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Not Sure How Medicaid Waiver Works for Taxes?We Help AFH Owners Avoid Big Tax Mistakes.

Many CPAs do not know that certain Medicaid waiver payments can be tax-free for Adult Family Homes.


If this is filed wrong, you can overpay thousands in taxes every year.

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We make the rules easy to understand, and we file your taxes correctly.

Why AFH Owners Get Confused

Medicaid waiver rules are not simple.

 

Most AFH owners are unsure because:

  • CPA doesn’t understand Notice 2014-7

  • Medicaid waiver income mixed with other income

  • AFH bookkeeping categories are wrong

  • Not sure what part is tax-free

  • Fear of doing it wrong

  • Missed deductions every year

 

This confusion leads to overpaying taxes — but we help fix that.

Going or a Walk
Financial Report

What I Help You Understand

I make Notice 2014-7 simple and clear.

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I explain:

✔ What part of Medicaid waiver is tax-free
So you don’t pay tax on money the IRS says you don’t owe.

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✔ How Medicaid waiver should show on your tax return
Correct reporting protects you long-term.

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✔ What goes on Schedule C and what does NOT
Simple, step-by-step guidance.

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✔ How to separate Medicaid waiver from other AFH income
(Done by explaining categories — not doing your bookkeeping.)

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✔ What expenses can still be deducted
Even when the income is tax-free.

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✔ How wrong filing affects loans, refinancing, and IRS notices
Your numbers must make sense to banks AND to the IRS.

WHAT I DO NOT DO

To keep your AFH clean and compliant, I:

  • Do not do your bookkeeping categories

  • Do not create your payroll

  • Do not recode Medicaid payments line-by-line

 

Instead, I:

  • Review your situation

  • Tell you if Medicaid waiver was filed wrong

  • Guide what needs to be fixed

  • File your taxes correctly

  • Help amend past wrong returns if needed

 

This keeps your business safe and avoids tax problems.

Nurse arranging bed
Discuss reports

Why Correct Medicaid Waiver Reporting Matters

  • When Medicaid waiver (Notice 2014-7) is filed wrong, you can face:

  • Paying tax you don’t owe

  • IRS mismatch letters

  • Incorrect 1099s

  • Problems during refinancing or selling

  • Messy Profit & Loss reports

  • Higher taxable income

  • Losing thousands every year

 

Correct filing protects your money and your AFH.

Frequently Asked Questions

What is Notice 2014-7?

It is an IRS rule that says some Medicaid waiver payments are tax-free.

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Are ALL Medicaid payments tax-free?

No. Some are tax-free, some are not. We explain the difference.

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Can I still deduct expenses if the income is tax-free?

Yes. Many AFH owners can still deduct certain expenses.

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My CPA never talked about this. Is that common?

Yes. Many CPAs do not know AFH rules. We specialize in them.

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Can I fix old tax returns if Medicaid was filed wrong?

Yes. We can amend past returns and help recover overpaid taxes.

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Does this work for both WA and OR?

Yes. We serve AFH owners in Washington and Oregon.

Caregiver holding elderly hands
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