Beginning in April 2020, IPOne will be able to process Difficulty of Care forms. 24. March 2020 Admin WA Individual ProviderOne (IPOne), Training Page (0) Beginning in April 2020, IPOne will be able to process Difficulty of Care forms. If you and your client live together, you could be eligible for the Difficulty of Care income exclusion as outlined in IRS Notice 2014-7. Visit the DSHS website to learn more about Difficulty of Care Payments.