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I am a direct care worker for a client that receives funding from the Office Of Long Term Living. I get paid by the Fiscal Employer/Agent that controls the funding from the Office of Long Term Living. Which my taxes, etc. are taken from that check. My client then pays me an additional $5.00 and hour by check. Am I allowed to except that money? Also would I have to claim that money on my taxes as income?

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I would think it is taxable income. Your contract that you signed depicts a certain hourly rate and taxes are taken from that income, correct? Then the additional money is taxable and taking it may void your contract with your hiring agency and you can lose your job as well for not following company policy nor following your contract.
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Read the employment documents you signed. Most agencies have strict rules against you accepting gifts or tips.
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You need to ask this question of your employer... the office of LOng Term Living.

I would quests they probably have rules against it.
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Of course it's income, even an occasional bonus or tips are income. And your client will need to be careful as s/he will have to account for that money if they ever need medicaid in the future.
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