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Washington Apple Health Income and Resource Standards January 1, 2024 Changes Modified Adjusted Gross Income (MAGI) and SSI-related Program Standards (4/1/2023) 1 2 3 4 5 6 7 8 9 10 11+ Family (N01) $511 $658 $820 $972 $1,127 $1,284 $1,471 $1,631 $1,792 $1,951 N/A 138% FPL - New Adult (N05) $1,677 $2,268 $2,859 $3,450 $4,041 $4,632 $5,223 $5,814 $6,406 $6,997 $591 198% FPL - Pregnancy (N03/N23) and *APC (N07/ N27) $2,406 $3,253 $4,103 $4,950 $5,797 $6,647 $7,494 $8,342 $9,191 $10,039 $849 215% FPL - Children (N11/ N31) $2,612 $3,533 $4,454 $5,375 $6,296 $7,217 $8,138 $9,059 $9,980 $10,901 $921 265% FPL – Family Planning Only $3,220 $4,355 $5,490 $6,625 $7,760 $8,895 $10,030 $11,165 $12,300 $13,436 $1,135 265% FPL - CHIP T1 (N13/ N33) $20 premium $3,220 $4,355 $5,490 $6,625 $7,760 $8,895 $10,030 $11,165 $12,300 $13,436 $1,135 317% FPL - CHIP T2 (N13/ N33) $30 premium $3,852 $5,209 $6,567 $7,925 $9,283 $10,641 $11,998 $13,356 $14,714 $16,072 $1,358 Note: Include the unborn child(s) in the household size for family and pregnancy medical AU’s. *After Pregnancy Coverage Above MAGI limits include 5% income disregard except for Family-related N01. HCA 19-0096 (12/23)