| | | | | | | | | | | | | | | | |
| | |
 | Issue Date FY: 2025 ( Subtotal = $3,385,375 ) |
| | 2025 | 2025 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2505IA5CAA | Medicare entitlement for Iowa - FY 2025 | 0 | 1 | CMS | 12/18/2024 | $250,000 |
| | 2025 | 2025 | STATE OF IA DEPT INSPections, Appeals & Licensing | 6200 Park Avenue, Suite 100 | DES MOINES | IA | 50321-1270 | POLK | USA | 2501IA5050 | Medicaid Fraud Control Unit | 003 | 01 | CMS | 4/1/2025 | $257,715 |
| | 2025 | 2025 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2505IA5000 | Medicare entitlement for Iowa - FY 2025 | 1 | 1 | CMS | 1/6/2025 | $1,287,390 |
| | 2025 | 2025 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2505IA5000 | Medicare entitlement for Iowa - FY 2025 | 2 | 1 | CMS | 3/26/2025 | $485,381 |
| | 2025 | 2025 | STATE OF IA DEPT INSPections, Appeals & Licensing | 6200 Park Avenue, Suite 100 | DES MOINES | IA | 50321-1270 | POLK | USA | 2501IA5050 | Medicaid Fraud Control Unit | 002 | 01 | CMS | 1/1/2025 | $257,715 |
| | 2025 | 2025 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2505IA5000 | Medicare entitlement for Iowa - FY 2025 | 0 | 1 | CMS | 10/4/2024 | $1,252,396 |
| | 2025 | 2025 | STATE OF IA DEPT INSPections, Appeals & Licensing | 6200 Park Avenue, Suite 100 | DES MOINES | IA | 50321-1270 | POLK | USA | 2501IA5050 | Medicaid Fraud Control Unit | 001 | 01 | CMS | 10/1/2024 | $257,715 |
| | 2025 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5CAA | Medicare entitlement for Iowa - FY 2023 | 1 | 1 | CMS | 3/14/2025 | -$62,519 |
| | 2025 | 2022 | STATE OF IOWA DEPARTMENT OF INSPECTIONS APPEALS AND LICENSING | 1305 E WALNUT ST | DES MOINES | IA | 50319-0106 | POLK | USA | U18FD006401 | Iowa Flexible Funding Model Application | 000 | 5 | FDA | 12/18/2024 | $0 |
| | 2025 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA50C3 | CARES Act for Iowa - FY 2022 | 1 | 1 | CMS | 10/16/2024 | -$375,841 |
| | 2025 | 2020 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2005IA5000 | Medicare entitlement for Iowa - FY 2020 | 11 | 1 | CMS | 4/8/2025 | -$224,577 |
|
| Issue Date FY: 2024 ( Subtotal = $8,025,583 ) |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 0 | 1 | CMS | 10/16/2023 | $742,182 |
| | 2024 | 2024 | STATE OF IA DEPT INSPections, Appeals & Licensing | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2401IA5050 | Medicaid Fraud Control Unit | 002 | 01 | CMS | 1/1/2024 | $265,879 |
| | 2024 | 2024 | STATE OF IA DEPT INSPections, Appeals & Licensing | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2401IA5050 | Medicaid Fraud Control Unit | 001 | 01 | CMS | 10/1/2023 | $265,879 |
| | 2024 | 2024 | STATE OF IA DEPT INSPections, Appeals & Licensing | 6200 Park Avenue, Suite 100 | DES MOINES | IA | 50321-1270 | POLK | USA | 2401IA5050 | Medicaid Fraud Control Unit | 004 | 01 | CMS | 7/1/2024 | $265,879 |
| | 2024 | 2024 | IOWA STATE | 1305 E WALNUT ST | DES MOINES | IA | 50319-0106 | POLK | USA | U2FFD008093 | Iowa Department of Inspections & Appeals MFRPS Maintenance | 001 | 2 | FDA | 8/1/2024 | $240,000 |
| | 2024 | 2024 | IOWA STATE | 1305 E WALNUT ST | DES MOINES | IA | 50319-0106 | POLK | USA | U2FFD008052 | Iowa Department of Inspection & Appeals RRT Maintenance | 000 | 2 | FDA | 7/25/2024 | $225,000 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5CAA | Medicare entitlement for Iowa - FY 2024 | 0 | 1 | CMS | 11/6/2023 | $300,000 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 9 | 1 | CMS | 9/16/2024 | $2,431 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 8 | 1 | CMS | 7/8/2024 | $1,410,992 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 6 | 1 | CMS | 4/23/2024 | $951,178 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 5 | 1 | CMS | 4/9/2024 | $478,041 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 4 | 1 | CMS | 3/18/2024 | $215,889 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 7 | 1 | CMS | 6/11/2024 | $800,000 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 1 | 1 | CMS | 11/29/2023 | $668,810 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 2 | 1 | CMS | 12/29/2023 | $509,086 |
| | 2024 | 2024 | STATE OF IA DEPT INSPections, Appeals & Licensing | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2401IA5050 | Medicaid Fraud Control Unit | 003 | 01 | CMS | 4/1/2024 | $265,879 |
| | 2024 | 2024 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2405IA5000 | Medicare entitlement for Iowa - FY 2024 | 3 | 1 | CMS | 2/7/2024 | $667,790 |
| | 2024 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U2FFD008093 | Iowa Department of Inspections & Appeals MFRPS Maintenance | 000 | 1 | FDA | 12/15/2023 | $0 |
| | 2024 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2301IA5050 | Medicaid Fraud Control Unit | 005 | 01 | CMS | 4/18/2024 | -$225,506 |
| | 2024 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5CAA | Medicare entitlement for Iowa - FY 2022 | 1 | 1 | CMS | 5/24/2024 | -$23,826 |
|
| Issue Date FY: 2023 ( Subtotal = $8,257,458 ) |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2301IA5050 | Medicaid Fraud Control Unit | 001 | 01 | CMS | 10/1/2022 | $242,251 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5000 | Medicare entitlement for Iowa - FY 2023 | 4 | 1 | CMS | 7/13/2023 | $1,410,992 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5000 | Medicare entitlement for Iowa - FY 2023 | 5 | 1 | CMS | 7/31/2023 | $2,519 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U2FFD008093 | Iowa Department of Inspections & Appeals MFRPS Maintenance | 000 | 1 | FDA | 9/20/2023 | $240,000 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U2FFD008052 | Iowa Department of Inspection & Appeals RRT Maintenance | 000 | 1 | FDA | 8/30/2023 | $225,000 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA50C3 | CARES Act for Iowa - FY 2023 | 0 | 1 | CMS | 2/6/2023 | $876,967 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5CAA | Medicare entitlement for Iowa - FY 2023 | 0 | 1 | CMS | 2/14/2023 | $300,000 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5000 | Medicare entitlement for Iowa - FY 2023 | 2 | 1 | CMS | 2/22/2023 | $978,100 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5000 | Medicare entitlement for Iowa - FY 2023 | 1 | 1 | CMS | 1/20/2023 | $653,571 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5000 | Medicare entitlement for Iowa - FY 2023 | 0 | 1 | CMS | 10/17/2022 | $1,190,313 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2301IA5050 | Medicaid Fraud Control Unit | 004 | 01 | CMS | 7/1/2023 | $242,251 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2301IA5050 | Medicaid Fraud Control Unit | 003 | 01 | CMS | 4/1/2023 | $242,251 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2301IA5050 | Medicaid Fraud Control Unit | 002 | 01 | CMS | 1/1/2023 | $242,251 |
| | 2023 | 2023 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2305IA5000 | Medicare entitlement for Iowa - FY 2023 | 3 | 1 | CMS | 4/10/2023 | $1,410,992 |
| | 2023 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U18FD006401 | Iowa Flexible Funding Model Application | 000 | 5 | FDA | 6/21/2023 | $0 |
|
| Issue Date FY: 2022 ( Subtotal = $7,897,617 ) (Continued on the next page) |
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