GALYNA DOBROVOLSKA
CIN: MY68708N
Date of Birth: Sept. 7, 1940
Gender: Female
Created: July 26, 2026
Address:
3018 WEST 24 STREET 14B
, BROOKLYN, NY 11224
Last Updated: July 26, 2026 10:06 AM
Latest Eligibility Snapshot
Date of Service: July 27, 2026
Medicaid Eligible:
Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification:
No
NHTD:
No
Code 60:
No
Surplus:
Yes
Eligibility History
| Date of Service | Status | Recert | NHTD | Code 60 | Surplus | Import | 271 |
|---|---|---|---|---|---|---|---|
| July 27, 2026 | Eligible | — | — | — | ✓ | Expert Census Referrals - CIN_50_Import.csv | View |
| July 26, 2026 | Eligible | — | — | — | ✓ | Expert Census Referrals - CIN_IMPORT.csv | View |
| July 27, 2026 | Eligible | — | — | — | ✓ | Expert Census Referrals - CIN_IMPORT.csv | View |
| July 27, 2026 | Eligible | — | — | — | ✓ | Expert Census Referrals - CIN_50_Import.csv | View |
| July 27, 2026 | Eligible | — | — | — | ✓ | Expert Census Referrals - CIN_50_Import.csv | View |
| July 26, 2026 | Eligible | — | — | — | ✓ | Expert Census Referrals - CIN_IMPORT.csv | View |