Provides various preventive and protective services to assist adults, age 18 or over.

Adult Services/Long Term Care

Unit Caseworkers coordinate services for Rockland County Medicaid recipients, both adults and children, who are in need of long-term care. Agency Caseworkers and Public Health Nurses complete joint assessments in order to formulate a plan of care. The goal is to insure the consumer's physical, emotional and social needs can be met at home.

In addition to coordinating home care services, Adult Services' Caseworkers work with the consumer and their family to assist them in obtaining services necessary for them to remain safely in their home. Such help includes, but is not limited to: obtaining and maintaining entitlements, i.e. Medicaid and Food Stamps; procuring needed prescriptions and medical equipment; advocating on housing or other legal issues, and arranging for emergency food as well as other personal necessity items. The Unit Supervisor and a Senior Caseworker also coordinate the Care At Home Medicaid Waiver Program for disabled children.

Home Care Services

The Department contracts with home health care agencies to provide home care services and incidental household tasks for Medicaid recipients. Agencies under contract are audited periodically to ensure that employees meet approved standards and are in compliance with training specifications.

• LIFELINE, a personal emergency response system, assures safety to frail and elderly patients, permitting a significant reduction in the number of hours of personal care that need to be provided.
• Consumer Directed Personal Assistant Program (CDPAP) is a Medicaid program providing services to chronically ill or physically disabled individuals who have a medical need for help with activities of daily living (ADLs) or skilled nursing services. Services can include any of those provided by a personal care aide (PCA), home health aide, or nurse. The program contracts with nine provider agencies to allow consumers to hire their own PCA's. Services can be combined with any medically necessary service such as physical therapy, long-term care, etc. The consumer or the person acting on the consumer's behalf (such as the parent of a disabled or chronically ill child) assumes full responsibility for hiring, training, supervising, and  - if need be - terminating the employment of persons providing the services. Before a person can receive services, his or her doctor must send a completed Physician's Order for services to Social Services, which then completes a social and nursing assessment. A nurse assessor then determines whether the recipient can appropriately participate in CDPAP, and recommends the amount, frequency and duration of services. 
• Assisted Living Program in two County residential facilities provides personal care services to residents in need of additional assistance and care. 
• Personal Care Assistance Program is a program that contracts with 14 agencies to assist medically-needy patients with their personal hygiene, dressing, feeding and nutritional and environmental support functions, enabling them to live safely in their homes.

Medical Transportation

The Department of Social Services contracts with Medical Answering Service (MAS) to authorize and schedule medical transportation appointments. 

Protective Services for Adults

Protective Services for Adults (PSA) is a program to assist adults, age 18 or over, who because of mental or physical impairments cannot provide for their basic need for food, clothing, shelter, or medical care, or protect themselves from neglect, abuse, or hazardous conditions in a reasonable manner.  Services are provided without regard to income and are based on the guiding principles of the individual's rights to self-determination and the least restrictive alternatives.