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If he needs assistance with at least 2 of 5 ADLs(Activities of Daily Living) per his Doctor - then you can deduct as medical expense subject to 7.5% of income deduction. You can go through agency, payroll the caregiver , or what we did - have caregiver sign agreement as "companion sitter" and 1099 them for amounts paid. They are responsible for their own payroll taxes under this arrangement.
If it is through an agency you can. If it is personal hire no. Just like Nursing Home care, you cannot take it off. If it is an agency, with a tax number, you can take it off as medical expense with whatever % the IRS will allow. We have done this for years with Caregivers Systems and our new 'Pay as you go' senior living system. It is good to check out these things. If it is a personal hire, check with an accountant to see, but I don't think so.