Assistive Daily Living Services (ADLS) Program
The Assistive Daily Living Services Program provides personal attendant services, case management, consumer preparation and ancillary services such as skilled nursing and emergency response services to individuals with quadriplegia.
- must be receiving personal attendant services, case management, consumer preparation or ancillary services.
- must be at least 18 years of age
- must have quadriplegia due or resulting from ataxia, cerebral palsy, rheumatoid arthritis, muscular dystrophy, multiple sclerosis, traumatic brain injury, a congenital condition, an accident or injury to the spinal cord, or another neuromuscular or cerebral condition or disease other than traumatic brain injury; or the individual has four limbs absent due to disease, trauma, or congenital conditions.
- must be a recipient of SSI or must qualify for Medicaid as determined by the Department of Social Services
- must require nursing facility level of care
- if receiving personal attendant services, must be able to independently direct and manage the personal attendant services
- must be medically stable and free from life-threatening conditions.
- Personal Attendant Services – includes services such as bathing, grooming, oral hygiene, assistance with self-administration of medications, routine bowel and bladder care. Meal preparation and housekeeping may be provided if there is no other family member in the home to provide that service. Family or friends may be paid for this service if they meet all the personal attendant qualifications.
- Case Management – includes initial and annual eligibility assessments, development of an individual service plan and identifying resources in the individual’s community.
- Consumer Preparation – instructing the individual on hiring and training personal attendants, personal health maintenance training and support.
- Skilled Nursing Services – includes nursing services under the direction of the individual’s physician and includes services that cannot be provided by the individual’s personal attendant.
- Emergency Response Services – provides monthly payment for emergency response services such as LifeLine.
- Incontinence supplies – the program provides a $100 cost share per consumer per month for those individuals who want this service.
Accessing the ADLS Program
There are three (3) ADLS providers in the state. Initially the individual must apply to the program thru the ADLS Program Manager in the Division of Rehabilitation Services. Once the application is reviewed the individual will receive correspondence that provides contact information of all ADLS providers in the state. The individual is responsible for contacting a provider and arranging for a program assessment. The assessment will determine the individual’s ability to self-direct and manage their personal attendants and what services the individual determines necessary in their individual service plan. This information will be used to determine if the individual meets the ADLS program requirements. SSI or Medicaid eligibility will also be assessed, and the individual will be referred to the Department of Social Services to verify their financial eligibility...The individual must meet both the programmatic and the financial eligibility to be enrolled into the program. Occasionally the program has a waiting list in effect, and the individual will not be able to start services until the waiting list is released. The individual will be informed of this at the time they are referred to an ADLS provider.
Denise White, ADLS Waiver Program Manager
Division Rehabilitation Services