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-R002,04/30/09,ADC - ADULT,INPATIENT,694,2483,"$3,767,799.69 ",IAMM4400-R002,04/30/09,ADC - CHILD,INPATIENT,383,2123,"$2,263,284.92 ",IAMM4400-R002,04/30/09,AGED,INPATIENT,562,2114,"$424,231.20 ",IAMM4400-R002,04/30/09,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,INPATIENT,362,6652,"$1,863,412.02 ",IAMM4400-R002,04/30/09,DISABLED,INPATIENT,1806,10706,"$8,640,775.10 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,62,781,"$239,591.30 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,INPATIENT,141,809,"$366,797.82 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,INPATIENT,1,9,"$7,911.21 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,INPATIENT,2,8,"$3,204.00 ",IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,INPATIENT,9,176,"$27,170.23 ",IAMM4400-R002,04/30/09,STATE ONLY,INPATIENT,7,20,"$28,199.24 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,INPATIENT,700,3100,"$946,912.59 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,INPATIENT,43,223,"$338,665.50 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,INPATIENT,182,876,"$1,306,653.87 ",IAMM4400-R002,04/30/09,OTHER,INPATIENT,1916,10998,"$10,976,813.15 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,INPATIENT,5,32,"$52,449.08 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,INPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,INPATIENT,2,8,"$4,439.71 ",IAMM4400-R002,04/30/09,OTHER TXXI,INPATIENT,53,416,"$163,876.40 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,INPATIENT,21,48,"$159,145.90 ",IAMM4400-R002,04/30/09,TOTAL,INPATIENT,6927,41582,"$31,581,332.93 "
IAMM4400-R002,04/30/09,ADC - ADULT,OUTPATIENT,8944,161802,"$3,732,916.94 ",IAMM4400-R002,04/30/09,ADC - CHILD,OUTPATIENT,7889,87163,"$1,910,996.15 ",IAMM4400-R002,04/30/09,AGED,OUTPATIENT,4465,100114,"$585,018.20 ",IAMM4400-R002,04/30/09,BLIND,OUTPATIENT,1,10,$13.34 ,IAMM4400-R002,04/30/09,CMAP,OUTPATIENT,2169,35652,"$670,789.47 ",IAMM4400-R002,04/30/09,DISABLED,OUTPATIENT,15765,400680,"$5,077,036.27 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,942,15869,"$237,863.14 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,OUTPATIENT,2888,73332,"$499,742.45 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,OUTPATIENT,37,463,"$7,265.03 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,OUTPATIENT,12,375,"$1,121.39 ",IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,OUTPATIENT,50,615,"$4,956.09 ",IAMM4400-R002,04/30/09,STATE ONLY,OUTPATIENT,81,1054,"$18,593.39 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,OUTPATIENT,5269,129408,"$668,384.30 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,1,1,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,448,10210,"$158,809.69 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,502,16955,"$379,819.47 ",IAMM4400-R002,04/30/09,OTHER,OUTPATIENT,12775,195978,"$2,957,461.39 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,OUTPATIENT,119,3935,"$107,394.57 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,OUTPATIENT,2,0,$640.66 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,OUTPATIENT,5,80,$974.48 ,IAMM4400-R002,04/30/09,OTHER TXXI,OUTPATIENT,1164,16108,"$309,889.48 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,OUTPATIENT,306,7038,"$131,758.59 ",IAMM4400-R002,04/30/09,TOTAL,OUTPATIENT,63262,1256842,"$17,461,444.49 "
IAMM4400-R002,04/30/09,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,ADULT PART HOSP,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,SKILLED NURSING FACILITY,237,3671,"$70,677.54 ",IAMM4400-R002,04/30/09,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,SKILLED NURSING FACILITY,197,4655,"$2,215,794.83 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,31,"$10,655.67 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,5,72,"$14,300.30 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,383,5947,$343.02 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,4,95,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,3,41,"$1,280.00 ",IAMM4400-R002,04/30/09,OTHER,SKILLED NURSING FACILITY,5,79,"$9,473.91 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,SKILLED NURSING FACILITY,1,35,"$21,126.70 ",IAMM4400-R002,04/30/09,TOTAL,SKILLED NURSING FACILITY,825,14626,"$2,343,651.97 "
IAMM4400-R002,04/30/09,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,30,"$3,888.28 ",IAMM4400-R002,04/30/09,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,INTERMEDIATE CARE FACILITY,4515,136810,"$11,939,351.18 ",IAMM4400-R002,04/30/09,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,INTERMEDIATE CARE FACILITY,603,18459,"$2,017,380.84 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,7,230,"$30,478.97 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,1,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,6943,210018,"$21,865,223.70 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,INTERMEDIATE CARE FACILITY,3,81,"$6,013.93 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,INTERMEDIATE CARE FACILITY,12037,365628,"$35,862,336.90 "
IAMM4400-R002,04/30/09,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,INTER CARE MENTAL RETARDA,1,26,"$20,135.96 ",IAMM4400-R002,04/30/09,DISABLED,INTER CARE MENTAL RETARDA,13,278,"$86,836.98 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,8,210,"$85,557.61 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2011,61097,"$25,959,534.64 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,1,30,"$22,523.64 ",IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,2,39,"$10,485.00 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,INTER CARE MENTAL RETARDA,1,0,"($1,423,238.00)",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,INTER CARE MENTAL RETARDA,1,21,"$9,251.18 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,INTER CARE MENTAL RETARDA,2031,61701,"$24,771,087.01 "
IAMM4400-R002,04/30/09,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,NURSING FAC FOR MENTAL ILL,7,241,"$69,828.28 ",IAMM4400-R002,04/30/09,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,26,1111,"$373,359.45 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,1,31,"$6,730.72 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,NURSING FAC FOR MENTAL ILL,1,37,"$15,914.07 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,NURSING FAC FOR MENTAL ILL,35,1420,"$465,832.52 "
IAMM4400-R002,04/30/09,ADC - ADULT,HOME HEALTH,56,506,"$30,202.69 ",IAMM4400-R002,04/30/09,ADC - CHILD,HOME HEALTH,528,1781,"$54,923.11 ",IAMM4400-R002,04/30/09,AGED,HOME HEALTH,2526,53599,"$1,716,639.12 ",IAMM4400-R002,04/30/09,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,HOME HEALTH,105,380,"$28,552.40 ",IAMM4400-R002,04/30/09,DISABLED,HOME HEALTH,3618,93780,"$2,552,343.57 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,86,4129,"$125,317.92 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,HOME HEALTH,1122,43550,"$1,183,761.91 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,HOME HEALTH,1,3,$330.15 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,3,$15.00 ,IAMM4400-R002,04/30/09,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,HOME HEALTH,3729,78218,"$2,779,553.80 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,63,1176,"$16,861.95 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,36,385,"$35,939.20 ",IAMM4400-R002,04/30/09,OTHER,HOME HEALTH,845,4252,"($339,815.26)",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,HOME HEALTH,2,17,$721.80 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,HOME HEALTH,83,219,"$5,079.07 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,HOME HEALTH,16,83,"$6,182.46 ",IAMM4400-R002,04/30/09,TOTAL,HOME HEALTH,12698,282081,"$8,196,608.89 "
IAMM4400-R002,04/30/09,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,LEAD INSPECTION AGENCY,3,3,"$1,139.59 ",IAMM4400-R002,04/30/09,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,LEAD INSPECTION AGENCY,2,2,$747.48 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,LEAD INSPECTION AGENCY,5,5,"$1,887.07 "
IAMM4400-R002,04/30/09,ADC - ADULT,PHYSICIAN,16662,35479,"$3,210,597.14 ",IAMM4400-R002,04/30/09,ADC - CHILD,PHYSICIAN,20843,35967,"$2,379,547.00 ",IAMM4400-R002,04/30/09,AGED,PHYSICIAN,7067,41484,"$442,185.54 ",IAMM4400-R002,04/30/09,BLIND,PHYSICIAN,1,1,$8.55 ,IAMM4400-R002,04/30/09,CMAP,PHYSICIAN,4695,8997,"$714,995.56 ",IAMM4400-R002,04/30/09,DISABLED,PHYSICIAN,25213,120968,"$4,477,183.30 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2393,3681,"$210,987.91 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,PHYSICIAN,4793,16951,"$444,301.80 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,PHYSICIAN,62,121,"$13,072.69 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,PHYSICIAN,19,-26,$86.05 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,PHYSICIAN,106,162,"$5,973.60 ",IAMM4400-R002,04/30/09,STATE ONLY,PHYSICIAN,132,234,"$23,812.62 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,PHYSICIAN,8120,48285,"$579,947.27 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,866,2894,"$162,838.87 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,803,3881,"$323,613.24 ",IAMM4400-R002,04/30/09,OTHER,PHYSICIAN,32048,73398,"($4,278,143.74)",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,PHYSICIAN,182,873,"$164,182.89 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,PHYSICIAN,4,11,"$7,743.40 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,PHYSICIAN,7,16,"$5,168.34 ",IAMM4400-R002,04/30/09,OTHER TXXI,PHYSICIAN,3302,5325,"$317,579.33 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PHYSICIAN,538,1238,"$110,023.60 ",IAMM4400-R002,04/30/09,TOTAL,PHYSICIAN,125268,399940,"$9,315,704.96 "
IAMM4400-R002,04/30/09,ADC - ADULT,CLINIC SERVICES,2895,4021,"$543,061.64 ",IAMM4400-R002,04/30/09,ADC - CHILD,CLINIC SERVICES,3582,4565,"$617,008.81 ",IAMM4400-R002,04/30/09,AGED,CLINIC SERVICES,541,392,"$32,566.72 ",IAMM4400-R002,04/30/09,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,CLINIC SERVICES,969,1384,"$181,156.06 ",IAMM4400-R002,04/30/09,DISABLED,CLINIC SERVICES,3301,4201,"$550,541.82 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,482,598,"$75,031.71 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,CLINIC SERVICES,375,434,"$50,791.79 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,CLINIC SERVICES,20,25,"$3,932.50 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,14,20,"$1,786.12 ",IAMM4400-R002,04/30/09,STATE ONLY,CLINIC SERVICES,35,41,"$4,599.08 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,447,436,"$32,999.00 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,98,111,"$14,808.00 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,84,137,"$16,685.97 ",IAMM4400-R002,04/30/09,OTHER,CLINIC SERVICES,6934,9885,"$1,101,361.75 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,20,23,"$3,958.89 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,CLINIC SERVICES,739,907,"$116,650.55 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,CLINIC SERVICES,107,158,"$22,767.12 ",IAMM4400-R002,04/30/09,TOTAL,CLINIC SERVICES,20468,27338,"$3,369,707.53 "
IAMM4400-R002,04/30/09,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,LAB AND RADIOLOGICAL,2957,10203,"$226,296.41 ",IAMM4400-R002,04/30/09,ADC - CHILD,LAB AND RADIOLOGICAL,2485,4489,"$71,412.12 ",IAMM4400-R002,04/30/09,AGED,LAB AND RADIOLOGICAL,893,203,"$2,903.43 ",IAMM4400-R002,04/30/09,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,LAB AND RADIOLOGICAL,579,1545,"$30,717.30 ",IAMM4400-R002,04/30/09,DISABLED,LAB AND RADIOLOGICAL,3283,6904,"$120,486.03 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,309,720,"$11,383.08 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,577,824,"$11,090.55 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,LAB AND RADIOLOGICAL,18,72,"$1,280.03 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,1,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,8,23,$190.15 ,IAMM4400-R002,04/30/09,STATE ONLY,LAB AND RADIOLOGICAL,26,80,"$2,178.42 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1202,339,"$3,931.58 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,160,441,"$8,693.70 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,50,123,"$2,581.07 ",IAMM4400-R002,04/30/09,OTHER,LAB AND RADIOLOGICAL,4348,10708,"$191,026.92 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,22,66,"$1,432.42 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,1,2,$55.05 ,IAMM4400-R002,04/30/09,OTHER TXXI,LAB AND RADIOLOGICAL,228,672,"$11,113.89 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,LAB AND RADIOLOGICAL,50,231,"$4,517.06 ",IAMM4400-R002,04/30/09,TOTAL,LAB AND RADIOLOGICAL,17067,37645,"$701,289.21 "
IAMM4400-R002,04/30/09,ADC - ADULT,HABILITATION SERVICES,28,404,"$19,669.30 ",IAMM4400-R002,04/30/09,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,HABILITATION SERVICES,48,1413,"$86,146.16 ",IAMM4400-R002,04/30/09,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,HABILITATION SERVICES,24,581,"$36,604.36 ",IAMM4400-R002,04/30/09,DISABLED,HABILITATION SERVICES,2551,69741,"$3,599,972.50 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,10,155,"$6,288.54 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,33,630,"$28,112.46 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,HABILITATION SERVICES,9,558,"$26,636.35 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,27,472,"$23,023.08 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,27,910,"$53,570.33 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,3,91,"$3,860.74 ",IAMM4400-R002,04/30/09,OTHER,HABILITATION SERVICES,7,122,"$6,856.76 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,HABILITATION SERVICES,4,34,"$3,182.76 ",IAMM4400-R002,04/30/09,TOTAL,HABILITATION SERVICES,2766,75111,"$3,893,923.34 "
IAMM4400-R002,04/30/09,ADC - ADULT,REMEDIAL SERVICES,171,4068,"$53,908.23 ",IAMM4400-R002,04/30/09,ADC - CHILD,REMEDIAL SERVICES,2065,53325,"$847,699.12 ",IAMM4400-R002,04/30/09,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,REMEDIAL SERVICES,674,18407,"$224,035.74 ",IAMM4400-R002,04/30/09,DISABLED,REMEDIAL SERVICES,738,23982,"$378,493.81 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2252,163450,"$1,767,514.35 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,111,2903,"$51,884.00 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,140,4973,"$72,937.67 ",IAMM4400-R002,04/30/09,STATE ONLY,REMEDIAL SERVICES,22,407,"$7,958.52 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,5,95,"$1,404.18 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,6,48,$598.26 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,5,87,$952.78 ,IAMM4400-R002,04/30/09,OTHER,REMEDIAL SERVICES,1838,50091,"$737,532.23 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,REMEDIAL SERVICES,337,7477,"$114,221.71 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,REMEDIAL SERVICES,52,2908,"$35,355.98 ",IAMM4400-R002,04/30/09,TOTAL,REMEDIAL SERVICES,8127,332221,"$4,294,496.58 "
IAMM4400-R002,04/30/09,ADC - ADULT,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,REHAB SUPPORT SERVICES,3,23,"$1,130.68 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,REHAB SUPPORT SERVICES,1,0,"($1,339.65)",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,REHAB SUPPORT SERVICES,4,23,($208.97)
IAMM4400-R002,04/30/09,ADC - ADULT,AMBULANCE SERVICES,198,210,"$29,484.25 ",IAMM4400-R002,04/30/09,ADC - CHILD,AMBULANCE SERVICES,107,106,"$15,542.58 ",IAMM4400-R002,04/30/09,AGED,AMBULANCE SERVICES,392,419,"$36,263.80 ",IAMM4400-R002,04/30/09,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,AMBULANCE SERVICES,43,44,"$5,564.73 ",IAMM4400-R002,04/30/09,DISABLED,AMBULANCE SERVICES,817,1052,"$110,715.46 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,21,20,"$2,888.59 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,108,128,"$13,128.41 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,AMBULANCE SERVICES,1,1,$137.69 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,AMBULANCE SERVICES,3,3,$382.72 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,550,665,"$64,024.64 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,24,28,"$6,015.30 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,43,42,"$7,634.11 ",IAMM4400-R002,04/30/09,OTHER,AMBULANCE SERVICES,154,146,"$24,434.59 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,AMBULANCE SERVICES,13,11,"$1,149.69 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,AMBULANCE SERVICES,9,8,"$1,546.93 ",IAMM4400-R002,04/30/09,TOTAL,AMBULANCE SERVICES,2470,2883,"$318,913.49 "
IAMM4400-R002,04/30/09,ADC - ADULT,LOCAL EDUCATION AGENCY,15,1073,"$6,596.32 ",IAMM4400-R002,04/30/09,ADC - CHILD,LOCAL EDUCATION AGENCY,187,26422,"$177,657.42 ",IAMM4400-R002,04/30/09,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,LOCAL EDUCATION AGENCY,53,5775,"$39,769.02 ",IAMM4400-R002,04/30/09,DISABLED,LOCAL EDUCATION AGENCY,514,105570,"$1,111,558.25 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,120,31117,"$264,879.28 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,547,141079,"$1,595,387.82 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,17,5511,"$36,448.76 ",IAMM4400-R002,04/30/09,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,17,4644,"$65,267.81 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,LOCAL EDUCATION AGENCY,201,33530,"$232,023.05 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,LOCAL EDUCATION AGENCY,48,12560,"$93,018.46 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,LOCAL EDUCATION AGENCY,2,154,$759.60 ,IAMM4400-R002,04/30/09,TOTAL,LOCAL EDUCATION AGENCY,1695,367435,"$3,623,365.79 "
IAMM4400-R002,04/30/09,ADC - ADULT,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,EARLY ACCESS SERVICES,73,221,"$5,954.99 ",IAMM4400-R002,04/30/09,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,EARLY ACCESS SERVICES,28,90,"$2,250.52 ",IAMM4400-R002,04/30/09,DISABLED,EARLY ACCESS SERVICES,120,536,"$10,401.09 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,44,135,"$3,273.40 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,32,156,"$3,268.53 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,1,7,$79.52 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,EARLY ACCESS SERVICES,109,279,"$8,115.03 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,EARLY ACCESS SERVICES,2,2,$100.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,EARLY ACCESS SERVICES,2,2,$100.00 ,IAMM4400-R002,04/30/09,TOTAL,EARLY ACCESS SERVICES,407,1428,"$33,543.08 "
IAMM4400-R002,04/30/09,ADC - ADULT,PRESCRIBED DRUGS,20213,52117,"$2,503,270.78 ",IAMM4400-R002,04/30/09,ADC - CHILD,PRESCRIBED DRUGS,18674,29609,"$1,601,073.01 ",IAMM4400-R002,04/30/09,AGED,PRESCRIBED DRUGS,2699,4092,"$50,058.06 ",IAMM4400-R002,04/30/09,BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,PRESCRIBED DRUGS,4923,9958,"$470,003.09 ",IAMM4400-R002,04/30/09,DISABLED,PRESCRIBED DRUGS,23802,94851,"$7,180,868.12 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,5085,10914,"$699,551.27 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6043,17905,"$1,183,950.15 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,PRESCRIBED DRUGS,37,77,"$4,089.11 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,7,9,$76.37 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,349,1012,"$58,730.64 ",IAMM4400-R002,04/30/09,STATE ONLY,PRESCRIBED DRUGS,151,305,"$16,645.31 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,9486,19731,"$330,421.89 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,933,2595,"$120,331.14 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,297,1310,"$62,103.15 ",IAMM4400-R002,04/30/09,OTHER,PRESCRIBED DRUGS,27834,42415,"$1,912,746.34 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,194,727,"$51,065.22 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,78,76,"$7,572.23 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,PRESCRIBED DRUGS,3922,6041,"$479,114.13 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PRESCRIBED DRUGS,853,3554,"$213,282.48 ",IAMM4400-R002,04/30/09,TOTAL,PRESCRIBED DRUGS,123061,297298,"$16,944,952.49 "
IAMM4400-R002,04/30/09,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,DRUG CAPITATION,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,INDIAN HEALTH SERVICES,7,13,"$3,289.00 ",IAMM4400-R002,04/30/09,ADC - CHILD,INDIAN HEALTH SERVICES,9,13,"$3,289.00 ",IAMM4400-R002,04/30/09,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,INDIAN HEALTH SERVICES,5,7,"$1,771.00 ",IAMM4400-R002,04/30/09,DISABLED,INDIAN HEALTH SERVICES,2,3,$759.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,2,3,$759.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,1,3,$759.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,1,1,$135.00 ,IAMM4400-R002,04/30/09,OTHER,INDIAN HEALTH SERVICES,21,46,"$11,638.00 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,INDIAN HEALTH SERVICES,45,89,"$22,399.00 "
IAMM4400-R002,04/30/09,ADC - ADULT,FAMILY PLANNING SERVICES,6777,7375,"$639,770.11 ",IAMM4400-R002,04/30/09,ADC - CHILD,FAMILY PLANNING SERVICES,1214,1297,"$110,472.94 ",IAMM4400-R002,04/30/09,AGED,FAMILY PLANNING SERVICES,1,1,$28.87 ,IAMM4400-R002,04/30/09,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,FAMILY PLANNING SERVICES,238,276,"$23,400.69 ",IAMM4400-R002,04/30/09,DISABLED,FAMILY PLANNING SERVICES,139,151,"$9,605.04 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,35,38,"$4,407.34 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,30,32,"$3,710.93 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,1,1,$97.56 ,IAMM4400-R002,04/30/09,STATE ONLY,FAMILY PLANNING SERVICES,15,24,"$1,457.44 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,2,2,$31.04 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,28,33,"$3,569.08 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,9,10,$691.61 ,IAMM4400-R002,04/30/09,OTHER,FAMILY PLANNING SERVICES,503,574,"$50,049.16 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,1,1,$105.30 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,FAMILY PLANNING SERVICES,116,129,"$12,446.75 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,FAMILY PLANNING SERVICES,3,5,$315.73 ,IAMM4400-R002,04/30/09,TOTAL,FAMILY PLANNING SERVICES,9084,9949,"$860,159.59 "
IAMM4400-R002,04/30/09,ADC - ADULT,IOWA PLAN PROGRAM,38795,43196,"$1,346,904.78 ",IAMM4400-R002,04/30/09,ADC - CHILD,IOWA PLAN PROGRAM,65912,71267,"$712,281.17 ",IAMM4400-R002,04/30/09,AGED,IOWA PLAN PROGRAM,2,2,$122.36 ,IAMM4400-R002,04/30/09,BLIND,IOWA PLAN PROGRAM,2,2,$89.56 ,IAMM4400-R002,04/30/09,CMAP,IOWA PLAN PROGRAM,14258,15724,"$320,369.35 ",IAMM4400-R002,04/30/09,DISABLED,IOWA PLAN PROGRAM,49602,51262,"$3,777,741.82 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,10004,10328,"$1,064,137.12 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10822,10919,"$725,302.89 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,IOWA PLAN PROGRAM,109,141,"$3,765.12 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,20,22,"$1,374.86 ",IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,379,380,"$46,320.54 ",IAMM4400-R002,04/30/09,STATE ONLY,IOWA PLAN PROGRAM,369,413,"$60,931.01 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2229,2301,"$155,645.90 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1434,1579,"$56,405.95 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,IOWA PLAN PROGRAM,91802,102770,"$1,259,032.15 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,239,240,"$25,213.92 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,IOWA PLAN PROGRAM,14159,15353,"$169,651.91 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,IOWA PLAN PROGRAM,1376,1473,"$150,831.37 ",IAMM4400-R002,04/30/09,TOTAL,IOWA PLAN PROGRAM,300491,327372,"$9,876,121.78 "
IAMM4400-R002,04/30/09,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,EPSDT SCREENING,81,88,"$5,412.37 ",IAMM4400-R002,04/30/09,ADC - CHILD,EPSDT SCREENING,3020,3464,"$365,469.68 ",IAMM4400-R002,04/30/09,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,EPSDT SCREENING,488,590,"$77,763.20 ",IAMM4400-R002,04/30/09,DISABLED,EPSDT SCREENING,184,262,"$10,811.67 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,190,218,"$14,883.83 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,EPSDT SCREENING,33,71,"$3,269.07 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,EPSDT SCREENING,1,1,$36.47 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,3,3,$236.60 ,IAMM4400-R002,04/30/09,STATE ONLY,EPSDT SCREENING,3,3,$109.36 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,4,4,$72.76 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,4,4,$138.99 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,1,1,$36.47 ,IAMM4400-R002,04/30/09,OTHER,EPSDT SCREENING,4246,4687,"$796,917.58 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,EPSDT SCREENING,216,230,"$20,481.48 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,EPSDT SCREENING,3,3,$94.60 ,IAMM4400-R002,04/30/09,TOTAL,EPSDT SCREENING,8441,9629,"$1,295,734.13 "
IAMM4400-R002,04/30/09,ADC - ADULT,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,HMO SERVICES,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,PACE SERVICES,13,13,"$44,414.00 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,PACE SERVICES,23,22,"$63,504.00 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,PACE SERVICES,36,35,"$107,918.00 "
IAMM4400-R002,04/30/09,ADC - ADULT,PATIENT MANAGEMENT,23985,24050,"$48,100.00 ",IAMM4400-R002,04/30/09,ADC - CHILD,PATIENT MANAGEMENT,43152,43226,"$86,452.00 ",IAMM4400-R002,04/30/09,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,PATIENT MANAGEMENT,8666,8668,"$17,336.00 ",IAMM4400-R002,04/30/09,DISABLED,PATIENT MANAGEMENT,2,2,$4.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,116,116,$232.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,PATIENT MANAGEMENT,62,62,$124.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,1,1,$2.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,PATIENT MANAGEMENT,63475,63538,"$127,076.00 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,PATIENT MANAGEMENT,9321,9322,"$18,644.00 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,PATIENT MANAGEMENT,148775,148985,"$297,970.00 "
IAMM4400-R002,04/30/09,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,220,501,"$16,048.43 ",IAMM4400-R002,04/30/09,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,311,764,"$18,428.31 ",IAMM4400-R002,04/30/09,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,HEALTH INS PREMIUM PAYMENT,50,118,"$5,063.83 ",IAMM4400-R002,04/30/09,DISABLED,HEALTH INS PREMIUM PAYMENT,665,1497,"$183,644.23 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,160,355,"$15,613.29 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,612,1353,"$168,540.45 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,45,97,"$9,073.64 ",IAMM4400-R002,04/30/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,36,79,"$12,267.14 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,1,2,$31.48 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,HEALTH INS PREMIUM PAYMENT,1971,5383,"$139,315.19 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,13,38,"$1,706.72 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,7,12,"$2,146.77 ",IAMM4400-R002,04/30/09,TOTAL,HEALTH INS PREMIUM PAYMENT,4091,10199,"$571,879.48 "
IAMM4400-R002,04/30/09,ADC - ADULT,MEDICAL SUPPLIES,1118,23475,"$192,080.03 ",IAMM4400-R002,04/30/09,ADC - CHILD,MEDICAL SUPPLIES,1186,15172,"$151,025.11 ",IAMM4400-R002,04/30/09,AGED,MEDICAL SUPPLIES,2834,146227,"$293,610.39 ",IAMM4400-R002,04/30/09,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,MEDICAL SUPPLIES,242,4781,"$36,643.73 ",IAMM4400-R002,04/30/09,DISABLED,MEDICAL SUPPLIES,9423,648660,"$1,920,600.41 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,253,24677,"$74,356.79 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2331,321078,"$548,052.20 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,MEDICAL SUPPLIES,1,1,$52.51 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,1,2,$51.45 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,11,1369,"$1,105.39 ",IAMM4400-R002,04/30/09,STATE ONLY,MEDICAL SUPPLIES,4,6,$659.66 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4734,361048,"$564,703.05 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,194,9191,"$17,660.14 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,79,2981,"$71,183.51 ",IAMM4400-R002,04/30/09,OTHER,MEDICAL SUPPLIES,1454,19813,"$191,971.05 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,40,914,"$13,776.25 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,MEDICAL SUPPLIES,160,4208,"$52,015.09 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MEDICAL SUPPLIES,140,6357,"$26,112.96 ",IAMM4400-R002,04/30/09,TOTAL,MEDICAL SUPPLIES,23745,1589960,"$4,155,659.72 "
IAMM4400-R002,04/30/09,ADC - ADULT,OTHER PRACTITIONER,1692,3341,"$220,807.41 ",IAMM4400-R002,04/30/09,ADC - CHILD,OTHER PRACTITIONER,2338,11592,"$249,385.56 ",IAMM4400-R002,04/30/09,AGED,OTHER PRACTITIONER,363,1297,"$22,515.97 ",IAMM4400-R002,04/30/09,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,OTHER PRACTITIONER,538,3740,"$68,097.31 ",IAMM4400-R002,04/30/09,DISABLED,OTHER PRACTITIONER,2625,23352,"$421,967.97 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,530,4595,"$77,055.12 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,916,15543,"$326,433.94 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,OTHER PRACTITIONER,2,2,$81.74 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,37,3644,"$23,937.65 ",IAMM4400-R002,04/30/09,STATE ONLY,OTHER PRACTITIONER,9,11,$898.18 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,504,2710,"$72,374.91 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,81,231,"$9,190.98 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,58,134,"$10,801.63 ",IAMM4400-R002,04/30/09,OTHER,OTHER PRACTITIONER,3552,13240,"$384,827.80 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,20,53,"$3,084.13 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,OTHER PRACTITIONER,372,2800,"$43,588.05 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,OTHER PRACTITIONER,64,166,"$8,994.00 ",IAMM4400-R002,04/30/09,TOTAL,OTHER PRACTITIONER,13600,86451,"$1,944,042.35 "
IAMM4400-R002,04/30/09,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,DENTAL,3464,4657,"$834,648.94 ",IAMM4400-R002,04/30/09,ADC - CHILD,DENTAL,4890,5709,"$667,588.51 ",IAMM4400-R002,04/30/09,AGED,DENTAL,412,516,"$75,486.48 ",IAMM4400-R002,04/30/09,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,DENTAL,1169,1423,"$225,316.70 ",IAMM4400-R002,04/30/09,DISABLED,DENTAL,4215,5411,"$886,680.97 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1054,1188,"$149,824.61 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,DENTAL,1361,1555,"$168,356.94 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,DENTAL,24,29,"$3,866.14 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,DENTAL,1,1,$53.01 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,DENTAL,37,46,"$7,938.63 ",IAMM4400-R002,04/30/09,STATE ONLY,DENTAL,18,19,"$2,131.37 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,DENTAL,898,1056,"$167,572.97 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,DENTAL,170,218,"$35,923.73 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,DENTAL,73,99,"$25,512.02 ",IAMM4400-R002,04/30/09,OTHER,DENTAL,7142,8436,"$1,104,261.19 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,DENTAL,22,24,"$3,187.74 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,DENTAL,1494,1784,"$278,648.26 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,DENTAL,113,141,"$28,107.71 ",IAMM4400-R002,04/30/09,TOTAL,DENTAL,26462,32312,"$4,665,105.92 "
IAMM4400-R002,04/30/09,ADC - ADULT,OPTOMETRIST,1643,1995,"$145,337.95 ",IAMM4400-R002,04/30/09,ADC - CHILD,OPTOMETRIST,1635,1866,"$130,351.65 ",IAMM4400-R002,04/30/09,AGED,OPTOMETRIST,702,1061,"$29,255.04 ",IAMM4400-R002,04/30/09,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,OPTOMETRIST,462,530,"$37,229.73 ",IAMM4400-R002,04/30/09,DISABLED,OPTOMETRIST,2447,3341,"$174,974.03 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,439,482,"$32,839.42 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,OPTOMETRIST,658,789,"$36,700.61 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,OPTOMETRIST,6,9,$533.23 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,OPTOMETRIST,1,1,$142.74 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,18,19,"$1,215.71 ",IAMM4400-R002,04/30/09,STATE ONLY,OPTOMETRIST,17,19,"$1,509.64 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,OPTOMETRIST,817,1109,"$33,842.64 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,98,129,"$7,856.14 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,37,42,"$2,912.28 ",IAMM4400-R002,04/30/09,OTHER,OPTOMETRIST,2468,2821,"$189,596.51 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,12,12,"$1,020.98 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,OPTOMETRIST,549,632,"$41,508.50 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,OPTOMETRIST,64,86,"$6,102.73 ",IAMM4400-R002,04/30/09,TOTAL,OPTOMETRIST,12045,14943,"$872,929.53 "
IAMM4400-R002,04/30/09,ADC - ADULT,CHIROPRACTIC,1953,4830,"$171,213.87 ",IAMM4400-R002,04/30/09,ADC - CHILD,CHIROPRACTIC,1006,1826,"$59,214.34 ",IAMM4400-R002,04/30/09,AGED,CHIROPRACTIC,440,1085,"$9,744.01 ",IAMM4400-R002,04/30/09,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,CHIROPRACTIC,260,556,"$19,264.51 ",IAMM4400-R002,04/30/09,DISABLED,CHIROPRACTIC,2426,5831,"$101,206.52 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,147,293,"$8,955.98 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,CHIROPRACTIC,327,668,"$12,088.95 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,CHIROPRACTIC,1,8,$51.84 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,9,26,$703.66 ,IAMM4400-R002,04/30/09,STATE ONLY,CHIROPRACTIC,9,38,"$1,619.51 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,314,711,"$6,279.17 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,111,251,"$8,690.39 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,31,82,"$1,976.64 ",IAMM4400-R002,04/30/09,OTHER,CHIROPRACTIC,1745,3591,"$107,690.08 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,14,28,$962.69 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,CHIROPRACTIC,298,539,"$17,928.46 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,CHIROPRACTIC,57,111,"$3,734.41 ",IAMM4400-R002,04/30/09,TOTAL,CHIROPRACTIC,9062,20474,"$531,325.03 "
IAMM4400-R002,04/30/09,ADC - ADULT,PODIATRIC,246,315,"$40,986.83 ",IAMM4400-R002,04/30/09,ADC - CHILD,PODIATRIC,71,81,"$10,327.68 ",IAMM4400-R002,04/30/09,AGED,PODIATRIC,879,1260,"$18,476.23 ",IAMM4400-R002,04/30/09,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,PODIATRIC,36,40,"$5,635.79 ",IAMM4400-R002,04/30/09,DISABLED,PODIATRIC,1245,2226,"$78,161.80 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,23,28,"$3,375.71 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,PODIATRIC,531,743,"$18,029.01 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PODIATRIC,1,1,$178.94 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,PODIATRIC,1418,2118,"$31,793.33 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,39,49,"$1,160.40 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,21,27,"$5,423.72 ",IAMM4400-R002,04/30/09,OTHER,PODIATRIC,102,121,"$13,932.70 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,PODIATRIC,2,3,$146.18 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,PODIATRIC,31,29,"$2,913.31 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PODIATRIC,17,25,"$3,912.07 ",IAMM4400-R002,04/30/09,TOTAL,PODIATRIC,4633,7066,"$234,453.70 "
IAMM4400-R002,04/30/09,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,PHYSICAL DISABILITIES SVCS,1,27,$486.00 ,IAMM4400-R002,04/30/09,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,PHYSICAL DISABILITIES SVCS,516,20035,"$283,806.09 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,194,7792,"$98,924.10 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,PHYSICAL DISABILITIES SVCS,708,27854,"$383,216.19 "
IAMM4400-R002,04/30/09,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,BRAIN INJ WAIVER SERVICES,1,81,"$6,363.79 ",IAMM4400-R002,04/30/09,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,BRAIN INJ WAIVER SERVICES,313,15702,"$483,824.71 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,37,1290,"$37,683.49 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,264,12727,"$378,554.38 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,438,20379,"$673,184.11 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,BRAIN INJ WAIVER SERVICES,2,170,"($23,212.73)",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,BRAIN INJ WAIVER SERVICES,2,68,"$2,530.60 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,BRAIN INJ WAIVER SERVICES,1038,50417,"$1,558,928.35 "
IAMM4400-R002,04/30/09,ADC - ADULT,PSYCHIATRIC,34,59,"$3,977.87 ",IAMM4400-R002,04/30/09,ADC - CHILD,PSYCHIATRIC,26,34,"$4,063.18 ",IAMM4400-R002,04/30/09,AGED,PSYCHIATRIC,191,349,"$10,643.38 ",IAMM4400-R002,04/30/09,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,PSYCHIATRIC,10,48,"$2,872.58 ",IAMM4400-R002,04/30/09,DISABLED,PSYCHIATRIC,2572,4525,"$157,875.54 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,18,29,"$2,401.53 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,PSYCHIATRIC,532,824,"$37,216.53 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,PSYCHIATRIC,3,3,$86.76 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,1,1,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PSYCHIATRIC,1,1,$33.60 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,272,528,"$18,522.77 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,25,37,"$1,440.18 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,42,129,"$7,218.13 ",IAMM4400-R002,04/30/09,OTHER,PSYCHIATRIC,46,55,"$58,014.04 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,1,1,$32.84 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,PSYCHIATRIC,1,10,$543.03 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,PSYCHIATRIC,9,20,"$1,211.22 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,PSYCHIATRIC,4,6,$683.44 ,IAMM4400-R002,04/30/09,TOTAL,PSYCHIATRIC,3770,6659,"$306,836.62 "
IAMM4400-R002,04/30/09,ADC - ADULT,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,RESIDENTIAL CARE FACILITY,284,8612,"$61,927.43 ",IAMM4400-R002,04/30/09,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,RESIDENTIAL CARE FACILITY,1183,35271,"$288,566.68 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,3,6,($112.56),IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,8,222,"$2,179.66 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,2,31,$176.34 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,5,70,$328.20 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,1,-28,($262.50),IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,RESIDENTIAL CARE FACILITY,2,6,$274.91 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,RESIDENTIAL CARE FACILITY,1482,44190,"$353,078.16 "
IAMM4400-R002,04/30/09,ADC - ADULT,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,MR WAIVER SERVICE,1,44,$557.04 ,IAMM4400-R002,04/30/09,AGED,MR WAIVER SERVICE,79,5294,"$241,471.44 ",IAMM4400-R002,04/30/09,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,MR WAIVER SERVICE,3,15,$421.79 ,IAMM4400-R002,04/30/09,DISABLED,MR WAIVER SERVICE,1000,61505,"$2,764,713.31 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,195,7671,"$228,275.54 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8510,534977,"$21,952,446.36 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,MR WAIVER SERVICE,1,47,"$4,293.29 ",IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,5,214,"$14,338.75 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,MR WAIVER SERVICE,8,223,"($170,234.32)",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,MR WAIVER SERVICE,4,51,"$1,477.93 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MR WAIVER SERVICE,4,152,"$4,106.88 ",IAMM4400-R002,04/30/09,TOTAL,MR WAIVER SERVICE,9782,610193,"$25,041,868.01 "
IAMM4400-R002,04/30/09,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,6,254,"$5,517.31 ",IAMM4400-R002,04/30/09,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,43,1836,"$41,039.70 ",IAMM4400-R002,04/30/09,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,CHILDRENS MENTAL HEALTH SVC,105,5397,"$101,680.59 ",IAMM4400-R002,04/30/09,DISABLED,CHILDRENS MENTAL HEALTH SVC,36,1295,"$31,196.03 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,367,15498,"$358,821.92 ",IAMM4400-R002,04/30/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,CHILDRENS MENTAL HEALTH SVC,53,2718,"$53,351.02 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,3,181,"$2,491.88 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,2,101,"$1,726.04 ",IAMM4400-R002,04/30/09,TOTAL,CHILDRENS MENTAL HEALTH SVC,613,27280,"$595,824.49 "
IAMM4400-R002,04/30/09,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,AIDS WAIVER SERVICES,15,1598,"$17,213.74 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,34,3334,"$38,795.92 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,AIDS WAIVER SERVICES,46,4932,"$56,009.66 "
IAMM4400-R002,04/30/09,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,ELDERLY WAIVER SERVICES,3627,155868,"$2,302,097.03 ",IAMM4400-R002,04/30/09,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,ELDERLY WAIVER SERVICES,29,1670,"$32,961.18 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,2,"$1,187.00 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6297,284578,"$3,770,959.21 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,ELDERLY WAIVER SERVICES,4,3,"$2,832.00 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ELDERLY WAIVER SERVICES,2,127,"$2,215.29 ",IAMM4400-R002,04/30/09,TOTAL,ELDERLY WAIVER SERVICES,9742,442248,"$6,112,251.71 "
IAMM4400-R002,04/30/09,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,ILL & HANDICAPPED WAIVER SVCS,1977,92163,"$1,520,765.97 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,35,3427,"$51,754.69 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,157,7417,"$148,099.27 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,12,$180.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,6,109,"$1,628.36 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,2,36,$771.17 ,IAMM4400-R002,04/30/09,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2173,103164,"$1,723,199.46 "
IAMM4400-R002,04/30/09,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,04/30/09,ADC - ADULT,MEP SERVICES,7,7,"$3,045.26 ",IAMM4400-R002,04/30/09,ADC - CHILD,MEP SERVICES,44,44,"$20,587.78 ",IAMM4400-R002,04/30/09,AGED,MEP SERVICES,100,123,"$32,421.17 ",IAMM4400-R002,04/30/09,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,MEP SERVICES,98,99,"$44,825.84 ",IAMM4400-R002,04/30/09,DISABLED,MEP SERVICES,1169,1308,"$345,878.14 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,194,205,"$59,007.15 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,MEP SERVICES,7792,8371,"$2,185,434.12 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,MEP SERVICES,371,372,"$177,390.53 ",IAMM4400-R002,04/30/09,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,MEP SERVICES,136,141,"$37,718.56 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,3,4,$969.86 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,5,1,"$2,681.79 ",IAMM4400-R002,04/30/09,OTHER,MEP SERVICES,60,60,"$26,737.84 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,MEP SERVICES,7,6,"$2,544.38 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,MEP SERVICES,6,8,"$2,428.16 ",IAMM4400-R002,04/30/09,TOTAL,MEP SERVICES,9945,10749,"$2,941,670.58 "
IAMM4400-R002,04/30/09,ADC - ADULT,UNASSIGNED,4,0,$18.08 ,IAMM4400-R002,04/30/09,ADC - CHILD,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,04/30/09,AGED,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,04/30/09,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,CMAP,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,DISABLED,UNASSIGNED,9,0,($19.51),IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,2,0,($18.08),IAMM4400-R002,04/30/09,OTHER,UNASSIGNED,9,0,"$181,835.78 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,OTHER TXXI,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,04/30/09,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,04/30/09,TOTAL,UNASSIGNED,34,0,"$181,816.27 "
IAMM4400-R002,04/30/09,ADC - ADULT,* A L L  C A T E G O R I E S *,51314,386552,"$17,804,849.91 ",IAMM4400-R002,04/30/09,ADC - CHILD,* A L L  C A T E G O R I E S *,73744,404009,"$12,576,772.47 ",IAMM4400-R002,04/30/09,AGED,* A L L  C A T E G O R I E S *,14593,666355,"$18,560,518.82 ",IAMM4400-R002,04/30/09,BLIND,* A L L  C A T E G O R I E S *,2,13,$111.45 ,IAMM4400-R002,04/30/09,CMAP,* A L L  C A T E G O R I E S *,15611,131503,"$5,275,678.87 ",IAMM4400-R002,04/30/09,DISABLED,* A L L  C A T E G O R I E S *,53876,1933469,"$51,668,871.99 ",IAMM4400-R002,04/30/09,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,04/30/09,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10164,286759,"$5,566,233.82 ",IAMM4400-R002,04/30/09,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11579,1277391,"$58,152,133.91 ",IAMM4400-R002,04/30/09,FEDERAL ONLY,* A L L  C A T E G O R I E S *,162,1013,"$46,147.47 ",IAMM4400-R002,04/30/09,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,22,514,"$33,571.89 ",IAMM4400-R002,04/30/09,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,352,33964,"$835,232.09 ",IAMM4400-R002,04/30/09,STATE ONLY,* A L L  C A T E G O R I E S *,347,3237,"$198,534.36 ",IAMM4400-R002,04/30/09,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,14906,1190820,"$33,507,847.72 ",IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,04/30/09,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,1,1,$0.00 ,IAMM4400-R002,04/30/09,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1821,30465,"$1,031,457.28 ",IAMM4400-R002,04/30/09,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,959,27435,"$2,269,678.32 ",IAMM4400-R002,04/30/09,OTHER,* A L L  C A T E G O R I E S *,100721,660256,"$16,643,889.90 ",IAMM4400-R002,04/30/09,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,254,6949,"$428,734.90 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,78,97,"$16,499.32 ",IAMM4400-R002,04/30/09,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,7,106,"$10,637.58 ",IAMM4400-R002,04/30/09,OTHER TXXI,* A L L  C A T E G O R I E S *,12297,85149,"$2,290,832.43 ",IAMM4400-R002,04/30/09,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,04/30/09,STATE ONLY,* A L L  C A T E G O R I E S *,1424,24300,"$952,032.51 ",IAMM4400-R002,04/30/09,TOTAL,* A L L  C A T E G O R I E S *,364234,7150357,"$227,870,267.01 "