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My daughter is here every day to help me with my MIL.  My MIL requires 24 7 care as she can't do anything for herself, taking pills (twice daily), meals and snacks, toileting, bathing, etc (ADLS?). I handle her monthly bills,  most set up to be paid out of her checking account automatically.  My question would be can my daughter be paid monthly or weekly as primary caregiver?  I would like to bypass the government completely, if possible.

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There is a form on this site, if you type “caregiver agreement “ into the search bar, which is at the top left (horizontal lines). This is a form you can fill out so your daughter can get paid from MIL’s funds. I’m not sure if it can be under the table though. Maybe someone else can advise on that. I’m too afraid of Uncle Sam!
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Lostinthemix, if the government you want to bypass is the IRS, then your MIL can gift your daughter up to about $15,000 annually without incurring any gift tax on her part or income tax for your daughter. Your MIL can also gift larger amounts without gift tax or income tax consequences by declaring on her tax return that such gifts are part of her $5.2 million lifetime estate exemption. However, if you think your MIL may need Medicaid assistance within the next 5 years, be aware that any such gifts will be used to calculate a penalty period during which Medicaid assistance will be denied.
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