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.

• 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.

• 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.

• A Screening must be completed on all persons who enter an Adult Care Residence (Adult Home) and who apply for financial assistance through the Auxiliary Grant Program for payment. The screenings are completed to determine the individual's level of care initially and must be updated based on changes in the level of care. All Auxiliary grant recipients must be reassessed/screened once per year.