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-R002,01/31/09,ADC - ADULT,INPATIENT,582,1860,"$2,316,704.33 ",IAMM4400-R002,01/31/09,ADC - CHILD,INPATIENT,305,1484,"$1,670,385.08 ",IAMM4400-R002,01/31/09,AGED,INPATIENT,502,2087,"$432,808.70 ",IAMM4400-R002,01/31/09,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,INPATIENT,348,6860,"$2,045,248.00 ",IAMM4400-R002,01/31/09,DISABLED,INPATIENT,1639,9265,"$6,415,991.17 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,40,467,"$193,428.62 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,INPATIENT,144,831,"$528,400.31 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,INPATIENT,2,12,"$9,138.96 ",IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,INPATIENT,6,111,"$18,056.52 ",IAMM4400-R002,01/31/09,STATE ONLY,INPATIENT,3,8,"$9,837.29 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,INPATIENT,737,3511,"$850,059.51 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,INPATIENT,48,327,"$480,239.44 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,INPATIENT,118,435,"$593,430.77 ",IAMM4400-R002,01/31/09,OTHER,INPATIENT,1675,8751,"$8,134,063.35 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,INPATIENT,3,-9,"($31,617.54)",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,INPATIENT,3,0,"$8,290.02 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,INPATIENT,47,529,"$210,431.67 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,INPATIENT,20,115,"$103,315.65 ",IAMM4400-R002,01/31/09,TOTAL,INPATIENT,6194,36644,"$23,988,211.85 "
IAMM4400-R002,01/31/09,ADC - ADULT,OUTPATIENT,7477,118561,"$2,809,597.89 ",IAMM4400-R002,01/31/09,ADC - CHILD,OUTPATIENT,6013,62806,"$1,386,756.53 ",IAMM4400-R002,01/31/09,AGED,OUTPATIENT,4031,82418,"$454,816.87 ",IAMM4400-R002,01/31/09,BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,OUTPATIENT,1720,20620,"$486,551.34 ",IAMM4400-R002,01/31/09,DISABLED,OUTPATIENT,14471,341304,"$4,175,896.67 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,751,11493,"$184,165.51 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,OUTPATIENT,2496,55638,"$273,316.26 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,OUTPATIENT,32,398,"$8,303.98 ",IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,OUTPATIENT,7,68,$462.12 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,OUTPATIENT,34,363,"$3,541.20 ",IAMM4400-R002,01/31/09,STATE ONLY,OUTPATIENT,70,1126,"$22,487.60 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,OUTPATIENT,5136,125422,"$533,446.31 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,413,7426,"$132,909.51 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,375,9522,"$228,938.46 ",IAMM4400-R002,01/31/09,OTHER,OUTPATIENT,10317,141567,"$1,591,760.99 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,OUTPATIENT,111,3222,"$97,444.80 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,OUTPATIENT,2,0,$499.88 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,OUTPATIENT,3,13,$273.03 ,IAMM4400-R002,01/31/09,OTHER TXXI,OUTPATIENT,820,10311,"$203,724.94 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,OUTPATIENT,290,4674,"$110,864.65 ",IAMM4400-R002,01/31/09,TOTAL,OUTPATIENT,54110,996952,"$12,705,758.54 "
IAMM4400-R002,01/31/09,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,ADULT DAY TREATMENT,1,18,$355.64 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,ADULT DAY TREATMENT,1,18,$355.64 
IAMM4400-R002,01/31/09,ADC - ADULT,SKILLED NURSING FACILITY,1,5,"$1,889.25 ",IAMM4400-R002,01/31/09,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,SKILLED NURSING FACILITY,180,2797,"$77,516.33 ",IAMM4400-R002,01/31/09,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,SKILLED NURSING FACILITY,194,4689,"$2,695,714.37 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,2,80,"$31,501.57 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,15,222,"$3,737.70 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,356,5507,"$34,818.63 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,3,77,"$1,024.00 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,2,27,$0.00 ,IAMM4400-R002,01/31/09,OTHER,SKILLED NURSING FACILITY,7,46,"$4,213.96 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,SKILLED NURSING FACILITY,752,13450,"$2,850,415.81 "
IAMM4400-R002,01/31/09,ADC - ADULT,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,INTERMEDIATE CARE FACILITY,4606,140126,"$12,637,177.54 ",IAMM4400-R002,01/31/09,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,INTERMEDIATE CARE FACILITY,594,18489,"$2,051,054.98 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,7,106,"$11,238.18 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,1,-1,($136.83),IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,7139,215030,"$22,555,676.80 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,2,77,"$7,697.49 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,1,-28,"($2,507.27)",IAMM4400-R002,01/31/09,OTHER,INTERMEDIATE CARE FACILITY,4,58,"$4,490.27 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,INTERMEDIATE CARE FACILITY,1,1,$107.33 ,IAMM4400-R002,01/31/09,TOTAL,INTERMEDIATE CARE FACILITY,12316,373858,"$37,264,798.49 "
IAMM4400-R002,01/31/09,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,INTER CARE MENTAL RETARDA,9,237,"$89,298.78 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,9,215,"$86,949.33 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,1879,56277,"$20,613,519.62 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,3,-6,($482.65),IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,INTER CARE MENTAL RETARDA,1,0,"($2,750,228.00)",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,INTER CARE MENTAL RETARDA,1899,56723,"$18,039,057.08 "
IAMM4400-R002,01/31/09,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,NURSING FAC FOR MENTAL ILL,5,154,"$39,542.58 ",IAMM4400-R002,01/31/09,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,29,838,"$251,676.50 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,31,"$6,730.72 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,NURSING FAC FOR MENTAL ILL,34,1023,"$297,949.80 "
IAMM4400-R002,01/31/09,ADC - ADULT,HOME HEALTH,76,942,"$41,450.44 ",IAMM4400-R002,01/31/09,ADC - CHILD,HOME HEALTH,511,2217,"$64,761.49 ",IAMM4400-R002,01/31/09,AGED,HOME HEALTH,2209,45270,"$1,599,931.88 ",IAMM4400-R002,01/31/09,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,HOME HEALTH,77,247,"$12,482.25 ",IAMM4400-R002,01/31/09,DISABLED,HOME HEALTH,3559,89180,"$2,915,119.10 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,108,3842,"$102,556.13 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,HOME HEALTH,1166,40507,"$1,416,302.69 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,HOME HEALTH,1,6,$553.80 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,HOME HEALTH,3511,71562,"$2,800,218.95 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,52,798,"$22,574.22 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,27,640,"$53,854.81 ",IAMM4400-R002,01/31/09,OTHER,HOME HEALTH,808,2906,"$17,414.90 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,HOME HEALTH,2,6,$463.67 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,HOME HEALTH,86,201,"$5,808.15 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,HOME HEALTH,24,314,"$18,930.18 ",IAMM4400-R002,01/31/09,TOTAL,HOME HEALTH,12151,258638,"$9,072,422.66 "
IAMM4400-R002,01/31/09,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,LEAD INSPECTION AGENCY,4,4,"$1,520.71 ",IAMM4400-R002,01/31/09,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,LEAD INSPECTION AGENCY,1,1,$377.35 ,IAMM4400-R002,01/31/09,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,1,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,LEAD INSPECTION AGENCY,4,4,"$1,513.17 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,LEAD INSPECTION AGENCY,10,9,"$3,411.23 "
IAMM4400-R002,01/31/09,ADC - ADULT,PHYSICIAN,13925,26948,"$2,624,554.38 ",IAMM4400-R002,01/31/09,ADC - CHILD,PHYSICIAN,16190,26874,"$1,835,961.32 ",IAMM4400-R002,01/31/09,AGED,PHYSICIAN,5976,35029,"$357,279.15 ",IAMM4400-R002,01/31/09,BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,PHYSICIAN,3594,6449,"$535,886.87 ",IAMM4400-R002,01/31/09,DISABLED,PHYSICIAN,22905,101424,"$3,886,405.46 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,1924,3006,"$194,198.45 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,PHYSICIAN,4146,13092,"$328,235.57 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,PHYSICIAN,41,67,"$5,153.92 ",IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,PHYSICIAN,36,426,$810.49 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,PHYSICIAN,81,140,"$5,050.66 ",IAMM4400-R002,01/31/09,STATE ONLY,PHYSICIAN,118,222,"$17,438.98 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,PHYSICIAN,7615,39996,"$554,608.55 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,786,2418,"$144,226.82 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,686,2750,"$185,706.04 ",IAMM4400-R002,01/31/09,OTHER,PHYSICIAN,25455,45918,"$4,010,860.17 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,PHYSICIAN,166,839,"$213,467.53 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,PHYSICIAN,8,0,"$11,159.69 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,PHYSICIAN,4,9,"$2,167.91 ",IAMM4400-R002,01/31/09,OTHER TXXI,PHYSICIAN,2477,3768,"$259,769.74 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PHYSICIAN,536,1205,"$108,776.55 ",IAMM4400-R002,01/31/09,TOTAL,PHYSICIAN,104557,310580,"$15,281,718.25 "
IAMM4400-R002,01/31/09,ADC - ADULT,CLINIC SERVICES,2377,3258,"$435,673.90 ",IAMM4400-R002,01/31/09,ADC - CHILD,CLINIC SERVICES,2853,3544,"$471,065.16 ",IAMM4400-R002,01/31/09,AGED,CLINIC SERVICES,414,433,"$34,610.74 ",IAMM4400-R002,01/31/09,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,CLINIC SERVICES,775,1094,"$139,719.92 ",IAMM4400-R002,01/31/09,DISABLED,CLINIC SERVICES,2665,3848,"$512,422.55 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,385,496,"$60,491.65 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,CLINIC SERVICES,300,362,"$39,424.81 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,CLINIC SERVICES,5,6,$900.42 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,CLINIC SERVICES,1,0,$18.38 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,10,14,"$1,900.94 ",IAMM4400-R002,01/31/09,STATE ONLY,CLINIC SERVICES,19,24,"$2,794.10 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,401,430,"$21,155.09 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,89,113,"$16,222.79 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,52,74,"$11,431.44 ",IAMM4400-R002,01/31/09,OTHER,CLINIC SERVICES,5557,7852,"$955,361.47 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,13,17,"$2,129.07 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,CLINIC SERVICES,1,3,$126.61 ,IAMM4400-R002,01/31/09,OTHER TXXI,CLINIC SERVICES,562,685,"$85,332.03 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,CLINIC SERVICES,106,187,"$30,338.22 ",IAMM4400-R002,01/31/09,TOTAL,CLINIC SERVICES,16454,22440,"$2,821,119.29 "
IAMM4400-R002,01/31/09,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,LAB AND RADIOLOGICAL,2165,5749,"$138,773.50 ",IAMM4400-R002,01/31/09,ADC - CHILD,LAB AND RADIOLOGICAL,1151,2352,"$32,591.04 ",IAMM4400-R002,01/31/09,AGED,LAB AND RADIOLOGICAL,792,221,"$2,892.89 ",IAMM4400-R002,01/31/09,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,LAB AND RADIOLOGICAL,344,902,"$17,422.96 ",IAMM4400-R002,01/31/09,DISABLED,LAB AND RADIOLOGICAL,2787,5002,"$89,867.67 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,202,582,"$10,306.64 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,428,471,"$5,529.99 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,LAB AND RADIOLOGICAL,4,24,$295.91 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,2,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,7,10,$195.04 ,IAMM4400-R002,01/31/09,STATE ONLY,LAB AND RADIOLOGICAL,12,36,$767.52 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1071,417,"$5,313.34 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,131,201,"$4,837.70 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,31,82,"$1,874.12 ",IAMM4400-R002,01/31/09,OTHER,LAB AND RADIOLOGICAL,2502,7073,"$125,513.13 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,20,225,"$4,046.87 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,2,9,$130.69 ,IAMM4400-R002,01/31/09,OTHER TXXI,LAB AND RADIOLOGICAL,134,332,"$5,438.50 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,LAB AND RADIOLOGICAL,52,178,"$3,294.24 ",IAMM4400-R002,01/31/09,TOTAL,LAB AND RADIOLOGICAL,11763,23866,"$449,091.75 "
IAMM4400-R002,01/31/09,ADC - ADULT,HABILITATION SERVICES,26,397,"$21,004.05 ",IAMM4400-R002,01/31/09,ADC - CHILD,HABILITATION SERVICES,1,26,"$1,162.72 ",IAMM4400-R002,01/31/09,AGED,HABILITATION SERVICES,47,1228,"$72,939.97 ",IAMM4400-R002,01/31/09,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,HABILITATION SERVICES,17,496,"$38,147.81 ",IAMM4400-R002,01/31/09,DISABLED,HABILITATION SERVICES,2416,65216,"$3,332,086.06 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,10,192,"$7,443.37 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,22,366,"$15,876.10 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,HABILITATION SERVICES,7,447,"$21,685.28 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,24,356,"$17,477.16 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,28,814,"$61,276.10 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,3,40,"$5,809.30 ",IAMM4400-R002,01/31/09,OTHER,HABILITATION SERVICES,6,120,"$5,514.53 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,HABILITATION SERVICES,4,68,"$1,906.05 ",IAMM4400-R002,01/31/09,TOTAL,HABILITATION SERVICES,2602,69766,"$3,602,328.50 "
IAMM4400-R002,01/31/09,ADC - ADULT,REMEDIAL SERVICES,172,3643,"$56,149.55 ",IAMM4400-R002,01/31/09,ADC - CHILD,REMEDIAL SERVICES,2096,46152,"$700,506.77 ",IAMM4400-R002,01/31/09,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,REMEDIAL SERVICES,739,15955,"$231,432.63 ",IAMM4400-R002,01/31/09,DISABLED,REMEDIAL SERVICES,717,18964,"$292,744.59 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2295,146411,"$1,975,524.36 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,125,3347,"$52,922.54 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,127,3699,"$61,394.02 ",IAMM4400-R002,01/31/09,STATE ONLY,REMEDIAL SERVICES,17,384,"$8,143.94 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,5,70,"$2,311.76 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,8,97,"$1,498.92 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,1,24,$224.40 ,IAMM4400-R002,01/31/09,OTHER,REMEDIAL SERVICES,1804,39373,"$586,270.13 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,REMEDIAL SERVICES,353,6229,"$101,643.88 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,REMEDIAL SERVICES,56,768,"$18,891.93 ",IAMM4400-R002,01/31/09,TOTAL,REMEDIAL SERVICES,7711,285116,"$4,089,659.42 "
IAMM4400-R002,01/31/09,ADC - ADULT,REHAB SUPPORT SERVICES,2,0,$360.50 ,IAMM4400-R002,01/31/09,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,REHAB SUPPORT SERVICES,35,133,"$12,533.96 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,1,17,$883.32 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,REHAB SUPPORT SERVICES,1,0,"($160,102.01)",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,REHAB SUPPORT SERVICES,39,150,"($146,324.23)"
IAMM4400-R002,01/31/09,ADC - ADULT,AMBULANCE SERVICES,188,191,"$29,595.08 ",IAMM4400-R002,01/31/09,ADC - CHILD,AMBULANCE SERVICES,90,93,"$14,621.07 ",IAMM4400-R002,01/31/09,AGED,AMBULANCE SERVICES,292,363,"$32,286.32 ",IAMM4400-R002,01/31/09,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,AMBULANCE SERVICES,37,39,"$4,886.00 ",IAMM4400-R002,01/31/09,DISABLED,AMBULANCE SERVICES,814,949,"$106,474.67 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,13,14,"$2,877.58 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,98,178,"$14,409.71 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,AMBULANCE SERVICES,2,3,$385.80 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,AMBULANCE SERVICES,2,2,$247.58 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,491,634,"$54,645.90 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,18,18,"$2,884.63 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,39,42,"$7,978.44 ",IAMM4400-R002,01/31/09,OTHER,AMBULANCE SERVICES,141,136,"$19,903.59 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,1,1,$144.50 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,AMBULANCE SERVICES,18,18,"$2,530.44 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,AMBULANCE SERVICES,7,8,"$1,080.27 ",IAMM4400-R002,01/31/09,TOTAL,AMBULANCE SERVICES,2240,2689,"$294,951.58 "
IAMM4400-R002,01/31/09,ADC - ADULT,LOCAL EDUCATION AGENCY,12,760,"$4,469.70 ",IAMM4400-R002,01/31/09,ADC - CHILD,LOCAL EDUCATION AGENCY,112,15006,"$91,584.92 ",IAMM4400-R002,01/31/09,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,LOCAL EDUCATION AGENCY,41,4443,"$42,272.13 ",IAMM4400-R002,01/31/09,DISABLED,LOCAL EDUCATION AGENCY,308,72425,"$733,766.19 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,76,23432,"$161,279.12 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,339,94106,"$887,528.46 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,9,1947,"$18,638.78 ",IAMM4400-R002,01/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,15,3976,"$56,479.70 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,LOCAL EDUCATION AGENCY,129,13601,"$110,350.71 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,LOCAL EDUCATION AGENCY,21,2789,"$35,357.78 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,LOCAL EDUCATION AGENCY,1054,232485,"$2,141,727.49 "
IAMM4400-R002,01/31/09,ADC - ADULT,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,EARLY ACCESS SERVICES,43,101,"$3,883.73 ",IAMM4400-R002,01/31/09,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,EARLY ACCESS SERVICES,14,20,$734.23 ,IAMM4400-R002,01/31/09,DISABLED,EARLY ACCESS SERVICES,59,252,"$5,684.59 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,21,69,"$2,144.82 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,19,119,"$1,961.27 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,1,1,$50.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,EARLY ACCESS SERVICES,59,180,"$4,501.12 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,EARLY ACCESS SERVICES,2,4,$85.01 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,EARLY ACCESS SERVICES,2,6,$75.38 ,IAMM4400-R002,01/31/09,TOTAL,EARLY ACCESS SERVICES,216,752,"$19,120.15 "
IAMM4400-R002,01/31/09,ADC - ADULT,PRESCRIBED DRUGS,19533,52855,"$2,653,143.58 ",IAMM4400-R002,01/31/09,ADC - CHILD,PRESCRIBED DRUGS,16517,27516,"$1,708,820.84 ",IAMM4400-R002,01/31/09,AGED,PRESCRIBED DRUGS,3009,4775,"$51,804.41 ",IAMM4400-R002,01/31/09,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,PRESCRIBED DRUGS,4328,9861,"$601,914.96 ",IAMM4400-R002,01/31/09,DISABLED,PRESCRIBED DRUGS,23848,99112,"$7,889,738.42 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4797,11379,"$957,935.23 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6048,19180,"$1,493,194.42 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,PRESCRIBED DRUGS,26,56,"$3,740.67 ",IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,6,11,$82.86 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,352,1174,"$103,120.95 ",IAMM4400-R002,01/31/09,STATE ONLY,PRESCRIBED DRUGS,153,363,"$22,271.62 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,9842,21218,"$377,756.70 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,941,2850,"$135,716.84 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,226,1000,"$43,576.72 ",IAMM4400-R002,01/31/09,OTHER,PRESCRIBED DRUGS,23802,39627,"$2,139,463.21 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,192,769,"$47,702.69 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,82,76,"$7,230.97 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,PRESCRIBED DRUGS,3180,5164,"$394,737.45 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PRESCRIBED DRUGS,846,3788,"$214,728.38 ",IAMM4400-R002,01/31/09,TOTAL,PRESCRIBED DRUGS,115878,300774,"$18,846,680.92 "
IAMM4400-R002,01/31/09,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,DRUG CAPITATION,1,0,($0.01),IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,DRUG CAPITATION,1,0,($705.86),IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,DRUG CAPITATION,2,0,($705.87)
IAMM4400-R002,01/31/09,ADC - ADULT,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,INDIAN HEALTH SERVICES,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,FAMILY PLANNING SERVICES,5838,6631,"$585,768.39 ",IAMM4400-R002,01/31/09,ADC - CHILD,FAMILY PLANNING SERVICES,958,1133,"$104,169.71 ",IAMM4400-R002,01/31/09,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,FAMILY PLANNING SERVICES,189,216,"$19,654.94 ",IAMM4400-R002,01/31/09,DISABLED,FAMILY PLANNING SERVICES,130,151,"$9,941.78 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,29,34,"$1,913.05 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,17,19,"$1,139.76 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,1,2,$200.37 ,IAMM4400-R002,01/31/09,STATE ONLY,FAMILY PLANNING SERVICES,18,19,"$1,145.77 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,2,3,$354.75 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,33,34,"$3,649.32 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,6,7,$504.10 ,IAMM4400-R002,01/31/09,OTHER,FAMILY PLANNING SERVICES,324,363,"$44,522.60 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,FAMILY PLANNING SERVICES,62,71,"$5,994.65 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,FAMILY PLANNING SERVICES,2,2,$118.75 ,IAMM4400-R002,01/31/09,TOTAL,FAMILY PLANNING SERVICES,7598,8685,"$779,077.94 "
IAMM4400-R002,01/31/09,ADC - ADULT,IOWA PLAN PROGRAM,51844,42348,"$1,283,687.64 ",IAMM4400-R002,01/31/09,ADC - CHILD,IOWA PLAN PROGRAM,83653,69051,"$667,738.59 ",IAMM4400-R002,01/31/09,AGED,IOWA PLAN PROGRAM,22,5,$358.06 ,IAMM4400-R002,01/31/09,BLIND,IOWA PLAN PROGRAM,1,0,$5.80 ,IAMM4400-R002,01/31/09,CMAP,IOWA PLAN PROGRAM,19601,15090,"$361,453.67 ",IAMM4400-R002,01/31/09,DISABLED,IOWA PLAN PROGRAM,54336,51844,"$3,867,590.77 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,12290,11376,"$1,236,010.62 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,11223,10740,"$722,859.84 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,IOWA PLAN PROGRAM,188,163,"$4,204.68 ",IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,49,43,"$2,938.12 ",IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,482,458,"$84,098.02 ",IAMM4400-R002,01/31/09,STATE ONLY,IOWA PLAN PROGRAM,477,415,"$67,095.03 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2688,455,"$51,105.29 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,2191,1466,"$52,584.06 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,IOWA PLAN PROGRAM,122027,99512,"$2,203,625.08 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,273,247,"$25,251.62 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,IOWA PLAN PROGRAM,20318,13630,"$147,724.42 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,IOWA PLAN PROGRAM,1638,1405,"$137,207.80 ",IAMM4400-R002,01/31/09,TOTAL,IOWA PLAN PROGRAM,343278,318248,"$10,915,539.11 "
IAMM4400-R002,01/31/09,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,EPSDT SCREENING,117,140,"$5,743.19 ",IAMM4400-R002,01/31/09,ADC - CHILD,EPSDT SCREENING,3910,4519,"$297,153.93 ",IAMM4400-R002,01/31/09,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,EPSDT SCREENING,1014,1171,"$78,720.28 ",IAMM4400-R002,01/31/09,DISABLED,EPSDT SCREENING,362,434,"$15,540.75 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,199,246,"$11,579.16 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,EPSDT SCREENING,88,122,"$3,929.53 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,EPSDT SCREENING,1,1,$36.47 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,22,23,$955.34 ,IAMM4400-R002,01/31/09,STATE ONLY,EPSDT SCREENING,7,8,$264.94 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,3,4,$91.26 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,5,5,$166.85 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,3,3,$175.58 ,IAMM4400-R002,01/31/09,OTHER,EPSDT SCREENING,6148,6938,"$672,296.91 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,EPSDT SCREENING,534,571,"$36,399.23 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,EPSDT SCREENING,28,31,$610.67 ,IAMM4400-R002,01/31/09,TOTAL,EPSDT SCREENING,12377,14216,"$1,123,664.09 "
IAMM4400-R002,01/31/09,ADC - ADULT,HMO SERVICES,826,862,"$236,893.70 ",IAMM4400-R002,01/31/09,ADC - CHILD,HMO SERVICES,1487,1553,"$166,571.28 ",IAMM4400-R002,01/31/09,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,HMO SERVICES,342,359,"$52,516.33 ",IAMM4400-R002,01/31/09,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,HMO SERVICES,2,2,$488.17 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,HMO SERVICES,1746,1823,"$218,655.64 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,HMO SERVICES,232,239,"$24,920.20 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,HMO SERVICES,4624,4838,"$700,045.32 "
IAMM4400-R002,01/31/09,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,PACE SERVICES,5,5,"$17,199.00 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,PACE SERVICES,14,14,"$39,110.00 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,PACE SERVICES,19,19,"$56,309.00 "
IAMM4400-R002,01/31/09,ADC - ADULT,PATIENT MANAGEMENT,22958,22955,"$45,910.00 ",IAMM4400-R002,01/31/09,ADC - CHILD,PATIENT MANAGEMENT,40875,40865,"$81,730.00 ",IAMM4400-R002,01/31/09,AGED,PATIENT MANAGEMENT,1,0,($61.97),IAMM4400-R002,01/31/09,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,PATIENT MANAGEMENT,7969,7962,"$15,924.00 ",IAMM4400-R002,01/31/09,DISABLED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,74,74,$148.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,PATIENT MANAGEMENT,52,52,$104.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,8,8,$16.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,PATIENT MANAGEMENT,60062,60036,"$120,072.00 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,PATIENT MANAGEMENT,9127,9127,"$18,254.00 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PATIENT MANAGEMENT,173,173,$346.00 ,IAMM4400-R002,01/31/09,TOTAL,PATIENT MANAGEMENT,141299,141252,"$282,442.03 "
IAMM4400-R002,01/31/09,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,200,481,"$18,228.74 ",IAMM4400-R002,01/31/09,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,294,713,"$19,764.63 ",IAMM4400-R002,01/31/09,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,HEALTH INS PREMIUM PAYMENT,59,144,"$5,425.86 ",IAMM4400-R002,01/31/09,DISABLED,HEALTH INS PREMIUM PAYMENT,660,1448,"$172,121.46 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,158,355,"$13,517.24 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,581,1258,"$167,226.48 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,1,1,$122.94 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,44,95,"$8,651.61 ",IAMM4400-R002,01/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,39,78,"$12,890.67 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,HEALTH INS PREMIUM PAYMENT,2022,5527,"$140,423.81 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,18,43,"$1,762.96 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,4,9,$817.24 ,IAMM4400-R002,01/31/09,TOTAL,HEALTH INS PREMIUM PAYMENT,4080,10152,"$560,953.64 "
IAMM4400-R002,01/31/09,ADC - ADULT,MEDICAL SUPPLIES,1014,28090,"$233,075.12 ",IAMM4400-R002,01/31/09,ADC - CHILD,MEDICAL SUPPLIES,735,11588,"$118,606.62 ",IAMM4400-R002,01/31/09,AGED,MEDICAL SUPPLIES,2951,179053,"$300,127.18 ",IAMM4400-R002,01/31/09,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,MEDICAL SUPPLIES,168,5515,"$31,593.85 ",IAMM4400-R002,01/31/09,DISABLED,MEDICAL SUPPLIES,9267,677253,"$1,851,948.17 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,216,24996,"$66,380.34 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2254,312450,"$492,153.14 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,MEDICAL SUPPLIES,1,19,"$10,966.01 ",IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,3,17,$208.02 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,14,915,$970.95 ,IAMM4400-R002,01/31/09,STATE ONLY,MEDICAL SUPPLIES,8,82,$914.82 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4521,370339,"$608,263.67 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,232,15278,"$27,819.71 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,64,1946,"$15,903.56 ",IAMM4400-R002,01/31/09,OTHER,MEDICAL SUPPLIES,1034,22429,"$182,651.71 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,24,631,"$3,806.62 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,MEDICAL SUPPLIES,91,4611,"$30,887.62 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MEDICAL SUPPLIES,150,7093,"$28,496.05 ",IAMM4400-R002,01/31/09,TOTAL,MEDICAL SUPPLIES,22305,1662305,"$4,004,773.16 "
IAMM4400-R002,01/31/09,ADC - ADULT,OTHER PRACTITIONER,1365,2883,"$172,724.07 ",IAMM4400-R002,01/31/09,ADC - CHILD,OTHER PRACTITIONER,1766,9019,"$202,360.07 ",IAMM4400-R002,01/31/09,AGED,OTHER PRACTITIONER,299,940,"$18,428.79 ",IAMM4400-R002,01/31/09,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,OTHER PRACTITIONER,426,2004,"$57,343.37 ",IAMM4400-R002,01/31/09,DISABLED,OTHER PRACTITIONER,2122,18249,"$339,178.40 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,436,2464,"$50,750.28 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,776,9951,"$222,448.85 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,OTHER PRACTITIONER,1,1,$27.85 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,28,817,"$6,342.36 ",IAMM4400-R002,01/31/09,STATE ONLY,OTHER PRACTITIONER,15,21,"$1,735.26 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,486,1734,"$44,589.22 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,69,230,"$9,477.80 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,44,110,"$6,096.61 ",IAMM4400-R002,01/31/09,OTHER,OTHER PRACTITIONER,2823,7659,"$288,620.67 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,9,15,"$1,899.45 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,OTHER PRACTITIONER,273,789,"$28,223.41 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,OTHER PRACTITIONER,52,62,"$4,753.01 ",IAMM4400-R002,01/31/09,TOTAL,OTHER PRACTITIONER,10903,56948,"$1,454,999.47 "
IAMM4400-R002,01/31/09,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,DENTAL,2230,2846,"$459,395.60 ",IAMM4400-R002,01/31/09,ADC - CHILD,DENTAL,3324,3790,"$504,270.30 ",IAMM4400-R002,01/31/09,AGED,DENTAL,323,378,"$63,632.19 ",IAMM4400-R002,01/31/09,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,DENTAL,814,974,"$143,611.53 ",IAMM4400-R002,01/31/09,DISABLED,DENTAL,2771,3396,"$534,938.13 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,DENTAL,809,938,"$121,857.90 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,DENTAL,884,1002,"$96,993.78 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,DENTAL,12,14,"$1,583.51 ",IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,DENTAL,30,35,"$3,476.15 ",IAMM4400-R002,01/31/09,STATE ONLY,DENTAL,13,14,"$1,243.57 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,DENTAL,540,638,"$98,789.01 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,DENTAL,144,182,"$24,803.68 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,DENTAL,39,55,"$14,707.00 ",IAMM4400-R002,01/31/09,OTHER,DENTAL,4873,5740,"$811,184.81 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,DENTAL,9,10,"$1,130.73 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,DENTAL,1018,1187,"$187,648.49 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,DENTAL,81,101,"$24,257.22 ",IAMM4400-R002,01/31/09,TOTAL,DENTAL,17865,21300,"$3,093,523.60 "
IAMM4400-R002,01/31/09,ADC - ADULT,OPTOMETRIST,1133,1368,"$103,454.84 ",IAMM4400-R002,01/31/09,ADC - CHILD,OPTOMETRIST,1203,1370,"$92,001.92 ",IAMM4400-R002,01/31/09,AGED,OPTOMETRIST,520,814,"$20,772.49 ",IAMM4400-R002,01/31/09,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,OPTOMETRIST,335,398,"$27,741.45 ",IAMM4400-R002,01/31/09,DISABLED,OPTOMETRIST,1942,2627,"$132,229.67 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,353,395,"$25,107.34 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,OPTOMETRIST,503,602,"$27,417.85 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,OPTOMETRIST,1,4,$39.37 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,19,25,"$1,481.35 ",IAMM4400-R002,01/31/09,STATE ONLY,OPTOMETRIST,9,10,$689.97 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,OPTOMETRIST,598,866,"$24,908.67 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,74,80,"$5,627.93 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,18,28,"$1,142.41 ",IAMM4400-R002,01/31/09,OTHER,OPTOMETRIST,1762,2051,"$132,502.02 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,13,15,$972.82 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,OPTOMETRIST,372,436,"$28,461.17 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,OPTOMETRIST,48,60,"$4,797.22 ",IAMM4400-R002,01/31/09,TOTAL,OPTOMETRIST,8883,11149,"$629,348.49 "
IAMM4400-R002,01/31/09,ADC - ADULT,CHIROPRACTIC,1567,3388,"$122,307.29 ",IAMM4400-R002,01/31/09,ADC - CHILD,CHIROPRACTIC,753,1266,"$40,924.99 ",IAMM4400-R002,01/31/09,AGED,CHIROPRACTIC,417,1072,"$10,079.26 ",IAMM4400-R002,01/31/09,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,CHIROPRACTIC,179,316,"$11,386.50 ",IAMM4400-R002,01/31/09,DISABLED,CHIROPRACTIC,2255,5803,"$97,931.44 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,149,271,"$8,454.61 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,CHIROPRACTIC,316,658,"$10,648.39 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,CHIROPRACTIC,1,10,$57.72 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,10,18,$595.29 ,IAMM4400-R002,01/31/09,STATE ONLY,CHIROPRACTIC,10,17,$564.87 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,311,779,"$9,991.66 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,80,181,"$5,307.40 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,11,16,$446.74 ,IAMM4400-R002,01/31/09,OTHER,CHIROPRACTIC,1257,2554,"$78,444.55 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,10,34,"$1,114.78 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,CHIROPRACTIC,222,432,"$14,345.12 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,CHIROPRACTIC,47,108,"$3,765.02 ",IAMM4400-R002,01/31/09,TOTAL,CHIROPRACTIC,7534,16923,"$416,365.63 "
IAMM4400-R002,01/31/09,ADC - ADULT,PODIATRIC,208,277,"$31,478.04 ",IAMM4400-R002,01/31/09,ADC - CHILD,PODIATRIC,60,75,"$8,539.38 ",IAMM4400-R002,01/31/09,AGED,PODIATRIC,664,1005,"$11,406.55 ",IAMM4400-R002,01/31/09,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,PODIATRIC,29,38,"$3,351.54 ",IAMM4400-R002,01/31/09,DISABLED,PODIATRIC,1101,1848,"$73,026.79 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,27,33,"$3,996.86 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,PODIATRIC,535,703,"$15,929.44 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,PODIATRIC,2,4,$40.50 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,PODIATRIC,3,3,$57.60 ,IAMM4400-R002,01/31/09,STATE ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,PODIATRIC,1316,1838,"$30,623.69 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,37,49,"$2,856.64 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,7,13,"$1,750.59 ",IAMM4400-R002,01/31/09,OTHER,PODIATRIC,92,122,"$13,520.29 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,PODIATRIC,2,3,$334.82 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,PODIATRIC,21,29,"$2,087.80 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PODIATRIC,24,31,"$2,256.52 ",IAMM4400-R002,01/31/09,TOTAL,PODIATRIC,4113,6071,"$201,257.05 "
IAMM4400-R002,01/31/09,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,PHYSICAL DISABILITIES SVCS,427,16463,"$207,165.17 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,168,7262,"$89,669.22 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,PHYSICAL DISABILITIES SVCS,593,23725,"$296,834.39 "
IAMM4400-R002,01/31/09,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,BRAIN INJ WAIVER SERVICES,1,49,"$4,886.19 ",IAMM4400-R002,01/31/09,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,BRAIN INJ WAIVER SERVICES,316,15165,"$488,040.22 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,34,1436,"$39,078.01 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,265,12638,"$392,299.63 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,432,20344,"$670,393.98 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,BRAIN INJ WAIVER SERVICES,1,0,"($2,249.37)",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,BRAIN INJ WAIVER SERVICES,2,93,"$2,637.60 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,BRAIN INJ WAIVER SERVICES,1026,49725,"$1,595,086.26 "
IAMM4400-R002,01/31/09,ADC - ADULT,PSYCHIATRIC,20,26,"$2,286.21 ",IAMM4400-R002,01/31/09,ADC - CHILD,PSYCHIATRIC,3,3,$357.61 ,IAMM4400-R002,01/31/09,AGED,PSYCHIATRIC,193,496,"$13,455.22 ",IAMM4400-R002,01/31/09,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,PSYCHIATRIC,11,64,"$3,851.63 ",IAMM4400-R002,01/31/09,DISABLED,PSYCHIATRIC,2576,5380,"$176,727.83 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,10,36,"$2,120.50 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,PSYCHIATRIC,487,718,"$24,275.03 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,PSYCHIATRIC,1,1,$32.84 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PSYCHIATRIC,1,1,$40.20 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,323,530,"$19,759.70 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,31,39,$796.47 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,26,75,"$4,019.02 ",IAMM4400-R002,01/31/09,OTHER,PSYCHIATRIC,37,51,$965.72 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,PSYCHIATRIC,1,1,$327.41 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,PSYCHIATRIC,3,10,$226.44 ,IAMM4400-R002,01/31/09,TOTAL,PSYCHIATRIC,3697,7431,"$249,241.83 "
IAMM4400-R002,01/31/09,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,RESIDENTIAL CARE FACILITY,316,10307,"$76,153.09 ",IAMM4400-R002,01/31/09,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,RESIDENTIAL CARE FACILITY,1,34,$582.63 ,IAMM4400-R002,01/31/09,DISABLED,RESIDENTIAL CARE FACILITY,1354,43428,"$352,125.14 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,3,89,"$1,620.55 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,17,634,"$4,801.98 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,4,126,"$1,512.55 ",IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,5,164,"$2,047.54 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,RESIDENTIAL CARE FACILITY,1,0,$289.34 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,RESIDENTIAL CARE FACILITY,1690,54782,"$439,132.82 "
IAMM4400-R002,01/31/09,ADC - ADULT,MR WAIVER SERVICE,1,14,$184.20 ,IAMM4400-R002,01/31/09,ADC - CHILD,MR WAIVER SERVICE,3,26,$706.76 ,IAMM4400-R002,01/31/09,AGED,MR WAIVER SERVICE,77,4435,"$249,083.18 ",IAMM4400-R002,01/31/09,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,MR WAIVER SERVICE,4,63,"$9,679.43 ",IAMM4400-R002,01/31/09,DISABLED,MR WAIVER SERVICE,983,57714,"$2,792,327.09 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,178,5814,"$184,352.80 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8337,470248,"$20,635,253.56 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,13,455,"$18,581.58 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,MR WAIVER SERVICE,5,97,"$3,361.29 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,MR WAIVER SERVICE,2,45,"$1,096.40 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MR WAIVER SERVICE,3,60,"$1,501.92 ",IAMM4400-R002,01/31/09,TOTAL,MR WAIVER SERVICE,9581,538971,"$23,896,128.21 "
IAMM4400-R002,01/31/09,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,3,233,"$3,882.72 ",IAMM4400-R002,01/31/09,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,42,1679,"$35,874.93 ",IAMM4400-R002,01/31/09,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,CHILDRENS MENTAL HEALTH SVC,91,4837,"$93,359.38 ",IAMM4400-R002,01/31/09,DISABLED,CHILDRENS MENTAL HEALTH SVC,36,1214,"$24,725.55 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,349,15029,"$333,744.09 ",IAMM4400-R002,01/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,CHILDRENS MENTAL HEALTH SVC,54,2545,"$51,482.94 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,1,60,$600.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,3,57,"$1,149.64 ",IAMM4400-R002,01/31/09,TOTAL,CHILDRENS MENTAL HEALTH SVC,577,25654,"$544,819.25 "
IAMM4400-R002,01/31/09,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,AIDS WAIVER SERVICES,13,1155,"$13,965.80 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,31,2623,"$28,857.55 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,AIDS WAIVER SERVICES,43,3778,"$42,823.35 "
IAMM4400-R002,01/31/09,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,ELDERLY WAIVER SERVICES,3493,143874,"$2,112,138.35 ",IAMM4400-R002,01/31/09,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,ELDERLY WAIVER SERVICES,26,1230,"$22,166.63 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,4,$78.40 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6269,272915,"$3,561,171.78 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,2,112,"$2,362.00 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,ELDERLY WAIVER SERVICES,3,22,"$1,962.80 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ELDERLY WAIVER SERVICES,3,154,"$2,420.20 ",IAMM4400-R002,01/31/09,TOTAL,ELDERLY WAIVER SERVICES,9569,418311,"$5,702,300.16 "
IAMM4400-R002,01/31/09,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1854,86873,"$1,407,168.56 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,29,2087,"$32,466.63 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,156,7525,"$150,943.50 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,14,$210.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,6,174,"$6,854.17 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,ILL & HANDICAPPED WAIVER SVCS,5,7,$369.74 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,1,9,$414.00 ,IAMM4400-R002,01/31/09,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2049,96689,"$1,598,426.60 "
IAMM4400-R002,01/31/09,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,01/31/09,ADC - ADULT,MEP SERVICES,3,3,"$1,478.10 ",IAMM4400-R002,01/31/09,ADC - CHILD,MEP SERVICES,50,54,"$24,726.19 ",IAMM4400-R002,01/31/09,AGED,MEP SERVICES,97,111,"$29,023.06 ",IAMM4400-R002,01/31/09,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,MEP SERVICES,109,127,"$51,268.87 ",IAMM4400-R002,01/31/09,DISABLED,MEP SERVICES,1223,1382,"$359,267.76 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,208,237,"$58,992.09 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,MEP SERVICES,7948,8614,"$2,211,685.11 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,MEP SERVICES,1,1,$222.41 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,MEP SERVICES,388,404,"$192,947.76 ",IAMM4400-R002,01/31/09,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,MEP SERVICES,143,165,"$44,161.90 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,1,1,$237.51 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,1,1,$279.48 ,IAMM4400-R002,01/31/09,OTHER,MEP SERVICES,61,79,"$30,813.29 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,MEP SERVICES,6,6,"$2,207.72 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,MEP SERVICES,7,8,"$2,454.80 ",IAMM4400-R002,01/31/09,TOTAL,MEP SERVICES,10222,11193,"$3,009,766.05 "
IAMM4400-R002,01/31/09,ADC - ADULT,UNASSIGNED,4,0,$0.00 ,IAMM4400-R002,01/31/09,ADC - CHILD,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,CMAP,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/09,DISABLED,UNASSIGNED,9,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,UNASSIGNED,2,0,$20.00 ,IAMM4400-R002,01/31/09,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,UNASSIGNED,2,0,$183.47 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,4,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER,UNASSIGNED,4,0,"$1,931,942.05 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,OTHER TXXI,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,01/31/09,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,01/31/09,TOTAL,UNASSIGNED,28,0,"$1,932,145.52 "
IAMM4400-R002,01/31/09,ADC - ADULT,* A L L  C A T E G O R I E S *,58565,327714,"$14,439,864.00 ",IAMM4400-R002,01/31/09,ADC - CHILD,* A L L  C A T E G O R I E S *,84792,334879,"$10,349,118.29 ",IAMM4400-R002,01/31/09,AGED,* A L L  C A T E G O R I E S *,14160,657440,"$18,703,089.02 ",IAMM4400-R002,01/31/09,BLIND,* A L L  C A T E G O R I E S *,1,0,$5.80 ,IAMM4400-R002,01/31/09,CMAP,* A L L  C A T E G O R I E S *,16915,106299,"$5,124,541.71 ",IAMM4400-R002,01/31/09,DISABLED,* A L L  C A T E G O R I E S *,56172,1823569,"$48,160,480.97 ",IAMM4400-R002,01/31/09,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/09,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,9996,252559,"$5,829,148.36 ",IAMM4400-R002,01/31/09,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11228,1122688,"$50,865,701.90 ",IAMM4400-R002,01/31/09,FEDERAL ONLY,* A L L  C A T E G O R I E S *,192,812,"$36,840.28 ",IAMM4400-R002,01/31/09,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,12,723,"$15,455.36 ",IAMM4400-R002,01/31/09,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,304,25304,"$845,645.00 ",IAMM4400-R002,01/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,291,3199,"$179,368.34 ",IAMM4400-R002,01/31/09,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,14818,1170359,"$33,478,494.35 ",IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/09,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/09,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1938,32904,"$1,153,528.55 ",IAMM4400-R002,01/31/09,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,702,16862,"$1,175,342.32 ",IAMM4400-R002,01/31/09,OTHER,* A L L  C A T E G O R I E S *,102993,524767,"$21,725,616.72 ",IAMM4400-R002,01/31/09,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,255,6025,"$368,292.43 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,83,76,"$27,180.56 ",IAMM4400-R002,01/31/09,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,7,34,"$2,698.24 ",IAMM4400-R002,01/31/09,OTHER TXXI,* A L L  C A T E G O R I E S *,10016,61400,"$1,838,437.79 ",IAMM4400-R002,01/31/09,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,01/31/09,STATE ONLY,* A L L  C A T E G O R I E S *,1460,20685,"$827,901.33 ",IAMM4400-R002,01/31/09,TOTAL,* A L L  C A T E G O R I E S *,384900,6488298,"$215,146,751.32 "