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Page | 15 FAMIS MOMS INCOME LIMITS NOTE: The income chart in this section is associated with Chapter M22 – FAMIS Moms of the Medical Assistance Eligibility Manual. Income Chart Name: FAMIS Moms 200% FPL Income Limits - All Localities Effective: 1/13/26 Household Size 200% FPL Yearly Amount 200% FPL Monthly Amount 205% FPL (200% FPL + 5% FPL Disregard as Displayed in VaCMS) 2 $43,280 $3,607 $3,697 3 $54,640 $4,554 $4,668 4 $66,000 $5,500 $5,638 5 $77,360 $6,447 $6,608 6 $88,720 $7,394 $7,579 7 $100,080 $8,340 $8,549 8 $111,440 $9,287 $9,519 Each additional, add $11,360 $947 $971