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-R002,12/31/08,ADC - ADULT,INPATIENT,653,2117,"$2,597,203.54 ",IAMM4400-R002,12/31/08,ADC - CHILD,INPATIENT,363,2391,"$2,567,735.91 ",IAMM4400-R002,12/31/08,AGED,INPATIENT,374,1649,"$431,903.84 ",IAMM4400-R002,12/31/08,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,INPATIENT,408,7540,"$2,250,538.02 ",IAMM4400-R002,12/31/08,DISABLED,INPATIENT,1571,9164,"$7,929,837.25 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,56,626,"$285,447.69 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,INPATIENT,145,747,"$447,967.60 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,INPATIENT,1,0,($667.42),IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,INPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,INPATIENT,5,60,"$8,335.98 ",IAMM4400-R002,12/31/08,STATE ONLY,INPATIENT,4,9,"$12,527.05 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,INPATIENT,524,2709,"$900,029.36 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,INPATIENT,63,442,"$647,997.29 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,INPATIENT,163,799,"$1,280,522.63 ",IAMM4400-R002,12/31/08,OTHER,INPATIENT,1891,9713,"$10,612,065.63 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,INPATIENT,6,10,"$21,064.16 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,INPATIENT,2,0,"$5,592.40 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,INPATIENT,73,559,"$261,130.35 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,INPATIENT,26,260,"$221,747.08 ",IAMM4400-R002,12/31/08,TOTAL,INPATIENT,6297,38795,"$30,480,978.36 "
IAMM4400-R002,12/31/08,ADC - ADULT,OUTPATIENT,8815,149897,"$3,371,368.40 ",IAMM4400-R002,12/31/08,ADC - CHILD,OUTPATIENT,7057,72015,"$1,735,601.15 ",IAMM4400-R002,12/31/08,AGED,OUTPATIENT,3662,83923,"$462,783.28 ",IAMM4400-R002,12/31/08,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,OUTPATIENT,2034,29870,"$604,733.84 ",IAMM4400-R002,12/31/08,DISABLED,OUTPATIENT,14527,349958,"$4,838,295.21 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,861,11416,"$192,668.43 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,OUTPATIENT,2490,51107,"$467,580.49 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,OUTPATIENT,32,359,"$10,339.94 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,OUTPATIENT,13,229,"$2,072.59 ",IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,OUTPATIENT,43,604,"$6,651.34 ",IAMM4400-R002,12/31/08,STATE ONLY,OUTPATIENT,78,663,"$24,579.73 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,OUTPATIENT,4876,114205,"$624,805.93 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,442,11042,"$179,696.42 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,474,13060,"$328,407.34 ",IAMM4400-R002,12/31/08,OTHER,OUTPATIENT,11458,158402,"$3,547,419.64 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,OUTPATIENT,116,2885,"$85,938.98 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,OUTPATIENT,2,0,$757.77 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,OUTPATIENT,3,5,$363.96 ,IAMM4400-R002,12/31/08,OTHER TXXI,OUTPATIENT,1057,13391,"$312,210.53 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,OUTPATIENT,348,6744,"$181,517.61 ",IAMM4400-R002,12/31/08,TOTAL,OUTPATIENT,57872,1069775,"$16,977,792.58 "
IAMM4400-R002,12/31/08,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,SKILLED NURSING FACILITY,154,2230,"$4,300.68 ",IAMM4400-R002,12/31/08,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,SKILLED NURSING FACILITY,193,4760,"$1,930,940.65 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,13,230,"$21,238.75 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,355,5194,"$48,373.04 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,2,39,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,5,94,"$2,535.70 ",IAMM4400-R002,12/31/08,OTHER,SKILLED NURSING FACILITY,5,44,"$10,765.88 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,SKILLED NURSING FACILITY,720,12591,"$2,018,154.70 "
IAMM4400-R002,12/31/08,ADC - ADULT,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,INTERMEDIATE CARE FACILITY,4586,134340,"$11,843,785.61 ",IAMM4400-R002,12/31/08,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,INTERMEDIATE CARE FACILITY,591,17124,"$1,882,919.90 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,5,112,"$11,092.31 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7231,212009,"$22,099,119.72 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,2,25,"$3,053.61 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,INTERMEDIATE CARE FACILITY,2,54,"$3,642.66 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,INTERMEDIATE CARE FACILITY,12374,363664,"$35,843,613.81 "
IAMM4400-R002,12/31/08,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,INTER CARE MENTAL RETARDA,12,269,"$85,969.12 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,9,211,"$85,062.22 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2109,61401,"$23,994,295.16 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,1,0,($144.00),IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,INTER CARE MENTAL RETARDA,1,0,"($1,390,490.00)",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,INTER CARE MENTAL RETARDA,2128,61881,"$22,774,692.50 "
IAMM4400-R002,12/31/08,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,NURSING FAC FOR MENTAL ILL,4,182,"$34,329.41 ",IAMM4400-R002,12/31/08,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,13,403,"$78,113.45 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,30,"$6,513.60 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,NURSING FAC FOR MENTAL ILL,18,615,"$118,956.46 "
IAMM4400-R002,12/31/08,ADC - ADULT,HOME HEALTH,67,734,"$33,845.05 ",IAMM4400-R002,12/31/08,ADC - CHILD,HOME HEALTH,563,2643,"$66,362.25 ",IAMM4400-R002,12/31/08,AGED,HOME HEALTH,2593,56469,"$2,023,891.50 ",IAMM4400-R002,12/31/08,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,HOME HEALTH,134,392,"$18,937.50 ",IAMM4400-R002,12/31/08,DISABLED,HOME HEALTH,3937,125446,"$3,447,876.20 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,116,4293,"$111,437.37 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,HOME HEALTH,1235,57109,"$1,576,958.93 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,HOME HEALTH,4,41,$105.92 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,HOME HEALTH,2,2,$10.40 ,IAMM4400-R002,12/31/08,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,HOME HEALTH,3890,89181,"$3,266,388.18 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,55,1217,"$22,597.04 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,26,458,"$35,170.18 ",IAMM4400-R002,12/31/08,OTHER,HOME HEALTH,895,4543,"$267,234.55 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,HOME HEALTH,5,92,"$9,830.45 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,HOME HEALTH,90,190,"$4,980.68 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,HOME HEALTH,27,355,"$17,541.67 ",IAMM4400-R002,12/31/08,TOTAL,HOME HEALTH,13526,343165,"$10,903,167.87 "
IAMM4400-R002,12/31/08,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,LEAD INSPECTION AGENCY,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,PHYSICIAN,16284,33878,"$3,274,343.42 ",IAMM4400-R002,12/31/08,ADC - CHILD,PHYSICIAN,20607,36479,"$2,383,584.93 ",IAMM4400-R002,12/31/08,AGED,PHYSICIAN,6256,33707,"$354,730.18 ",IAMM4400-R002,12/31/08,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,PHYSICIAN,4493,8789,"$690,034.61 ",IAMM4400-R002,12/31/08,DISABLED,PHYSICIAN,24779,123787,"$4,489,743.74 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2643,4218,"$243,479.73 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,PHYSICIAN,4731,14958,"$387,563.11 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,PHYSICIAN,56,114,"$11,562.42 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,PHYSICIAN,35,32,$855.14 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,PHYSICIAN,126,191,"$9,009.74 ",IAMM4400-R002,12/31/08,STATE ONLY,PHYSICIAN,126,269,"$21,052.50 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,PHYSICIAN,6989,40767,"$480,518.91 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,845,2750,"$178,919.81 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,810,3135,"$247,415.51 ",IAMM4400-R002,12/31/08,OTHER,PHYSICIAN,31190,59842,"$5,045,675.71 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,PHYSICIAN,175,637,"$168,279.67 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,PHYSICIAN,7,2,"$1,847.88 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,PHYSICIAN,4,4,$246.09 ,IAMM4400-R002,12/31/08,OTHER TXXI,PHYSICIAN,3248,5384,"$352,205.67 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PHYSICIAN,631,1601,"$135,182.18 ",IAMM4400-R002,12/31/08,TOTAL,PHYSICIAN,121741,370544,"$18,476,250.95 "
IAMM4400-R002,12/31/08,ADC - ADULT,CLINIC SERVICES,2871,4034,"$538,635.66 ",IAMM4400-R002,12/31/08,ADC - CHILD,CLINIC SERVICES,3748,4955,"$639,415.52 ",IAMM4400-R002,12/31/08,AGED,CLINIC SERVICES,496,566,"$25,373.41 ",IAMM4400-R002,12/31/08,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,CLINIC SERVICES,971,1324,"$170,067.27 ",IAMM4400-R002,12/31/08,DISABLED,CLINIC SERVICES,3215,4473,"$602,841.39 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,CLINIC SERVICES,1,0,$18.32 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,521,710,"$77,156.73 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,CLINIC SERVICES,373,466,"$47,175.57 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,CLINIC SERVICES,15,23,"$3,451.61 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,CLINIC SERVICES,2,0,$75.21 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,16,17,"$1,751.86 ",IAMM4400-R002,12/31/08,STATE ONLY,CLINIC SERVICES,17,21,"$2,213.77 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,439,406,"$32,580.05 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,124,155,"$21,428.57 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,61,76,"$10,400.71 ",IAMM4400-R002,12/31/08,OTHER,CLINIC SERVICES,7071,10138,"$1,091,870.50 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,18,22,"$3,485.91 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,CLINIC SERVICES,719,893,"$105,794.90 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,CLINIC SERVICES,138,175,"$24,927.23 ",IAMM4400-R002,12/31/08,TOTAL,CLINIC SERVICES,20622,28454,"$3,398,664.19 "
IAMM4400-R002,12/31/08,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,LAB AND RADIOLOGICAL,3176,8378,"$210,171.85 ",IAMM4400-R002,12/31/08,ADC - CHILD,LAB AND RADIOLOGICAL,2357,4235,"$65,556.82 ",IAMM4400-R002,12/31/08,AGED,LAB AND RADIOLOGICAL,805,197,"$2,251.25 ",IAMM4400-R002,12/31/08,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,LAB AND RADIOLOGICAL,564,1598,"$31,281.44 ",IAMM4400-R002,12/31/08,DISABLED,LAB AND RADIOLOGICAL,3110,6071,"$92,648.94 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,309,869,"$13,751.47 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,476,660,"$8,436.19 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,LAB AND RADIOLOGICAL,19,120,"$2,132.57 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,1,1,$4.62 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,8,41,$652.58 ,IAMM4400-R002,12/31/08,STATE ONLY,LAB AND RADIOLOGICAL,17,73,"$1,763.19 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1039,391,"$4,421.52 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,164,275,"$6,833.71 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,39,136,"$2,499.09 ",IAMM4400-R002,12/31/08,OTHER,LAB AND RADIOLOGICAL,3983,10071,"$183,721.55 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,31,85,"$1,743.34 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,LAB AND RADIOLOGICAL,204,536,"$8,923.22 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,LAB AND RADIOLOGICAL,64,213,"$3,336.34 ",IAMM4400-R002,12/31/08,TOTAL,LAB AND RADIOLOGICAL,16282,33950,"$640,129.69 "
IAMM4400-R002,12/31/08,ADC - ADULT,HABILITATION SERVICES,27,318,"$17,275.66 ",IAMM4400-R002,12/31/08,ADC - CHILD,HABILITATION SERVICES,1,22,$983.84 ,IAMM4400-R002,12/31/08,AGED,HABILITATION SERVICES,51,1738,"$99,249.03 ",IAMM4400-R002,12/31/08,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,HABILITATION SERVICES,22,288,"$17,782.48 ",IAMM4400-R002,12/31/08,DISABLED,HABILITATION SERVICES,2443,70636,"$3,799,811.30 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,11,410,"$16,603.72 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,18,369,"$16,287.83 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,HABILITATION SERVICES,2,49,"$3,679.62 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,30,588,"$32,343.61 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,30,1011,"$68,323.24 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,9,613,"$26,668.50 ",IAMM4400-R002,12/31/08,OTHER,HABILITATION SERVICES,2,11,"$1,043.10 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,HABILITATION SERVICES,1,3,$57.99 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,HABILITATION SERVICES,4,77,"$1,946.96 ",IAMM4400-R002,12/31/08,TOTAL,HABILITATION SERVICES,2641,76133,"$4,102,056.88 "
IAMM4400-R002,12/31/08,ADC - ADULT,REMEDIAL SERVICES,232,4837,"$95,652.79 ",IAMM4400-R002,12/31/08,ADC - CHILD,REMEDIAL SERVICES,2276,42660,"$1,291,283.06 ",IAMM4400-R002,12/31/08,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,REMEDIAL SERVICES,757,15630,"$384,845.67 ",IAMM4400-R002,12/31/08,DISABLED,REMEDIAL SERVICES,731,17501,"$506,996.09 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2489,180174,"$2,193,097.09 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,143,2995,"$68,613.40 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,167,4892,"$123,191.14 ",IAMM4400-R002,12/31/08,STATE ONLY,REMEDIAL SERVICES,22,350,"$8,967.25 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,4,31,"$5,782.70 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,10,117,"$1,782.73 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,2,32,$442.16 ,IAMM4400-R002,12/31/08,OTHER,REMEDIAL SERVICES,1888,36390,"$1,028,193.29 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,REMEDIAL SERVICES,388,6386,"$189,607.45 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,REMEDIAL SERVICES,54,1842,"$21,805.66 ",IAMM4400-R002,12/31/08,TOTAL,REMEDIAL SERVICES,8345,313837,"$5,920,260.48 "
IAMM4400-R002,12/31/08,ADC - ADULT,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,REHAB SUPPORT SERVICES,8,155,"$1,526.22 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,1,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,REHAB SUPPORT SERVICES,2,0,"($6,265.49)",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,REHAB SUPPORT SERVICES,9,155,"($4,739.27)"
IAMM4400-R002,12/31/08,ADC - ADULT,AMBULANCE SERVICES,298,326,"$45,803.36 ",IAMM4400-R002,12/31/08,ADC - CHILD,AMBULANCE SERVICES,156,160,"$22,630.37 ",IAMM4400-R002,12/31/08,AGED,AMBULANCE SERVICES,296,334,"$29,066.55 ",IAMM4400-R002,12/31/08,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,AMBULANCE SERVICES,83,92,"$13,993.75 ",IAMM4400-R002,12/31/08,DISABLED,AMBULANCE SERVICES,940,1111,"$134,378.44 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,22,22,"$2,739.15 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,125,145,"$17,701.17 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,1,1,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,AMBULANCE SERVICES,6,6,$742.56 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,464,617,"$53,995.82 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,33,32,"$4,296.64 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,49,49,"$8,170.66 ",IAMM4400-R002,12/31/08,OTHER,AMBULANCE SERVICES,212,218,"$36,437.95 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,2,3,$643.48 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,AMBULANCE SERVICES,31,31,"$5,156.25 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,AMBULANCE SERVICES,14,16,"$1,972.68 ",IAMM4400-R002,12/31/08,TOTAL,AMBULANCE SERVICES,2720,3163,"$377,728.83 "
IAMM4400-R002,12/31/08,ADC - ADULT,LOCAL EDUCATION AGENCY,5,1347,"$14,556.35 ",IAMM4400-R002,12/31/08,ADC - CHILD,LOCAL EDUCATION AGENCY,95,15857,"$125,393.84 ",IAMM4400-R002,12/31/08,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,LOCAL EDUCATION AGENCY,28,5896,"$38,950.20 ",IAMM4400-R002,12/31/08,DISABLED,LOCAL EDUCATION AGENCY,361,86440,"$877,758.91 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,79,21432,"$197,457.47 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,438,122674,"$1,316,504.19 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,12,3545,"$19,571.82 ",IAMM4400-R002,12/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,16,3254,"$30,540.32 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,LOCAL EDUCATION AGENCY,111,17708,"$141,682.92 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,LOCAL EDUCATION AGENCY,27,7309,"$54,952.26 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,LOCAL EDUCATION AGENCY,2,2129,"$11,355.60 ",IAMM4400-R002,12/31/08,TOTAL,LOCAL EDUCATION AGENCY,1170,287591,"$2,828,723.88 "
IAMM4400-R002,12/31/08,ADC - ADULT,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,EARLY ACCESS SERVICES,119,382,"$11,637.10 ",IAMM4400-R002,12/31/08,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,EARLY ACCESS SERVICES,28,102,"$2,793.91 ",IAMM4400-R002,12/31/08,DISABLED,EARLY ACCESS SERVICES,129,856,"$16,123.50 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,51,201,"$5,649.56 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,40,289,"$5,248.95 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,3,19,$260.84 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,EARLY ACCESS SERVICES,153,560,"$15,369.93 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,EARLY ACCESS SERVICES,5,20,$542.44 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,EARLY ACCESS SERVICES,2,9,$100.60 ,IAMM4400-R002,12/31/08,TOTAL,EARLY ACCESS SERVICES,512,2438,"$57,726.83 "
IAMM4400-R002,12/31/08,ADC - ADULT,PRESCRIBED DRUGS,20982,62607,"$3,230,566.00 ",IAMM4400-R002,12/31/08,ADC - CHILD,PRESCRIBED DRUGS,18665,33309,"$1,961,525.78 ",IAMM4400-R002,12/31/08,AGED,PRESCRIBED DRUGS,3448,6532,"$73,265.87 ",IAMM4400-R002,12/31/08,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,PRESCRIBED DRUGS,4757,11849,"$722,288.68 ",IAMM4400-R002,12/31/08,DISABLED,PRESCRIBED DRUGS,24893,116278,"$9,138,990.23 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,5180,14022,"$1,135,276.11 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6263,22376,"$1,735,493.76 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,PRESCRIBED DRUGS,33,72,"$4,215.64 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,11,18,$147.64 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,358,1351,"$119,726.84 ",IAMM4400-R002,12/31/08,STATE ONLY,PRESCRIBED DRUGS,153,418,"$25,214.06 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10492,25121,"$462,666.55 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,1041,3532,"$162,760.38 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,289,1379,"$63,217.45 ",IAMM4400-R002,12/31/08,OTHER,PRESCRIBED DRUGS,26725,48142,"$2,397,873.87 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,203,852,"$53,619.21 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,107,118,"$10,908.81 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,PRESCRIBED DRUGS,3594,6493,"$467,826.56 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PRESCRIBED DRUGS,983,4337,"$244,749.55 ",IAMM4400-R002,12/31/08,TOTAL,PRESCRIBED DRUGS,125627,358806,"$22,010,332.99 "
IAMM4400-R002,12/31/08,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,DRUG CAPITATION,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,FAMILY PLANNING SERVICES,7172,8456,"$790,329.27 ",IAMM4400-R002,12/31/08,ADC - CHILD,FAMILY PLANNING SERVICES,1194,1538,"$136,751.60 ",IAMM4400-R002,12/31/08,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,FAMILY PLANNING SERVICES,204,249,"$16,945.88 ",IAMM4400-R002,12/31/08,DISABLED,FAMILY PLANNING SERVICES,140,154,"$11,298.44 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,37,44,"$5,697.92 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,39,41,"$2,405.96 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,2,3,$136.06 ,IAMM4400-R002,12/31/08,STATE ONLY,FAMILY PLANNING SERVICES,20,20,"$1,406.41 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,1,1,$93.06 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,37,44,"$4,305.25 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,6,6,$405.40 ,IAMM4400-R002,12/31/08,OTHER,FAMILY PLANNING SERVICES,428,508,"$60,275.37 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,2,2,$147.06 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,FAMILY PLANNING SERVICES,84,100,"$11,228.56 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,FAMILY PLANNING SERVICES,4,6,$430.11 ,IAMM4400-R002,12/31/08,TOTAL,FAMILY PLANNING SERVICES,9340,11172,"$1,041,856.35 "
IAMM4400-R002,12/31/08,ADC - ADULT,IOWA PLAN PROGRAM,36936,40566,"$1,266,357.62 ",IAMM4400-R002,12/31/08,ADC - CHILD,IOWA PLAN PROGRAM,62781,67275,"$669,181.98 ",IAMM4400-R002,12/31/08,AGED,IOWA PLAN PROGRAM,2,2,$169.72 ,IAMM4400-R002,12/31/08,BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,IOWA PLAN PROGRAM,13136,14455,"$284,172.21 ",IAMM4400-R002,12/31/08,DISABLED,IOWA PLAN PROGRAM,48281,49547,"$3,651,029.20 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,9902,10211,"$969,765.92 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10643,10721,"$712,488.99 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,IOWA PLAN PROGRAM,100,117,"$3,118.14 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,25,26,"$1,636.92 ",IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,393,417,"$41,791.63 ",IAMM4400-R002,12/31/08,STATE ONLY,IOWA PLAN PROGRAM,371,385,"$52,611.78 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2175,2229,"$150,221.25 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1336,1452,"$52,567.92 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,IOWA PLAN PROGRAM,87114,95607,"$1,161,366.89 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,240,243,"$25,625.59 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,IOWA PLAN PROGRAM,12508,13363,"$143,283.80 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,IOWA PLAN PROGRAM,1613,1687,"$145,742.53 ",IAMM4400-R002,12/31/08,TOTAL,IOWA PLAN PROGRAM,286547,308303,"$9,331,132.09 "
IAMM4400-R002,12/31/08,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,EPSDT SCREENING,178,212,"$7,546.60 ",IAMM4400-R002,12/31/08,ADC - CHILD,EPSDT SCREENING,4642,5318,"$367,231.88 ",IAMM4400-R002,12/31/08,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,EPSDT SCREENING,1078,1246,"$81,969.78 ",IAMM4400-R002,12/31/08,DISABLED,EPSDT SCREENING,335,448,"$19,355.89 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,316,363,"$18,096.30 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,EPSDT SCREENING,89,128,"$4,766.52 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,20,21,$902.47 ,IAMM4400-R002,12/31/08,STATE ONLY,EPSDT SCREENING,11,11,$370.97 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,2,11,$383.22 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,19,19,$647.12 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,EPSDT SCREENING,7226,8019,"$771,772.56 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,EPSDT SCREENING,597,629,"$44,832.16 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,EPSDT SCREENING,7,7,$190.14 ,IAMM4400-R002,12/31/08,TOTAL,EPSDT SCREENING,14457,16432,"$1,318,065.61 "
IAMM4400-R002,12/31/08,ADC - ADULT,HMO SERVICES,835,865,"$236,107.78 ",IAMM4400-R002,12/31/08,ADC - CHILD,HMO SERVICES,1476,1526,"$159,853.36 ",IAMM4400-R002,12/31/08,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,HMO SERVICES,315,317,"$39,189.13 ",IAMM4400-R002,12/31/08,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,HMO SERVICES,2,2,$488.17 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,HMO SERVICES,1748,1809,"$247,127.78 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,HMO SERVICES,245,248,"$25,603.12 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,HMO SERVICES,10,10,$922.62 ,IAMM4400-R002,12/31/08,TOTAL,HMO SERVICES,4611,4777,"$709,291.96 "
IAMM4400-R002,12/31/08,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,PACE SERVICES,5,5,"$18,716.00 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,PACE SERVICES,11,11,"$27,903.00 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,PACE SERVICES,16,16,"$46,619.00 "
IAMM4400-R002,12/31/08,ADC - ADULT,PATIENT MANAGEMENT,22679,22679,"$45,358.00 ",IAMM4400-R002,12/31/08,ADC - CHILD,PATIENT MANAGEMENT,40550,40550,"$81,100.00 ",IAMM4400-R002,12/31/08,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,PATIENT MANAGEMENT,7673,7673,"$15,346.00 ",IAMM4400-R002,12/31/08,DISABLED,PATIENT MANAGEMENT,3,3,$6.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,76,76,$152.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,PATIENT MANAGEMENT,56,56,$112.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,11,11,$22.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,PATIENT MANAGEMENT,58318,58318,"$116,636.00 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,PATIENT MANAGEMENT,8904,8904,"$17,808.00 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,PATIENT MANAGEMENT,138270,138270,"$276,540.00 "
IAMM4400-R002,12/31/08,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,209,575,"$18,546.92 ",IAMM4400-R002,12/31/08,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,308,915,"$23,019.04 ",IAMM4400-R002,12/31/08,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,HEALTH INS PREMIUM PAYMENT,58,180,"$6,239.37 ",IAMM4400-R002,12/31/08,DISABLED,HEALTH INS PREMIUM PAYMENT,633,1722,"$176,507.99 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,158,455,"$17,753.42 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,581,1567,"$190,697.52 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,46,127,"$11,782.09 ",IAMM4400-R002,12/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,37,91,"$12,433.63 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,3,13,$171.48 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,HEALTH INS PREMIUM PAYMENT,2063,6801,"$166,126.40 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,23,53,"$1,534.40 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,HEALTH INS PREMIUM PAYMENT,3,10,$813.26 ,IAMM4400-R002,12/31/08,TOTAL,HEALTH INS PREMIUM PAYMENT,4122,12509,"$625,625.52 "
IAMM4400-R002,12/31/08,ADC - ADULT,MEDICAL SUPPLIES,1231,34023,"$239,828.81 ",IAMM4400-R002,12/31/08,ADC - CHILD,MEDICAL SUPPLIES,945,16656,"$150,347.99 ",IAMM4400-R002,12/31/08,AGED,MEDICAL SUPPLIES,3058,191344,"$342,583.81 ",IAMM4400-R002,12/31/08,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,MEDICAL SUPPLIES,202,9071,"$35,992.18 ",IAMM4400-R002,12/31/08,DISABLED,MEDICAL SUPPLIES,9293,690188,"$1,842,936.27 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,233,26565,"$90,719.67 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2475,348228,"$598,706.64 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,MEDICAL SUPPLIES,1,1,$48.07 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,1,4,$341.72 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,13,958,"$1,244.38 ",IAMM4400-R002,12/31/08,STATE ONLY,MEDICAL SUPPLIES,4,17,"$1,656.53 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4743,386767,"$638,917.39 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,233,16028,"$43,182.83 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,70,2455,"$19,185.04 ",IAMM4400-R002,12/31/08,OTHER,MEDICAL SUPPLIES,1199,26012,"$186,025.56 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,29,565,"$6,342.35 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,MEDICAL SUPPLIES,122,4817,"$22,006.24 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MEDICAL SUPPLIES,139,7600,"$26,642.82 ",IAMM4400-R002,12/31/08,TOTAL,MEDICAL SUPPLIES,23555,1761299,"$4,246,708.30 "
IAMM4400-R002,12/31/08,ADC - ADULT,OTHER PRACTITIONER,1794,4700,"$250,617.23 ",IAMM4400-R002,12/31/08,ADC - CHILD,OTHER PRACTITIONER,2489,8825,"$236,588.25 ",IAMM4400-R002,12/31/08,AGED,OTHER PRACTITIONER,366,1188,"$24,725.97 ",IAMM4400-R002,12/31/08,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,OTHER PRACTITIONER,510,1085,"$53,711.02 ",IAMM4400-R002,12/31/08,DISABLED,OTHER PRACTITIONER,2822,20137,"$450,336.80 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,597,4073,"$70,206.78 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,1026,14187,"$314,220.81 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,OTHER PRACTITIONER,1,1,$73.89 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,35,866,"$10,122.76 ",IAMM4400-R002,12/31/08,STATE ONLY,OTHER PRACTITIONER,10,11,"$1,722.09 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,581,2540,"$62,408.74 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,102,415,"$14,395.79 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,79,183,"$11,366.45 ",IAMM4400-R002,12/31/08,OTHER,OTHER PRACTITIONER,3569,9056,"$396,663.64 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,22,60,"$3,156.02 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,OTHER PRACTITIONER,401,1427,"$45,656.44 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,OTHER PRACTITIONER,70,139,"$8,637.14 ",IAMM4400-R002,12/31/08,TOTAL,OTHER PRACTITIONER,14333,68893,"$1,954,609.82 "
IAMM4400-R002,12/31/08,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,DENTAL,3116,4251,"$680,237.48 ",IAMM4400-R002,12/31/08,ADC - CHILD,DENTAL,4579,5621,"$767,621.53 ",IAMM4400-R002,12/31/08,AGED,DENTAL,479,596,"$104,448.52 ",IAMM4400-R002,12/31/08,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,DENTAL,1043,1305,"$217,145.62 ",IAMM4400-R002,12/31/08,DISABLED,DENTAL,3963,5132,"$823,196.75 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,DENTAL,951,1157,"$167,013.29 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,DENTAL,1339,1554,"$153,304.10 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,DENTAL,13,16,"$3,259.31 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,DENTAL,1,1,$161.94 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,DENTAL,29,31,"$2,526.24 ",IAMM4400-R002,12/31/08,STATE ONLY,DENTAL,23,30,"$4,147.25 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,DENTAL,790,1016,"$158,250.75 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,DENTAL,137,189,"$31,788.24 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,DENTAL,58,97,"$15,256.65 ",IAMM4400-R002,12/31/08,OTHER,DENTAL,6634,8046,"$1,151,315.77 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,DENTAL,13,18,"$1,929.31 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,DENTAL,1300,1554,"$241,333.93 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,DENTAL,120,170,"$31,214.23 ",IAMM4400-R002,12/31/08,TOTAL,DENTAL,24489,30784,"$4,554,150.91 "
IAMM4400-R002,12/31/08,ADC - ADULT,OPTOMETRIST,1627,2024,"$150,518.89 ",IAMM4400-R002,12/31/08,ADC - CHILD,OPTOMETRIST,1582,1861,"$123,596.83 ",IAMM4400-R002,12/31/08,AGED,OPTOMETRIST,764,1144,"$26,960.89 ",IAMM4400-R002,12/31/08,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,OPTOMETRIST,434,535,"$36,024.29 ",IAMM4400-R002,12/31/08,DISABLED,OPTOMETRIST,2446,3266,"$164,375.96 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,441,509,"$31,179.79 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,OPTOMETRIST,639,776,"$33,744.50 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,OPTOMETRIST,6,8,$569.80 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,OPTOMETRIST,2,2,$108.69 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,25,29,"$1,569.21 ",IAMM4400-R002,12/31/08,STATE ONLY,OPTOMETRIST,19,24,"$1,650.28 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,OPTOMETRIST,824,1205,"$30,898.55 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,94,117,"$7,273.23 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,29,34,"$2,431.17 ",IAMM4400-R002,12/31/08,OTHER,OPTOMETRIST,2365,2768,"$181,392.51 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,8,8,$616.19 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,OPTOMETRIST,505,591,"$38,375.45 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,OPTOMETRIST,75,93,"$7,156.81 ",IAMM4400-R002,12/31/08,TOTAL,OPTOMETRIST,11867,14994,"$838,443.04 "
IAMM4400-R002,12/31/08,ADC - ADULT,CHIROPRACTIC,1848,4641,"$164,391.06 ",IAMM4400-R002,12/31/08,ADC - CHILD,CHIROPRACTIC,987,1914,"$62,177.61 ",IAMM4400-R002,12/31/08,AGED,CHIROPRACTIC,414,1079,"$6,824.25 ",IAMM4400-R002,12/31/08,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,CHIROPRACTIC,248,571,"$20,011.51 ",IAMM4400-R002,12/31/08,DISABLED,CHIROPRACTIC,2333,5744,"$89,888.30 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,180,385,"$12,059.59 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,CHIROPRACTIC,307,653,"$9,784.88 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,7,14,$420.22 ,IAMM4400-R002,12/31/08,STATE ONLY,CHIROPRACTIC,12,38,"$1,527.25 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,309,966,"$5,567.05 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,100,274,"$9,255.50 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,17,48,"$1,237.74 ",IAMM4400-R002,12/31/08,OTHER,CHIROPRACTIC,1611,3440,"$105,841.87 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,13,23,$792.24 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,CHIROPRACTIC,282,568,"$19,438.37 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,CHIROPRACTIC,68,175,"$6,180.94 ",IAMM4400-R002,12/31/08,TOTAL,CHIROPRACTIC,8654,20533,"$515,398.38 "
IAMM4400-R002,12/31/08,ADC - ADULT,PODIATRIC,253,347,"$37,613.32 ",IAMM4400-R002,12/31/08,ADC - CHILD,PODIATRIC,67,90,"$8,832.45 ",IAMM4400-R002,12/31/08,AGED,PODIATRIC,714,1104,"$10,423.93 ",IAMM4400-R002,12/31/08,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,PODIATRIC,26,30,"$3,049.18 ",IAMM4400-R002,12/31/08,DISABLED,PODIATRIC,1206,2260,"$82,261.47 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,32,36,"$3,738.02 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,PODIATRIC,589,783,"$19,411.22 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,PODIATRIC,2,5,$75.55 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,PODIATRIC,2,2,$76.68 ,IAMM4400-R002,12/31/08,STATE ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,PODIATRIC,1154,1776,"$19,355.57 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,39,50,"$1,942.58 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,11,21,"$3,153.30 ",IAMM4400-R002,12/31/08,OTHER,PODIATRIC,101,122,"$9,864.38 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,PODIATRIC,5,5,$468.57 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,PODIATRIC,40,55,"$7,474.74 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PODIATRIC,33,46,"$6,982.82 ",IAMM4400-R002,12/31/08,TOTAL,PODIATRIC,4266,6732,"$214,723.78 "
IAMM4400-R002,12/31/08,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,PHYSICAL DISABILITIES SVCS,471,18933,"$251,815.84 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,186,7967,"$95,754.25 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,PHYSICAL DISABILITIES SVCS,1,0,($86.40),IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,PHYSICAL DISABILITIES SVCS,651,26900,"$347,483.69 "
IAMM4400-R002,12/31/08,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,BRAIN INJ WAIVER SERVICES,1,48,"$4,760.82 ",IAMM4400-R002,12/31/08,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,BRAIN INJ WAIVER SERVICES,312,17447,"$545,333.44 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,36,811,"$31,120.09 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,269,13685,"$384,382.55 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,441,22809,"$702,019.28 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,BRAIN INJ WAIVER SERVICES,1,0,($654.83),IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,BRAIN INJ WAIVER SERVICES,2,78,"$2,454.89 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,BRAIN INJ WAIVER SERVICES,1032,54878,"$1,669,416.24 "
IAMM4400-R002,12/31/08,ADC - ADULT,PSYCHIATRIC,29,46,"$3,605.23 ",IAMM4400-R002,12/31/08,ADC - CHILD,PSYCHIATRIC,15,16,"$1,934.43 ",IAMM4400-R002,12/31/08,AGED,PSYCHIATRIC,152,242,"$7,422.32 ",IAMM4400-R002,12/31/08,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,PSYCHIATRIC,19,51,"$4,102.29 ",IAMM4400-R002,12/31/08,DISABLED,PSYCHIATRIC,2291,4119,"$126,816.51 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,18,46,"$3,755.15 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,PSYCHIATRIC,415,604,"$21,731.55 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,PSYCHIATRIC,2,4,$103.03 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,1,1,$256.48 ,IAMM4400-R002,12/31/08,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,304,480,"$13,705.73 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,31,41,"$1,475.11 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,35,81,"$5,315.47 ",IAMM4400-R002,12/31/08,OTHER,PSYCHIATRIC,37,64,"$6,442.29 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,1,1,$24.63 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,PSYCHIATRIC,5,6,$651.93 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,PSYCHIATRIC,2,3,$126.39 ,IAMM4400-R002,12/31/08,TOTAL,PSYCHIATRIC,3347,5805,"$197,468.54 "
IAMM4400-R002,12/31/08,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,RESIDENTIAL CARE FACILITY,320,9711,"$64,079.08 ",IAMM4400-R002,12/31/08,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,RESIDENTIAL CARE FACILITY,1,25,$127.75 ,IAMM4400-R002,12/31/08,DISABLED,RESIDENTIAL CARE FACILITY,1365,40766,"$309,511.61 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,1,28,$406.92 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,14,338,"$4,082.60 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,1,3,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,6,172,"$1,693.01 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,RESIDENTIAL CARE FACILITY,1703,51043,"$379,900.97 "
IAMM4400-R002,12/31/08,ADC - ADULT,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,MR WAIVER SERVICE,1,2,$67.38 ,IAMM4400-R002,12/31/08,AGED,MR WAIVER SERVICE,83,3516,"$207,008.34 ",IAMM4400-R002,12/31/08,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,MR WAIVER SERVICE,1010,64348,"$2,778,460.08 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,190,6984,"$200,607.13 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8430,528082,"$21,870,816.63 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,MR WAIVER SERVICE,1,574,"$4,834.48 ",IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,10,494,"$27,911.49 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,1,103,"$4,987.26 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,MR WAIVER SERVICE,4,83,$243.55 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,MR WAIVER SERVICE,3,138,"$4,517.58 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MR WAIVER SERVICE,4,230,"$5,926.40 ",IAMM4400-R002,12/31/08,TOTAL,MR WAIVER SERVICE,9698,604554,"$25,105,380.32 "
IAMM4400-R002,12/31/08,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,3,179,"$3,113.38 ",IAMM4400-R002,12/31/08,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,43,1943,"$40,228.60 ",IAMM4400-R002,12/31/08,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,CHILDRENS MENTAL HEALTH SVC,93,4275,"$83,824.88 ",IAMM4400-R002,12/31/08,DISABLED,CHILDRENS MENTAL HEALTH SVC,33,1270,"$26,498.58 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,308,11585,"$267,797.66 ",IAMM4400-R002,12/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,CHILDRENS MENTAL HEALTH SVC,56,2486,"$56,311.26 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,3,140,"$1,887.83 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,3,128,"$2,592.74 ",IAMM4400-R002,12/31/08,TOTAL,CHILDRENS MENTAL HEALTH SVC,541,22006,"$482,254.93 "
IAMM4400-R002,12/31/08,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,AIDS WAIVER SERVICES,13,1038,"$12,239.87 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,32,2677,"$28,265.68 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,AIDS WAIVER SERVICES,43,3715,"$40,505.55 "
IAMM4400-R002,12/31/08,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,ELDERLY WAIVER SERVICES,3594,162236,"$2,390,545.69 ",IAMM4400-R002,12/31/08,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,ELDERLY WAIVER SERVICES,32,1584,"$25,755.67 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,21,$266.28 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6407,301207,"$3,858,699.13 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,ELDERLY WAIVER SERVICES,8,65,"$1,921.32 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ELDERLY WAIVER SERVICES,4,285,"$3,904.30 ",IAMM4400-R002,12/31/08,TOTAL,ELDERLY WAIVER SERVICES,9743,465398,"$6,281,092.39 "
IAMM4400-R002,12/31/08,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1780,90106,"$1,482,302.53 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,28,2078,"$37,883.75 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,147,8307,"$154,710.63 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,6,324,"$7,754.01 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,ILL & HANDICAPPED WAIVER SVCS,3,35,"$1,206.29 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,1,9,$119.18 ,IAMM4400-R002,12/31/08,TOTAL,ILL & HANDICAPPED WAIVER SVCS,1963,100859,"$1,683,976.39 "
IAMM4400-R002,12/31/08,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,12/31/08,ADC - ADULT,MEP SERVICES,3,3,"$1,478.10 ",IAMM4400-R002,12/31/08,ADC - CHILD,MEP SERVICES,44,45,"$20,993.85 ",IAMM4400-R002,12/31/08,AGED,MEP SERVICES,98,123,"$31,533.75 ",IAMM4400-R002,12/31/08,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,MEP SERVICES,93,98,"$45,016.81 ",IAMM4400-R002,12/31/08,DISABLED,MEP SERVICES,1289,1504,"$391,865.34 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,207,236,"$60,037.76 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,MEP SERVICES,8336,9586,"$2,479,004.35 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,MEP SERVICES,336,343,"$164,475.77 ",IAMM4400-R002,12/31/08,STATE ONLY,MEP SERVICES,1,1,$207.14 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,MEP SERVICES,143,169,"$45,683.94 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,1,2,$475.02 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,1,1,$279.48 ,IAMM4400-R002,12/31/08,OTHER,MEP SERVICES,59,60,"($173,171.50)",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,MEP SERVICES,6,6,"$2,207.72 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,MEP SERVICES,6,6,"$2,058.16 ",IAMM4400-R002,12/31/08,TOTAL,MEP SERVICES,10602,12183,"$3,072,145.69 "
IAMM4400-R002,12/31/08,ADC - ADULT,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,12/31/08,ADC - CHILD,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,12/31/08,AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,12/31/08,DISABLED,UNASSIGNED,9,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,4,0,($103.82),IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,3,0,($162.90),IAMM4400-R002,12/31/08,OTHER,UNASSIGNED,6,0,"($455,240.06)",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,OTHER TXXI,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,12/31/08,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,12/31/08,TOTAL,UNASSIGNED,33,0,"($455,506.78)"
IAMM4400-R002,12/31/08,ADC - ADULT,* A L L  C A T E G O R I E S *,50132,392040,"$17,325,071.77 ",IAMM4400-R002,12/31/08,ADC - CHILD,* A L L  C A T E G O R I E S *,70984,369203,"$13,721,237.35 ",IAMM4400-R002,12/31/08,AGED,* A L L  C A T E G O R I E S *,14448,694200,"$18,606,417.70 ",IAMM4400-R002,12/31/08,BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,12/31/08,CMAP,* A L L  C A T E G O R I E S *,14442,124536,"$5,889,115.27 ",IAMM4400-R002,12/31/08,DISABLED,* A L L  C A T E G O R I E S *,52941,1953750,"$53,057,165.63 ",IAMM4400-R002,12/31/08,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,1,0,$18.32 ,IAMM4400-R002,12/31/08,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10166,292661,"$6,279,916.42 ",IAMM4400-R002,12/31/08,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11449,1274899,"$57,076,683.14 ",IAMM4400-R002,12/31/08,FEDERAL ONLY,* A L L  C A T E G O R I E S *,133,889,"$38,704.14 ",IAMM4400-R002,12/31/08,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,17,940,"$10,523.45 ",IAMM4400-R002,12/31/08,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,316,25112,"$792,025.35 ",IAMM4400-R002,12/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,337,2395,"$166,039.43 ",IAMM4400-R002,12/31/08,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,15000,1227807,"$34,007,714.73 ",IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,12/31/08,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,12/31/08,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1779,39414,"$1,476,670.37 ",IAMM4400-R002,12/31/08,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,893,22757,"$2,063,917.73 ",IAMM4400-R002,12/31/08,OTHER,* A L L  C A T E G O R I E S *,94859,579135,"$26,977,622.34 ",IAMM4400-R002,12/31/08,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,236,5511,"$383,707.16 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,109,120,"$19,106.86 ",IAMM4400-R002,12/31/08,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,6,9,$610.05 ,IAMM4400-R002,12/31/08,OTHER TXXI,* A L L  C A T E G O R I E S *,12025,73872,"$2,393,683.46 ",IAMM4400-R002,12/31/08,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,12/31/08,STATE ONLY,* A L L  C A T E G O R I E S *,1382,28362,"$1,115,823.75 ",IAMM4400-R002,12/31/08,TOTAL,* A L L  C A T E G O R I E S *,351655,7107612,"$241,401,774.42 "