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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)

Instrumental activities of daily living (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.