For the costs of assisted living to be deductible as an itemized medical expense, the resident must be chronically ill. This means the resident is (1) unable to perform at least two of the six activities of daily living (eating, dressing, bathing, transferring, toileting, and continence), or (2) requires supervision due to a cognitive impairment, such as Alzheimer’s disease. The care afforded in an assisted living facility must be provided by a licensed medical professional under a written plan of care. Then most of the costs of assisted living can be viewed as deductible medical expenses.
A specialized domestic relations court order that conforms to IRS regulations and provides instructions to pension plan administrators and IRA custodians as to how to pay benefits to a divorced spouse.