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per the IRS:
Whether the Service will treat payments under a state program other than a state Medicaid Home and Community-Based Services waiver program as difficulty of care payments excludable from gross income will depend on the nature of the payments and the purpose and design of the program.
contact the state Medicaid office for more info.
A more efficient response would have been to direct them to the IRS Notice 2014-7. Recommending someone call Medicaid is absurd. Have you ever tried!?
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