JACEK CHMIELOWIEC
CIN: WZ02010C
Date of Birth: June 28, 1975
Gender: Male
Created: Aug. 9, 2026
Address:
6532 78TH STREET
, MIDDLE VILLAGE, NY 11379
Last Updated: Aug. 9, 2026 3:46 PM
Latest Eligibility Snapshot
Date of Service: Aug. 12, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VILLAGE SENIOR SVC CORP PARTIAL LTC
Recertification:
Yes — July 31, 2027
Code 60:
No
S1:
Yes
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 12, 2026 | Eligible | ✓ | — | ✓ | Just care Census ( Prem) - Just_Care_Census_CIN.csv | View |
| Aug. 6, 2026 | Eligible | ✓ | — | ✓ | Just care Census ( Prem) - Just_Care_Census_CIN.csv | View |
| Aug. 6, 2026 | Eligible | ✓ | — | ✓ | Just care Census ( Prem) - Just_Care_Census_CIN.csv | View |