Import Eligibility › Patient Detail

JOSE R AGRAMONTE

CIN: YV28696D

Active
Date of Birth: May 5, 1958
Gender: Male
Created: Sept. 14, 2026
Address: 240 E 119TH ST APT 6D , NEW YORK, NY 10035
Last Updated: Sept. 14, 2026 7:18 AM

Latest Eligibility Snapshot

Date of Service: Sept. 14, 2026
Medicaid Eligible: Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC HOMEFIRST PARTIAL LTC
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