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Attendant care and the DTC

April 13, 2025

When I am reading the CRA guide it says that the attendant care you can claim only when you can claim disability tax credit, Is it true?

This is one question where I always get out my Income Tax Act because no matter how many ways you try to explain it and the RC4064, the new one does an admirable job, this is so confusing.

The short answer is that it depends on which of the 5 attendant care categories you fall into. and some of the attendant care categories aren't about attendant care, so take care.

As you read S. 118.2(2), and I haven’t given you all of it here, watch for what it says about S. 118.3(1)(c) as that’s how you tell.

If you don’t have a current ITA, you will find this link on the Justice website available from my Useful Links webpage at the top of the webpage just under some articles and highlighted in pink.

S. 118.3(1)(c) reads: no amount in respect of remuneration for an attendant or care in a nursing home in respect of the individual is included in calculation a deduction under S. 118.2 (otherwise than because of S. 118.2(b.1) for the year by the individual or by any other person.

What’s interesting is which of the following 5 types of care are considered attendant or care in a nursing home. If I were a senior I would be seriously considering the option of setting up under the group home option as you can claim the cost of care and supervision as well as the DTC. Here's why.

Under (b) you have to have the DTC, but you can’t claim the DTC because you claim the cost of the attendant in full

Under (b.1) you have to have the DTC and you can claim it but are limited to $10,000 or $20,000 in year of death and you can’t claim under S. 63 or 64 (child care or disability supports if they worked) S. 118.2(b, b.2, c, d,or e) which means that if you have a transition in the year from this category to any other category you have to pick one or the other but not both for that year.

This means a move from retirement home to nursing home for example, you would have to decide whether it’s more advantageous to pick the nursing home or to pick the DTC and $10,000 assuming they were still alive at the end of the year.

Under (b.2) group home care it’s for the patients care and supervision, so is that considered attendant care? They don’t use those exact words. And in fact it says that if you are there because you qualify for the DTC, so it looks like you can claim the DTC if in a group home (I’ve never been sure but have been advised that people do claim it because care and supervision isn't attendant care or nursing care)

Under (c) the patient must be certified in writing to be a person who, by reason of mental or physical infirmity is likely to be dependent on others for personal needs and care and as a result, requires a full time attendant, so that’s pretty clearly out of bounds for a DTC claim because it mentions attendant care

Under (d) nursing home care by reason of normal mental capacity, again, out of bounds for a DTC claim because it mentions nursing care

Under (e) school, institution, etc., for care or care and training, again it’s not attendant care, and in this section I know that it is possible to make a claim for both (e) and the DTC having done it a few times for kids enrolled in schools specifically for autism and dyslexia. That's because care or care and training isn't the same as attendant care or nursing care.

Confused? You and me both. Every time I go through this with a real situation, it's even more difficult. I've asked the Finance department to consider what exactly attendant care means and how the definition of attendant care can vary depending on where the attendant care is being performed.

For example, did you know that an attendant in a care facility can perform duties that relate to house keeping but an attendant you hire in your home had better be the same person who does your house keeping or your claim for the house keeping part of the care will be denied? You might be wondering where this would apply. If you are completely wheel chair dependent and hire caregivers in your home, getting the tub cleaned after your bath may or may not be considered attendant care depending on who you pay for the services. Now that is just outright infuriating.

For a list of what's included in attendant care check out RC4064 as the latest version has a great listing of the types of jobs that are included and those that aren't.

What's also infuriating is the number of retirement and nursing homes who aren't up to speed with their receipt processes. They need a wake up call as CRA isnt' going to accept a receipt for the total you paid. The total must be broken out into the attendant care or nursing care and the non attendant care/non nursing care component.

Rent, food, management and common area costs are not eligible costs.

 

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