTIC,5,16,$690.25 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,274,733,"$5,199.01 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,96,233,"$6,947.67 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,18,41,"$1,099.03 ",IAMM4400-R002,10/31/07,OTHER,CHIROPRACTIC,1592,3582,"$110,648.25 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,8,17,$536.77 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,CHIROPRACTIC,285,592,"$18,791.09 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,CHIROPRACTIC,55,128,"$4,435.91 ",IAMM4400-R002,10/31/07,TOTAL,CHIROPRACTIC,8320,21203,"$522,422.25 "
IAMM4400-R002,10/31/07,ADC - ADULT,PODIATRIC,210,306,"$39,105.77 ",IAMM4400-R002,10/31/07,ADC - CHILD,PODIATRIC,55,64,"$6,066.71 ",IAMM4400-R002,10/31/07,AGED,PODIATRIC,769,1363,"$12,406.45 ",IAMM4400-R002,10/31/07,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,PODIATRIC,27,37,"$4,982.89 ",IAMM4400-R002,10/31/07,DISABLED,PODIATRIC,1192,2311,"$69,736.96 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,24,31,"$5,006.21 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,PODIATRIC,555,835,"$14,936.39 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,PODIATRIC,2,2,$28.62 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,PODIATRIC,1,2,$119.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,PODIATRIC,1402,2281,"$21,532.53 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,30,37,"$3,192.91 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,8,16,$815.69 ,IAMM4400-R002,10/31/07,OTHER,PODIATRIC,100,122,"$13,360.56 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,PODIATRIC,3,5,$300.22 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,PODIATRIC,27,37,"$3,607.11 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PODIATRIC,20,24,"$3,347.24 ",IAMM4400-R002,10/31/07,TOTAL,PODIATRIC,4400,7473,"$198,545.26 "
IAMM4400-R002,10/31/07,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,PHYSICAL DISABILITIES SVCS,425,19201,"$257,214.97 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,165,7023,"$74,515.94 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,PHYSICAL DISABILITIES SVCS,1,1,"$4,427.62 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,PHYSICAL DISABILITIES SVCS,582,26225,"$336,158.53 "
IAMM4400-R002,10/31/07,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,BRAIN INJ WAIVER SERVICES,1,68,"$3,061.99 ",IAMM4400-R002,10/31/07,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,BRAIN INJ WAIVER SERVICES,264,19276,"$435,972.72 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,29,1387,"$36,685.55 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,224,12897,"$333,503.80 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,362,19786,"$549,084.08 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,BRAIN INJ WAIVER SERVICES,2,6,$785.56 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,BRAIN INJ WAIVER SERVICES,865,53420,"$1,359,093.70 "
IAMM4400-R002,10/31/07,ADC - ADULT,PSYCHIATRIC,17,45,"$3,293.48 ",IAMM4400-R002,10/31/07,ADC - CHILD,PSYCHIATRIC,5,8,$559.19 ,IAMM4400-R002,10/31/07,AGED,PSYCHIATRIC,205,378,"$10,771.97 ",IAMM4400-R002,10/31/07,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,PSYCHIATRIC,13,32,"$2,371.99 ",IAMM4400-R002,10/31/07,DISABLED,PSYCHIATRIC,2858,6383,"$187,242.79 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,8,29,"$2,053.04 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,PSYCHIATRIC,562,927,"$26,772.23 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,356,718,"$22,099.01 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,50,96,"$2,463.35 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,46,130,"$7,056.01 ",IAMM4400-R002,10/31/07,OTHER,PSYCHIATRIC,28,174,"$8,572.28 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,1,1,$23.90 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,PSYCHIATRIC,4,4,$109.81 ,IAMM4400-R002,10/31/07,TOTAL,PSYCHIATRIC,4113,8925,"$273,389.05 "
IAMM4400-R002,10/31/07,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,RESIDENTIAL CARE FACILITY,349,11515,"$77,678.61 ",IAMM4400-R002,10/31/07,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,RESIDENTIAL CARE FACILITY,1,341,"$3,294.49 ",IAMM4400-R002,10/31/07,DISABLED,RESIDENTIAL CARE FACILITY,1463,49345,"$381,993.40 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,1,0,($692.00),IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,29,923,"$7,264.09 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,5,144,$356.10 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,8,182,"$2,750.66 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,RESIDENTIAL CARE FACILITY,1838,62450,"$472,645.35 "
IAMM4400-R002,10/31/07,ADC - ADULT,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,MR WAIVER SERVICE,87,6810,"$254,080.57 ",IAMM4400-R002,10/31/07,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,MR WAIVER SERVICE,2,54,"$1,805.90 ",IAMM4400-R002,10/31/07,DISABLED,MR WAIVER SERVICE,1001,71851,"$2,858,896.02 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,180,8672,"$204,060.87 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8030,598686,"$21,692,842.90 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,10,156,"$5,287.88 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,MR WAIVER SERVICE,4,19,$384.33 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,MR WAIVER SERVICE,1,20,$432.44 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MR WAIVER SERVICE,5,206,"$5,322.19 ",IAMM4400-R002,10/31/07,TOTAL,MR WAIVER SERVICE,9261,686474,"$25,023,113.10 "
IAMM4400-R002,10/31/07,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,5,186,"$5,109.98 ",IAMM4400-R002,10/31/07,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,27,1191,"$29,192.65 ",IAMM4400-R002,10/31/07,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,CHILDRENS MENTAL HEALTH SVC,47,2810,"$53,050.73 ",IAMM4400-R002,10/31/07,DISABLED,CHILDRENS MENTAL HEALTH SVC,37,1324,"$31,104.49 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,1,144,"$1,560.00 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,175,8163,"$194,414.32 ",IAMM4400-R002,10/31/07,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,CHILDRENS MENTAL HEALTH SVC,53,2160,"$48,931.37 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,3,151,"$2,574.20 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,3,64,"$1,158.63 ",IAMM4400-R002,10/31/07,TOTAL,CHILDRENS MENTAL HEALTH SVC,345,16193,"$367,096.37 "
IAMM4400-R002,10/31/07,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,AIDS WAIVER SERVICES,15,1407,"$14,939.79 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,1,25,$437.50 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,32,3790,"$33,914.75 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,AIDS WAIVER SERVICES,46,5222,"$49,292.04 "
IAMM4400-R002,10/31/07,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,ELDERLY WAIVER SERVICES,3074,137874,"$2,000,257.23 ",IAMM4400-R002,10/31/07,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,ELDERLY WAIVER SERVICES,39,2218,"$30,442.49 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,25,$253.12 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6324,307228,"$3,772,539.94 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,1,1,$70.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,ELDERLY WAIVER SERVICES,7,34,"($3,561.67)",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,ELDERLY WAIVER SERVICES,6,119,"$1,762.54 ",IAMM4400-R002,10/31/07,TOTAL,ELDERLY WAIVER SERVICES,9152,447499,"$5,801,763.65 "
IAMM4400-R002,10/31/07,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,1,5,$64.35 ,IAMM4400-R002,10/31/07,AGED,ILL & HANDICAPPED WAIVER SVCS,1,5,$65.00 ,IAMM4400-R002,10/31/07,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1836,96835,"$1,508,299.83 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,33,2142,"$35,777.36 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,167,9287,"$165,296.47 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,42,$726.60 ,IAMM4400-R002,10/31/07,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,7,118,"$1,516.96 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,ILL & HANDICAPPED WAIVER SVCS,1,24,$360.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,1,36,$440.64 ,IAMM4400-R002,10/31/07,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2040,108494,"$1,712,547.21 "
IAMM4400-R002,10/31/07,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,10/31/07,ADC - ADULT,MEP SERVICES,8,12,"$3,736.45 ",IAMM4400-R002,10/31/07,ADC - CHILD,MEP SERVICES,40,59,"$20,268.70 ",IAMM4400-R002,10/31/07,AGED,MEP SERVICES,101,141,"$32,679.92 ",IAMM4400-R002,10/31/07,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,MEP SERVICES,58,70,"$28,791.03 ",IAMM4400-R002,10/31/07,DISABLED,MEP SERVICES,1204,1710,"$392,173.04 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,167,207,"$45,331.36 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,MEP SERVICES,6747,8829,"$1,989,406.90 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,MEP SERVICES,1,1,$222.87 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,MEP SERVICES,194,207,"$93,815.58 ",IAMM4400-R002,10/31/07,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,MEP SERVICES,105,131,"$31,359.12 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,3,3,$824.61 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,4,14,"$4,027.99 ",IAMM4400-R002,10/31/07,OTHER,MEP SERVICES,68,79,"$31,030.79 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,MEP SERVICES,7,12,"$3,488.87 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,MEP SERVICES,7,7,"$2,356.00 ",IAMM4400-R002,10/31/07,TOTAL,MEP SERVICES,8669,11482,"$2,679,513.23 "
IAMM4400-R002,10/31/07,ADC - ADULT,UNASSIGNED,8,0,$0.00 ,IAMM4400-R002,10/31/07,ADC - CHILD,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,10/31/07,AGED,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,10/31/07,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,10/31/07,DISABLED,UNASSIGNED,7,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,UNASSIGNED,2,0,$4.75 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER,UNASSIGNED,10,0,"$318,245.35 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,OTHER TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/07,TOTAL,UNASSIGNED,39,0,"$318,250.10 "
IAMM4400-R002,10/31/07,ADC - ADULT,* A L L  C A T E G O R I E S *,48088,349344,"$18,110,613.92 ",IAMM4400-R002,10/31/07,ADC - CHILD,* A L L  C A T E G O R I E S *,66003,293828,"$12,249,967.83 ",IAMM4400-R002,10/31/07,AGED,* A L L  C A T E G O R I E S *,14082,666936,"$16,795,086.91 ",IAMM4400-R002,10/31/07,BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/07,CMAP,* A L L  C A T E G O R I E S *,12729,99336,"$5,373,371.34 ",IAMM4400-R002,10/31/07,DISABLED,* A L L  C A T E G O R I E S *,50924,1994813,"$51,609,726.30 ",IAMM4400-R002,10/31/07,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/07,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,9993,389427,"$6,738,196.72 ",IAMM4400-R002,10/31/07,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11014,1304299,"$55,160,188.59 ",IAMM4400-R002,10/31/07,FEDERAL ONLY,* A L L  C A T E G O R I E S *,119,723,"$37,262.22 ",IAMM4400-R002,10/31/07,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,12,472,"$12,786.77 ",IAMM4400-R002,10/31/07,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,180,15566,"$487,438.99 ",IAMM4400-R002,10/31/07,STATE ONLY,* A L L  C A T E G O R I E S *,178,1751,"$101,310.71 ",IAMM4400-R002,10/31/07,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15429,1306770,"$33,776,908.24 ",IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/07,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/07,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1728,33583,"$1,194,477.60 ",IAMM4400-R002,10/31/07,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,914,19055,"$1,470,087.86 ",IAMM4400-R002,10/31/07,OTHER,* A L L  C A T E G O R I E S *,85839,475640,"$27,609,909.76 ",IAMM4400-R002,10/31/07,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,201,4827,"$442,170.29 ",IAMM4400-R002,10/31/07,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,1,1,$434.86 ,IAMM4400-R002,10/31/07,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,5,17,"$4,143.19 ",IAMM4400-R002,10/31/07,OTHER TXXI,* A L L  C A T E G O R I E S *,11175,66950,"$2,261,174.70 ",IAMM4400-R002,10/31/07,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/07,STATE ONLY,* A L L  C A T E G O R I E S *,1523,31938,"$1,078,716.98 ",IAMM4400-R002,10/31/07,TOTAL,* A L L  C A T E G O R I E S *,330137,7055276,"$234,513,973.78 "