Substance Abuse adult (18 and over) community residence. OASAS Certified individuals who are Medicaid-eligible and needing 24/7 care from staff. Staff work intensely with the residents in formulating individualized service plans. These generally include medication management and training, life skills training, and services and interventions that support sobriety, health and wellness. Group living programs are intended to transition residents to more independent settings as soon as possible.