If such care is medically necessary, as prescribed and certified by a licensed health care provider, then it can be treated as a deductible medical expense if you itemize deductions. For 2016, only out-of-pocket medical expenses in excess of 7.5% of your adjusted gross income can be deducted. Starting in 2017, the AGI threshold rises to 10% unless Congress changes the law.
A husband and wife who are required to live apart from each other by the terms of a decree of separate maintenance. Payments under the decree are deductible by the payor and taxable to the payee as alimony.