JOSE G MARINE
CIN: XB07876D
Date of Birth: Nov. 30, 1960
Gender: Male
Created: Aug. 12, 2026
Address:
135 RIDGE STREET 5E
, NEW YORK, NY 10002
Last Updated: Aug. 12, 2026 3:59 PM
Latest Eligibility Snapshot
Date of Service: Aug. 13, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: COORDINATED BEHAVIORAL CARE INC
Recertification:
Yes — Nov. 30, 2026
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 13, 2026 | Eligible | ✓ | — | — | A Plus Details - A Plus CIN.csv | View |