Import Eligibility › Patient Detail

ROMUALD MIKULSKI

CIN: NY72428K

Active
Date of Birth: July 6, 1959
Gender: Male
Created: Aug. 9, 2026
Address: 8315 98TH STREET 4H , WOODHAVEN, NY 11421
Last Updated: Aug. 9, 2026 3:52 PM

Latest Eligibility Snapshot

Date of Service: Sept. 14, 2026
Medicaid Eligible: Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERSERVE HEALTH INC MLTCP
Recertification: Yes — Oct. 31, 2026
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Sept. 14, 2026 Eligible ✓ — — Client Details - October_Month_CINs.csv View
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