Long Term Care

Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), & Service Priority Level (SPLs)

Assistance with Activities of Daily Living (ADL)

Activities of daily living (ADLs) are those personal functional activities required by all of us for continued well-being, which are essential for health and safety. Activities include tasks such as (defined in OAR 411-015-0006):

  • Bathing
  • Personal Hygiene
  • Cognition
  • Behavior
  • Dressing
  • Grooming
  • Eating
  • Elimination (Toileting including bowel and bladder)
  • Mobility
  • Transfers

Oregon determines Medicaid eligibility for long-term care services based on an individual's limitation of activities of daily living.

Assistance with Instrumental Activities of Daily Living (IADL)

IADLs, or self-management, include tasks such as (defined in OAR 411-015-0007):

  • Housekeeping
  • Laundry
  • Meal Preparation
  • Medication Management
  • Shopping
  • Transportation

Service Priority Levels

Priority levels include groups of impairments and levels of impairment. Individuals with the most impairments are assessed at a higher priority level. For example, individuals at level 1 have a much higher level of need than an individual at level 15 to 17.

  • For Service Priority information see OAR 411-015-0015 listing current limitations which defines the levels Oregon is currently serving.
  • For additional Service Priority information see OAR 411-015-0010 for a list of Priority of Paid Services.