Then it likely falls under Business, not the Difficulty of Care exception. Facts and circumstances always matter.

Examples of Difficulty of Care (2014-7): you are being paid under a case plan overseen by a local agency, for your own child or relative who lives with you, or you live with them. Or, you take in/stay with a blind parent with a special needs child, and that falls below the threshold for Group Home, and you work with the placement agency and the care plan to meet their needs.

Examples that are not Difficulty of Care: You live in with a disabled person who is paying you as a household employee, from an ABLE account, an insurance account, whatever. You might do all the same tasks as above, but you are not controlled by a care plan from an agency and you are not paid from a public program. You take the disabled person to the store, events, etc, and also occasionally pick up his/her friend for going to the park.

Also not Difficulty of Care: You and another person trade shifts staying with a disabled person. You might do all the same tasks as above. You might be paid by a public agency. You might have a plan to follow from that agency. But you don't live in.