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-R002,08/31/08,ADC - ADULT,INPATIENT,655,2250,"$2,739,640.29 ",IAMM4400-R002,08/31/08,ADC - CHILD,INPATIENT,323,2306,"$2,173,130.81 ",IAMM4400-R002,08/31/08,AGED,INPATIENT,492,1752,"$410,205.45 ",IAMM4400-R002,08/31/08,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,INPATIENT,363,7582,"$2,051,171.05 ",IAMM4400-R002,08/31/08,DISABLED,INPATIENT,1598,8529,"$7,069,897.28 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,43,631,"$369,958.21 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,INPATIENT,150,796,"$693,911.49 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,INPATIENT,2,2,"$18,392.24 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,INPATIENT,3,3,"$2,544.00 ",IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,INPATIENT,11,238,"$42,132.73 ",IAMM4400-R002,08/31/08,STATE ONLY,INPATIENT,4,5,"($3,058.10)",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,INPATIENT,728,3472,"$795,313.95 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,INPATIENT,46,329,"$268,589.82 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,INPATIENT,163,780,"$903,072.39 ",IAMM4400-R002,08/31/08,OTHER,INPATIENT,1650,8921,"$9,221,720.05 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,INPATIENT,6,15,"$38,980.08 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,INPATIENT,5,0,"$55,645.11 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,INPATIENT,67,403,"$218,694.48 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,INPATIENT,19,210,"$149,828.97 ",IAMM4400-R002,08/31/08,TOTAL,INPATIENT,6299,38224,"$27,219,770.30 "
IAMM4400-R002,08/31/08,ADC - ADULT,OUTPATIENT,7840,96300,"$3,348,508.51 ",IAMM4400-R002,08/31/08,ADC - CHILD,OUTPATIENT,5940,33944,"$1,408,028.86 ",IAMM4400-R002,08/31/08,AGED,OUTPATIENT,4006,72833,"$563,134.04 ",IAMM4400-R002,08/31/08,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,OUTPATIENT,1718,14237,"$460,808.21 ",IAMM4400-R002,08/31/08,DISABLED,OUTPATIENT,15028,269989,"$4,881,997.46 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,833,6362,"$195,817.07 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,OUTPATIENT,2587,41881,"$475,865.60 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,OUTPATIENT,21,529,"$6,090.63 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,OUTPATIENT,11,81,"$1,448.20 ",IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,OUTPATIENT,45,234,"$9,425.40 ",IAMM4400-R002,08/31/08,STATE ONLY,OUTPATIENT,71,639,"$18,959.34 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,OUTPATIENT,5010,97199,"$689,177.28 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,454,8181,"$190,121.76 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,366,8949,"$334,017.90 ",IAMM4400-R002,08/31/08,OTHER,OUTPATIENT,10009,79531,"$2,585,751.23 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,OUTPATIENT,89,2173,"$163,870.48 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,OUTPATIENT,3,0,"$1,675.78 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,OUTPATIENT,1,4,$31.96 ,IAMM4400-R002,08/31/08,OTHER TXXI,OUTPATIENT,881,7110,"$218,840.91 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,OUTPATIENT,325,3439,"$151,386.28 ",IAMM4400-R002,08/31/08,TOTAL,OUTPATIENT,54788,743615,"$15,704,956.90 "
IAMM4400-R002,08/31/08,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,SKILLED NURSING FACILITY,1,0,"($4,310.04)",IAMM4400-R002,08/31/08,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,SKILLED NURSING FACILITY,154,2211,"$6,125.46 ",IAMM4400-R002,08/31/08,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,SKILLED NURSING FACILITY,176,4371,"$1,894,885.07 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,7,88,"$14,348.94 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,356,5322,"$14,773.93 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,2,24,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,1,30,$0.00 ,IAMM4400-R002,08/31/08,OTHER,SKILLED NURSING FACILITY,5,102,"$18,132.00 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,SKILLED NURSING FACILITY,698,12148,"$1,943,955.36 "
IAMM4400-R002,08/31/08,ADC - ADULT,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,INTERMEDIATE CARE FACILITY,4510,142002,"$12,600,247.61 ",IAMM4400-R002,08/31/08,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,INTERMEDIATE CARE FACILITY,582,18339,"$1,988,510.11 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,7,113,"$12,656.62 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,1,0,$142.51 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7214,221014,"$23,246,259.06 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,1,31,"$3,378.67 ",IAMM4400-R002,08/31/08,OTHER,INTERMEDIATE CARE FACILITY,1,71,"$8,090.52 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,INTERMEDIATE CARE FACILITY,12277,381570,"$37,859,285.10 "
IAMM4400-R002,08/31/08,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,INTER CARE MENTAL RETARDA,1,116,"$37,484.68 ",IAMM4400-R002,08/31/08,DISABLED,INTER CARE MENTAL RETARDA,11,303,"$94,514.56 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,7,198,"$77,250.85 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,1877,56611,"$19,762,326.24 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,1,0,"$5,286.50 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,INTER CARE MENTAL RETARDA,1,0,"($82,631.00)",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,INTER CARE MENTAL RETARDA,1898,57228,"$19,894,231.83 "
IAMM4400-R002,08/31/08,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,NURSING FAC FOR MENTAL ILL,5,356,"$110,074.72 ",IAMM4400-R002,08/31/08,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,12,372,"$72,047.43 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,31,"$6,643.61 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,NURSING FAC FOR MENTAL ILL,18,759,"$188,765.76 "
IAMM4400-R002,08/31/08,ADC - ADULT,HOME HEALTH,58,697,"$45,428.74 ",IAMM4400-R002,08/31/08,ADC - CHILD,HOME HEALTH,370,1870,"$62,894.03 ",IAMM4400-R002,08/31/08,AGED,HOME HEALTH,2294,48375,"$1,723,684.05 ",IAMM4400-R002,08/31/08,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,HOME HEALTH,52,255,"$10,463.07 ",IAMM4400-R002,08/31/08,DISABLED,HOME HEALTH,3519,91119,"$2,587,253.29 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,81,2691,"$75,663.16 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,HOME HEALTH,1049,40616,"$1,158,630.77 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,HOME HEALTH,1,14,$25.20 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,19,$951.40 ,IAMM4400-R002,08/31/08,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,HOME HEALTH,3682,83946,"$2,921,264.41 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,50,949,"$26,061.27 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,34,459,"$20,127.19 ",IAMM4400-R002,08/31/08,OTHER,HOME HEALTH,503,2177,"($120,570.12)",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,HOME HEALTH,4,58,"$15,517.53 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,HOME HEALTH,36,119,"$4,607.13 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,HOME HEALTH,19,115,"$6,832.64 ",IAMM4400-R002,08/31/08,TOTAL,HOME HEALTH,11596,273479,"$8,538,833.76 "
IAMM4400-R002,08/31/08,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,LEAD INSPECTION AGENCY,7,9,"$3,403.69 ",IAMM4400-R002,08/31/08,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,LEAD INSPECTION AGENCY,5,5,"$1,807.52 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,LEAD INSPECTION AGENCY,13,15,"$5,588.56 "
IAMM4400-R002,08/31/08,ADC - ADULT,PHYSICIAN,13819,27132,"$2,551,760.86 ",IAMM4400-R002,08/31/08,ADC - CHILD,PHYSICIAN,15384,24963,"$1,707,176.08 ",IAMM4400-R002,08/31/08,AGED,PHYSICIAN,6313,37660,"$364,777.69 ",IAMM4400-R002,08/31/08,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,PHYSICIAN,3438,5868,"$462,790.61 ",IAMM4400-R002,08/31/08,DISABLED,PHYSICIAN,23100,112750,"$3,731,378.81 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2184,3318,"$209,313.38 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,PHYSICIAN,4302,13715,"$333,713.24 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,PHYSICIAN,48,89,"$10,146.44 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,PHYSICIAN,37,-428,"($3,642.55)",IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,PHYSICIAN,81,145,"$8,100.00 ",IAMM4400-R002,08/31/08,STATE ONLY,PHYSICIAN,99,172,"$11,771.96 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,PHYSICIAN,7162,41226,"$488,442.14 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,741,2405,"$131,421.35 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,611,3508,"$188,199.71 ",IAMM4400-R002,08/31/08,OTHER,PHYSICIAN,23462,43160,"$3,792,610.92 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,PHYSICIAN,149,537,"$158,122.04 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,PHYSICIAN,7,2,"$4,062.50 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,PHYSICIAN,2,2,$912.01 ,IAMM4400-R002,08/31/08,OTHER TXXI,PHYSICIAN,2579,3955,"$287,102.00 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PHYSICIAN,471,1116,"$105,889.34 ",IAMM4400-R002,08/31/08,TOTAL,PHYSICIAN,102370,321295,"$14,544,048.53 "
IAMM4400-R002,08/31/08,ADC - ADULT,CLINIC SERVICES,2513,3953,"$469,627.40 ",IAMM4400-R002,08/31/08,ADC - CHILD,CLINIC SERVICES,2668,3778,"$452,064.73 ",IAMM4400-R002,08/31/08,AGED,CLINIC SERVICES,436,302,"$36,254.80 ",IAMM4400-R002,08/31/08,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,CLINIC SERVICES,731,1177,"$132,817.19 ",IAMM4400-R002,08/31/08,DISABLED,CLINIC SERVICES,2750,4135,"$464,804.87 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,436,651,"$72,562.56 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,CLINIC SERVICES,330,454,"$47,600.33 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,CLINIC SERVICES,4,6,$900.42 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,16,19,"$1,977.82 ",IAMM4400-R002,08/31/08,STATE ONLY,CLINIC SERVICES,12,16,"$1,465.45 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,423,441,"$34,965.05 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,118,153,"$22,449.26 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,53,63,"$9,897.14 ",IAMM4400-R002,08/31/08,OTHER,CLINIC SERVICES,5415,8435,"$937,054.92 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,13,17,"$2,821.93 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,CLINIC SERVICES,1,4,$544.32 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,CLINIC SERVICES,521,716,"$75,167.28 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,CLINIC SERVICES,104,145,"$18,845.50 ",IAMM4400-R002,08/31/08,TOTAL,CLINIC SERVICES,16346,24465,"$2,781,820.97 "
IAMM4400-R002,08/31/08,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,LAB AND RADIOLOGICAL,4123,9567,"$272,792.36 ",IAMM4400-R002,08/31/08,ADC - CHILD,LAB AND RADIOLOGICAL,1903,3444,"$64,157.32 ",IAMM4400-R002,08/31/08,AGED,LAB AND RADIOLOGICAL,826,253,"$2,884.00 ",IAMM4400-R002,08/31/08,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,LAB AND RADIOLOGICAL,498,1272,"$29,724.99 ",IAMM4400-R002,08/31/08,DISABLED,LAB AND RADIOLOGICAL,3119,5857,"$91,181.50 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,248,640,"$11,537.49 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,481,628,"$12,175.33 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,LAB AND RADIOLOGICAL,15,90,"$1,578.47 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,5,19,$252.75 ,IAMM4400-R002,08/31/08,STATE ONLY,LAB AND RADIOLOGICAL,16,50,"$1,037.46 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1098,300,"$3,460.57 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,134,205,"$5,246.55 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,30,49,"$1,274.36 ",IAMM4400-R002,08/31/08,OTHER,LAB AND RADIOLOGICAL,3564,8996,"$184,390.61 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,32,265,"$4,660.96 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,1,1,$28.31 ,IAMM4400-R002,08/31/08,OTHER TXXI,LAB AND RADIOLOGICAL,184,542,"$10,154.57 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,LAB AND RADIOLOGICAL,77,289,"$6,001.24 ",IAMM4400-R002,08/31/08,TOTAL,LAB AND RADIOLOGICAL,16236,32467,"$702,538.84 "
IAMM4400-R002,08/31/08,ADC - ADULT,HABILITATION SERVICES,25,474,"$17,681.32 ",IAMM4400-R002,08/31/08,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,HABILITATION SERVICES,42,1432,"$83,165.24 ",IAMM4400-R002,08/31/08,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,HABILITATION SERVICES,16,214,"$16,424.63 ",IAMM4400-R002,08/31/08,DISABLED,HABILITATION SERVICES,2261,63793,"$3,154,902.70 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,5,121,"$4,858.80 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,13,300,"$9,600.29 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,HABILITATION SERVICES,11,459,"$22,156.38 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,21,486,"$21,461.51 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,36,1341,"$80,888.66 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,8,393,"$17,194.06 ",IAMM4400-R002,08/31/08,OTHER,HABILITATION SERVICES,2,15,"$1,012.43 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,HABILITATION SERVICES,3,161,"$2,157.11 ",IAMM4400-R002,08/31/08,TOTAL,HABILITATION SERVICES,2435,69189,"$3,431,503.13 "
IAMM4400-R002,08/31/08,ADC - ADULT,REMEDIAL SERVICES,143,4521,"$66,854.00 ",IAMM4400-R002,08/31/08,ADC - CHILD,REMEDIAL SERVICES,1435,45952,"$753,770.18 ",IAMM4400-R002,08/31/08,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,REMEDIAL SERVICES,491,16348,"$261,981.35 ",IAMM4400-R002,08/31/08,DISABLED,REMEDIAL SERVICES,487,14946,"$246,022.87 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2055,159509,"$1,790,103.32 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,93,2556,"$45,153.15 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,93,4044,"$66,611.50 ",IAMM4400-R002,08/31/08,STATE ONLY,REMEDIAL SERVICES,11,249,"$5,428.15 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,3,69,"$1,396.42 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,4,46,$827.36 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,44,$400.84 ,IAMM4400-R002,08/31/08,OTHER,REMEDIAL SERVICES,1177,32563,"$567,792.00 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,REMEDIAL SERVICES,218,7329,"$118,183.66 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,REMEDIAL SERVICES,39,2274,"$22,402.92 ",IAMM4400-R002,08/31/08,TOTAL,REMEDIAL SERVICES,6103,290450,"$3,946,927.72 "
IAMM4400-R002,08/31/08,ADC - ADULT,REHAB SUPPORT SERVICES,6,0,($753.01),IAMM4400-R002,08/31/08,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,REHAB SUPPORT SERVICES,2,0,($62.34),IAMM4400-R002,08/31/08,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,REHAB SUPPORT SERVICES,1,0,($0.81),IAMM4400-R002,08/31/08,DISABLED,REHAB SUPPORT SERVICES,270,-61,"$43,246.49 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,3,0,$120.28 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,10,11,"$1,486.99 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,1,-31,"($1,482.73)",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,2,0,$53.49 ,IAMM4400-R002,08/31/08,OTHER,REHAB SUPPORT SERVICES,3,0,"$33,863.86 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,1,0,($58.72),IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,REHAB SUPPORT SERVICES,1,0,($252.00),IAMM4400-R002,08/31/08,TOTAL,REHAB SUPPORT SERVICES,289,-1,"$76,161.50 "
IAMM4400-R002,08/31/08,ADC - ADULT,AMBULANCE SERVICES,259,268,"$38,616.19 ",IAMM4400-R002,08/31/08,ADC - CHILD,AMBULANCE SERVICES,132,131,"$18,494.98 ",IAMM4400-R002,08/31/08,AGED,AMBULANCE SERVICES,291,357,"$30,414.88 ",IAMM4400-R002,08/31/08,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,AMBULANCE SERVICES,41,44,"$5,831.36 ",IAMM4400-R002,08/31/08,DISABLED,AMBULANCE SERVICES,886,1064,"$125,839.28 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,16,15,"$2,955.35 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,121,139,"$12,430.44 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,AMBULANCE SERVICES,1,2,$383.78 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,1,1,$141.97 ,IAMM4400-R002,08/31/08,STATE ONLY,AMBULANCE SERVICES,7,9,"$1,099.30 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,492,609,"$51,947.98 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,24,26,"$4,980.77 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,28,29,"$3,849.75 ",IAMM4400-R002,08/31/08,OTHER,AMBULANCE SERVICES,189,193,"$31,417.58 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,AMBULANCE SERVICES,19,19,"$3,459.57 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,AMBULANCE SERVICES,12,12,"$1,733.25 ",IAMM4400-R002,08/31/08,TOTAL,AMBULANCE SERVICES,2504,2918,"$333,596.43 "
IAMM4400-R002,08/31/08,ADC - ADULT,LOCAL EDUCATION AGENCY,3,968,"$6,727.65 ",IAMM4400-R002,08/31/08,ADC - CHILD,LOCAL EDUCATION AGENCY,90,9188,"$60,800.07 ",IAMM4400-R002,08/31/08,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,LOCAL EDUCATION AGENCY,22,2511,"$21,110.53 ",IAMM4400-R002,08/31/08,DISABLED,LOCAL EDUCATION AGENCY,270,43899,"$270,281.60 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,57,7905,"$48,618.23 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,191,31582,"$156,985.83 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,7,2513,"$18,112.18 ",IAMM4400-R002,08/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,6,1380,"$8,990.37 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,LOCAL EDUCATION AGENCY,83,9366,"$51,906.56 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,LOCAL EDUCATION AGENCY,17,3836,"$21,184.12 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,LOCAL EDUCATION AGENCY,728,113148,"$664,717.14 "
IAMM4400-R002,08/31/08,ADC - ADULT,EARLY ACCESS SERVICES,1,0,($5.57),IAMM4400-R002,08/31/08,ADC - CHILD,EARLY ACCESS SERVICES,2,6,$66.20 ,IAMM4400-R002,08/31/08,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,1,4,$45.40 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,EARLY ACCESS SERVICES,2,29,$567.70 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,EARLY ACCESS SERVICES,6,39,$673.73 
IAMM4400-R002,08/31/08,ADC - ADULT,PRESCRIBED DRUGS,18728,50807,"$2,544,676.09 ",IAMM4400-R002,08/31/08,ADC - CHILD,PRESCRIBED DRUGS,13707,22550,"$1,273,511.48 ",IAMM4400-R002,08/31/08,AGED,PRESCRIBED DRUGS,2945,4948,"$61,533.20 ",IAMM4400-R002,08/31/08,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,PRESCRIBED DRUGS,3841,8264,"$507,851.03 ",IAMM4400-R002,08/31/08,DISABLED,PRESCRIBED DRUGS,22955,94489,"$6,904,491.91 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4657,11411,"$957,126.13 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,5775,18188,"$1,341,821.00 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,PRESCRIBED DRUGS,29,79,"$6,707.28 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,8,29,"$1,208.75 ",IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,256,890,"$72,850.54 ",IAMM4400-R002,08/31/08,STATE ONLY,PRESCRIBED DRUGS,122,299,"$19,514.97 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,9846,21137,"$391,891.66 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,911,2879,"$124,559.30 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,230,1013,"$45,389.04 ",IAMM4400-R002,08/31/08,OTHER,PRESCRIBED DRUGS,19674,32453,"$1,681,104.15 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,181,657,"$38,227.73 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,127,127,"$14,570.40 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,PRESCRIBED DRUGS,2771,4707,"$316,967.13 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PRESCRIBED DRUGS,838,3640,"$209,450.63 ",IAMM4400-R002,08/31/08,TOTAL,PRESCRIBED DRUGS,106122,278567,"$16,513,452.42 "
IAMM4400-R002,08/31/08,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,DRUG CAPITATION,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,FAMILY PLANNING SERVICES,5507,6295,"$560,448.75 ",IAMM4400-R002,08/31/08,ADC - CHILD,FAMILY PLANNING SERVICES,942,1101,"$96,157.76 ",IAMM4400-R002,08/31/08,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,FAMILY PLANNING SERVICES,166,191,"$17,394.27 ",IAMM4400-R002,08/31/08,DISABLED,FAMILY PLANNING SERVICES,113,129,"$9,604.19 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,40,47,"$5,599.48 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,25,27,"$1,745.80 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,1,2,$85.42 ,IAMM4400-R002,08/31/08,STATE ONLY,FAMILY PLANNING SERVICES,8,10,$739.17 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,20,23,"$2,569.71 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,3,4,$322.35 ,IAMM4400-R002,08/31/08,OTHER,FAMILY PLANNING SERVICES,283,311,"$33,928.22 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,1,1,$47.71 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,FAMILY PLANNING SERVICES,58,70,"$8,070.45 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,FAMILY PLANNING SERVICES,5,7,$361.20 ,IAMM4400-R002,08/31/08,TOTAL,FAMILY PLANNING SERVICES,7161,8218,"$737,074.48 "
IAMM4400-R002,08/31/08,ADC - ADULT,IOWA PLAN PROGRAM,38007,42120,"$1,322,547.86 ",IAMM4400-R002,08/31/08,ADC - CHILD,IOWA PLAN PROGRAM,63040,68698,"$688,057.42 ",IAMM4400-R002,08/31/08,AGED,IOWA PLAN PROGRAM,3,3,$261.32 ,IAMM4400-R002,08/31/08,BLIND,IOWA PLAN PROGRAM,1,1,$56.84 ,IAMM4400-R002,08/31/08,CMAP,IOWA PLAN PROGRAM,12533,13879,"$284,604.65 ",IAMM4400-R002,08/31/08,DISABLED,IOWA PLAN PROGRAM,48621,50366,"$3,697,622.53 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,10032,10338,"$1,045,071.18 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10621,10725,"$710,656.23 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,IOWA PLAN PROGRAM,80,103,"$2,633.88 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,21,23,"$1,448.60 ",IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,295,299,"$29,645.42 ",IAMM4400-R002,08/31/08,STATE ONLY,IOWA PLAN PROGRAM,325,368,"$53,044.58 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2162,2248,"$149,358.61 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1384,1527,"$55,858.52 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,IOWA PLAN PROGRAM,82909,92945,"$1,154,972.63 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,224,227,"$24,053.40 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,IOWA PLAN PROGRAM,12101,13067,"$141,459.55 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,IOWA PLAN PROGRAM,1328,1407,"$142,427.01 ",IAMM4400-R002,08/31/08,TOTAL,IOWA PLAN PROGRAM,282912,308344,"$9,503,780.23 "
IAMM4400-R002,08/31/08,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,EPSDT SCREENING,143,152,"$7,622.78 ",IAMM4400-R002,08/31/08,ADC - CHILD,EPSDT SCREENING,4001,4444,"$334,329.43 ",IAMM4400-R002,08/31/08,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,EPSDT SCREENING,872,960,"$89,405.49 ",IAMM4400-R002,08/31/08,DISABLED,EPSDT SCREENING,269,318,"$12,834.83 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,251,274,"$15,709.32 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,EPSDT SCREENING,76,81,"$3,218.01 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,EPSDT SCREENING,1,1,$36.47 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,12,12,$445.01 ,IAMM4400-R002,08/31/08,STATE ONLY,EPSDT SCREENING,5,5,$146.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,5,6,$224.61 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,13,14,$653.16 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,1,1,$638.28 ,IAMM4400-R002,08/31/08,OTHER,EPSDT SCREENING,6334,6932,"$682,485.43 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,EPSDT SCREENING,518,542,"$36,284.28 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,EPSDT SCREENING,4,4,$145.16 ,IAMM4400-R002,08/31/08,TOTAL,EPSDT SCREENING,12466,13746,"$1,184,178.26 "
IAMM4400-R002,08/31/08,ADC - ADULT,HMO SERVICES,901,936,"$252,726.45 ",IAMM4400-R002,08/31/08,ADC - CHILD,HMO SERVICES,1543,1621,"$177,180.72 ",IAMM4400-R002,08/31/08,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,HMO SERVICES,292,303,"$36,609.93 ",IAMM4400-R002,08/31/08,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,HMO SERVICES,1642,1743,"$235,676.33 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,HMO SERVICES,241,248,"$25,263.48 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,HMO SERVICES,4612,4851,"$727,456.91 "
IAMM4400-R002,08/31/08,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,PACE SERVICES,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,PATIENT MANAGEMENT,22593,22592,"$45,158.00 ",IAMM4400-R002,08/31/08,ADC - CHILD,PATIENT MANAGEMENT,39033,39032,"$78,044.00 ",IAMM4400-R002,08/31/08,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,PATIENT MANAGEMENT,7265,7265,"$14,528.00 ",IAMM4400-R002,08/31/08,DISABLED,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,81,81,$162.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,PATIENT MANAGEMENT,36,36,$72.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,PATIENT MANAGEMENT,53801,53792,"$107,556.00 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,PATIENT MANAGEMENT,8514,8511,"$17,004.00 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,08/31/08,TOTAL,PATIENT MANAGEMENT,131327,131314,"$262,534.00 "
IAMM4400-R002,08/31/08,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,224,503,"$18,432.10 ",IAMM4400-R002,08/31/08,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,286,673,"$17,301.11 ",IAMM4400-R002,08/31/08,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,HEALTH INS PREMIUM PAYMENT,49,125,"$4,474.42 ",IAMM4400-R002,08/31/08,DISABLED,HEALTH INS PREMIUM PAYMENT,635,1353,"$140,059.07 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,158,350,"$13,578.55 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,546,1154,"$125,917.31 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,33,72,"$7,888.11 ",IAMM4400-R002,08/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,35,62,"$9,729.01 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,5,6,$700.51 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,HEALTH INS PREMIUM PAYMENT,2047,5575,"$135,129.14 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,34,96,"$3,780.88 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,3,8,$592.20 ,IAMM4400-R002,08/31/08,TOTAL,HEALTH INS PREMIUM PAYMENT,4055,9977,"$477,582.41 "
IAMM4400-R002,08/31/08,ADC - ADULT,MEDICAL SUPPLIES,1002,21597,"$220,176.82 ",IAMM4400-R002,08/31/08,ADC - CHILD,MEDICAL SUPPLIES,803,14555,"$119,414.62 ",IAMM4400-R002,08/31/08,AGED,MEDICAL SUPPLIES,2681,121382,"$267,972.37 ",IAMM4400-R002,08/31/08,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,MEDICAL SUPPLIES,171,5034,"$24,121.76 ",IAMM4400-R002,08/31/08,DISABLED,MEDICAL SUPPLIES,8495,511920,"$1,511,253.82 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,196,19447,"$54,693.54 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2056,300635,"$479,879.85 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,MEDICAL SUPPLIES,1,100,$13.99 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,11,803,"$1,594.21 ",IAMM4400-R002,08/31/08,STATE ONLY,MEDICAL SUPPLIES,6,7,$251.89 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4340,301799,"$533,517.42 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,169,5298,"$17,757.18 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,73,2646,"$12,796.68 ",IAMM4400-R002,08/31/08,OTHER,MEDICAL SUPPLIES,1040,18613,"$172,667.85 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,24,439,"$17,355.20 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,MEDICAL SUPPLIES,115,2564,"$13,382.59 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MEDICAL SUPPLIES,135,6597,"$40,094.62 ",IAMM4400-R002,08/31/08,TOTAL,MEDICAL SUPPLIES,20935,1333436,"$3,486,944.41 "
IAMM4400-R002,08/31/08,ADC - ADULT,OTHER PRACTITIONER,1244,2854,"$171,885.78 ",IAMM4400-R002,08/31/08,ADC - CHILD,OTHER PRACTITIONER,1353,3410,"$162,649.93 ",IAMM4400-R002,08/31/08,AGED,OTHER PRACTITIONER,321,1284,"$14,752.31 ",IAMM4400-R002,08/31/08,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,OTHER PRACTITIONER,356,818,"$47,808.94 ",IAMM4400-R002,08/31/08,DISABLED,OTHER PRACTITIONER,1979,12005,"$303,424.91 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,380,1632,"$57,729.00 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,676,8835,"$268,834.27 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,OTHER PRACTITIONER,2,3,$267.14 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,OTHER PRACTITIONER,1,1,$20.93 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,24,166,"$5,175.72 ",IAMM4400-R002,08/31/08,STATE ONLY,OTHER PRACTITIONER,7,18,$844.88 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,482,1847,"$36,908.04 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,67,193,"$8,961.22 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,56,152,"$8,376.34 ",IAMM4400-R002,08/31/08,OTHER,OTHER PRACTITIONER,2230,6466,"$319,571.47 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,12,22,"$2,480.79 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,OTHER PRACTITIONER,215,455,"$21,713.42 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,OTHER PRACTITIONER,57,112,"$8,101.47 ",IAMM4400-R002,08/31/08,TOTAL,OTHER PRACTITIONER,9400,40273,"$1,439,506.56 "
IAMM4400-R002,08/31/08,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,DENTAL,2654,3582,"$590,068.40 ",IAMM4400-R002,08/31/08,ADC - CHILD,DENTAL,4255,4988,"$600,694.09 ",IAMM4400-R002,08/31/08,AGED,DENTAL,402,485,"$84,378.67 ",IAMM4400-R002,08/31/08,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,DENTAL,933,1132,"$167,311.42 ",IAMM4400-R002,08/31/08,DISABLED,DENTAL,3176,4098,"$610,868.08 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1059,1250,"$157,981.49 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,DENTAL,1066,1200,"$122,257.84 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,DENTAL,10,11,"$1,677.87 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,DENTAL,1,1,$36.02 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,DENTAL,29,32,"$2,788.05 ",IAMM4400-R002,08/31/08,STATE ONLY,DENTAL,21,29,"$9,731.85 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,DENTAL,716,860,"$123,408.66 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,DENTAL,131,169,"$31,476.34 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,DENTAL,45,58,"$10,398.45 ",IAMM4400-R002,08/31/08,OTHER,DENTAL,6000,7055,"$900,615.20 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,DENTAL,16,16,"$1,592.92 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,DENTAL,1243,1512,"$212,638.89 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,DENTAL,78,112,"$23,340.70 ",IAMM4400-R002,08/31/08,TOTAL,DENTAL,21754,26590,"$3,651,264.94 "
IAMM4400-R002,08/31/08,ADC - ADULT,OPTOMETRIST,1264,1503,"$110,095.92 ",IAMM4400-R002,08/31/08,ADC - CHILD,OPTOMETRIST,1354,1529,"$105,771.66 ",IAMM4400-R002,08/31/08,AGED,OPTOMETRIST,696,1017,"$25,972.85 ",IAMM4400-R002,08/31/08,BLIND,OPTOMETRIST,1,1,$59.98 ,IAMM4400-R002,08/31/08,CMAP,OPTOMETRIST,381,437,"$30,507.40 ",IAMM4400-R002,08/31/08,DISABLED,OPTOMETRIST,2348,3070,"$150,337.61 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,450,506,"$33,009.84 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,OPTOMETRIST,556,670,"$29,901.01 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,OPTOMETRIST,4,4,$228.03 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,12,12,$745.07 ,IAMM4400-R002,08/31/08,STATE ONLY,OPTOMETRIST,11,13,$948.57 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,OPTOMETRIST,816,1152,"$29,885.12 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,65,83,"$4,396.26 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,12,18,$653.34 ,IAMM4400-R002,08/31/08,OTHER,OPTOMETRIST,1952,2217,"$147,165.38 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,7,8,$749.81 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,OPTOMETRIST,413,460,"$30,494.56 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,OPTOMETRIST,67,87,"$5,725.41 ",IAMM4400-R002,08/31/08,TOTAL,OPTOMETRIST,10396,12787,"$706,647.82 "
IAMM4400-R002,08/31/08,ADC - ADULT,CHIROPRACTIC,1558,3770,"$131,867.56 ",IAMM4400-R002,08/31/08,ADC - CHILD,CHIROPRACTIC,749,1443,"$46,068.96 ",IAMM4400-R002,08/31/08,AGED,CHIROPRACTIC,419,1157,"$7,187.13 ",IAMM4400-R002,08/31/08,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,CHIROPRACTIC,201,376,"$13,189.63 ",IAMM4400-R002,08/31/08,DISABLED,CHIROPRACTIC,2183,5827,"$79,076.80 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,159,296,"$8,490.41 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,CHIROPRACTIC,311,615,"$9,025.52 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,CHIROPRACTIC,1,2,$12.60 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,4,8,$202.52 ,IAMM4400-R002,08/31/08,STATE ONLY,CHIROPRACTIC,5,11,$372.60 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,293,742,"$5,218.91 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,82,174,"$5,315.24 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,16,39,"$1,315.56 ",IAMM4400-R002,08/31/08,OTHER,CHIROPRACTIC,1289,2562,"$80,205.57 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,8,24,$833.35 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,CHIROPRACTIC,239,381,"$12,507.67 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,CHIROPRACTIC,48,92,"$3,206.23 ",IAMM4400-R002,08/31/08,TOTAL,CHIROPRACTIC,7508,17519,"$404,096.26 "
IAMM4400-R002,08/31/08,ADC - ADULT,PODIATRIC,263,423,"$47,823.39 ",IAMM4400-R002,08/31/08,ADC - CHILD,PODIATRIC,77,98,"$12,135.76 ",IAMM4400-R002,08/31/08,AGED,PODIATRIC,804,1246,"$12,447.73 ",IAMM4400-R002,08/31/08,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,PODIATRIC,28,36,"$3,649.68 ",IAMM4400-R002,08/31/08,DISABLED,PODIATRIC,1411,2488,"$90,952.67 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,39,46,"$3,922.73 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,PODIATRIC,612,857,"$20,956.86 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,PODIATRIC,1,1,$420.02 ,IAMM4400-R002,08/31/08,STATE ONLY,PODIATRIC,1,1,$27.14 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,PODIATRIC,1407,2075,"$23,648.17 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,47,71,"$1,912.48 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,13,24,"$1,684.70 ",IAMM4400-R002,08/31/08,OTHER,PODIATRIC,120,150,"$17,300.27 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,PODIATRIC,3,3,$411.44 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,PODIATRIC,18,23,"$4,000.19 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PODIATRIC,28,40,"$4,981.68 ",IAMM4400-R002,08/31/08,TOTAL,PODIATRIC,4857,7582,"$246,274.91 "
IAMM4400-R002,08/31/08,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,PHYSICAL DISABILITIES SVCS,429,17209,"$220,183.64 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,177,7040,"$80,452.58 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,PHYSICAL DISABILITIES SVCS,601,24249,"$300,636.22 "
IAMM4400-R002,08/31/08,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,BRAIN INJ WAIVER SERVICES,1,36,"$4,007.82 ",IAMM4400-R002,08/31/08,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,BRAIN INJ WAIVER SERVICES,299,17539,"$539,092.14 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,40,2068,"$61,667.84 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,272,14232,"$413,943.60 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,443,22725,"$744,180.28 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,BRAIN INJ WAIVER SERVICES,2,2,"($7,237.67)",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,BRAIN INJ WAIVER SERVICES,1039,56602,"$1,755,654.01 "
IAMM4400-R002,08/31/08,ADC - ADULT,PSYCHIATRIC,21,37,"$2,334.30 ",IAMM4400-R002,08/31/08,ADC - CHILD,PSYCHIATRIC,32,63,"$5,664.57 ",IAMM4400-R002,08/31/08,AGED,PSYCHIATRIC,171,352,"$9,331.23 ",IAMM4400-R002,08/31/08,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,PSYCHIATRIC,15,54,"$3,068.52 ",IAMM4400-R002,08/31/08,DISABLED,PSYCHIATRIC,2526,4839,"$146,952.49 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,26,52,"$4,060.91 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,PSYCHIATRIC,487,738,"$23,617.87 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,PSYCHIATRIC,1,2,$45.52 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,280,511,"$15,413.37 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,40,62,"$1,766.72 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,42,117,"$6,818.17 ",IAMM4400-R002,08/31/08,OTHER,PSYCHIATRIC,49,89,"$22,666.32 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,1,1,$45.01 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,PSYCHIATRIC,11,25,"$1,675.49 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,PSYCHIATRIC,5,9,$307.02 ,IAMM4400-R002,08/31/08,TOTAL,PSYCHIATRIC,3689,6951,"$243,767.51 "
IAMM4400-R002,08/31/08,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,RESIDENTIAL CARE FACILITY,326,10423,"$78,325.39 ",IAMM4400-R002,08/31/08,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,RESIDENTIAL CARE FACILITY,1370,41673,"$332,516.48 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,15,433,"$4,340.14 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,3,67,$690.85 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,8,172,"$2,472.95 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,RESIDENTIAL CARE FACILITY,1718,52768,"$418,345.81 "
IAMM4400-R002,08/31/08,ADC - ADULT,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,MR WAIVER SERVICE,1,69,$682.41 ,IAMM4400-R002,08/31/08,AGED,MR WAIVER SERVICE,79,5147,"$228,660.19 ",IAMM4400-R002,08/31/08,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,MR WAIVER SERVICE,2,109,"$1,341.49 ",IAMM4400-R002,08/31/08,DISABLED,MR WAIVER SERVICE,1010,64383,"$2,662,670.12 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,202,11744,"$246,294.43 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8267,587825,"$21,652,588.53 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,MR WAIVER SERVICE,2,59,"$8,184.10 ",IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,3,76,"$4,341.45 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,MR WAIVER SERVICE,9,192,"($118,594.65)",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,MR WAIVER SERVICE,4,121,"$3,241.50 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MR WAIVER SERVICE,3,118,"$3,650.34 ",IAMM4400-R002,08/31/08,TOTAL,MR WAIVER SERVICE,9535,669843,"$24,693,059.91 "
IAMM4400-R002,08/31/08,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,3,195,"$4,142.00 ",IAMM4400-R002,08/31/08,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,33,1513,"$29,710.08 ",IAMM4400-R002,08/31/08,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,CHILDRENS MENTAL HEALTH SVC,72,3916,"$74,398.92 ",IAMM4400-R002,08/31/08,DISABLED,CHILDRENS MENTAL HEALTH SVC,34,1678,"$32,758.19 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,1,12,"$1,080.00 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,246,10963,"$236,855.05 ",IAMM4400-R002,08/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,CHILDRENS MENTAL HEALTH SVC,60,2950,"$58,186.01 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,6,333,"$7,148.00 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,1,66,$864.60 ,IAMM4400-R002,08/31/08,TOTAL,CHILDRENS MENTAL HEALTH SVC,455,21626,"$445,142.85 "
IAMM4400-R002,08/31/08,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,AIDS WAIVER SERVICES,12,1086,"$13,010.71 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,35,3499,"$35,529.48 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,AIDS WAIVER SERVICES,46,4585,"$48,540.19 "
IAMM4400-R002,08/31/08,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,ELDERLY WAIVER SERVICES,3397,147005,"$2,163,097.14 ",IAMM4400-R002,08/31/08,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,ELDERLY WAIVER SERVICES,35,1448,"$25,477.07 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,2,70,"$1,112.79 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6247,286725,"$3,610,109.78 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,1,1,$74.80 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,ELDERLY WAIVER SERVICES,4,73,"$1,065.14 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,5,280,"$3,889.91 ",IAMM4400-R002,08/31/08,TOTAL,ELDERLY WAIVER SERVICES,9428,435602,"$5,804,826.63 "
IAMM4400-R002,08/31/08,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1765,97071,"$1,602,024.20 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,31,2533,"$42,717.49 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,149,8283,"$152,758.36 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,2,13,$214.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,ILL & HANDICAPPED WAIVER SVCS,2,8,($43.12),IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,2,158,"$1,967.68 ",IAMM4400-R002,08/31/08,TOTAL,ILL & HANDICAPPED WAIVER SVCS,1946,108066,"$1,799,638.61 "
IAMM4400-R002,08/31/08,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,08/31/08,ADC - ADULT,MEP SERVICES,3,4,"$1,922.76 ",IAMM4400-R002,08/31/08,ADC - CHILD,MEP SERVICES,32,30,"$14,625.75 ",IAMM4400-R002,08/31/08,AGED,MEP SERVICES,78,77,"$20,200.14 ",IAMM4400-R002,08/31/08,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,MEP SERVICES,74,78,"$34,047.90 ",IAMM4400-R002,08/31/08,DISABLED,MEP SERVICES,1179,1294,"$343,531.03 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,187,210,"$53,189.66 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,MEP SERVICES,7244,7926,"$2,029,283.64 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,MEP SERVICES,1,1,$227.60 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,MEP SERVICES,260,262,"$125,398.74 ",IAMM4400-R002,08/31/08,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,MEP SERVICES,119,137,"$36,202.03 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,1,1,$237.51 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,1,2,$265.99 ,IAMM4400-R002,08/31/08,OTHER,MEP SERVICES,69,80,"($147,304.16)",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,MEP SERVICES,6,7,"$3,170.52 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,MEP SERVICES,6,7,"$1,999.48 ",IAMM4400-R002,08/31/08,TOTAL,MEP SERVICES,9211,10116,"$2,516,998.59 "
IAMM4400-R002,08/31/08,ADC - ADULT,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,08/31/08,ADC - CHILD,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,08/31/08,AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,CMAP,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,DISABLED,UNASSIGNED,13,0,($2.48),IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,UNASSIGNED,4,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,UNASSIGNED,2,0,($50.46),IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER,UNASSIGNED,7,0,"($1,416,722.25)",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,OTHER TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,08/31/08,TOTAL,UNASSIGNED,32,0,"($1,416,775.19)"
IAMM4400-R002,08/31/08,ADC - ADULT,* A L L  C A T E G O R I E S *,48757,303500,"$15,584,497.66 ",IAMM4400-R002,08/31/08,ADC - CHILD,* A L L  C A T E G O R I E S *,68473,291408,"$10,465,986.70 ",IAMM4400-R002,08/31/08,AGED,* A L L  C A T E G O R I E S *,14064,602095,"$18,909,033.09 ",IAMM4400-R002,08/31/08,BLIND,* A L L  C A T E G O R I E S *,1,2,$116.82 ,IAMM4400-R002,08/31/08,CMAP,* A L L  C A T E G O R I E S *,13480,92601,"$4,844,920.31 ",IAMM4400-R002,08/31/08,DISABLED,* A L L  C A T E G O R I E S *,52437,1573319,"$46,073,837.25 ",IAMM4400-R002,08/31/08,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,08/31/08,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10161,244342,"$5,620,767.82 ",IAMM4400-R002,08/31/08,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11253,1151973,"$50,127,377.18 ",IAMM4400-R002,08/31/08,FEDERAL ONLY,* A L L  C A T E G O R I E S *,104,1053,"$48,744.86 ",IAMM4400-R002,08/31/08,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,20,-143,"$12,776.11 ",IAMM4400-R002,08/31/08,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,281,20756,"$631,803.63 ",IAMM4400-R002,08/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,291,2360,"$144,481.59 ",IAMM4400-R002,08/31/08,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,14922,1108673,"$34,188,929.26 ",IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,08/31/08,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,08/31/08,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1740,24160,"$991,986.63 ",IAMM4400-R002,08/31/08,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,743,18409,"$1,570,124.40 ",IAMM4400-R002,08/31/08,OTHER,* A L L  C A T E G O R I E S *,88632,427772,"$21,293,310.04 ",IAMM4400-R002,08/31/08,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,226,4463,"$469,711.66 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,125,133,"$76,498.11 ",IAMM4400-R002,08/31/08,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,4,7,$972.28 ,IAMM4400-R002,08/31/08,OTHER TXXI,* A L L  C A T E G O R I E S *,11486,57151,"$1,816,196.32 ",IAMM4400-R002,08/31/08,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,08/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,1383,20506,"$915,932.59 ",IAMM4400-R002,08/31/08,TOTAL,* A L L  C A T E G O R I E S *,338583,5944540,"$213,788,004.31 "