Adult Services

Adult Services are provided to impaired persons who are eighteen years of age and older and to persons sixty years or older. Adult services available include the provision of case management, home-based companion services, screening for Medicaid community-based care and nursing home placement, screening for admission to Adult Care Residents (Home for Adults), and other activities to aid the adult and their family.

As funding is available, home-Based Companion Services provides for someone to perform light housekeeping, errands, and some personal care duties for clients who are aged, blind, or disabled. The purpose of this service is to maintain clients in their own homes rather than encourage institutional placements. 


Payments are made to agency approved providers based on approved hours the provider works. The maximum number of hours per week of companion services is determined on an individual basis. No one receives more than twenty hours per week. 


Eligibility is restricted to persons who meet income guidelines established by the State or receives Supplemental Security Income. A waiting list is established to remain within the funding allocation of each locality.


When a higher level of care may be needed a social worker and a public health nurse complete Medicaid Pre-Admission Screening for Community-Based in Home Services and Nursing Home placements. Approval for these services is determined by the nursing Home Pre-Admission Screening team.