If you provide care to an individual who has a physical, mental, or emotional handicap, the difficulty of care payments you receive are generally excluded from income. Review the information below to determine how to report these payments, if necessary, on your tax return.
According to the IRS website Certain Medicaid Waiver Payments May Be Excludable From Income:
On January 3, 2014, the IRS issued Notice 2014-7 addressing the income tax treatment of certain payments to an individual care provider under a state Home and Community-Based Services Waiver (Medicaid waiver) program. The notice provides that the IRS will treat “qualified Medicaid waiver payments” as difficulty of care payments excludable from gross income under § 131 of the Internal Revenue Code. For purposes of the notice, qualified Medicaid waiver payments are payments by a state, a political subdivision of a state, or a certified Medicaid provider under a Medicaid waiver program to an individual care provider for nonmedical support services provided under a plan of care to an individual (whether related or unrelated) living in the individual care provider’s home.
Exception: Difficulty of care payments are not excludable to the extent that the payments are for more than 10 qualified foster individuals who have not attained age 19 or 5 qualified foster individuals who have attained age 19.
Generally, report this amount on the “Other income” line of Schedule 1 (Form 1040) (or Form 1040NR) and identify the payment. The amount shown may be payments received as the beneficiary of a deceased employee, prizes, awards, taxable damages, Indian gaming profits, or other taxable income. See Pub. 525. If it is trade or business income, report this amount on Schedule C (Form 1040) or Schedule F (Form 1040).
Shows nonemployee compensation. If you are in the trade or business of catching fish, box 7 may show cash you received for the sale of fish. If the amount in this box is SE income, report it on Schedule C(Form 1040) or Schedule F (Form 1040), and complete Schedule SE (Form 1040). You received this form instead of Form W-2 because the payer did not consider you an employee and did not withhold income tax or social security and Medicare tax. If you believe you are an employee and cannot get the payer to correct this form, report this amount on the line for "Wages, salaries, tips, etc." of Form 1040 (or Form 1040NR). You also must complete Form 8919 and attach it to your return. If you are not an employee but the amount in this box is not SE income (for example, it is income from a sporadic activity or a hobby), report this amount on the"Other income" line of Schedule 1 (Form 1040) (or Form 1040NR).
To enter the Form 1099-MISC, Box 7 income on Schedule C (Form 1040):
If you have not already entered the applicable Schedule C information:
Once you have entered the Form 1099-MISC income, the program will bring you through additional screens to complete the Schedule C. To enter the excludable amount as an expense, continue to the screen titled Business Income - Expenses, and click Yes. Continue to the screen titled Business Income - Expenses with an entry field for Qualified Medicaid waiver payments exclusion (Notice 2014-7). Enter the excluded amount on this screen.
Below are the steps to remove the Self-Employment Tax by entering an adjustment for Schedule SE:
Box 1. Enter this amount on the wages line of your tax return. If you choose to apply the Notice to payments received in 2018, you will enter the income in the Wages and Salaries section of the Federal Q&A, but will also report the excludable amount as a negative adjustment.
To enter the Form W-2, see Entering in Program - Form W-2
To enter the adjustment:
When you print your return, the text See Attached will print to the left of Line 21 of Schedule 1(Form 1040). An attached sheet will print with the return titled Other Income - Supporting Details for Schedule 1 (Form 1040), Line 21 which will print both the description and amount that was entered.
Note: The link in the information above is updated each year automatically. It will take you to the most recent IRS version of the form instructions at the time it is accessed.