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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M04 July 2024 Subchapter Subject Page ending with Pa ge M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) M0450.400 34a Virginia’s Health Insurance Marketplace refers the application to Virginia for a Medicaid/FAMIS eligibility determination. The child meets a tax dependent exception in M0430.100 B.2 (lives with both parents, is claimed as a tax dependent by one parent, and the parents do not expect to file jointly). The child’s eligibility for Medicaid or FAMIS is determined using non-filer methodology.
Because the child is under 19 and both parents are in the household, the income of both parents is counted. Household income with the 5% FPL disregard is over the limit for both Medicaid and FAMIS.