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-R002,06/30/09,ADC - ADULT,INPATIENT,734,2255,"$3,676,741.96 ",IAMM4400-R002,06/30/09,ADC - CHILD,INPATIENT,359,2315,"$2,494,939.18 ",IAMM4400-R002,06/30/09,AGED,INPATIENT,568,2161,"$554,080.69 ",IAMM4400-R002,06/30/09,BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,INPATIENT,423,8393,"$2,673,816.00 ",IAMM4400-R002,06/30/09,DISABLED,INPATIENT,2103,12524,"$10,750,763.24 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,INPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,INPATIENT,50,202,"$153,773.00 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,INPATIENT,217,1330,"$632,291.55 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,INPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,INPATIENT,6,24,"$15,536.00 ",IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,INPATIENT,6,145,"$23,849.77 ",IAMM4400-R002,06/30/09,STATE ONLY,INPATIENT,3,11,"$15,519.48 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,INPATIENT,721,3669,"$913,744.62 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,INPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,INPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,INPATIENT,55,412,"$419,634.89 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,INPATIENT,181,705,"$956,816.49 ",IAMM4400-R002,06/30/09,OTHER,INPATIENT,2026,12553,"$11,215,929.41 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,INPATIENT,9,35,"$69,362.36 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,INPATIENT,7,0,"$41,083.97 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,INPATIENT,1,3,"$1,196.22 ",IAMM4400-R002,06/30/09,OTHER TXXI,INPATIENT,67,734,"$343,803.46 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,INPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,INPATIENT,33,125,"$266,990.66 ",IAMM4400-R002,06/30/09,TOTAL,INPATIENT,7521,47596,"$35,219,872.95 "
IAMM4400-R002,06/30/09,ADC - ADULT,OUTPATIENT,9804,172838,"($3,389,117.02)",IAMM4400-R002,06/30/09,ADC - CHILD,OUTPATIENT,8145,83854,"$2,106,042.44 ",IAMM4400-R002,06/30/09,AGED,OUTPATIENT,4559,108600,"$676,487.13 ",IAMM4400-R002,06/30/09,BLIND,OUTPATIENT,1,9,$17.35 ,IAMM4400-R002,06/30/09,CMAP,OUTPATIENT,2472,38096,"$805,827.62 ",IAMM4400-R002,06/30/09,DISABLED,OUTPATIENT,17744,481217,"$6,301,510.68 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,OUTPATIENT,956,14000,"$259,257.78 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,OUTPATIENT,3151,97617,"$605,507.24 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,OUTPATIENT,46,999,"$8,065.86 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,OUTPATIENT,10,781,$724.20 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,OUTPATIENT,56,809,"$8,388.33 ",IAMM4400-R002,06/30/09,STATE ONLY,OUTPATIENT,83,1166,"$33,167.36 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,OUTPATIENT,5509,143900,"$792,587.13 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,OUTPATIENT,508,12034,"$230,652.21 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,OUTPATIENT,609,16256,"$406,128.05 ",IAMM4400-R002,06/30/09,OTHER,OUTPATIENT,13464,198779,"$3,575,880.07 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,OUTPATIENT,114,3844,"$158,324.82 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,OUTPATIENT,9,0,"$3,968.16 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,OUTPATIENT,2,3,$69.11 ,IAMM4400-R002,06/30/09,OTHER TXXI,OUTPATIENT,1268,18838,"$402,359.73 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,OUTPATIENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,OUTPATIENT,351,8302,"$163,961.81 ",IAMM4400-R002,06/30/09,TOTAL,OUTPATIENT,68200,1401942,"$13,149,810.06 "
IAMM4400-R002,06/30/09,ADC - ADULT,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,CHILD PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,CHILD PART HOSP,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,CHILD DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,CHILD DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,ADULT PART HOSP,1,0,($8.78),IAMM4400-R002,06/30/09,ADC - CHILD,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,ADULT PART HOSP,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,ADULT PART HOSP,1,0,($8.78)
IAMM4400-R002,06/30/09,ADC - ADULT,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,ADULT DAY TREATMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,ADULT DAY TREATMENT,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,SKILLED NURSING FACILITY,202,3711,"$130,305.71 ",IAMM4400-R002,06/30/09,BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,SKILLED NURSING FACILITY,1,11,"$5,555.00 ",IAMM4400-R002,06/30/09,DISABLED,SKILLED NURSING FACILITY,232,5376,"$2,187,897.27 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,SKILLED NURSING FACILITY,1,31,"$11,674.95 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,SKILLED NURSING FACILITY,14,212,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,SKILLED NURSING FACILITY,430,7381,"$90,601.48 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,SKILLED NURSING FACILITY,4,64,$46.26 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,SKILLED NURSING FACILITY,1,14,$0.00 ,IAMM4400-R002,06/30/09,OTHER,SKILLED NURSING FACILITY,6,122,"$15,688.88 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,SKILLED NURSING FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,SKILLED NURSING FACILITY,1,31,"$18,712.22 ",IAMM4400-R002,06/30/09,TOTAL,SKILLED NURSING FACILITY,884,16953,"$2,460,481.77 "
IAMM4400-R002,06/30/09,ADC - ADULT,INTERMEDIATE CARE FACILITY,1,9,$964.98 ,IAMM4400-R002,06/30/09,ADC - CHILD,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,INTERMEDIATE CARE FACILITY,4671,145738,"$13,292,395.10 ",IAMM4400-R002,06/30/09,BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,INTERMEDIATE CARE FACILITY,635,20145,"$2,326,299.20 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,INTERMEDIATE CARE FACILITY,8,189,"$20,067.93 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,INTERMEDIATE CARE FACILITY,6943,213566,"$22,722,502.90 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,INTERMEDIATE CARE FACILITY,1,59,"$3,503.70 ",IAMM4400-R002,06/30/09,OTHER,INTERMEDIATE CARE FACILITY,5,26,"($42,995.02)",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,INTERMEDIATE CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,INTERMEDIATE CARE FACILITY,12212,379732,"$38,322,738.79 "
IAMM4400-R002,06/30/09,ADC - ADULT,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,INTER CARE MENTAL RETARDA,1,-1,($14.66),IAMM4400-R002,06/30/09,DISABLED,INTER CARE MENTAL RETARDA,6,186,"$59,394.76 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,INTER CARE MENTAL RETARDA,8,284,"$101,178.07 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,INTER CARE MENTAL RETARDA,2044,66065,"$26,567,338.80 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,INTER CARE MENTAL RETARDA,2,30,"$9,371.55 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,INTER CARE MENTAL RETARDA,2,146,"($1,416,484.32)",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,INTER CARE MENTAL RETARDA,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,INTER CARE MENTAL RETARDA,2061,66710,"$25,320,784.20 "
IAMM4400-R002,06/30/09,ADC - ADULT,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,NURSING FAC FOR MENTAL ILL,6,178,"$42,601.25 ",IAMM4400-R002,06/30/09,BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,NURSING FAC FOR MENTAL ILL,27,798,"$235,108.11 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,NURSING FAC FOR MENTAL ILL,1,30,"$12,903.30 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,NURSING FAC FOR MENTAL ILL,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,NURSING FAC FOR MENTAL ILL,34,1006,"$290,612.66 "
IAMM4400-R002,06/30/09,ADC - ADULT,HOME HEALTH,59,499,"$36,314.25 ",IAMM4400-R002,06/30/09,ADC - CHILD,HOME HEALTH,410,1434,"$50,990.79 ",IAMM4400-R002,06/30/09,AGED,HOME HEALTH,2634,50625,"$1,885,038.63 ",IAMM4400-R002,06/30/09,BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,HOME HEALTH,72,224,"$14,851.06 ",IAMM4400-R002,06/30/09,DISABLED,HOME HEALTH,3915,101809,"$3,215,452.82 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,HOME HEALTH,104,3995,"$114,951.28 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,HOME HEALTH,1234,46639,"$1,524,409.09 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,HOME HEALTH,1,3,$318.75 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,HOME HEALTH,1,12,$432.00 ,IAMM4400-R002,06/30/09,STATE ONLY,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,HOME HEALTH,3919,80880,"$3,089,767.68 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,HOME HEALTH,48,1004,"$14,712.09 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,HOME HEALTH,32,514,"$45,163.82 ",IAMM4400-R002,06/30/09,OTHER,HOME HEALTH,707,4294,"($649,411.35)",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,HOME HEALTH,2,31,"$2,180.74 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,HOME HEALTH,42,127,"$4,751.07 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,HOME HEALTH,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,HOME HEALTH,18,143,"$10,446.93 ",IAMM4400-R002,06/30/09,TOTAL,HOME HEALTH,13085,292233,"$9,360,369.65 "
IAMM4400-R002,06/30/09,ADC - ADULT,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,LEAD INSPECTION AGENCY,1,2,$762.24 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,LEAD INSPECTION AGENCY,2,2,$762.24 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,LEAD INSPECTION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,LEAD INSPECTION AGENCY,3,4,"$1,524.48 "
IAMM4400-R002,06/30/09,ADC - ADULT,PHYSICIAN,17391,38385,"$3,445,231.74 ",IAMM4400-R002,06/30/09,ADC - CHILD,PHYSICIAN,20178,35688,"$2,474,431.88 ",IAMM4400-R002,06/30/09,AGED,PHYSICIAN,7256,36688,"$433,813.55 ",IAMM4400-R002,06/30/09,BLIND,PHYSICIAN,1,1,$13.22 ,IAMM4400-R002,06/30/09,CMAP,PHYSICIAN,4904,10698,"$811,646.23 ",IAMM4400-R002,06/30/09,DISABLED,PHYSICIAN,26445,133086,"$5,011,020.01 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICIAN,2541,4138,"$261,972.50 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,PHYSICIAN,5000,18974,"$428,279.78 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,PHYSICIAN,88,158,"$16,787.81 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,PHYSICIAN,40,-129,"($1,083.21)",IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,PHYSICIAN,114,193,"$9,294.80 ",IAMM4400-R002,06/30/09,STATE ONLY,PHYSICIAN,134,262,"$18,644.04 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,PHYSICIAN,7914,43648,"$570,551.24 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,PHYSICIAN,909,3544,"$201,063.16 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,PHYSICIAN,917,3165,"$309,907.70 ",IAMM4400-R002,06/30/09,OTHER,PHYSICIAN,32851,69723,"$5,477,293.82 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,PHYSICIAN,175,931,"$152,164.04 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,PHYSICIAN,6,4,"$2,932.26 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,PHYSICIAN,8,30,"$4,297.06 ",IAMM4400-R002,06/30/09,OTHER TXXI,PHYSICIAN,3253,5202,"$360,173.64 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,PHYSICIAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PHYSICIAN,592,1658,"$136,802.39 ",IAMM4400-R002,06/30/09,TOTAL,PHYSICIAN,128316,406047,"$20,125,237.66 "
IAMM4400-R002,06/30/09,ADC - ADULT,CLINIC SERVICES,3136,4508,"$627,605.80 ",IAMM4400-R002,06/30/09,ADC - CHILD,CLINIC SERVICES,3268,4152,"$598,214.92 ",IAMM4400-R002,06/30/09,AGED,CLINIC SERVICES,571,324,"$30,723.54 ",IAMM4400-R002,06/30/09,BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,CLINIC SERVICES,1024,1442,"$192,669.42 ",IAMM4400-R002,06/30/09,DISABLED,CLINIC SERVICES,3600,5113,"$690,797.51 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,CLINIC SERVICES,513,673,"$87,701.61 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,CLINIC SERVICES,379,443,"$56,032.12 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,CLINIC SERVICES,22,37,"$5,427.83 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,CLINIC SERVICES,1,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,CLINIC SERVICES,21,27,"$2,676.40 ",IAMM4400-R002,06/30/09,STATE ONLY,CLINIC SERVICES,27,38,"$5,278.10 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,CLINIC SERVICES,539,435,"$43,894.16 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,CLINIC SERVICES,131,175,"$23,819.88 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,CLINIC SERVICES,97,134,"$22,628.48 ",IAMM4400-R002,06/30/09,OTHER,CLINIC SERVICES,6670,9987,"$1,169,543.87 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,CLINIC SERVICES,19,24,"$4,063.69 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,CLINIC SERVICES,1,3,$91.25 ,IAMM4400-R002,06/30/09,OTHER TXXI,CLINIC SERVICES,647,808,"$102,330.92 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,CLINIC SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,CLINIC SERVICES,131,218,"$28,102.49 ",IAMM4400-R002,06/30/09,TOTAL,CLINIC SERVICES,20621,28541,"$3,691,601.99 "
IAMM4400-R002,06/30/09,ADC - ADULT,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MEP CASE MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,MEP CASE MANAGEMENT,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,LAB AND RADIOLOGICAL,4428,11058,"$331,216.13 ",IAMM4400-R002,06/30/09,ADC - CHILD,LAB AND RADIOLOGICAL,1432,3239,"$62,172.96 ",IAMM4400-R002,06/30/09,AGED,LAB AND RADIOLOGICAL,938,284,"$3,660.98 ",IAMM4400-R002,06/30/09,BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,LAB AND RADIOLOGICAL,550,1697,"$40,128.68 ",IAMM4400-R002,06/30/09,DISABLED,LAB AND RADIOLOGICAL,3734,7815,"$146,575.94 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,LAB AND RADIOLOGICAL,287,869,"$16,244.52 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,LAB AND RADIOLOGICAL,575,751,"$9,283.08 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,LAB AND RADIOLOGICAL,21,132,"$2,613.40 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,LAB AND RADIOLOGICAL,1,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,LAB AND RADIOLOGICAL,16,68,$909.52 ,IAMM4400-R002,06/30/09,STATE ONLY,LAB AND RADIOLOGICAL,25,74,"$2,238.56 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,LAB AND RADIOLOGICAL,1223,488,"$5,639.64 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,LAB AND RADIOLOGICAL,183,457,"$12,110.55 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,LAB AND RADIOLOGICAL,56,227,"$4,266.26 ",IAMM4400-R002,06/30/09,OTHER,LAB AND RADIOLOGICAL,2951,9271,"$185,922.35 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,LAB AND RADIOLOGICAL,23,77,"$1,315.95 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,LAB AND RADIOLOGICAL,1,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,LAB AND RADIOLOGICAL,1,1,$37.01 ,IAMM4400-R002,06/30/09,OTHER TXXI,LAB AND RADIOLOGICAL,213,605,"$12,840.52 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,LAB AND RADIOLOGICAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,LAB AND RADIOLOGICAL,93,562,"$9,042.25 ",IAMM4400-R002,06/30/09,TOTAL,LAB AND RADIOLOGICAL,16634,37675,"$846,218.30 "
IAMM4400-R002,06/30/09,ADC - ADULT,HABILITATION SERVICES,34,341,"$20,219.50 ",IAMM4400-R002,06/30/09,ADC - CHILD,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,HABILITATION SERVICES,53,1408,"$80,906.98 ",IAMM4400-R002,06/30/09,BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,HABILITATION SERVICES,22,412,"$32,510.47 ",IAMM4400-R002,06/30/09,DISABLED,HABILITATION SERVICES,2799,76960,"$4,108,296.59 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,HABILITATION SERVICES,11,143,"$6,320.25 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,HABILITATION SERVICES,37,660,"$35,413.78 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,HABILITATION SERVICES,3,27,"$2,703.42 ",IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,HABILITATION SERVICES,1,33,"$1,525.92 ",IAMM4400-R002,06/30/09,STATE ONLY,HABILITATION SERVICES,12,472,"$31,303.61 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,HABILITATION SERVICES,43,1064,"$55,380.04 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,HABILITATION SERVICES,29,530,"$42,585.36 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,HABILITATION SERVICES,7,230,"$8,262.81 ",IAMM4400-R002,06/30/09,OTHER,HABILITATION SERVICES,6,128,"$6,469.15 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,HABILITATION SERVICES,1,1,$92.18 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,HABILITATION SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,HABILITATION SERVICES,6,66,"$3,981.08 ",IAMM4400-R002,06/30/09,TOTAL,HABILITATION SERVICES,3031,82475,"$4,435,971.14 "
IAMM4400-R002,06/30/09,ADC - ADULT,REMEDIAL SERVICES,257,5600,"$146,178.57 ",IAMM4400-R002,06/30/09,ADC - CHILD,REMEDIAL SERVICES,2243,56725,"$989,215.51 ",IAMM4400-R002,06/30/09,AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,REMEDIAL SERVICES,779,18494,"$319,648.51 ",IAMM4400-R002,06/30/09,DISABLED,REMEDIAL SERVICES,788,25446,"$400,564.58 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,REMEDIAL SERVICES,2765,156980,"$2,377,062.03 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,REMEDIAL SERVICES,118,3232,"$64,107.26 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,REMEDIAL SERVICES,133,3715,"$61,238.89 ",IAMM4400-R002,06/30/09,STATE ONLY,REMEDIAL SERVICES,17,283,"$6,370.77 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,REMEDIAL SERVICES,5,95,"$2,041.67 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,REMEDIAL SERVICES,6,101,"$1,111.67 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,REMEDIAL SERVICES,3,31,$287.92 ,IAMM4400-R002,06/30/09,OTHER,REMEDIAL SERVICES,2018,51293,"$820,653.70 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,REMEDIAL SERVICES,413,9085,"$151,897.23 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,REMEDIAL SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,REMEDIAL SERVICES,96,2171,"$42,306.90 ",IAMM4400-R002,06/30/09,TOTAL,REMEDIAL SERVICES,9091,333251,"$5,382,685.21 "
IAMM4400-R002,06/30/09,ADC - ADULT,REHAB SUPPORT SERVICES,1,0,($346.34),IAMM4400-R002,06/30/09,ADC - CHILD,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,REHAB SUPPORT SERVICES,1,0,($360.00),IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,REHAB SUPPORT SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,REHAB SUPPORT SERVICES,2,0,($706.34)
IAMM4400-R002,06/30/09,ADC - ADULT,AMBULANCE SERVICES,408,423,"$57,938.33 ",IAMM4400-R002,06/30/09,ADC - CHILD,AMBULANCE SERVICES,239,242,"$34,862.34 ",IAMM4400-R002,06/30/09,AGED,AMBULANCE SERVICES,343,373,"$35,425.73 ",IAMM4400-R002,06/30/09,BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,AMBULANCE SERVICES,97,102,"$13,317.31 ",IAMM4400-R002,06/30/09,DISABLED,AMBULANCE SERVICES,1287,1564,"$182,317.90 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,AMBULANCE SERVICES,37,37,"$5,360.44 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,AMBULANCE SERVICES,142,170,"$18,859.29 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,AMBULANCE SERVICES,1,1,$64.89 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,AMBULANCE SERVICES,1,2,$256.66 ,IAMM4400-R002,06/30/09,STATE ONLY,AMBULANCE SERVICES,6,7,"$1,058.09 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,AMBULANCE SERVICES,542,675,"$62,508.30 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,AMBULANCE SERVICES,31,35,"$5,781.75 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,AMBULANCE SERVICES,68,73,"$12,460.02 ",IAMM4400-R002,06/30/09,OTHER,AMBULANCE SERVICES,327,327,"$48,624.24 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,AMBULANCE SERVICES,3,3,$323.37 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,AMBULANCE SERVICES,30,28,"$4,950.04 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,AMBULANCE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,AMBULANCE SERVICES,23,25,"$3,459.03 ",IAMM4400-R002,06/30/09,TOTAL,AMBULANCE SERVICES,3567,4087,"$487,567.73 "
IAMM4400-R002,06/30/09,ADC - ADULT,LOCAL EDUCATION AGENCY,13,1274,"$18,619.19 ",IAMM4400-R002,06/30/09,ADC - CHILD,LOCAL EDUCATION AGENCY,179,42180,"$296,970.94 ",IAMM4400-R002,06/30/09,AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,LOCAL EDUCATION AGENCY,53,11478,"$96,570.44 ",IAMM4400-R002,06/30/09,DISABLED,LOCAL EDUCATION AGENCY,661,174245,"$1,873,608.13 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,LOCAL EDUCATION AGENCY,148,43658,"$437,012.67 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,LOCAL EDUCATION AGENCY,673,215094,"$2,411,017.14 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,LOCAL EDUCATION AGENCY,21,9351,"$72,731.96 ",IAMM4400-R002,06/30/09,STATE ONLY,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,LOCAL EDUCATION AGENCY,26,9481,"$101,208.68 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,LOCAL EDUCATION AGENCY,211,47401,"$353,156.73 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,LOCAL EDUCATION AGENCY,48,13729,"$88,640.59 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,LOCAL EDUCATION AGENCY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,LOCAL EDUCATION AGENCY,3,2208,"$17,787.18 ",IAMM4400-R002,06/30/09,TOTAL,LOCAL EDUCATION AGENCY,2006,570099,"$5,767,323.65 "
IAMM4400-R002,06/30/09,ADC - ADULT,EARLY ACCESS SERVICES,2,2,$65.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,EARLY ACCESS SERVICES,128,575,"$11,157.17 ",IAMM4400-R002,06/30/09,AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,EARLY ACCESS SERVICES,38,146,"$2,438.64 ",IAMM4400-R002,06/30/09,DISABLED,EARLY ACCESS SERVICES,147,835,"$12,083.61 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,EARLY ACCESS SERVICES,60,185,"$3,753.22 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,EARLY ACCESS SERVICES,60,316,"$5,213.41 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,EARLY ACCESS SERVICES,2,13,$272.01 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,EARLY ACCESS SERVICES,176,747,"$14,673.04 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,EARLY ACCESS SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,EARLY ACCESS SERVICES,1,2,$30.00 ,IAMM4400-R002,06/30/09,TOTAL,EARLY ACCESS SERVICES,597,2821,"$49,686.10 "
IAMM4400-R002,06/30/09,ADC - ADULT,PRESCRIBED DRUGS,21862,66532,"$3,387,879.88 ",IAMM4400-R002,06/30/09,ADC - CHILD,PRESCRIBED DRUGS,16954,30253,"$1,711,871.34 ",IAMM4400-R002,06/30/09,AGED,PRESCRIBED DRUGS,3477,6543,"$82,440.51 ",IAMM4400-R002,06/30/09,BLIND,PRESCRIBED DRUGS,1,1,$55.16 ,IAMM4400-R002,06/30/09,CMAP,PRESCRIBED DRUGS,4982,12747,"$777,452.72 ",IAMM4400-R002,06/30/09,DISABLED,PRESCRIBED DRUGS,25416,122183,"$9,536,444.83 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,PRESCRIBED DRUGS,4951,14332,"$1,376,703.08 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,PRESCRIBED DRUGS,6383,24196,"$2,066,968.21 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,PRESCRIBED DRUGS,47,97,"$2,067.56 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,PRESCRIBED DRUGS,5,8,$57.33 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,PRESCRIBED DRUGS,319,1222,"$117,124.55 ",IAMM4400-R002,06/30/09,STATE ONLY,PRESCRIBED DRUGS,153,328,"$16,743.42 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,PRESCRIBED DRUGS,10620,25523,"$506,565.04 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,PRESCRIBED DRUGS,1084,3981,"$200,497.88 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,PRESCRIBED DRUGS,325,1764,"$70,296.20 ",IAMM4400-R002,06/30/09,OTHER,PRESCRIBED DRUGS,25251,46994,"$2,537,210.44 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,PRESCRIBED DRUGS,212,918,"$74,022.29 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,PRESCRIBED DRUGS,98,107,"$10,556.21 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,PRESCRIBED DRUGS,3731,7197,"$691,009.99 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,PRESCRIBED DRUGS,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PRESCRIBED DRUGS,882,4439,"$268,681.15 ",IAMM4400-R002,06/30/09,TOTAL,PRESCRIBED DRUGS,124780,369365,"$23,434,647.79 "
IAMM4400-R002,06/30/09,ADC - ADULT,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,DRUG CAPITATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,DRUG CAPITATION,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,INDIAN HEALTH SERVICES,6,19,"$4,807.00 ",IAMM4400-R002,06/30/09,ADC - CHILD,INDIAN HEALTH SERVICES,4,7,"$1,771.00 ",IAMM4400-R002,06/30/09,AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,INDIAN HEALTH SERVICES,6,11,"$2,783.00 ",IAMM4400-R002,06/30/09,DISABLED,INDIAN HEALTH SERVICES,2,2,$506.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,INDIAN HEALTH SERVICES,1,1,$253.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,INDIAN HEALTH SERVICES,1,0,($9.80),IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,INDIAN HEALTH SERVICES,1,9,"$2,277.00 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,INDIAN HEALTH SERVICES,43,88,"$22,264.00 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,INDIAN HEALTH SERVICES,3,3,$759.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,INDIAN HEALTH SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,INDIAN HEALTH SERVICES,67,140,"$35,410.20 "
IAMM4400-R002,06/30/09,ADC - ADULT,FAMILY PLANNING SERVICES,6686,8048,"$767,576.13 ",IAMM4400-R002,06/30/09,ADC - CHILD,FAMILY PLANNING SERVICES,990,1162,"$103,309.58 ",IAMM4400-R002,06/30/09,AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,FAMILY PLANNING SERVICES,242,290,"$27,022.35 ",IAMM4400-R002,06/30/09,DISABLED,FAMILY PLANNING SERVICES,151,168,"$11,596.58 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PLANNING SERVICES,37,43,"$5,181.79 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,FAMILY PLANNING SERVICES,14,15,$805.17 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,FAMILY PLANNING SERVICES,2,2,$842.40 ,IAMM4400-R002,06/30/09,STATE ONLY,FAMILY PLANNING SERVICES,17,22,"$2,213.45 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PLANNING SERVICES,33,38,"$4,053.64 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PLANNING SERVICES,8,10,$804.82 ,IAMM4400-R002,06/30/09,OTHER,FAMILY PLANNING SERVICES,426,490,"$52,102.13 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,FAMILY PLANNING SERVICES,91,110,"$10,136.04 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,FAMILY PLANNING SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,FAMILY PLANNING SERVICES,3,3,$198.84 ,IAMM4400-R002,06/30/09,TOTAL,FAMILY PLANNING SERVICES,8664,10401,"$985,842.92 "
IAMM4400-R002,06/30/09,ADC - ADULT,IOWA PLAN PROGRAM,38607,42111,"$1,313,723.70 ",IAMM4400-R002,06/30/09,ADC - CHILD,IOWA PLAN PROGRAM,66300,70393,"$699,943.89 ",IAMM4400-R002,06/30/09,AGED,IOWA PLAN PROGRAM,1,1,$96.90 ,IAMM4400-R002,06/30/09,BLIND,IOWA PLAN PROGRAM,2,2,$89.56 ,IAMM4400-R002,06/30/09,CMAP,IOWA PLAN PROGRAM,14931,16289,"$333,751.35 ",IAMM4400-R002,06/30/09,DISABLED,IOWA PLAN PROGRAM,50005,50956,"$3,750,240.33 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,IOWA PLAN PROGRAM,10092,10380,"$1,073,035.88 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,IOWA PLAN PROGRAM,10881,10942,"$727,015.01 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,IOWA PLAN PROGRAM,114,158,"$4,144.24 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,IOWA PLAN PROGRAM,11,11,$693.21 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,IOWA PLAN PROGRAM,363,363,"$44,983.15 ",IAMM4400-R002,06/30/09,STATE ONLY,IOWA PLAN PROGRAM,322,339,"$49,952.67 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,IOWA PLAN PROGRAM,2250,2258,"$151,487.45 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,IOWA PLAN PROGRAM,1474,1617,"$55,580.38 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,IOWA PLAN PROGRAM,95476,105147,"$1,284,764.87 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,IOWA PLAN PROGRAM,242,234,"$24,384.76 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,IOWA PLAN PROGRAM,14305,15409,"$171,781.14 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,IOWA PLAN PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,IOWA PLAN PROGRAM,1400,1436,"$146,694.25 ",IAMM4400-R002,06/30/09,TOTAL,IOWA PLAN PROGRAM,306117,328046,"$9,832,362.74 "
IAMM4400-R002,06/30/09,ADC - ADULT,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MANAGED SUBSTANCE ABUSE,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,MANAGED SUBSTANCE ABUSE,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,MENTAL HEALTH ACCESS PLAN,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,EPSDT SCREENING,86,90,"$5,003.22 ",IAMM4400-R002,06/30/09,ADC - CHILD,EPSDT SCREENING,3205,3616,"$389,348.01 ",IAMM4400-R002,06/30/09,AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,EPSDT SCREENING,566,639,"$95,878.85 ",IAMM4400-R002,06/30/09,DISABLED,EPSDT SCREENING,212,264,"$13,176.74 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,EPSDT SCREENING,220,245,"$14,420.29 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,EPSDT SCREENING,33,46,"$1,509.67 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,EPSDT SCREENING,5,12,$537.40 ,IAMM4400-R002,06/30/09,STATE ONLY,EPSDT SCREENING,3,3,$115.45 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,EPSDT SCREENING,2,2,$113.54 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,EPSDT SCREENING,2,2,$72.94 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,EPSDT SCREENING,2,2,"$1,033.62 ",IAMM4400-R002,06/30/09,OTHER,EPSDT SCREENING,4783,5269,"$873,561.13 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,EPSDT SCREENING,198,205,"$8,779.88 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,EPSDT SCREENING,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,EPSDT SCREENING,7,7,$321.25 ,IAMM4400-R002,06/30/09,TOTAL,EPSDT SCREENING,9283,10402,"$1,403,871.99 "
IAMM4400-R002,06/30/09,ADC - ADULT,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,HMO SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,HMO SERVICES,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,PACE SERVICES,18,18,"$58,579.00 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,PACE SERVICES,19,19,"$54,140.00 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PACE SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,PACE SERVICES,37,37,"$112,719.00 "
IAMM4400-R002,06/30/09,ADC - ADULT,PATIENT MANAGEMENT,24355,24406,"$48,812.00 ",IAMM4400-R002,06/30/09,ADC - CHILD,PATIENT MANAGEMENT,44079,44175,"$88,350.00 ",IAMM4400-R002,06/30/09,AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,PATIENT MANAGEMENT,9018,9043,"$18,086.00 ",IAMM4400-R002,06/30/09,DISABLED,PATIENT MANAGEMENT,3,3,$6.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,PATIENT MANAGEMENT,101,101,$202.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,PATIENT MANAGEMENT,55,55,$110.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,PATIENT MANAGEMENT,65158,65249,"$130,498.00 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,PATIENT MANAGEMENT,10165,10185,"$20,370.00 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PATIENT MANAGEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,PATIENT MANAGEMENT,152915,153217,"$306,434.00 "
IAMM4400-R002,06/30/09,ADC - ADULT,HEALTH INS PREMIUM PAYMENT,204,540,"$15,936.71 ",IAMM4400-R002,06/30/09,ADC - CHILD,HEALTH INS PREMIUM PAYMENT,285,809,"$15,894.59 ",IAMM4400-R002,06/30/09,AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,HEALTH INS PREMIUM PAYMENT,54,131,"$4,890.91 ",IAMM4400-R002,06/30/09,DISABLED,HEALTH INS PREMIUM PAYMENT,646,1619,"$165,708.91 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,HEALTH INS PREMIUM PAYMENT,153,387,"$15,863.84 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,HEALTH INS PREMIUM PAYMENT,600,1476,"$161,953.83 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,HEALTH INS PREMIUM PAYMENT,43,101,"$9,261.93 ",IAMM4400-R002,06/30/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,HEALTH INS PREMIUM PAYMENT,36,83,"$9,974.51 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,HEALTH INS PREMIUM PAYMENT,1991,6151,"$157,537.80 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,HEALTH INS PREMIUM PAYMENT,11,25,$666.02 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,HEALTH INS PREMIUM PAYMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,HEALTH INS PREMIUM PAYMENT,6,13,"$1,172.97 ",IAMM4400-R002,06/30/09,TOTAL,HEALTH INS PREMIUM PAYMENT,4028,11335,"$558,862.02 "
IAMM4400-R002,06/30/09,ADC - ADULT,MEDICAL SUPPLIES,1197,33684,"$262,680.20 ",IAMM4400-R002,06/30/09,ADC - CHILD,MEDICAL SUPPLIES,1059,14623,"$153,897.26 ",IAMM4400-R002,06/30/09,AGED,MEDICAL SUPPLIES,3303,280697,"$347,292.51 ",IAMM4400-R002,06/30/09,BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,MEDICAL SUPPLIES,251,4745,"$43,189.93 ",IAMM4400-R002,06/30/09,DISABLED,MEDICAL SUPPLIES,10237,870441,"$2,257,814.99 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,MEDICAL SUPPLIES,265,28336,"$80,654.42 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,MEDICAL SUPPLIES,2340,372756,"$648,606.30 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,MEDICAL SUPPLIES,1,3,$86.54 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,MEDICAL SUPPLIES,2,3,$35.02 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,MEDICAL SUPPLIES,13,710,"$1,435.55 ",IAMM4400-R002,06/30/09,STATE ONLY,MEDICAL SUPPLIES,6,7,$512.17 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,MEDICAL SUPPLIES,4867,454903,"$668,884.38 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,MEDICAL SUPPLIES,203,11538,"$27,132.42 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,MEDICAL SUPPLIES,104,6040,"$52,620.52 ",IAMM4400-R002,06/30/09,OTHER,MEDICAL SUPPLIES,1470,22070,"$212,151.66 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,MEDICAL SUPPLIES,27,1490,"$7,106.23 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,MEDICAL SUPPLIES,118,4449,"$19,087.78 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,MEDICAL SUPPLIES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MEDICAL SUPPLIES,156,9237,"$30,881.54 ",IAMM4400-R002,06/30/09,TOTAL,MEDICAL SUPPLIES,25076,2115732,"$4,814,069.42 "
IAMM4400-R002,06/30/09,ADC - ADULT,OTHER PRACTITIONER,1933,4110,"$230,931.08 ",IAMM4400-R002,06/30/09,ADC - CHILD,OTHER PRACTITIONER,2609,17469,"$307,090.03 ",IAMM4400-R002,06/30/09,AGED,OTHER PRACTITIONER,473,2180,"$29,371.60 ",IAMM4400-R002,06/30/09,BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,OTHER PRACTITIONER,717,6028,"$100,674.83 ",IAMM4400-R002,06/30/09,DISABLED,OTHER PRACTITIONER,3079,37943,"$604,692.27 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,OTHER PRACTITIONER,599,9030,"$118,244.96 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,OTHER PRACTITIONER,930,24837,"$404,755.98 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,OTHER PRACTITIONER,3,25,$612.31 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,OTHER PRACTITIONER,31,876,"$8,297.83 ",IAMM4400-R002,06/30/09,STATE ONLY,OTHER PRACTITIONER,17,27,"$1,432.46 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,OTHER PRACTITIONER,662,2694,"$60,340.82 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,OTHER PRACTITIONER,105,258,"$14,389.18 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,OTHER PRACTITIONER,94,143,"$12,345.83 ",IAMM4400-R002,06/30/09,OTHER,OTHER PRACTITIONER,4106,21557,"$503,067.61 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,OTHER PRACTITIONER,24,91,"$3,918.80 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,OTHER PRACTITIONER,425,3046,"$48,290.90 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,OTHER PRACTITIONER,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,OTHER PRACTITIONER,66,325,"$7,751.28 ",IAMM4400-R002,06/30/09,TOTAL,OTHER PRACTITIONER,15720,130639,"$2,456,207.77 "
IAMM4400-R002,06/30/09,ADC - ADULT,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,FAMILY CENTERED PROGRAM,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,FAMILY CENTERED PROGRAM,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,FAMILY PRESERVATION,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,FAMILY PRESERVATION,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,TREATMENT FOSTER FAMILY CARE,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,GROUP TREATMENT THERAPY,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,GROUP TREATMENT THERAPY,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,DENTAL,3651,5093,"$989,244.02 ",IAMM4400-R002,06/30/09,ADC - CHILD,DENTAL,5071,6088,"$824,046.82 ",IAMM4400-R002,06/30/09,AGED,DENTAL,512,654,"$105,824.76 ",IAMM4400-R002,06/30/09,BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,DENTAL,1342,1668,"$287,819.01 ",IAMM4400-R002,06/30/09,DISABLED,DENTAL,4489,5902,"$1,025,647.88 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,DENTAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,DENTAL,1099,1265,"$173,898.22 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,DENTAL,1428,1623,"$171,817.02 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,DENTAL,28,32,"$5,274.25 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,DENTAL,1,1,$36.38 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,DENTAL,36,41,"$8,812.27 ",IAMM4400-R002,06/30/09,STATE ONLY,DENTAL,26,36,"$5,917.79 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,DENTAL,885,1139,"$182,628.23 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,DENTAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,DENTAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,DENTAL,168,216,"$48,874.11 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,DENTAL,73,108,"$30,309.67 ",IAMM4400-R002,06/30/09,OTHER,DENTAL,7932,9443,"$1,291,856.22 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,DENTAL,23,31,"$7,390.69 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,DENTAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,DENTAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,DENTAL,1719,2055,"$320,922.49 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,DENTAL,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,DENTAL,119,157,"$34,562.66 ",IAMM4400-R002,06/30/09,TOTAL,DENTAL,28467,35552,"$5,514,882.49 "
IAMM4400-R002,06/30/09,ADC - ADULT,OPTOMETRIST,1583,1980,"$143,232.26 ",IAMM4400-R002,06/30/09,ADC - CHILD,OPTOMETRIST,1519,1760,"$114,386.97 ",IAMM4400-R002,06/30/09,AGED,OPTOMETRIST,803,1304,"$32,422.81 ",IAMM4400-R002,06/30/09,BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,OPTOMETRIST,454,538,"$36,130.34 ",IAMM4400-R002,06/30/09,DISABLED,OPTOMETRIST,2692,3780,"$183,852.50 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,OPTOMETRIST,416,468,"$30,548.38 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,OPTOMETRIST,684,859,"$39,763.65 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,OPTOMETRIST,8,15,"$1,057.02 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,OPTOMETRIST,2,3,$90.95 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,OPTOMETRIST,18,21,"$1,040.07 ",IAMM4400-R002,06/30/09,STATE ONLY,OPTOMETRIST,15,18,"$1,149.12 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,OPTOMETRIST,883,1229,"$32,930.92 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,OPTOMETRIST,88,126,"$7,967.55 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,OPTOMETRIST,28,42,"$2,623.24 ",IAMM4400-R002,06/30/09,OTHER,OPTOMETRIST,2432,2823,"$182,475.23 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,OPTOMETRIST,12,16,"$1,183.18 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,OPTOMETRIST,519,601,"$39,999.25 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,OPTOMETRIST,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,OPTOMETRIST,87,106,"$8,185.94 ",IAMM4400-R002,06/30/09,TOTAL,OPTOMETRIST,12215,15689,"$859,039.38 "
IAMM4400-R002,06/30/09,ADC - ADULT,CHIROPRACTIC,2093,4885,"$172,591.08 ",IAMM4400-R002,06/30/09,ADC - CHILD,CHIROPRACTIC,1023,1922,"$63,176.51 ",IAMM4400-R002,06/30/09,AGED,CHIROPRACTIC,457,1245,"$8,522.53 ",IAMM4400-R002,06/30/09,BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,CHIROPRACTIC,294,681,"$23,956.12 ",IAMM4400-R002,06/30/09,DISABLED,CHIROPRACTIC,2732,7001,"$107,126.74 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,CHIROPRACTIC,170,337,"$10,205.77 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,CHIROPRACTIC,361,801,"$13,632.75 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,CHIROPRACTIC,1,2,$9.32 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,CHIROPRACTIC,11,29,$883.44 ,IAMM4400-R002,06/30/09,STATE ONLY,CHIROPRACTIC,15,54,"$2,093.56 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,CHIROPRACTIC,372,925,"$7,425.95 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,CHIROPRACTIC,105,246,"$8,074.16 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,CHIROPRACTIC,22,52,"$1,641.50 ",IAMM4400-R002,06/30/09,OTHER,CHIROPRACTIC,1818,3688,"$114,411.41 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,CHIROPRACTIC,15,67,"$2,185.52 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,CHIROPRACTIC,370,706,"$23,086.82 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,CHIROPRACTIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,CHIROPRACTIC,58,126,"$4,294.21 ",IAMM4400-R002,06/30/09,TOTAL,CHIROPRACTIC,9829,22767,"$563,317.39 "
IAMM4400-R002,06/30/09,ADC - ADULT,PODIATRIC,234,317,"$41,783.17 ",IAMM4400-R002,06/30/09,ADC - CHILD,PODIATRIC,87,109,"$12,890.71 ",IAMM4400-R002,06/30/09,AGED,PODIATRIC,869,1341,"$15,547.90 ",IAMM4400-R002,06/30/09,BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,PODIATRIC,34,46,"$3,958.11 ",IAMM4400-R002,06/30/09,DISABLED,PODIATRIC,1495,2860,"$87,504.34 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,PODIATRIC,30,43,"$3,594.41 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,PODIATRIC,676,893,"$23,269.95 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,PODIATRIC,4,4,$889.78 ,IAMM4400-R002,06/30/09,STATE ONLY,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,PODIATRIC,1318,1991,"$23,191.61 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,PODIATRIC,33,45,"$1,069.19 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,PODIATRIC,6,14,"$1,750.65 ",IAMM4400-R002,06/30/09,OTHER,PODIATRIC,138,178,"$16,556.97 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,PODIATRIC,2,3,$206.37 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,PODIATRIC,40,51,"$6,448.49 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,PODIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PODIATRIC,24,29,"$3,265.21 ",IAMM4400-R002,06/30/09,TOTAL,PODIATRIC,4966,7924,"$241,926.86 "
IAMM4400-R002,06/30/09,ADC - ADULT,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,PHYSICAL DISABILITIES SVCS,516,20019,"$263,298.65 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,PHYSICAL DISABILITIES SVCS,201,7866,"$100,013.74 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PHYSICAL DISABILITIES SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,PHYSICAL DISABILITIES SVCS,715,27885,"$363,312.39 "
IAMM4400-R002,06/30/09,ADC - ADULT,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,BRAIN INJ WAIVER SERVICES,1,54,"$3,950.04 ",IAMM4400-R002,06/30/09,BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,BRAIN INJ WAIVER SERVICES,326,17583,"$588,089.54 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,BRAIN INJ WAIVER SERVICES,36,1491,"$37,681.27 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,BRAIN INJ WAIVER SERVICES,271,13471,"$460,602.11 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,BRAIN INJ WAIVER SERVICES,444,22475,"$767,015.59 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,BRAIN INJ WAIVER SERVICES,1,0,"$2,597.34 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,BRAIN INJ WAIVER SERVICES,2,40,"$1,400.44 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,BRAIN INJ WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,BRAIN INJ WAIVER SERVICES,1053,55114,"$1,861,336.33 "
IAMM4400-R002,06/30/09,ADC - ADULT,PSYCHIATRIC,36,59,"$3,778.95 ",IAMM4400-R002,06/30/09,ADC - CHILD,PSYCHIATRIC,34,45,"$4,201.78 ",IAMM4400-R002,06/30/09,AGED,PSYCHIATRIC,193,468,"$13,694.94 ",IAMM4400-R002,06/30/09,BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,PSYCHIATRIC,21,33,"$3,155.83 ",IAMM4400-R002,06/30/09,DISABLED,PSYCHIATRIC,2740,5058,"$168,072.61 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,PSYCHIATRIC,39,74,"$4,266.74 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,PSYCHIATRIC,575,883,"$37,496.83 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,PSYCHIATRIC,1,1,$23.92 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,PSYCHIATRIC,2,3,$157.36 ,IAMM4400-R002,06/30/09,STATE ONLY,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,PSYCHIATRIC,277,639,"$20,287.28 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,PSYCHIATRIC,40,98,"$4,657.08 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,PSYCHIATRIC,52,135,"$7,249.92 ",IAMM4400-R002,06/30/09,OTHER,PSYCHIATRIC,86,124,"$98,331.10 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,PSYCHIATRIC,1,1,$26.08 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,PSYCHIATRIC,22,53,"$3,669.93 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,PSYCHIATRIC,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,PSYCHIATRIC,4,5,$304.03 ,IAMM4400-R002,06/30/09,TOTAL,PSYCHIATRIC,4092,7679,"$369,374.38 "
IAMM4400-R002,06/30/09,ADC - ADULT,RESIDENTIAL CARE FACILITY,1,10,$258.50 ,IAMM4400-R002,06/30/09,ADC - CHILD,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,RESIDENTIAL CARE FACILITY,297,9847,"$72,790.03 ",IAMM4400-R002,06/30/09,BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,RESIDENTIAL CARE FACILITY,1313,44568,"$359,536.98 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,RESIDENTIAL CARE FACILITY,1,-30,($596.50),IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,RESIDENTIAL CARE FACILITY,19,513,"$4,176.91 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,RESIDENTIAL CARE FACILITY,1,21,$210.27 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,RESIDENTIAL CARE FACILITY,5,56,$647.22 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,RESIDENTIAL CARE FACILITY,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,RESIDENTIAL CARE FACILITY,1621,54985,"$437,023.41 "
IAMM4400-R002,06/30/09,ADC - ADULT,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,MR WAIVER SERVICE,76,4035,"$220,690.89 ",IAMM4400-R002,06/30/09,BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,MR WAIVER SERVICE,1,28,$366.80 ,IAMM4400-R002,06/30/09,DISABLED,MR WAIVER SERVICE,1006,59642,"$2,829,146.79 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,MR WAIVER SERVICE,207,8506,"$248,323.70 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,MR WAIVER SERVICE,8670,541707,"$24,737,974.84 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,MR WAIVER SERVICE,2,36,"$6,539.04 ",IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,MR WAIVER SERVICE,1,18,$312.52 ,IAMM4400-R002,06/30/09,STATE ONLY,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,MR WAIVER SERVICE,10,241,"$14,645.70 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,MR WAIVER SERVICE,6,115,"($129,820.20)",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,MR WAIVER SERVICE,2,23,$614.48 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,MR WAIVER SERVICE,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MR WAIVER SERVICE,3,117,"$3,823.18 ",IAMM4400-R002,06/30/09,TOTAL,MR WAIVER SERVICE,9928,614468,"$27,932,617.74 "
IAMM4400-R002,06/30/09,ADC - ADULT,CHILDRENS MENTAL HEALTH SVC,5,274,"$5,409.55 ",IAMM4400-R002,06/30/09,ADC - CHILD,CHILDRENS MENTAL HEALTH SVC,41,2075,"$38,439.57 ",IAMM4400-R002,06/30/09,AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,CHILDRENS MENTAL HEALTH SVC,96,5367,"$94,501.61 ",IAMM4400-R002,06/30/09,DISABLED,CHILDRENS MENTAL HEALTH SVC,33,1400,"$29,612.08 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,CHILDRENS MENTAL HEALTH SVC,329,14981,"$305,441.65 ",IAMM4400-R002,06/30/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,CHILDRENS MENTAL HEALTH SVC,48,2406,"$42,994.50 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,CHILDRENS MENTAL HEALTH SVC,9,599,"$9,313.63 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,CHILDRENS MENTAL HEALTH SVC,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,CHILDRENS MENTAL HEALTH SVC,2,103,"$1,884.51 ",IAMM4400-R002,06/30/09,TOTAL,CHILDRENS MENTAL HEALTH SVC,561,27205,"$527,597.10 "
IAMM4400-R002,06/30/09,ADC - ADULT,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,AIDS WAIVER SERVICES,13,1010,"$11,592.78 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,AIDS WAIVER SERVICES,35,2896,"$31,785.76 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,AIDS WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,AIDS WAIVER SERVICES,46,3906,"$43,378.54 "
IAMM4400-R002,06/30/09,ADC - ADULT,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,ELDERLY WAIVER SERVICES,3769,170326,"$2,449,773.93 ",IAMM4400-R002,06/30/09,BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,ELDERLY WAIVER SERVICES,30,1489,"$24,380.69 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,ELDERLY WAIVER SERVICES,1,2,"$1,187.00 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,ELDERLY WAIVER SERVICES,6492,304142,"$3,926,052.72 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,ELDERLY WAIVER SERVICES,2,57,"$3,390.60 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,ELDERLY WAIVER SERVICES,6,7,$168.41 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,ELDERLY WAIVER SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,ELDERLY WAIVER SERVICES,3,156,"$2,689.93 ",IAMM4400-R002,06/30/09,TOTAL,ELDERLY WAIVER SERVICES,9973,476179,"$6,407,643.28 "
IAMM4400-R002,06/30/09,ADC - ADULT,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,ILL & HANDICAPPED WAIVER SVCS,1,52,$520.00 ,IAMM4400-R002,06/30/09,DISABLED,ILL & HANDICAPPED WAIVER SVCS,2013,99921,"$1,675,072.94 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,ILL & HANDICAPPED WAIVER SVCS,34,2685,"$43,942.30 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,ILL & HANDICAPPED WAIVER SVCS,165,8205,"$174,249.16 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,ILL & HANDICAPPED WAIVER SVCS,1,25,"$1,500.00 ",IAMM4400-R002,06/30/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,ILL & HANDICAPPED WAIVER SVCS,8,276,"$4,491.41 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,ILL & HANDICAPPED WAIVER SVCS,1,39,"$1,375.20 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,ILL & HANDICAPPED WAIVER SVCS,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,ILL & HANDICAPPED WAIVER SVCS,3,79,"$1,038.39 ",IAMM4400-R002,06/30/09,TOTAL,ILL & HANDICAPPED WAIVER SVCS,2216,111282,"$1,902,189.40 "
IAMM4400-R002,06/30/09,ADC - ADULT,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,COUNTY OFFICE REIMBURSEMENT,0,0,$0.00 
IAMM4400-R002,06/30/09,ADC - ADULT,MEP SERVICES,12,9,"$3,245.56 ",IAMM4400-R002,06/30/09,ADC - CHILD,MEP SERVICES,47,42,"$15,715.81 ",IAMM4400-R002,06/30/09,AGED,MEP SERVICES,129,127,"$33,584.35 ",IAMM4400-R002,06/30/09,BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,MEP SERVICES,106,110,"$40,554.82 ",IAMM4400-R002,06/30/09,DISABLED,MEP SERVICES,1712,1493,"$394,480.62 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,MEP SERVICES,283,276,"$72,440.76 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,MEP SERVICES,9503,10017,"$2,665,111.70 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,MEP SERVICES,2,2,$552.11 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,MEP SERVICES,367,359,"$146,011.31 ",IAMM4400-R002,06/30/09,STATE ONLY,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,MEP SERVICES,195,198,"$55,214.07 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,MEP SERVICES,3,2,$473.43 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,MEP SERVICES,4,2,$650.05 ,IAMM4400-R002,06/30/09,OTHER,MEP SERVICES,72,60,"$21,256.72 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,MEP SERVICES,15,15,"$4,829.67 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,MEP SERVICES,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,MEP SERVICES,8,10,"$2,952.83 ",IAMM4400-R002,06/30/09,TOTAL,MEP SERVICES,11937,12722,"$3,457,073.81 "
IAMM4400-R002,06/30/09,ADC - ADULT,UNASSIGNED,3,0,$0.00 ,IAMM4400-R002,06/30/09,ADC - CHILD,UNASSIGNED,2,0,$0.00 ,IAMM4400-R002,06/30/09,AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,CMAP,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,DISABLED,UNASSIGNED,9,0,"$1,529.17 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,UNASSIGNED,1,0,($424.71),IAMM4400-R002,06/30/09,FEDERAL ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,UNASSIGNED,1,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER,UNASSIGNED,7,0,"$270,463.03 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,OTHER TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,REFUGEE TXXI,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,UNASSIGNED,0,0,$0.00 ,IAMM4400-R002,06/30/09,TOTAL,UNASSIGNED,24,0,"$271,567.49 "
IAMM4400-R002,06/30/09,ADC - ADULT,* A L L  C A T E G O R I E S *,52005,429359,"$12,368,516.32 ",IAMM4400-R002,06/30/09,ADC - CHILD,* A L L  C A T E G O R I E S *,73635,424952,"$13,663,332.00 ",IAMM4400-R002,06/30/09,AGED,* A L L  C A T E G O R I E S *,15019,828912,"$20,581,442.99 ",IAMM4400-R002,06/30/09,BLIND,* A L L  C A T E G O R I E S *,2,13,$175.29 ,IAMM4400-R002,06/30/09,CMAP,* A L L  C A T E G O R I E S *,16128,149638,"$6,903,657.30 ",IAMM4400-R002,06/30/09,DISABLED,* A L L  C A T E G O R I E S *,54825,2401646,"$61,415,054.44 ",IAMM4400-R002,06/30/09,OTHER ICARE CHRN DSH,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,06/30/09,FOSTER - PRESUB - SUB ADOPTS,* A L L  C A T E G O R I E S *,10378,303165,"$7,145,126.63 ",IAMM4400-R002,06/30/09,FED CNTY - FED CNTY STATE,* A L L  C A T E G O R I E S *,11469,1464934,"$64,718,291.85 ",IAMM4400-R002,06/30/09,FEDERAL ONLY,* A L L  C A T E G O R I E S *,161,1711,"$46,246.82 ",IAMM4400-R002,06/30/09,OTHER ICARE MHI 300%,* A L L  C A T E G O R I E S *,21,795,"$26,511.60 ",IAMM4400-R002,06/30/09,OTHER ICARE PMIC MHI 300%,* A L L  C A T E G O R I E S *,346,33122,"$828,835.46 ",IAMM4400-R002,06/30/09,STATE ONLY,* A L L  C A T E G O R I E S *,324,3147,"$193,710.10 ",IAMM4400-R002,06/30/09,INTERMEDIATE CARE FACILITY,* A L L  C A T E G O R I E S *,14805,1335678,"$35,313,005.35 ",IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY AGED,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,06/30/09,FEDERAL MEDICAID ONLY BLIND,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,06/30/09,MEDICALLY NEEDY NO SPEND DN,* A L L  C A T E G O R I E S *,1835,36589,"$1,330,027.38 ",IAMM4400-R002,06/30/09,MEDICALLY NEEDY WI SPEND DN,* A L L  C A T E G O R I E S *,1081,29720,"$1,950,751.27 ",IAMM4400-R002,06/30/09,OTHER,* A L L  C A T E G O R I E S *,102441,696727,"$28,474,073.68 ",IAMM4400-R002,06/30/09,OTHER BREAST CERVICAL CANCER,* A L L  C A T E G O R I E S *,246,7796,"$508,158.89 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT 19-64,* A L L  C A T E G O R I E S *,102,111,"$58,540.60 ",IAMM4400-R002,06/30/09,OTHER ICARE ADULT OB,* A L L  C A T E G O R I E S *,9,40,"$5,690.65 ",IAMM4400-R002,06/30/09,OTHER TXXI,* A L L  C A T E G O R I E S *,13919,93929,"$2,853,005.33 ",IAMM4400-R002,06/30/09,REFUGEE TXXI,* A L L  C A T E G O R I E S *,0,0,$0.00 ,IAMM4400-R002,06/30/09,STATE ONLY,* A L L  C A T E G O R I E S *,1457,31859,"$1,220,325.11 ",IAMM4400-R002,06/30/09,TOTAL,* A L L  C A T E G O R I E S *,370208,8273843,"$259,604,479.06 "