Medicaid Case Management provides an array of long term services and supports. The primary goal of case management is to enable vulnerable adult to reside in the setting of their choice with services and supports that maximize independence, dignity, and quality of life. The program serves Medicaid eligible clients 18 years old and older living in East King County. DSHS determines client eligibility by assessing functional unmet need using a state assessment tool. Functional eligibility is determined based on how much support is needed for performing activities of daily living (dressing, bathing, hygiene, mobility, etc), cognitive impairment, and complex medical/psychosocial needs.