Assisted Daily Living Services Waiver for Individuals with Quadriplegia

Assistive Daily Living Services (ADLS) Waiver for Individuals with Quadriplegia who would Require Nursing Home Care if not for Special Services Performed in their Home

Individuals with quadriplegia living independently in their own homes may be eligible for South Dakota Medicaid. Individuals who are eligible are entitled to full South Dakota Medicaid coverage.

Eligibility Requirements

A person must be age 18 or older and have quadriplegia.

The income limit can be up to $2,982 in 2026 a month.

The resource limit is $2,000 for an individual. Resources include items such as checking and savings accounts and certificates of deposit.

In addition to the standard Medicaid covered services, the following services are available through the ADLS Waiver:

Personal Attendant Services - includes services such as bathing, grooming, oral hygiene, assistance with self-administration of medications, routine bowel, and bladder care. Meal preparation and housekeeping may be provided if there is no other family member in the home to provide that service. Family or friends may be paid for this service if they meet all the personal attendant qualifications.

Case Management - includes initial and annual eligibility assessments, development of an individual service plan and identifying resources in the individual's community.

Consumer Preparation- instructing the individual on hiring and training personal attendants, personal health maintenance training and support.

Skilled Nursing Services- includes nursing services under the direction of the individual's physician and includes services that cannot be provided by the individual's personal attendant.

Emergency Response Services- provides monthly payment for emergency response services such as Lifeline.

Respite- care and supervision needed due to the temporary absence of a parent, guardian, or other immediate caregiver

Specialized Medical Equipment & Supplies- devices, controls, or appliance that enable participants to increase their ability to perform activities of daily living. Examples include adaptive positioning devices, mobility aids, adaptive equipment, and augmentative communication devices and services.

Vehicle Modifications - adaptations or alterations to an automobile or van to accommodate the special needs of the participant. Examples include adaptive driving features, lifts, ramps, and wheelchair securement/seating systems.

Environmental Accessibility Adaptations- physical adaptations to a participant's residence to enable the participant to function at a greater independence within the home. Examples include ramps, grab bars, and widening of doorways.

Other Information for Home and Community Based Services can be found here: Department of Human Services .