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Appendix Page A-3-j 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 $2,358 $2,419 $1,738 $1,799 $1,301 $1,616 $1,677 $2,540 $2,601 $227 $288 2 $3,189 $3,271 $2,350 $2,432 $1,759 $2,186 $2,268 $3,435 $3,517 $306 $388 3 $4,020 $4,124 $2,963 $3,067 $2,217 $2,756 $2,860 $4,330 $4,434 $384 $488 4 $4,850 $4,975 $3,575 $3,700 $2,675 $3,325 $3,450 $5,225 $5,350 $462 $587 5 $5,681 $5,827 $4,188 $4,334 $3,134 $3,895 $4,041 $6,121 $6,267 $541 $687 6 $6,512 $6,680 $4,801 $4,969 $3,592 $4,465 $4,633 $7,016 $7,184 $619 $787 7 $7,343 $7,532 $5,413 $5,602 $4,050 $5,035 $5,224 $7,911 $8,100 $697 $886 8 $8,174 $8,385 $6,026 $6,237 $4,509 $5,604 $5,815 $8,806 $9,017 $775 $986 9 $9,005 $9,237 $6,638 $6,870 $4,967 $6,174 $6,406 $9,702 $9,934 $853 $1,085 10 $9,836 $10,090 $7,251 $7,505 $5,425 $6,744 $6,998 $10,597 $10,851 $931 $1,185 11 $10,667 $10,942 $7,863 $8,138 $5,884 $7,313 $7,588 $11,492 $11,767 $1,009 $1,284 12 $11,498 $11,794 $8,476 $8,772 $6,342 $7,883 $8,179 $12,387 $12,683 $1,087 $1,383 For more than 12, add: $459 for each additional person to increase the FPL. 13 14 15 16 17 18 19 20 $318 $339 $361 $382 $403 $425 $446 $468 2023 MAGI INCOME LIMITS EFFECTIVE MARCH 1, 2023 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 Use the chart below for the correct 5% disregard amount to use for households with more than 12 persons. HH Size 5% Disregard Amt $831 for each additional person to increase the FPL. $613 for each additional person to increase the FPL. $570 for each additional person to increase the FPL. $896 for each additional person to increase the FPL. $78 for each additional person to increase the FPL.