VOLODYMYR HORYACHKO
CIN: PV23455E
Date of Birth: Feb. 11, 1953
Gender: Male
Created: Aug. 9, 2026
Address:
135 CASSIDY PL 5C
, STATEN ISLAND, NY 10301
Last Updated: Aug. 9, 2026 3:48 PM
Latest Eligibility Snapshot
Date of Service: Aug. 12, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERSERVE HEALTH INC MLTCP
Recertification:
No
Code 60:
No
S1:
No
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 |