Import Eligibility Patient Detail

LENA R GRANT

CIN: RA92810W

Active
Date of Birth: Feb. 2, 1948
Gender: Female
Created: July 28, 2026
Address: 4491 KINGS HWY 2FL , BROOKLYN, NY 11234
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: MA Eligible
MCO:
Recertification: No
Code 60: No
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