BOZENA SKROBACZ
CIN: NQ42137V
Date of Birth: March 27, 1964
Gender: Female
Created: Aug. 9, 2026
Address:
10500 SHORE FRONT PARKWAY 12P
, ROCKAWAY PARK, NY 11694
Last Updated: Aug. 9, 2026 3:56 PM
Latest Eligibility Snapshot
Date of Service: Aug. 12, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification:
Yes — June 30, 2027
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 |