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Assistive Daily Living Services (ADLS) Program

The goal of the Assistive Daily Living Services Program is to support eligible individuals with quadriplegia to live independently in their homes and in the communities of their choice as an alternative to living in a nursing home.

The objectives of the ADLS Waiver are to:


Eligibility Criteria

An individual:
  • must be receiving personal attendant services, case management, consumer preparation or ancillary services.
  • must be at least 18 years of age
  • The Assistive Daily Living Services (ADLS) waiver is for individuals who are at least 18 years old with quadriplegia resulting from ataxia, cerebral palsy, rheumatoid arthritis, muscular dystrophy, multiple sclerosis, traumatic brain injury, congenital conditions, accidents and injuries to the spinal cord, and other neuromuscular or cerebral conditions or diseases, or an individual with 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.
  • Respite- care and supervision needed due to the temporary absence of a parent, guardian, or other immediate caregiver
  • Specialized Medical Equipment & Supplies- devices, controls, or appliance that enable participants to increase their ability to perform activities of daily living. Examples include adaptive positioning devices, mobility aids, adaptive equipment, and augmentative communication devices and services.
  • Vehicle Modifications - adaptations or alterations to an automobile or van in order to accommodate the special needs of the participant. Examples include adaptive driving features, lifts, ramps, and wheelchair securement/seating systems.
  • Environmental Accessibility Adaptations- physical adaptations to a participant's residence to enable the participant to function at a greater independence within the home. Examples include ramps, grab bars, and widening of doorways.

Accessing the ADLS Program

Assistive Daily Living Services Application

This application requires the applicant's signature so you will need to print the form, complete it and mail it to the address listed on the application.

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 for the Department of Social Services to verify financial eligibility. The individual must meet both the programmatic and the financial eligibility to be enrolled into the program.

Following the financial eligibility determination, the individual will meet with a DHS Service Coordinator to complete an 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.

ADLS contact

Jennifer Lewis 
Division of Rehabilitation Services
(605) 773-4644

Provider Information

ADLS Provider Rates

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Infectious and Contagious Diseases