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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M04 October 2018 Subchapter Subject Page ending with Page M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) TOC i

TABLE OF CONTENTS

M04 MODIFIED ADJUSTED GROSS INCOME (MAGI)

Section Page MAGI General Information ................................................................ M0410.100 .................. 1 Definitions ............................................................................................. M0420.100 .................. 4 MAGI Household Composition............................................................ M0430.100 .................. 6 Tax Filer Household Examples ................................................ M0430.200 .................. 8 Non Tax Filer Household Examples ........................................ M0430.300 .................. 10 Tax Filer and Non Tax Filer Household Examples................ M0430.400 .................. 11 Household Income ................................................................................. M0440.100 .................. 14 Steps for Determining MAGI Eligibility ............................................. M0450.100 .................. 20 Examples – Tax Filer Households ........................................... M0450.200 .................. 22 Examples – Non Tax Filer Households .................................. M0450.300 .................. 27 Gap-Filling Rule Evaluation ................................................... M0450.400 .................. 32 Appendices

5% FPL Disregard ..............................................................................Appendix 1................. 1 Gap-Filling Rule Evaluation 100% FPL Income Limits .................Appendix 1................. 2 Child Under Age 19 and Pregnant Women Income Limits ............Appendix 2................. 1 LIFC Income Limits............................................................................Appendix 3................. 1 Grouping of Localities ........................................................................Appendix 4................. 1 Individuals Under Age 21 Income Limits .........................................Appendix 5................. 1 Plan First Income Limits ....................................................................Appendix 6................. 1 MAGI Adults Income Limits ...............................................................Appendix 7.................. 1 Treatment of Income For Families & Children Covered Groups ..Appendix 8.................. 1