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| | |
 | Issue Date FY: 2023 ( Subtotal = $5,799,968 ) |
| | 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 | 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 | 2305IA5000 | Medicare entitlement for Iowa - FY 2023 | 3 | 1 | CMS | 4/10/2023 | $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 | 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 | 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 | 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 | 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 | 50319-0083 | POLK | USA | 2301IA5050 | Medicaid Fraud Control Unit | 001 | 01 | CMS | 10/1/2022 | $242,251 |
| | 2023 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2201IA5050 | Medicaid Fraud Control Unit | 005 | 01 | CMS | 3/28/2023 | -$336,728 |
|
| Issue Date FY: 2022 ( Subtotal = $7,897,617 ) |
| | 2022 | 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 | 0 | 1 | CMS | 2/18/2022 | $300,000 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2201IA5050 | Medicaid Fraud Control Unit | 004 | 01 | CMS | 7/1/2022 | $245,028 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2201IA5050 | Medicaid Fraud Control Unit | 003 | 01 | CMS | 4/1/2022 | $245,028 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2201IA5050 | Medicaid Fraud Control Unit | 002 | 01 | CMS | 1/1/2022 | $245,028 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2201IA5050 | Medicaid Fraud Control Unit | 001 | 01 | CMS | 10/1/2021 | $245,028 |
| | 2022 | 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 | 0 | 1 | CMS | 12/6/2021 | $375,841 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5000 | Medicare entitlement for Iowa - FY 2022 | 5 | 1 | CMS | 7/6/2022 | $1,410,992 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5000 | Medicare entitlement for Iowa - FY 2022 | 6 | 1 | CMS | 8/23/2022 | $556,920 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5000 | Medicare entitlement for Iowa - FY 2022 | 3 | 1 | CMS | 4/5/2022 | $529,968 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5000 | Medicare entitlement for Iowa - FY 2022 | 4 | 1 | CMS | 4/21/2022 | $1,210,067 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5000 | Medicare entitlement for Iowa - FY 2022 | 2 | 1 | CMS | 3/9/2022 | $324,528 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5000 | Medicare entitlement for Iowa - FY 2022 | 1 | 1 | CMS | 12/22/2021 | $1,179,025 |
| | 2022 | 2022 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2205IA5000 | Medicare entitlement for Iowa - FY 2022 | 0 | 1 | CMS | 10/13/2021 | $989,388 |
| | 2022 | 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 | 7/4/2022 | $460,000 |
| | 2022 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2101IA5050 | Medicaid Fraud Control Unit | 005 | 01 | CMS | 3/22/2022 | -$406,830 |
| | 2022 | 2020 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U18FD007040 | Iowa Voluntary National Retail Food Regulatory Program Standards Conformance and Enhancement | 000 | 1 | FDA | 10/13/2021 | $0 |
| | 2022 | 2019 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U18FD005633 | Iowa Conforming with Voluntary National Retail Program Standard-2 | 000 | 5 | FDA | 11/1/2021 | $0 |
| | 2022 | 2018 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 1805IA5000 | Medicare entitlement for Iowa - FY 2018 | 11 | 1 | CMS | 6/6/2022 | -$12,394 |
|
| Issue Date FY: 2021 ( Subtotal = $8,028,012 ) |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2105IA5000 | Medicare entitlement for Iowa - FY 2021 | 4 | 1 | CMS | 7/6/2021 | $1,410,992 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2101IA5050 | Medicaid Fraud Control Unit | 004 | 01 | CMS | 7/1/2021 | $261,644 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2101IA5050 | Medicaid Fraud Control Unit | 003 | 01 | CMS | 4/1/2021 | $261,644 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2101IA5050 | Medicaid Fraud Control Unit | 001 | 01 | CMS | 10/1/2020 | $261,644 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2101IA5050 | Medicaid Fraud Control Unit | 002 | 01 | CMS | 1/1/2021 | $261,644 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2105IAPACT | Medicare entitlement for Iowa - FY 2021 | 0 | 1 | CMS | 1/22/2021 | $149,718 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2105IA5000 | Medicare entitlement for Iowa - FY 2021 | 3 | 1 | CMS | 4/7/2021 | $1,410,992 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2105IA5000 | Medicare entitlement for Iowa - FY 2021 | 2 | 1 | CMS | 1/22/2021 | $1,445,420 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2105IA5000 | Medicare entitlement for Iowa - FY 2021 | 1 | 1 | CMS | 12/30/2020 | $263,009 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2105IA5000 | Medicare entitlement for Iowa - FY 2021 | 0 | 1 | CMS | 10/9/2020 | $1,113,555 |
| | 2021 | 2021 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | Des Moines | IA | 50319-9011 | POLK | USA | 2105IA50C3 | CARES Act for Iowa - FY 2021 | 0 | 1 | CMS | 2/17/2021 | $1,025,024 |
| | 2021 | 2021 | 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 | 4 | FDA | 7/28/2021 | $460,000 |
| | 2021 | 2020 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2001IA5050 | Medicaid Fraud Control Unit | 005 | 01 | CMS | 3/17/2021 | -$255,398 |
| | 2021 | 2017 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U18FD005612 | Iowa Food Protection Rapid Response Team | 000 | 3 | FDA | 4/8/2021 | -$41,876 |
| | 2021 | 2016 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U18FD004440 | Iowa MFRPS | 000 | 5 | FDA | 3/10/2021 | $0 |
| | 2021 | 2016 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U18FD004676 | Iowa Voluntary Retail Program Standards Conformance | 000 | 5 | FDA | 3/24/2021 | $0 |
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| Issue Date FY: 2020 ( Subtotal = $7,767,044 ) (Continued on the next page) |
| | 2020 | 2020 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-9011 | POLK | USA | U18FD007040 | Iowa Voluntary National Retail Food Regulatory Program Standards Conformance and Enhancement | 000 | 1 | FDA | 7/7/2020 | $70,000 |
| | 2020 | 2020 | STATE OF IA DEPT INSP & APP | 321 E 12TH ST RM 2001 | DES MOINES | IA | 50319-0083 | POLK | USA | 2001IA5050 | Medicaid Fraud Control Unit | 004 | 01 | CMS | 7/1/2020 | $261,044 |
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