Need help understanding Notice 2014-7 exempt income for caregiver W-2
Title: Need help understanding Notice 2014-7 exempt income for caregiver W-2 1 I'm a live-in caregiver for my cousin who has severe disabilities, and I get paid through a local healthcare agency. I just received my W-2 form and I'm kind of confused about how to report it. The W-2 shows $0 in boxes 1 and 2 (wages and federal tax withheld), but box 14 has "2014-7" listed with about $32,500 in compensation. I know this has something to do with tax-exempt income for caregivers under Notice 2014-7, but I'm not sure if I still need to report this on my tax return even though it's exempt from federal and state taxes? And what happens if I just don't include it at all? Will I get in trouble with the IRS? This is my first time dealing with this type of situation and I'm really not sure what to do.
22 comments


Amina Bah
15 You're dealing with IRS Notice 2014-7, which allows certain payments for in-home care to be excluded from gross income. This is specifically for Medicaid waiver payments for care provided to eligible individuals in your home. Since your W-2 shows $0 in Box 1 (taxable wages) and has the 2014-7 notation in Box 14, your employer has already treated this income as excludable under this notice. You don't need to report this as taxable income on your federal return. The agency is basically telling you they're classifying these payments as excludable from your income. However, you should still file your tax return and may want to include an explanation. Some tax software might flag this as unusual since you received a W-2. I recommend attaching a simple statement to your return explaining that the income shown in Box 14 is excluded under Notice 2014-7.
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Amina Bah
•7 Thanks for the explanation! Does this mean I don't include this W-2 at all when filing my taxes? And what about for state taxes - is it also exempt there too? I'm using TurboTax and wondering how to handle this correctly.
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Amina Bah
•15 You should still enter the W-2 in your tax software, but most tax programs have a way to indicate that the income is exempt under Notice 2014-7. For TurboTax specifically, you'll enter the W-2 as normal, but there should be an option to mark it as Medicaid waiver payments. For state taxes, in most states this income is also exempt, following the federal treatment. However, a few states may have different rules. What state are you in? I can give you more specific guidance based on that.
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Amina Bah
4 I went through this exact situation last year! I was so confused about my W-2 showing zeros but then this huge amount in box 14. I found this amazing service called https://taxr.ai that really helped me understand how to file correctly with Notice 2014-7 income. They analyzed my documents and explained exactly how to report it. The key thing I learned is that you DO need to include the W-2 in your tax return, but the income is excludable. Different tax software handles this differently. I was using H&R Block software and there's a specific way to enter it so it doesn't count as taxable income. The taxr.ai system walked me through it step-by-step.
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Amina Bah
•8 How does the service work exactly? I'm using FreeTaxUSA and I'm not sure if they have an option for this Notice 2014-7 stuff. Would taxr.ai be able to help with that specific software?
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Amina Bah
•12 I'm skeptical about using another service when I'm already paying for TurboTax. Does it cost a lot? And how do they handle the actual filing - do they just give advice or do they file for you?
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Amina Bah
•4 The service is super straightforward - you upload your tax documents and they analyze them to identify issues like this Notice 2014-7 situation. They absolutely can help with FreeTaxUSA - they provide specific instructions for all the major tax software options. They don't file your taxes for you - they just give you detailed guidance on how to handle special situations like this. They'll tell you exactly which screens and options to look for in your specific software to properly exclude the income while still reporting the W-2.
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Amina Bah
8 Just wanted to update everyone - I tried taxr.ai after seeing it mentioned here and it was incredibly helpful! I uploaded my caregiver W-2 with the 2014-7 notation and they provided detailed instructions for FreeTaxUSA. They explained exactly how to enter the W-2 but exclude the income from taxation. They even gave me a little write-up to attach to my return explaining the Notice 2014-7 exclusion in case I get any questions from the IRS. I feel so much more confident about filing now! The system also flagged a couple other deductions I qualified for as a caregiver that I had no idea about.
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Amina Bah
19 If you're struggling to get clear answers about this Notice 2014-7 situation, I highly recommend using Claimyr (https://claimyr.com) to get through to an actual IRS agent. I was in the same boat last year and spent DAYS trying to reach someone at the IRS for confirmation on how to handle this. With Claimyr, I got through to an IRS representative in about 15 minutes instead of waiting on hold for hours. The agent confirmed exactly how to handle the W-2 with the 2014-7 notation and that I didn't need to pay taxes on it. They have a demo video of how it works here: https://youtu.be/_kiP6q8DX5c It's especially helpful for situations like this where the tax rules are a bit unusual and you want official confirmation directly from the IRS.
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Amina Bah
•10 Wait, how does this actually work? I thought it was impossible to get through to the IRS these days. Do they just keep calling for you or something?
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Amina Bah
•12 This sounds too good to be true. I've literally spent hours on hold with the IRS and never got through. Are you sure they can actually help with complex tax questions like Notice 2014-7? I'm worried I'd pay for the service and still not get a useful answer.
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Amina Bah
•19 It's actually really clever how it works. They use technology to navigate the IRS phone tree and hold in line for you. Once they're near the front of the queue, they call you and connect you directly to the IRS agent. So instead of waiting on hold for hours, you just get a call when an agent is available. Yes, they absolutely can help with specific tax questions! I spoke with an IRS representative who confirmed exactly how to handle Notice 2014-7 income on my return. They told me to include the W-2 but attach a statement explaining why the income is excluded. The agent was knowledgeable about caregiver payments specifically.
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Amina Bah
12 I have to admit I was super skeptical about Claimyr when I saw it mentioned here. It seemed impossible that anyone could actually get through to the IRS faster. But after trying for THREE DAYS to reach someone on my own with no luck, I gave it a shot. I got connected to an IRS agent in about 20 minutes! The agent confirmed everything about how to handle my Notice 2014-7 income and even explained why my tax software was getting confused. Turns out I was entering the information in the wrong section. The peace of mind from getting official confirmation was totally worth it. I now understand exactly how to file with my caregiver income and won't be stressing about doing it wrong.
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Amina Bah
22 Just a heads up: even though the income is excluded from federal taxes under Notice 2014-7, you might still need to report it for other purposes. For example, if you're applying for a mortgage or other loans, lenders will want to see this income. I learned this the hard way when trying to refinance my house! I had to get a special letter from my tax preparer explaining that the income was real but exempt from taxation. So make sure you keep good records of this income even though it's not taxable.
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Amina Bah
•1 That's really good to know. I'm actually planning to apply for an apartment soon and they ask for proof of income. Should I just show them my W-2 with the box 14 amount? Or do I need something else to explain this situation?
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Amina Bah
•22 For apartment applications, I would provide both your W-2 showing the Box 14 amount AND a simple explanation letter mentioning that these are Medicaid waiver payments under Notice 2014-7. You might also want to include a copy of any payment statements you receive from the agency. Some property managers aren't familiar with this type of income, so being proactive with documentation helps. I've found that if you explain it's stable, government-authorized income for providing care services, most landlords will accept it as valid income for qualification purposes.
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Amina Bah
3 Has anyone used TaxAct with Notice 2014-7 income? I'm trying to figure out how to enter this correctly and the software keeps trying to tax me on it, even though box 1 of my W-2 shows $0. Help please!
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Amina Bah
•15 I've used TaxAct with Notice 2014-7 income. You need to enter the W-2 as normal, but then look for the section about "Other Income" or "Less Common Income." There should be an option for "Medicaid Waiver Payments" or something similar. If you can't find it, try entering the W-2 normally, then create an offsetting negative entry in the adjustments section equal to the amount in Box 14. You'll also want to attach an explanation statement to your return explaining that you're excluding the income under Notice 2014-7.
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Samantha Howard
I'm also dealing with Notice 2014-7 income as a caregiver and wanted to share what I learned after doing some research. The key thing to understand is that this notice specifically applies to difficulty-of-care payments made under Medicaid home and community-based services waivers. Since your W-2 shows $0 in Box 1 and the amount in Box 14 with the 2014-7 notation, your employer has correctly classified this as excludable income. You absolutely should still file a tax return and include this W-2, but the income won't be subject to federal income tax or self-employment tax. One important detail I discovered: make sure you're actually eligible for this exclusion. The care recipient must qualify for institutional care (like a nursing home) and you must be providing care in a home setting. Also, there are limits on how much can be excluded - it can't exceed the difficulty-of-care payment amount determined by the state. I'd recommend keeping detailed records of your caregiving activities and the recipient's medical condition documentation, just in case the IRS ever questions the exclusion.
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Malik Jackson
•This is really helpful information! I'm curious about the eligibility requirements you mentioned. How do I know if my cousin actually qualifies for "institutional care"? We've never been told specifically that they would qualify for nursing home placement, but they do need 24/7 supervision and help with all daily activities. Is there some kind of official assessment or documentation I should have on file to prove this eligibility for the Notice 2014-7 exclusion?
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Sophie Footman
•Great question about the institutional care qualification! You should have documentation from your state's Medicaid waiver program that establishes your cousin meets the "level of care" criteria. This is typically done through an assessment by the state or their contracted agency before someone is approved for home and community-based services. The assessment usually evaluates things like Activities of Daily Living (ADLs), cognitive impairment, and medical needs. If your cousin was approved for Medicaid waiver services that allow them to receive care at home instead of in an institution, that's your proof they meet the institutional level of care requirement. You should be able to get a copy of this assessment or approval letter from the agency that pays you or from your state's Medicaid office. I'd definitely recommend getting this documentation and keeping it with your tax records, since it's the foundation for claiming the Notice 2014-7 exclusion. If you're not sure about the assessment status, contact the healthcare agency that issues your payments - they should be able to confirm your cousin's eligibility and provide the necessary documentation.
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Freya Ross
I'm a tax professional who works with a lot of caregivers in similar situations. Notice 2014-7 can be confusing, but you're on the right track understanding that this income is generally excludable from federal taxes. A few key points to add to the great advice already given: 1. Even though the income is excludable, you still need to meet the filing requirement if your other income (plus this excluded amount) would normally require you to file. The IRS still wants to see the return. 2. Make sure you understand the difference between "difficulty of care" payments (which are excludable under Notice 2014-7) and regular wages for caregiving services (which would be taxable). The fact that your employer coded it correctly in Box 14 suggests they've properly classified it. 3. For state taxes, most states follow the federal treatment, but there are exceptions. States like California and Pennsylvania sometimes have different rules, so double-check your state's guidance. 4. Keep excellent records not just of the payments, but also of the care you're providing and your cousin's qualifying condition. If the IRS ever audits, they'll want to verify that the payments truly qualify under the notice. The bottom line: yes, include the W-2 on your return, but the income should not be taxable. Most tax software can handle this if you know where to look for the Medicaid waiver payment options.
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