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Washington Apple Health Income and Resource Standards January 1, 2025 Changes Modified Adjusted Gross Income (MAGI) and SSI-related Program Standards (4/1/2024) 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) $1,732 $2,351 $2,969 $3,588 $4,207 $4,825 $5,444 $6,063 $6,682 $7,300 $619 215% FPL - Pregnancy (N03/N23) and *APC (N07/ N27) (As of 11/24) $2,698 $3,662 $4,626 $5,590 $6,554 $7,518 $8,482 $9,446 $10,410 $11,374 $964 215% FPL - Children (N11/ N31) $2,698 $3,662 $4,626 $5,590 $6,554 $7,518 $8,482 $9,446 $10,410 $11,374 $964 265% FPL – Family Planning Only $3,326 $4,514 $5,702 $6,890 $8,078 $9,266 $10,454 $11,642 $12,830 $14,019 $1,188 265% FPL - CHIP T1 (N13/ N33) $20 premium $3,326 $4,514 $5,702 $6,890 $8,078 $9,266 $10,454 $11,642 $12,830 $14,019 $1,188 317% FPL - CHIP T2 (N13/ N33) $30 premium $3,978 $5,400 $6,821 $8,242 $9,663 $11,084 $12,506 $13,927 $15,348 $16,769 $1,421 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 (12/24)