Artículo Difficulty-of-care payments.. Difficulty-of-care payments.

id="en_US_2025_publink1000172097"> Difficulty-of-care payments. These are payments that are designated by the payer as compensation for providing the additional care that’s required for physically, mentally, or emotionally handicapped qualified foster individuals. A state must determine that this compensation is needed, and the care for which the payments are made must be provided in the foster care provider's home in which the qualified foster individual was placed. Certain Medicaid waiver payments are treated as difficulty-of-care payments when received by an individual care provider for caring for an eligible individual living in the provider's home. See Notice 2014-7, available at IRS.gov/irb/2014-04_IRB#NOT-2014-7 ; and related questions and answers, available at IRS.gov/Individuals/Certain-Medicaid-Waiver-Payments-May-Be-Excludable-From-Income , for more information. You must include in your income difficulty-of-care payments to the extent they’re received for more than: 10 qualified foster individuals under age 19, or 5 qualified foster individuals age 19 or older.