The most effective way to get in touch with someone by mail is to contact the director for your local IRS district or your local taxpayer assistance center. You should allow 30 days for a response, although in recent years many responses have taken 45 days or longer.
Long-term care facilities include nursing homes, rehabilitation facilities, inpatient behavioral health facilities, and long-term chronic care hospitals.
Medicaid long term care is provided both in nursing homes and in the âhome or communityâ which includes home care, adult day care and assisted living. These are called Home and Community Based Services or HCBS. Home and Community Based Services can be provided under regular Medicaid or through Medicaid Waivers.