IAMM4400-R002ADCADULT_Report_Id,IAMM4400-R002ADCADULT_Report_as_of_Date,IAMM4400-R002ADCADULT_ProgramID,IAMM4400-R002ADCADULT_SVCCAT,ADCadult_Recips,ADCadult_Units,ADCadult_Amt,IAMM4400-R002ADCCHILD_Report_Id,IAMM4400-R002ADCCHILD_Report_as_of_Date,IAMM4400-R002ADCCHILD_ProgramID,IAMM4400-R002ADCCHILD_SVCCAT,ADCchild_Recips,ADCchild_Units,ADCchild_Amt,IAMM4400-R002AGED_Report_Id,IAMM4400-R002AGED_Report_as_of_Date,IAMM4400-R002AGED_ProgramID,IAMM4400-R002AGED_SVCCAT,Aged_Recps,Aged_units,Aged_Amt,IAMM4400-R002BLIND_Report_Id,IAMM4400-R002BLIND_Report_as_of_Date,IAMM4400-R002BLIND_ProgramID,IAMM4400-R002BLIND_SVCCAT,IAMM4400-R002BLIND_Blind_recips,IAMM4400-R002BLIND_Blind_units,IAMM4400-R002BLIND_Blind_amt,IAMM4400-R002CMAP_Report_Id,IAMM4400-R002CMAP_Report_as_of_Date,IAMM4400-R002CMAP_ProgramID,IAMM4400-R002CMAP_SVCCAT,Cmap_Recips,Cmap_Units,Cmap_Amt,IAMM4400-R002DISABLED_Report_Id,IAMM4400-R002DISABLED_Report_as_of_Date,IAMM4400-R002DISABLED_ProgramID,IAMM4400-R002DISABLED_SVCCAT,Disab_Recips,Disab_Units,Disab_Amt,IAMM4400-R002DSH_Report_Id,IAMM4400-R002DSH_Report_as_of_Date,IAMM4400-R002DSH_ProgramID,IAMM4400-R002DSH_SVCCAT,dsh_recips,dsh_units,dsh_amt,IAMM4400-R002FCPRESUBSUB_Report_Id,IAMM4400-R002FCPRESUBSUB_Report_as_of_Date,IAMM4400-R002FCPRESUBSUB_ProgramID,IAMM4400-R002FCPRESUBSUB_SVCCAT,FCpresubsub_recips,fcpresubsub_Units,fcpresubsub_amt,IAMM4400-R002FEDCNTY_Report_Id,IAMM4400-R002FEDCNTY_Report_as_of_Date,IAMM4400-R002FEDCNTY_ProgramID,IAMM4400-R002FEDCNTY_SVCCAT,Fedcnty_recips,Fedcnty_units,Fedcnty_amt,IAMM4400-R002FEDONLY_Report_Id,IAMM4400-R002FEDONLY_Report_as_of_Date,IAMM4400-R002FEDONLY_ProgramID,IAMM4400-R002FEDONLY_SVCCAT,Fed_Recips,Fed_Units,Fed_amt,IAMM4400-R002ICAREMHI_Report_Id,IAMM4400-R002ICAREMHI_Report_as_of_Date,IAMM4400-R002ICAREMHI_ProgramID,IAMM4400-R002ICAREMHI_SVCCAT,IcareMHI_recips,Icare_units,Icare_amt,IAMM4400-R002ICAREPMIC_Report_Id,IAMM4400-R002ICAREPMIC_Report_as_of_Date,IAMM4400-R002ICAREPMIC_ProgramID,IAMM4400-R002ICAREPMIC_SVCCAT,IcarePMIC_recips,IcarePMIC_units,IcarePMIC_amt,IAMM4400-R002ICARESTATEONLY_Report_Id,IAMM4400-R002ICARESTATEONLY_Report_as_of_Date,IAMM4400-R002ICARESTATEONLY_ProgramID,IAMM4400-R002ICARESTATEONLY_SVCCAT,IcareSO_recips,IcareSO_units,IcareSO_amt,IAMM4400-R002ICF_Report_Id,IAMM4400-R002ICF_Report_as_of_Date,IAMM4400-R002ICF_ProgramID,IAMM4400-R002ICF_SVCCAT,IFC_Recips,ICF_units,ICF_amt,IAMM4400-R002MEDICAIDAGED_Report_Id,IAMM4400-R002MEDICAIDAGED_Report_as_of_Date,IAMM4400-R002MEDICAIDAGED_ProgramID,IAMM4400-R002MEDICAIDAGED_SVCCAT,FMaged_recips,FMaged_units,FMaged_amt,IAMM4400-R002MEDICAIDBLIND_Report_Id,IAMM4400-R002MEDICAIDBLIND_Report_as_of_Date,IAMM4400-R002MEDICAIDBLIND_ProgramID,IAMM4400-R002MEDICAIDBLIND_SVCCAT,IAMM4400-R002MEDICAIDBLIND_Blind_recips,IAMM4400-R002MEDICAIDBLIND_Blind_units,IAMM4400-R002MEDICAIDBLIND_Blind_amt,IAMM4400-R002MNNOSPND_Report_Id,IAMM4400-R002MNNOSPND_Report_as_of_Date,IAMM4400-R002MNNOSPND_ProgramID,IAMM4400-R002MNNOSPND_SVCCAT,nospnd_recips,nospnd_units,nospnd_amt,IAMM4400-R002MNWITHSPND_Report_Id,IAMM4400-R002MNWITHSPND_Report_as_of_Date,IAMM4400-R002MNWITHSPND_ProgramID,IAMM4400-R002MNWITHSPND_SVCCAT,Spend_recips,spend_units,spend_amt,IAMM4400-R002OTHER_Report_Id,IAMM4400-R002OTHER_Report_as_of_Date,IAMM4400-R002OTHER_ProgramID,IAMM4400-R002OTHER_SVCCAT,Other_Recips,Other_Units,Other_Amt,IAMM4400-R002OTHERBCC_Report_Id,IAMM4400-R002OTHERBCC_Report_as_of_Date,IAMM4400-R002OTHERBCC_ProgramID,IAMM4400-R002OTHERBCC_SVCCAT,BCC_Recips,BCC_Units,BCC_Amt,IAMM4400-R002OTHERICAREADLT_Report_Id,IAMM4400-R002OTHERICAREADLT_Report_as_of_Date,IAMM4400-R002OTHERICAREADLT_ProgramID,IAMM4400-R002OTHERICAREADLT_SVCCAT,Icareadlt_recips,Icareadlt_units,Icareadlt_amt,IAMM4400-R002OTHERICAREOB_Report_Id,IAMM4400-R002OTHERICAREOB_Report_as_of_Date,IAMM4400-R002OTHERICAREOB_ProgramID,IAMM4400-R002OTHERICAREOB_SVCCAT,Icareob_recips,Icareob_units,Icareob_amt,IAMM4400-R002OTHERTXIX_Report_Id,IAMM4400-R002OTHERTXIX_Report_as_of_Date,IAMM4400-R002OTHERTXIX_ProgramID,IAMM4400-R002OTHERTXIX_SVCCAT,Oxix_recips,Oxix_Units,Oxix_Amt,IAMM4400-R002REFUGEETXIX_Report_Id,IAMM4400-R002REFUGEETXIX_Report_as_of_Date,IAMM4400-R002REFUGEETXIX_ProgramID,IAMM4400-R002REFUGEETXIX_SVCCAT,Refugee_Recips,Refugee_Units,Refugee_amt,IAMM4400-R002STATEONLY_Report_Id,IAMM4400-R002STATEONLY_Report_as_of_Date,IAMM4400-R002STATEONLY_ProgramID,IAMM4400-R002STATEONLY_SVCCAT,SO_recips,SO_units,SO_amt,IAMM4400-R002TOTAL_Report_Id,IAMM4400-R002TOTAL_Report_as_of_Date,IAMM4400-R002TOTAL_ProgramID,IAMM4400-R002TOTAL_SVCCAT,TOTAL_recips,TOTAL_units,TOTAL_amt
IAMM4400-R002,10/31/08,ADC - ADULT,INPATIENT,636,2097,"$2,619,775.78 ",IAMM4400-R002,10/31/08,ADC - CHILD,INPATIENT,315,1632,"$1,941,083.67 ",IAMM4400-R002,10/31/08,AGED,INPATIENT,479,1608,"$232,787.05 ",IAMM4400-R002,10/31/08,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,INPATIENT,365,7104,"$1,640,059.41 ",IAMM4400-R002,10/31/08,DISABLED,INPATIENT,1621,9911,"$6,723,598.79 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,52,129,"$167,525.08 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,INPATIENT,145,578,"$411,236.22 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,INPATIENT,4,20,"$19,216.95 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,INPATIENT,2,16,"$1,024.00 ",IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,INPATIENT,7,191,"$31,274.68 ",IAMM4400-R002,10/31/08,STATE ONLY,INPATIENT,7,15,"$20,082.88 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,INPATIENT,574,2600,"$720,391.40 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,INPATIENT,47,255,"$230,232.65 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,INPATIENT,157,730,"$1,126,722.24 ",IAMM4400-R002,10/31/08,OTHER,INPATIENT,1745,9154,"$9,273,429.73 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,INPATIENT,6,24,"$12,723.00 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,INPATIENT,2,0,"$25,248.82 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,INPATIENT,44,291,"$184,460.08 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,INPATIENT,14,74,"$72,288.17 ",IAMM4400-R002,10/31/08,TOTAL,INPATIENT,6200,36429,"$25,453,160.60 "
IAMM4400-R002,10/31/08,ADC - ADULT,OUTPATIENT,8097,100646,"$3,203,205.83 ",IAMM4400-R002,10/31/08,ADC - CHILD,OUTPATIENT,6504,44326,"$1,508,966.85 ",IAMM4400-R002,10/31/08,AGED,OUTPATIENT,3968,71535,"$465,737.51 ",IAMM4400-R002,10/31/08,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,OUTPATIENT,1863,19522,"$511,806.78 ",IAMM4400-R002,10/31/08,DISABLED,OUTPATIENT,15255,291288,"$5,533,542.23 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,851,7481,"$209,018.76 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,OUTPATIENT,2564,49033,"$532,322.23 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,OUTPATIENT,41,480,"$6,855.35 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,OUTPATIENT,6,36,$973.54 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,OUTPATIENT,35,318,"$5,700.11 ",IAMM4400-R002,10/31/08,STATE ONLY,OUTPATIENT,71,700,"$18,880.10 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,OUTPATIENT,5008,105927,"$656,097.37 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,454,7310,"$163,928.77 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,422,10520,"$287,454.74 ",IAMM4400-R002,10/31/08,OTHER,OUTPATIENT,10525,97140,"$2,509,845.52 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,OUTPATIENT,104,2876,"$123,113.14 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,OUTPATIENT,5,7,"$1,073.00 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,OUTPATIENT,1,1,$130.29 ,IAMM4400-R002,10/31/08,OTHER TXXI,OUTPATIENT,1007,7895,"$265,562.13 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,OUTPATIENT,305,3895,"$125,433.10 ",IAMM4400-R002,10/31/08,TOTAL,OUTPATIENT,56622,820936,"$16,129,647.35 "
IAMM4400-R002,10/31/08,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,SKILLED NURSING FACILITY,162,2529,"$418,911.45 ",IAMM4400-R002,10/31/08,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,SKILLED NURSING FACILITY,204,5029,"$2,308,522.00 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,28,"$9,194.18 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,13,164,"$30,712.92 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,370,5452,"$33,917.70 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,2,12,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,1,15,$0.00 ,IAMM4400-R002,10/31/08,OTHER,SKILLED NURSING FACILITY,3,46,"($14,092.68)",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,SKILLED NURSING FACILITY,753,13275,"$2,787,165.57 "
IAMM4400-R002,10/31/08,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,30,"$3,594.60 ",IAMM4400-R002,10/31/08,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,INTERMEDIATE CARE FACILITY,4656,134990,"$11,905,079.78 ",IAMM4400-R002,10/31/08,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,INTERMEDIATE CARE FACILITY,595,17298,"$1,869,030.06 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,9,219,"$24,548.84 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7360,214602,"$22,553,037.07 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,1,97,"$10,293.71 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,INTERMEDIATE CARE FACILITY,1,0,$360.16 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,INTERMEDIATE CARE FACILITY,12559,367236,"$36,365,944.22 "
IAMM4400-R002,10/31/08,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,INTER CARE MENTAL RETARDA,11,236,"$84,054.96 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,9,266,"$121,468.19 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2108,61961,"$25,478,748.33 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,3,26,"$8,703.40 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,INTER CARE MENTAL RETARDA,1,0,"$14,518.00 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,INTER CARE MENTAL RETARDA,2128,62489,"$25,707,492.88 "
IAMM4400-R002,10/31/08,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,NURSING FAC FOR MENTAL ILL,4,214,"$69,273.24 ",IAMM4400-R002,10/31/08,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,25,766,"$244,154.99 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,30,"$6,687.82 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,NURSING FAC FOR MENTAL ILL,29,1010,"$320,116.05 "
IAMM4400-R002,10/31/08,ADC - ADULT,HOME HEALTH,42,589,"$27,287.33 ",IAMM4400-R002,10/31/08,ADC - CHILD,HOME HEALTH,344,2267,"$65,900.49 ",IAMM4400-R002,10/31/08,AGED,HOME HEALTH,2201,44383,"$1,632,542.80 ",IAMM4400-R002,10/31/08,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,HOME HEALTH,60,200,"$10,188.22 ",IAMM4400-R002,10/31/08,DISABLED,HOME HEALTH,3192,95028,"$2,215,031.14 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,86,5229,"$71,246.07 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,HOME HEALTH,963,39428,"$989,326.46 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,HOME HEALTH,2,67,$31.20 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,3,$285.42 ,IAMM4400-R002,10/31/08,STATE ONLY,HOME HEALTH,1,1,$5.30 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,HOME HEALTH,3319,70252,"$2,598,805.27 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,48,2487,"$23,423.03 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,21,309,"$27,982.21 ",IAMM4400-R002,10/31/08,OTHER,HOME HEALTH,542,1853,"$36,453.42 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,HOME HEALTH,2,8,$867.82 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,HOME HEALTH,48,172,"$7,114.40 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,HOME HEALTH,17,108,"$8,618.53 ",IAMM4400-R002,10/31/08,TOTAL,HOME HEALTH,10797,262384,"$7,715,109.11 "
IAMM4400-R002,10/31/08,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,LEAD INSPECTION AGENCY,2,3,"$1,143.36 ",IAMM4400-R002,10/31/08,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,10/31/08,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,1,1,$381.12 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,LEAD INSPECTION AGENCY,2,2,$758.47 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,LEAD INSPECTION AGENCY,6,7,"$2,660.30 "
IAMM4400-R002,10/31/08,ADC - ADULT,PHYSICIAN,14929,29436,"$2,654,791.45 ",IAMM4400-R002,10/31/08,ADC - CHILD,PHYSICIAN,18041,30218,"$1,999,546.48 ",IAMM4400-R002,10/31/08,AGED,PHYSICIAN,6021,30055,"$320,451.78 ",IAMM4400-R002,10/31/08,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,PHYSICIAN,3877,7151,"$577,776.63 ",IAMM4400-R002,10/31/08,DISABLED,PHYSICIAN,23754,106710,"$3,920,998.33 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,PHYSICIAN,1,0,($12.43),IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2257,3411,"$208,390.15 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,PHYSICIAN,4269,15262,"$364,592.33 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,PHYSICIAN,52,113,"$11,911.67 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,PHYSICIAN,33,9,$535.59 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,PHYSICIAN,89,127,"$6,359.59 ",IAMM4400-R002,10/31/08,STATE ONLY,PHYSICIAN,124,252,"$16,717.29 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,PHYSICIAN,7076,37611,"$432,089.62 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,778,2353,"$131,998.11 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,660,2393,"$233,859.69 ",IAMM4400-R002,10/31/08,OTHER,PHYSICIAN,26592,47846,"$4,008,734.56 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,PHYSICIAN,169,708,"$203,254.01 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,PHYSICIAN,7,0,"$1,093.54 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,PHYSICIAN,2,3,$108.64 ,IAMM4400-R002,10/31/08,OTHER TXXI,PHYSICIAN,2901,4561,"$300,883.07 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PHYSICIAN,525,1252,"$100,958.85 ",IAMM4400-R002,10/31/08,TOTAL,PHYSICIAN,110254,319471,"$15,495,038.95 "
IAMM4400-R002,10/31/08,ADC - ADULT,CLINIC SERVICES,2897,4559,"$571,077.97 ",IAMM4400-R002,10/31/08,ADC - CHILD,CLINIC SERVICES,3838,5662,"$703,225.67 ",IAMM4400-R002,10/31/08,AGED,CLINIC SERVICES,471,338,"$29,937.82 ",IAMM4400-R002,10/31/08,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,CLINIC SERVICES,935,1417,"$176,267.64 ",IAMM4400-R002,10/31/08,DISABLED,CLINIC SERVICES,3149,5011,"$634,957.69 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,527,714,"$85,143.52 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,CLINIC SERVICES,343,491,"$51,245.59 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,CLINIC SERVICES,6,6,$900.42 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,CLINIC SERVICES,1,0,$25.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,12,16,"$1,645.93 ",IAMM4400-R002,10/31/08,STATE ONLY,CLINIC SERVICES,19,22,"$2,253.43 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,446,415,"$35,357.96 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,122,170,"$20,530.85 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,58,83,"$9,484.23 ",IAMM4400-R002,10/31/08,OTHER,CLINIC SERVICES,6705,10579,"$1,444,888.92 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,17,20,"$3,572.65 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,CLINIC SERVICES,1,1,$81.52 ,IAMM4400-R002,10/31/08,OTHER TXXI,CLINIC SERVICES,750,1078,"$126,250.46 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,CLINIC SERVICES,127,253,"$30,993.12 ",IAMM4400-R002,10/31/08,TOTAL,CLINIC SERVICES,20129,30835,"$3,927,840.39 "
IAMM4400-R002,10/31/08,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,LAB AND RADIOLOGICAL,2665,6457,"$152,405.17 ",IAMM4400-R002,10/31/08,ADC - CHILD,LAB AND RADIOLOGICAL,1125,2478,"$34,486.33 ",IAMM4400-R002,10/31/08,AGED,LAB AND RADIOLOGICAL,796,262,"$3,691.76 ",IAMM4400-R002,10/31/08,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,LAB AND RADIOLOGICAL,411,1351,"$25,051.29 ",IAMM4400-R002,10/31/08,DISABLED,LAB AND RADIOLOGICAL,3129,6027,"$90,633.32 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,203,568,"$9,264.60 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,470,710,"$8,121.97 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,LAB AND RADIOLOGICAL,17,82,"$1,435.42 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,8,29,$344.88 ,IAMM4400-R002,10/31/08,STATE ONLY,LAB AND RADIOLOGICAL,29,82,"$1,881.71 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1050,297,"$2,866.88 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,162,255,"$5,540.42 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,34,116,"$2,608.43 ",IAMM4400-R002,10/31/08,OTHER,LAB AND RADIOLOGICAL,2301,7066,"$131,675.40 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,27,237,"$4,290.15 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,LAB AND RADIOLOGICAL,156,534,"$7,977.61 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,LAB AND RADIOLOGICAL,71,237,"$3,961.32 ",IAMM4400-R002,10/31/08,TOTAL,LAB AND RADIOLOGICAL,12569,26788,"$486,236.66 "
IAMM4400-R002,10/31/08,ADC - ADULT,HABILITATION SERVICES,24,344,"$14,875.41 ",IAMM4400-R002,10/31/08,ADC - CHILD,HABILITATION SERVICES,1,15,$587.55 ,IAMM4400-R002,10/31/08,AGED,HABILITATION SERVICES,44,1280,"$71,671.16 ",IAMM4400-R002,10/31/08,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,HABILITATION SERVICES,20,297,"$19,528.81 ",IAMM4400-R002,10/31/08,DISABLED,HABILITATION SERVICES,2391,67741,"$3,261,420.73 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,9,265,"$11,565.13 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,14,371,"$14,730.54 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,HABILITATION SERVICES,2,-1,($257.82),IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,HABILITATION SERVICES,12,318,"$15,396.75 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,26,498,"$26,837.46 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,30,1050,"$78,219.68 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,3,26,"$1,190.01 ",IAMM4400-R002,10/31/08,OTHER,HABILITATION SERVICES,3,40,"$2,919.49 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,HABILITATION SERVICES,5,165,"$3,095.37 ",IAMM4400-R002,10/31/08,TOTAL,HABILITATION SERVICES,2573,72409,"$3,521,780.27 "
IAMM4400-R002,10/31/08,ADC - ADULT,REMEDIAL SERVICES,182,4625,"$77,493.93 ",IAMM4400-R002,10/31/08,ADC - CHILD,REMEDIAL SERVICES,1711,47972,"$883,405.29 ",IAMM4400-R002,10/31/08,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,REMEDIAL SERVICES,617,24553,"$366,994.03 ",IAMM4400-R002,10/31/08,DISABLED,REMEDIAL SERVICES,599,20541,"$348,438.23 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2445,287884,"$3,061,748.68 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,97,2694,"$57,212.70 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,112,4626,"$78,209.73 ",IAMM4400-R002,10/31/08,STATE ONLY,REMEDIAL SERVICES,17,393,"$7,780.18 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,2,62,"$1,258.29 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,7,77,"$1,433.68 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,42,$382.62 ,IAMM4400-R002,10/31/08,OTHER,REMEDIAL SERVICES,1412,44373,"$759,948.26 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,REMEDIAL SERVICES,238,9924,"$147,125.39 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,REMEDIAL SERVICES,81,11916,"$105,615.80 ",IAMM4400-R002,10/31/08,TOTAL,REMEDIAL SERVICES,7031,459682,"$5,897,046.81 "
IAMM4400-R002,10/31/08,ADC - ADULT,REHAB SUPPORT SERVICES,4,0,$615.34 ,IAMM4400-R002,10/31/08,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,REHAB SUPPORT SERVICES,2,0,"($1,532.02)",IAMM4400-R002,10/31/08,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,REHAB SUPPORT SERVICES,1,0,$769.21 ,IAMM4400-R002,10/31/08,DISABLED,REHAB SUPPORT SERVICES,317,-360,"$109,256.87 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,10,0,"($2,163.38)",IAMM4400-R002,10/31/08,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,3,15,"$1,738.64 ",IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,1,0,$185.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,3,0,$345.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,1,0,"$1,489.81 ",IAMM4400-R002,10/31/08,OTHER,REHAB SUPPORT SERVICES,2,0,"($38,689.41)",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,REHAB SUPPORT SERVICES,1,0,$362.46 ,IAMM4400-R002,10/31/08,TOTAL,REHAB SUPPORT SERVICES,336,-45,"$72,377.52 "
IAMM4400-R002,10/31/08,ADC - ADULT,AMBULANCE SERVICES,217,218,"$32,167.19 ",IAMM4400-R002,10/31/08,ADC - CHILD,AMBULANCE SERVICES,134,134,"$20,170.67 ",IAMM4400-R002,10/31/08,AGED,AMBULANCE SERVICES,244,274,"$25,834.01 ",IAMM4400-R002,10/31/08,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,AMBULANCE SERVICES,44,44,"$7,228.37 ",IAMM4400-R002,10/31/08,DISABLED,AMBULANCE SERVICES,805,968,"$108,699.33 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,23,25,"$3,481.11 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,121,141,"$13,056.23 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,1,4,$521.83 ,IAMM4400-R002,10/31/08,STATE ONLY,AMBULANCE SERVICES,2,2,$256.67 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,442,526,"$51,092.09 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,24,28,"$3,953.27 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,35,41,"$5,598.07 ",IAMM4400-R002,10/31/08,OTHER,AMBULANCE SERVICES,181,179,"$30,391.12 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,AMBULANCE SERVICES,18,14,"$1,460.00 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,AMBULANCE SERVICES,15,19,"$2,293.56 ",IAMM4400-R002,10/31/08,TOTAL,AMBULANCE SERVICES,2298,2617,"$306,203.52 "
IAMM4400-R002,10/31/08,ADC - ADULT,LOCAL EDUCATION AGENCY,9,536,"$3,508.62 ",IAMM4400-R002,10/31/08,ADC - CHILD,LOCAL EDUCATION AGENCY,76,787,"$7,228.42 ",IAMM4400-R002,10/31/08,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,LOCAL EDUCATION AGENCY,29,2055,"$9,280.14 ",IAMM4400-R002,10/31/08,DISABLED,LOCAL EDUCATION AGENCY,237,50532,"$365,439.80 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,46,3433,"$36,423.09 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,236,59903,"$433,788.54 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,9,1388,"$6,911.63 ",IAMM4400-R002,10/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,11,4910,"$28,121.75 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,LOCAL EDUCATION AGENCY,88,-1380,"($9,150.12)",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,LOCAL EDUCATION AGENCY,18,-1230,"($4,539.83)",IAMM4400-R002,10/31/08,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,LOCAL EDUCATION AGENCY,755,120934,"$877,012.04 "
IAMM4400-R002,10/31/08,ADC - ADULT,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,EARLY ACCESS SERVICES,80,445,"$10,848.90 ",IAMM4400-R002,10/31/08,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,EARLY ACCESS SERVICES,20,80,"$1,801.70 ",IAMM4400-R002,10/31/08,DISABLED,EARLY ACCESS SERVICES,76,586,"$11,333.47 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,24,92,"$2,725.82 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,31,234,"$3,901.10 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,4,24,$442.16 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,EARLY ACCESS SERVICES,84,325,"$7,521.36 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,EARLY ACCESS SERVICES,1,1,$13.84 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,EARLY ACCESS SERVICES,309,1787,"$38,588.35 "
IAMM4400-R002,10/31/08,ADC - ADULT,PRESCRIBED DRUGS,19721,54304,"$2,737,774.39 ",IAMM4400-R002,10/31/08,ADC - CHILD,PRESCRIBED DRUGS,16462,28558,"$1,572,676.99 ",IAMM4400-R002,10/31/08,AGED,PRESCRIBED DRUGS,2609,4275,"$54,734.70 ",IAMM4400-R002,10/31/08,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,PRESCRIBED DRUGS,4234,9481,"$609,036.62 ",IAMM4400-R002,10/31/08,DISABLED,PRESCRIBED DRUGS,23519,98495,"$7,771,581.83 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4620,11500,"$1,137,613.59 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,5696,17934,"$1,559,676.47 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,PRESCRIBED DRUGS,32,91,"$8,660.08 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,5,17,$100.02 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,269,943,"$88,819.49 ",IAMM4400-R002,10/31/08,STATE ONLY,PRESCRIBED DRUGS,148,342,"$22,854.28 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,9615,20752,"$394,214.14 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,985,3084,"$153,751.12 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,227,1013,"$65,428.43 ",IAMM4400-R002,10/31/08,OTHER,PRESCRIBED DRUGS,22786,40027,"$2,049,373.21 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,195,691,"$43,440.12 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,100,99,"$10,055.15 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,PRESCRIBED DRUGS,3178,5633,"$379,673.63 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PRESCRIBED DRUGS,846,3774,"$218,914.68 ",IAMM4400-R002,10/31/08,TOTAL,PRESCRIBED DRUGS,114057,301013,"$18,878,378.94 "
IAMM4400-R002,10/31/08,ADC - ADULT,DRUG CAPITATION,1,0,($112.42),IAMM4400-R002,10/31/08,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,DRUG CAPITATION,1,0,($112.42)
IAMM4400-R002,10/31/08,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,FAMILY PLANNING SERVICES,5951,6945,"$672,531.02 ",IAMM4400-R002,10/31/08,ADC - CHILD,FAMILY PLANNING SERVICES,989,1237,"$109,553.81 ",IAMM4400-R002,10/31/08,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,FAMILY PLANNING SERVICES,165,184,"$18,678.03 ",IAMM4400-R002,10/31/08,DISABLED,FAMILY PLANNING SERVICES,113,120,"$9,520.63 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,46,51,"$6,823.14 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,50,54,"$1,537.42 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,1,1,$153.90 ,IAMM4400-R002,10/31/08,STATE ONLY,FAMILY PLANNING SERVICES,12,13,"$1,802.22 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,2,2,$180.46 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,28,34,"$3,860.75 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,15,15,"$1,421.73 ",IAMM4400-R002,10/31/08,OTHER,FAMILY PLANNING SERVICES,398,443,"$52,811.05 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,1,1,$102.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,FAMILY PLANNING SERVICES,53,59,"$6,581.54 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,FAMILY PLANNING SERVICES,5,5,$523.98 ,IAMM4400-R002,10/31/08,TOTAL,FAMILY PLANNING SERVICES,7808,9164,"$886,081.68 "
IAMM4400-R002,10/31/08,ADC - ADULT,IOWA PLAN PROGRAM,37077,40642,"$1,281,621.04 ",IAMM4400-R002,10/31/08,ADC - CHILD,IOWA PLAN PROGRAM,62632,67151,"$674,388.32 ",IAMM4400-R002,10/31/08,AGED,IOWA PLAN PROGRAM,5,5,$339.55 ,IAMM4400-R002,10/31/08,BLIND,IOWA PLAN PROGRAM,1,1,$56.84 ,IAMM4400-R002,10/31/08,CMAP,IOWA PLAN PROGRAM,12715,14050,"$286,842.22 ",IAMM4400-R002,10/31/08,DISABLED,IOWA PLAN PROGRAM,48313,49648,"$3,654,924.85 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,9949,10383,"$1,042,247.96 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10585,10633,"$704,665.52 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,IOWA PLAN PROGRAM,94,127,"$3,460.24 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,22,24,"$1,469.99 ",IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,320,327,"$32,546.66 ",IAMM4400-R002,10/31/08,STATE ONLY,IOWA PLAN PROGRAM,369,388,"$55,601.84 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2170,2232,"$148,658.57 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1345,1503,"$54,940.60 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,IOWA PLAN PROGRAM,84934,94141,"$1,161,419.29 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,236,241,"$25,546.08 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,IOWA PLAN PROGRAM,12293,13122,"$141,667.20 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,IOWA PLAN PROGRAM,1308,1346,"$138,487.98 ",IAMM4400-R002,10/31/08,TOTAL,IOWA PLAN PROGRAM,283622,305964,"$9,408,884.75 "
IAMM4400-R002,10/31/08,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,EPSDT SCREENING,125,138,"$5,669.72 ",IAMM4400-R002,10/31/08,ADC - CHILD,EPSDT SCREENING,3207,3607,"$311,725.52 ",IAMM4400-R002,10/31/08,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,EPSDT SCREENING,677,791,"$68,067.08 ",IAMM4400-R002,10/31/08,DISABLED,EPSDT SCREENING,246,356,"$13,598.53 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,221,258,"$18,038.04 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,EPSDT SCREENING,63,106,"$4,118.32 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,18,21,$817.59 ,IAMM4400-R002,10/31/08,STATE ONLY,EPSDT SCREENING,6,6,$218.82 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,5,6,$231.47 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,7,7,$218.53 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,2,2,$655.35 ,IAMM4400-R002,10/31/08,OTHER,EPSDT SCREENING,5109,5600,"$612,618.59 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,EPSDT SCREENING,1,0,$153.31 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,EPSDT SCREENING,399,429,"$33,599.68 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,EPSDT SCREENING,5,8,$256.19 ,IAMM4400-R002,10/31/08,TOTAL,EPSDT SCREENING,10060,11335,"$1,069,986.74 "
IAMM4400-R002,10/31/08,ADC - ADULT,HMO SERVICES,1123,873,"$246,663.55 ",IAMM4400-R002,10/31/08,ADC - CHILD,HMO SERVICES,1883,1581,"$175,528.31 ",IAMM4400-R002,10/31/08,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,HMO SERVICES,387,302,"$37,161.28 ",IAMM4400-R002,10/31/08,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,6,6,$603.36 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,HMO SERVICES,1,1,$206.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,HMO SERVICES,2094,1740,"$238,643.29 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,HMO SERVICES,321,234,"$25,583.37 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,HMO SERVICES,5506,4737,"$724,389.16 "
IAMM4400-R002,10/31/08,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,PACE SERVICES,3,3,"$10,016.00 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,PACE SERVICES,6,7,"$19,392.00 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,PACE SERVICES,9,10,"$29,408.00 "
IAMM4400-R002,10/31/08,ADC - ADULT,PATIENT MANAGEMENT,22903,22903,"$45,806.00 ",IAMM4400-R002,10/31/08,ADC - CHILD,PATIENT MANAGEMENT,40535,40535,"$81,070.00 ",IAMM4400-R002,10/31/08,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,PATIENT MANAGEMENT,7563,7563,"$15,126.00 ",IAMM4400-R002,10/31/08,DISABLED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,101,101,$202.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,PATIENT MANAGEMENT,49,49,$98.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,PATIENT MANAGEMENT,57051,57051,"$114,102.00 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,PATIENT MANAGEMENT,8869,8869,"$17,738.00 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,PATIENT MANAGEMENT,137074,137074,"$274,148.00 "
IAMM4400-R002,10/31/08,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,220,513,"$17,265.66 ",IAMM4400-R002,10/31/08,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,308,779,"$19,716.47 ",IAMM4400-R002,10/31/08,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,HEALTH INS PREMIUM PAYMENT,64,164,"$6,616.18 ",IAMM4400-R002,10/31/08,DISABLED,HEALTH INS PREMIUM PAYMENT,649,1450,"$170,539.89 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,165,367,"$14,420.72 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,588,1318,"$172,520.29 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,1,4,$12.88 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,39,79,"$8,041.85 ",IAMM4400-R002,10/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,36,78,"$12,984.72 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,3,9,$115.98 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,HEALTH INS PREMIUM PAYMENT,2056,5735,"$146,554.22 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,19,38,"$2,815.51 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,3,8,$591.24 ,IAMM4400-R002,10/31/08,TOTAL,HEALTH INS PREMIUM PAYMENT,4151,10542,"$572,195.61 "
IAMM4400-R002,10/31/08,ADC - ADULT,MEDICAL SUPPLIES,954,21952,"$204,868.52 ",IAMM4400-R002,10/31/08,ADC - CHILD,MEDICAL SUPPLIES,770,10016,"$114,628.62 ",IAMM4400-R002,10/31/08,AGED,MEDICAL SUPPLIES,2731,165441,"$290,121.00 ",IAMM4400-R002,10/31/08,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,MEDICAL SUPPLIES,165,3573,"$25,806.47 ",IAMM4400-R002,10/31/08,DISABLED,MEDICAL SUPPLIES,8765,625600,"$1,636,023.45 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,203,23682,"$55,181.36 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2273,314252,"$505,845.78 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,1,1,$2.42 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,16,889,"$1,871.11 ",IAMM4400-R002,10/31/08,STATE ONLY,MEDICAL SUPPLIES,4,4,$566.60 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4523,379344,"$577,106.38 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,196,16274,"$23,497.48 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,78,2597,"$16,798.39 ",IAMM4400-R002,10/31/08,OTHER,MEDICAL SUPPLIES,1006,20273,"$150,703.81 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,24,927,"$3,870.32 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,1,7,$240.55 ,IAMM4400-R002,10/31/08,OTHER TXXI,MEDICAL SUPPLIES,123,3282,"$20,276.77 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MEDICAL SUPPLIES,140,8063,"$26,401.03 ",IAMM4400-R002,10/31/08,TOTAL,MEDICAL SUPPLIES,21561,1596177,"$3,653,810.06 "
IAMM4400-R002,10/31/08,ADC - ADULT,OTHER PRACTITIONER,1388,2793,"$198,853.06 ",IAMM4400-R002,10/31/08,ADC - CHILD,OTHER PRACTITIONER,2159,5507,"$203,275.25 ",IAMM4400-R002,10/31/08,AGED,OTHER PRACTITIONER,307,1094,"$16,872.43 ",IAMM4400-R002,10/31/08,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,OTHER PRACTITIONER,505,994,"$49,393.98 ",IAMM4400-R002,10/31/08,DISABLED,OTHER PRACTITIONER,2397,14012,"$369,020.93 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,488,2160,"$63,465.48 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,902,9524,"$253,986.99 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,OTHER PRACTITIONER,1,1,$5.40 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,20,122,"$3,709.22 ",IAMM4400-R002,10/31/08,STATE ONLY,OTHER PRACTITIONER,11,11,"$2,007.11 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,462,2246,"$46,319.82 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,71,217,"$9,715.46 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,70,172,"$9,369.49 ",IAMM4400-R002,10/31/08,OTHER,OTHER PRACTITIONER,3133,6273,"$339,475.83 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,10,22,"$1,614.89 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,OTHER PRACTITIONER,355,881,"$30,026.21 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,OTHER PRACTITIONER,59,150,"$7,505.12 ",IAMM4400-R002,10/31/08,TOTAL,OTHER PRACTITIONER,12228,46179,"$1,604,616.67 "
IAMM4400-R002,10/31/08,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,DENTAL,2856,3830,"$590,080.88 ",IAMM4400-R002,10/31/08,ADC - CHILD,DENTAL,4520,5343,"$684,018.00 ",IAMM4400-R002,10/31/08,AGED,DENTAL,390,491,"$67,792.76 ",IAMM4400-R002,10/31/08,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,DENTAL,981,1249,"$178,258.24 ",IAMM4400-R002,10/31/08,DISABLED,DENTAL,3660,4681,"$691,138.62 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1001,1172,"$169,554.27 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,DENTAL,1275,1467,"$131,874.57 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,DENTAL,19,24,"$2,786.15 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,DENTAL,1,1,$107.90 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,DENTAL,22,29,"$5,112.10 ",IAMM4400-R002,10/31/08,STATE ONLY,DENTAL,21,27,"$5,475.22 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,DENTAL,848,1036,"$139,279.50 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,DENTAL,140,187,"$37,367.06 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,DENTAL,51,70,"$16,181.08 ",IAMM4400-R002,10/31/08,OTHER,DENTAL,6310,7557,"$990,555.40 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,DENTAL,20,24,"$3,326.28 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,DENTAL,1243,1477,"$247,107.88 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,DENTAL,75,95,"$18,411.60 ",IAMM4400-R002,10/31/08,TOTAL,DENTAL,23348,28760,"$3,978,427.51 "
IAMM4400-R002,10/31/08,ADC - ADULT,OPTOMETRIST,1428,1739,"$127,266.39 ",IAMM4400-R002,10/31/08,ADC - CHILD,OPTOMETRIST,1585,1834,"$122,651.18 ",IAMM4400-R002,10/31/08,AGED,OPTOMETRIST,698,1096,"$25,376.43 ",IAMM4400-R002,10/31/08,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,OPTOMETRIST,372,460,"$30,250.49 ",IAMM4400-R002,10/31/08,DISABLED,OPTOMETRIST,2337,3132,"$155,012.93 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,436,505,"$32,788.20 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,OPTOMETRIST,548,746,"$30,867.48 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,OPTOMETRIST,3,4,$68.72 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,14,17,$867.40 ,IAMM4400-R002,10/31/08,STATE ONLY,OPTOMETRIST,15,18,"$1,129.86 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,OPTOMETRIST,766,1080,"$28,482.51 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,85,111,"$5,574.16 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,25,33,"$1,899.88 ",IAMM4400-R002,10/31/08,OTHER,OPTOMETRIST,2184,2539,"$164,537.08 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,7,9,$799.60 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,OPTOMETRIST,507,589,"$38,083.35 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,OPTOMETRIST,87,97,"$7,512.09 ",IAMM4400-R002,10/31/08,TOTAL,OPTOMETRIST,11071,14009,"$773,167.75 "
IAMM4400-R002,10/31/08,ADC - ADULT,CHIROPRACTIC,1773,4049,"$145,196.33 ",IAMM4400-R002,10/31/08,ADC - CHILD,CHIROPRACTIC,815,1468,"$48,635.40 ",IAMM4400-R002,10/31/08,AGED,CHIROPRACTIC,443,1152,"$8,255.61 ",IAMM4400-R002,10/31/08,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,CHIROPRACTIC,223,458,"$16,515.54 ",IAMM4400-R002,10/31/08,DISABLED,CHIROPRACTIC,2240,5510,"$77,730.96 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,136,272,"$8,354.68 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,CHIROPRACTIC,297,681,"$9,272.05 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,CHIROPRACTIC,1,9,$241.87 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,4,6,$121.89 ,IAMM4400-R002,10/31/08,STATE ONLY,CHIROPRACTIC,9,22,$738.50 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,313,703,"$4,437.74 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,84,178,"$5,654.35 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,8,21,$420.40 ,IAMM4400-R002,10/31/08,OTHER,CHIROPRACTIC,1386,2800,"$87,155.58 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,14,28,$939.22 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,CHIROPRACTIC,257,458,"$15,201.63 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,CHIROPRACTIC,55,136,"$4,592.22 ",IAMM4400-R002,10/31/08,TOTAL,CHIROPRACTIC,7997,17951,"$433,463.97 "
IAMM4400-R002,10/31/08,ADC - ADULT,PODIATRIC,212,265,"$30,565.09 ",IAMM4400-R002,10/31/08,ADC - CHILD,PODIATRIC,72,87,"$8,331.73 ",IAMM4400-R002,10/31/08,AGED,PODIATRIC,763,1220,"$12,430.92 ",IAMM4400-R002,10/31/08,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,PODIATRIC,23,30,"$4,642.35 ",IAMM4400-R002,10/31/08,DISABLED,PODIATRIC,1198,2093,"$69,579.55 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,22,22,"$2,751.91 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,PODIATRIC,563,765,"$18,638.49 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,PODIATRIC,1,1,$39.14 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,PODIATRIC,2,2,$893.74 ,IAMM4400-R002,10/31/08,STATE ONLY,PODIATRIC,1,1,$32.68 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,PODIATRIC,1251,1913,"$22,532.78 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,40,50,"$2,865.74 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,8,13,$909.86 ,IAMM4400-R002,10/31/08,OTHER,PODIATRIC,108,127,"$13,032.03 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,PODIATRIC,4,4,$216.94 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,PODIATRIC,30,37,"$5,307.97 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PODIATRIC,21,28,"$2,932.82 ",IAMM4400-R002,10/31/08,TOTAL,PODIATRIC,4296,6658,"$195,703.74 "
IAMM4400-R002,10/31/08,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,PHYSICAL DISABILITIES SVCS,1,50,$515.00 ,IAMM4400-R002,10/31/08,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,PHYSICAL DISABILITIES SVCS,438,18372,"$242,252.62 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,166,7533,"$87,366.50 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,PHYSICAL DISABILITIES SVCS,603,25955,"$330,134.12 "
IAMM4400-R002,10/31/08,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,BRAIN INJ WAIVER SERVICES,1,65,"$5,460.00 ",IAMM4400-R002,10/31/08,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,BRAIN INJ WAIVER SERVICES,306,19832,"$554,201.91 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,38,1779,"$51,604.86 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,269,16137,"$418,489.19 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,439,23478,"$701,316.58 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,BRAIN INJ WAIVER SERVICES,1,0,"($3,001.26)",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,BRAIN INJ WAIVER SERVICES,1,80,"$1,300.45 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,BRAIN INJ WAIVER SERVICES,1035,61371,"$1,729,371.73 "
IAMM4400-R002,10/31/08,ADC - ADULT,PSYCHIATRIC,32,45,"$2,740.53 ",IAMM4400-R002,10/31/08,ADC - CHILD,PSYCHIATRIC,10,12,"$1,449.92 ",IAMM4400-R002,10/31/08,AGED,PSYCHIATRIC,140,251,"$6,984.77 ",IAMM4400-R002,10/31/08,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,PSYCHIATRIC,12,28,"$1,820.65 ",IAMM4400-R002,10/31/08,DISABLED,PSYCHIATRIC,2428,4370,"$131,784.16 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,15,22,"$1,163.52 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,PSYCHIATRIC,458,690,"$21,759.79 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,PSYCHIATRIC,3,3,$81.58 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,288,495,"$14,516.83 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,42,101,"$2,024.00 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,35,87,"$5,239.10 ",IAMM4400-R002,10/31/08,OTHER,PSYCHIATRIC,22,31,"$56,176.84 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,2,2,$45.56 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,PSYCHIATRIC,5,7,$650.94 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,PSYCHIATRIC,2,2,$644.01 ,IAMM4400-R002,10/31/08,TOTAL,PSYCHIATRIC,3482,6146,"$247,082.20 "
IAMM4400-R002,10/31/08,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,RESIDENTIAL CARE FACILITY,329,10095,"$68,899.58 ",IAMM4400-R002,10/31/08,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,RESIDENTIAL CARE FACILITY,1,31,$289.45 ,IAMM4400-R002,10/31/08,DISABLED,RESIDENTIAL CARE FACILITY,1347,40233,"$299,211.92 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,14,477,"$4,041.84 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,6,111,$544.05 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,7,141,"$1,101.12 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,1,28,$262.50 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,RESIDENTIAL CARE FACILITY,1,0,$454.86 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,RESIDENTIAL CARE FACILITY,1698,51116,"$374,805.32 "
IAMM4400-R002,10/31/08,ADC - ADULT,MR WAIVER SERVICE,2,13,$831.73 ,IAMM4400-R002,10/31/08,ADC - CHILD,MR WAIVER SERVICE,2,30,$662.10 ,IAMM4400-R002,10/31/08,AGED,MR WAIVER SERVICE,81,4585,"$238,137.76 ",IAMM4400-R002,10/31/08,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,MR WAIVER SERVICE,1007,65648,"$2,855,889.45 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,184,7565,"$227,164.15 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8369,545000,"$22,429,094.49 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,MR WAIVER SERVICE,1,5,$314.50 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,8,327,"$10,945.59 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,MR WAIVER SERVICE,4,72,$211.49 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,MR WAIVER SERVICE,3,66,"$1,784.91 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MR WAIVER SERVICE,4,72,"$2,228.82 ",IAMM4400-R002,10/31/08,TOTAL,MR WAIVER SERVICE,9637,623383,"$25,767,264.99 "
IAMM4400-R002,10/31/08,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,5,257,"$4,074.78 ",IAMM4400-R002,10/31/08,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,25,1549,"$25,241.71 ",IAMM4400-R002,10/31/08,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,CHILDRENS MENTAL HEALTH SVC,72,3405,"$64,141.11 ",IAMM4400-R002,10/31/08,DISABLED,CHILDRENS MENTAL HEALTH SVC,35,894,"$22,483.35 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,253,10759,"$227,880.31 ",IAMM4400-R002,10/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,CHILDRENS MENTAL HEALTH SVC,51,2130,"$39,924.22 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,5,267,"$4,804.67 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,1,12,$69.47 ,IAMM4400-R002,10/31/08,TOTAL,CHILDRENS MENTAL HEALTH SVC,446,19273,"$388,619.62 "
IAMM4400-R002,10/31/08,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,AIDS WAIVER SERVICES,12,881,"$11,279.65 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,32,2835,"$30,228.86 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,AIDS WAIVER SERVICES,43,3716,"$41,508.51 "
IAMM4400-R002,10/31/08,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,ELDERLY WAIVER SERVICES,3424,149591,"$2,132,608.05 ",IAMM4400-R002,10/31/08,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,ELDERLY WAIVER SERVICES,31,1481,"$27,375.02 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,31,$527.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6275,293286,"$3,625,739.18 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,ELDERLY WAIVER SERVICES,6,227,"($8,004.71)",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,4,282,"$3,786.96 ",IAMM4400-R002,10/31/08,TOTAL,ELDERLY WAIVER SERVICES,9495,444898,"$5,782,031.50 "
IAMM4400-R002,10/31/08,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1761,86496,"$1,432,584.85 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,28,2291,"$36,875.35 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,146,7025,"$128,546.94 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,5,232,"$2,166.27 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,1,27,$330.48 ,IAMM4400-R002,10/31/08,TOTAL,ILL & HANDICAPPED WAIVER SVCS,1940,96071,"$1,600,503.89 "
IAMM4400-R002,10/31/08,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,10/31/08,ADC - ADULT,MEP SERVICES,5,6,"$1,788.58 ",IAMM4400-R002,10/31/08,ADC - CHILD,MEP SERVICES,32,36,"$16,038.14 ",IAMM4400-R002,10/31/08,AGED,MEP SERVICES,92,100,"$25,730.21 ",IAMM4400-R002,10/31/08,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,MEP SERVICES,70,75,"$33,590.20 ",IAMM4400-R002,10/31/08,DISABLED,MEP SERVICES,1240,1357,"$351,902.62 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,212,226,"$59,140.03 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,MEP SERVICES,8006,8762,"$2,232,298.56 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,MEP SERVICES,2,2,$450.01 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,MEP SERVICES,273,291,"$138,879.33 ",IAMM4400-R002,10/31/08,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,MEP SERVICES,138,151,"$40,202.86 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,1,2,$475.02 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,4,1,"$1,351.19 ",IAMM4400-R002,10/31/08,OTHER,MEP SERVICES,62,68,"$26,936.05 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,MEP SERVICES,7,8,"$3,490.00 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,MEP SERVICES,8,9,"$2,939.64 ",IAMM4400-R002,10/31/08,TOTAL,MEP SERVICES,10134,11094,"$2,935,212.44 "
IAMM4400-R002,10/31/08,ADC - ADULT,UNASSIGNED,4,0,$0.00 ,IAMM4400-R002,10/31/08,ADC - CHILD,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,10/31/08,AGED,UNASSIGNED,2,0,($20.40),IAMM4400-R002,10/31/08,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,CMAP,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,DISABLED,UNASSIGNED,7,0,($6.84),IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,UNASSIGNED,5,0,($15.90),IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER,UNASSIGNED,6,0,"($4,294,297.90)",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,10/31/08,TOTAL,UNASSIGNED,31,0,"($4,294,341.04)"
IAMM4400-R002,10/31/08,ADC - ADULT,* A L L  C A T E G O R I E S *,48721,310804,"$15,674,283.47 ",IAMM4400-R002,10/31/08,ADC - CHILD,* A L L  C A T E G O R I E S *,70058,305269,"$11,346,185.15 ",IAMM4400-R002,10/31/08,AGED,* A L L  C A T E G O R I E S *,14119,626979,"$18,128,624.71 ",IAMM4400-R002,10/31/08,BLIND,* A L L  C A T E G O R I E S *,1,1,$56.84 ,IAMM4400-R002,10/31/08,CMAP,* A L L  C A T E G O R I E S *,14041,106613,"$4,793,365.47 ",IAMM4400-R002,10/31/08,DISABLED,* A L L  C A T E G O R I E S *,52516,1721210,"$48,142,603.83 ",IAMM4400-R002,10/31/08,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,1,0,($12.43),IAMM4400-R002,10/31/08,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10206,371888,"$6,925,568.12 ",IAMM4400-R002,10/31/08,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11390,1166791,"$57,039,141.81 ",IAMM4400-R002,10/31/08,FEDERAL ONLY,* A L L  C A T E G O R I E S *,127,1006,"$55,785.03 ",IAMM4400-R002,10/31/08,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,19,312,"$7,253.88 ",IAMM4400-R002,10/31/08,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,293,20190,"$640,972.39 ",IAMM4400-R002,10/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,315,2617,"$173,681.44 ",IAMM4400-R002,10/31/08,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15033,1181846,"$33,300,748.39 ",IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/08,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/08,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1771,35909,"$976,909.74 ",IAMM4400-R002,10/31/08,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,783,18299,"$1,816,446.95 ",IAMM4400-R002,10/31/08,OTHER,* A L L  C A T E G O R I E S *,92838,464057,"$20,098,893.17 ",IAMM4400-R002,10/31/08,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,235,5822,"$427,721.78 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,99,106,"$37,623.82 ",IAMM4400-R002,10/31/08,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,5,12,$561.00 ,IAMM4400-R002,10/31/08,OTHER TXXI,* A L L  C A T E G O R I E S *,11754,58776,"$2,012,000.86 ",IAMM4400-R002,10/31/08,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,10/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,1377,32033,"$889,748.61 ",IAMM4400-R002,10/31/08,TOTAL,* A L L  C A T E G O R I E S *,345702,6430540,"$222,488,164.03 "