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Appendix Page A-3-i COE-073- Children Age 6 to 19 HH Size 194% FPL 194% + 5% Disregard 143% FPL 143% + 5% Disregard 107% FPL (no 5% disregard) 133% FPL 133% + 5% Disregard 209% FPL 209% + 5% Disregard State Set Income Limit Limit + 5% Disregard 1 $2,198 $2,255 $1,620 $1,677 $1,212 $1,507 $1,564 $2,367 $2,424 $227 $284 2 $2,961 $3,037 $2,182 $2,258 $1,633 $2,030 $2,106 $3,189 $3,265 $306 $382 3 $3,724 $3,820 $2,745 $2,841 $2,054 $2,553 $2,649 $4,012 $4,108 $384 $480 4 $4,487 $4,603 $3,307 $3,423 $2,475 $3,076 $3,192 $4,834 $4,950 $462 $578 5 $5,250 $5,385 $3,870 $4,005 $2,896 $3,599 $3,734 $5,656 $5,791 $541 $676 6 $6,013 $6,168 $4,432 $4,587 $3,317 $4,122 $4,277 $6,478 $6,633 $619 $774 7 $6,776 $6,951 $4,995 $5,170 $3,737 $4,646 $4,821 $7,300 $7,475 $697 $872 8 $7,539 $7,733 $5,557 $5,751 $4,158 $5,169 $5,363 $8,122 $8,316 $775 $969 9 $8,302 $8,516 $6,120 $6,334 $4,579 $5,692 $5,906 $8,944 $9,158 $853 $1,067 10 $9,065 $9,299 $6,682 $6,916 $5,000 $6,215 $6,449 $9,766 $10,000 $931 $1,165 11 $9,828 $10,081 $7,245 $7,498 $5,421 $6,738 $6,991 $10,588 $10,841 $1,009 $1,262 12 $10,591 $10,864 $7,807 $8,080 $5,842 $7,261 $7,534 $11,410 $11,683 $1,087 $1,360 For more than 12, add: $421 for each additional person to increase the FPL. 13 14 15 16 17 18 19 20 $293 $312 $332 $352 $371 $391 $411 $430 Use the chart below for the correct 5% disregard amount to use for households with more than 12 persons. HH Size 5% Disregard Amt $764 for each additional person to increase the FPL. $563 for each additional person to increase the FPL. $524 for each additional person to increase the FPL. $823 for each additional person to increase the FPL. $78 for each additional person to increase the FPL. 2022 MAGI INCOME LIMITS EFFECTIVE MARCH 1, 2022 COE-088-Pregnant Women, COE-071 - Infants to Age 1, COE-029 Family COE-072 - Children Age 1 to Age 6 COE-074- Children Age 6 to Age 19 COE-099 - CHIP COE-075 - Low- Income Parents & Caretaker Relatives