Activities of Daily Living and Service Priority Levels

When you apply for Medicaid long-term care services in Oregon, we look at how much help you need to perform Activities of Daily Living (ADL). Because funding is limited, we use this information (called a service priority level) to decide who is eligible for services. You must also meet income guidelines to qualify for services.

Service priority levels

Service priority levels are categories we use to identify how much help you need to perform Activities of Daily Living. 

Oregon's service priority levels go from level 1 to 18. A person at level 1 has much higher needs than a person at level 18.

• Oregon's service priority levels for paid services
  (OAR 411-015-0010)
  
• Current limitations and levels we are able to serve
  (OAR 411-015-0015)
  

ADL

Activities of Daily Living

Activities of Daily Living are basic personal activities you need to do to be safe and healthy. These activities include:

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

Source: OAR 411-015-0006

IADL

Instrumental Activities of Daily Living

IADLs or “self-management" tasks are more complex activities needed to take care of yourself and your home. These activities include:

• Housekeeping
• Laundry
  
• Meal preparation
  
• Medication management
  
• Shopping
  
• Transportation
  

Source: OAR 411-015-0007