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Manual Title Virginia Medical Assistance Eligibility Chapter M04 Page Revision Date July 2025 Subchapter Subject M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) Page ending with Appendix 3 Page 2 LIFC Income Limits Effective 7/1/2025 Group I Household Size Monthly Amount Annual Amount 1 $329 $3,948 2 495 5,940 3 632 7,584 4 764 9,168 5 896 10,752 6 1010 12,120 7 1142 13,704 8 1276 15,312 Additional 139 1,668

Group II Household Size Monthly Amount Annual Amount 1 $429 $5,148 2 609 7,308 3 767 9,204 4 913 10,956 5 1,075 12,900 6 1,209 14,508 7 1,355 16,260 8 1,510 18,120 Additional 155 1,860

Group III Household size Monthly Amount Annual Amount 1 $642 $7,704 2 859 10,308 3 1,048 12,576 4 1,226 14,712 5 1,452 17,424 6 1,613 19,356 7 1,793 21,516 8 1,983 23,796 Additional 188 2,256