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Services such as in-house supervision and custodial care?

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Here is your answer from IRS.gov--Household Help

You can't include in medical expenses the cost of household help, even if such help is recommended by a doctor. This is a personal expense that isn't deductible. However, you may be able to include certain expenses paid to a person providing nursing-type services. For more information, see Nursing Services , earlier, under What Medical Expenses Are Includible. Also, certain maintenance or personal care services provided for qualified long-term care can be included in medical expenses. For more information, see Long-Term Care , earlier, under What Medical Expenses Are Includible.
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The IRS instructions for Medical expense deductions (which we no longer will have in the new tax reform! ) lists what is deductible. I did this for the 1st time last year, home care is on the list. But! Adult diapers aren't considered a medical expense...what are they, a luxury???
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Joe, this is something you would need to ask a Certified Public Accountant. Every case is different depending on so many different scenarios.
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