Oklahoma Adult Day Services for the Elderly

Program Description

The Oklahoma Department of Human Services offers the Adult Day (Care) Services Program, sometimes referred to as Adult Day Health Services, to help elderly state residents who might otherwise require nursing home or assisted living care. The program helps eligible applicants remain living in the community by covering some, or all of the cost, of adult day care. The health, personal care, and recreational services provided in adult day care allow an individual to remain living at home or with family members and still receive the level of care they require without being placed in 24/7 residential care. This program also serves to provide respite for primary caregivers. All program participants are assessed during the application process and if approved, a Care Delivery Plan is created.

 Did You Know? The average staff to patient ratio in adult day care is 1 to 6.  This is lower than most schools and even most child care programs.


Eligibility Guidelines

For acceptance into the program, candidates must be at least 60 years of age and legal Oklahoma residents. They must require care or supervision or be unable to function 100% independently. However, their condition must not necessitate around the clock care. An exception to the age limit is granted in cases of early-onset Alzheimer's, dementia, and for individuals requiring care to recover from stroke.

The applicant's monthly income is a factor in determining their eligibility and also if a co-payment will be required to receive services. Those whose monthly income is less than the current Supplemental Security Income benefits are automatically eligible financially and will receive adult day services free of charge. As of 2017, this means individual applicants have a monthly income less than $735. A married couple is permitted monthly income of twice that number, or $1,470.

Applicants whose incomes exceed these limits, but do not exceed $2,084 (as of 2017), are eligible to receive adult day services with fees based on a sliding scale. While there are out-of-pocket costs, these are very affordable relative to paying the full market rate for adult day care. Those who have incomes over $2,084 may still receive services, but will pay the total cost of services.

Information regarding the applicant's financial assets (as opposed to their income) is not collected during the application process and therefore not considered to be an eligibility factor.

 Candidates cannot be receiving assistance under OK Medicaid ADvantage Waiver.  However, they can receive assistance if they are on the waiting list.


Benefits and Services

In Adult Day Care (Centers), the following types of services are typically provided.

  • Assistance with the activities of daily living / personal care – mobility, hygiene, eating, dressing, etc. 
  • Basic nursing services
  • Bathing (although there may be an additional charge)
  • Congregate meals / snacks
  • Medication oversight
  • Health monitoring / medication administration
  • Recreational activities / socialization
  • Supervision
  • Transportation assistance

Each individual program participant will receive a Care Delivery Plan, which outlines the specific services that will be available to them.


How to Apply / Learn More

To apply for the program, one should identify the Adult Day Care Center within Oklahoma that they wish attend and request assistance from them with the application. For more information about this program, click here or call the Oklahoma Department of Human Services’ Aging Services Division at 405-521-2281. Assistance is available to find local adult day care centers.