Import Eligibility Patient Detail

ANTONIO CONCEPCION

CIN: QF67999S

Active
Date of Birth: March 6, 1943
Gender: Male
Created: July 28, 2026
Address: 310 W 143RD STREET 19D , NEW YORK, NY 10030
Last Updated: July 28, 2026 11:00 AM

Latest Eligibility Snapshot

Date of Service: June 12, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: Community Coverage w/CBLTC
MCO:
Recertification: Yes — Jan. 31, 2027
Code 60: Yes
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
June 12, 2026 Eligible Expert Census Referrals - CIN_50_Import.csv View