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6 TITLE 16 HEALTH AND SAFETY DELAWARE ADMINISTRATIVE CODE From $ Up To $ # Months Counted for Medicaid From $ Up To $ # Months Counted for Medicaid 480,000 489,999 42 1,080,000 1,089,999 102 490,000 499,999 43 1,090,000 1,099,999 103 500,000 509,999 44 1,100,000 1,109,999 104 510,000 519,999 45 1,110,000 1,119,999 105 520,000 529,999 46 1,120,000 1,129,999 106 530,000 539,999 47 1,130,000 1,139,999 107 540,000 549,999 48 1,140,000 1,149,999 108 550,000 559,999 49 1,150,000 1,159,999 109 560,000 569,999 50 1,160,000 1,169,999 110 570,000 579,999 51 1,170,000 1,179,999 111 580,000 589,999 52 1,180,000 1,189,999 112 590,000 599,999 53 1,190,000 1,199,999 113 600,000 609,999 54 1,200,000 1,209,999 114 610,000 619,999 55 1,210,000 1,219,999 115 620,000 629,999 56 1,220,000 1,229,999 116 630,000 639,999 57 1,230,000 1,239,999 117 640,000 649,999 58 1,240,000 1,249,999 118 650,000 659,999 59 1,250,000 1,259,999 119 660,000 669,999 60 1,260,000 or higher 120 24 DE Reg. 1072 (06/01/21) 16500.2 Excluded Income - Below are the common but not exclusive list of excluded income items per the Internal Revenue Service (IRS) for calculating MAGI. Please visit https://www.irs.gov/publications/p525 to find the entire list of items on the list. • Scholarships, awards, or fellowship grants used for education purposes and not for living expenses; • American Indian/Alaska Native income as defined in 42 CFR 435.603(e); • Child Support Received; • Gifts and loans; • Inheritance;