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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M04 January 2025 Subchapter Subject Page ending with Page M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) Appendix 1 1

5% FPL INCOME DISREGARD AMOUNTS ALL LOCALITIES EFFECTIVE 1/15/25 Household Size Monthly Amount 1 $66 2 89 3 112 4 134 5 157 6 180 7 203 8 226 Each additional, add 23