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Page | 13 FAMIS INCOME LIMITS Last Section Revision Date: January 2026

NOTE: The income charts in this section are associated with Chapter M21 – FAMIS of the Medical Assistance Eligibility Manual. Income Chart Name: FAMIS Income Limits - All Localities Effective 1/13/26 # of Persons in FAMIS Household 150% FPL Annual Limit 150% FPL Monthly Limit 1 $23,940 $1,995 2 $32,460 $2,705 3 $40,980 $3,415 4 $49,500 $4,125 5 $58,020 $4,835 6 $66,540 $5,545 7 $75,060 $6,255 8 $83,580 $6,965 Each additional, add $8,520 $710

# of Persons in FAMIS Household 200% FPL Annual Limit 200% FPL Monthly Limit 1 $31,920 $2,660 2 $43,280 $3,607 3 $54,640 $4,554 4 $66,000 $5,500 5 $77,360 $6,447 6 $88,720 $7,394 7 $100,080 $8,340 8 $111,440 $9,287 Each additional, add $11,360 $947

# of Persons in FAMIS Household 205% FPL Annual Limit (200% FPL + 5% Disregard as Displayed in VaCMS) 1 $2,727 2 $3,697 3 $4,668 4 $5,638 5 $6,608 6 $7,579 7 $8,549