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.
Long Term Care Medical Assistance. Long Term Care Medical Assistance (LTC), is designed to cover the cost of nursing home care for low income individuals who meet eligibility requirements, including a look back at resources in the five years prior to application.