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Manual Title Virginia Medical Assistance Eligibility Chapter M04 Page Revision Date January 2025 Subchapter Subject M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) Page ending with Appendix 7 Page 1

MAGI ADULTS 133% FPL INCOME LIMITS ALL LOCALITIES EFFECTIVE 1/15/25 Household Size 133% FPL Yearly Amount 133% FPL Monthly Amount 138% FPL (133% FPL + 5% FPL Disregard) 1 $20,815 $1,735 $21,597 2 28,130 2,345 29,187 3 35,445 2,954 36,777 4 42,760 3,564 44,367 5 50,075 4,173 51,957 6 57,390 4,783 59,547 7 64,705 5,393 67,137 8 72,020 6,002 74,727 Each additional, add 7,315 610 7,590