Individual Community Living Services
Individual community living supports (ICLS): Bundled service that includes six service categories. ICLS services offer assistance and support for older adults who need reminders, cues, intermittent/moderate supervision or physical assistance to remain in their own homes.
ICLS covers assistance and support for eligible people 65 years and older enrolled in Elderly Waiver (EW) or the Alternative Care (AC) program. It includes the following service categories:
Active cognitive support
Adaptive support service
Activities of daily living (ADLs)
Household management
Health, safety and wellness
Community engagement.
Active cognitive support
This category includes services to support the person with cognitive challenges and issues that are important to them.
Examples under this category, an ICLS provider can:
- Help problem-solve the person’s concerns related to daily living.
- Provide assurance to the person
- Observe and redirect to address the person’s cognitive, orientation or other behavioral concerns
- Provide in-person and remote check-ins to identify problems and resolve concerns.
Adaptive support service
This category includes services to help the person adopt ways to meet their needs. The services encourage self-sufficiency and reduce reliance on human assistance.
Examples Under this category, an ICLS provider can:
- Provide verbal, visual and/or touch guidance to help the person complete a task.
- Develop and demonstrate cues or reminder tools (e.g., calendars, lists).
- Help the person understand assistive technology directions or instructions to maintain independence.
- Practice strategies and similar support methods that promote continued self-sufficiency.
ADLS
This category includes services to help the person with ADLs.
Examples under this category, an ICLS provider can:
- Provide reminders or cuing systems to complete ADLs.
- Cue and/or provide intermittent physical assistance with dressing, grooming, eating, toileting, mobility, transferring and positioning.
- Cue and/or provide continual supervision and physical assistance with bathing, as needed.
Household Management
This category includes services to help the person manage their home.
Examples under this category, an ICLS provider can:
- Help with cleaning, meal planning/preparation and shopping for household and personal needs.
- Help with budgeting and money management
- Help with communications (e.g., sorting mail, accessing email, placing phone calls, making appointments).
- Provide transportation when it is integral to ICLS household management goals and when community resources and/or informal supports are not available.
Health Safety and Wellness
This category includes services to help the person maintain their overall well-being.
Examples under this category, an ICLS provider can:
- Identify changes in the person’s health needs and notify the case manager and/or informal caregivers as needed.
- Coordinate or implement changes to mitigate environmental risks in the home.
- Provide reminders and assistance with exercises and other health maintenance or improvement activities.
- Provide medication assistance (e.g., medication refills, reminders, administration, preparation).
- Monitor the person’s health according to written instructions from a licensed health professional and report any significant changes as instructed.
- Use medical equipment devices or adaptive technology according to written instructions from a licensed health professional.
Community Engagement
This category includes services to help the person have meaningful integration and participation in their community.
Examples under this category, an ICLS provider can:
- Help the person access activities, services, and resources that facilitate meaningful community integration and participation.
- Help the person develop and/or maintain their informal support system.
- Provide transportation when it is integral to ICLS community engagement goals and community resources and/or when informal supports are not available; see the transportation section.
