Import Eligibility › Patient Detail

MIRIAM M AYALA

CIN: UA67235D

Active
Date of Birth: May 19, 1959
Gender: Female
Created: Sept. 14, 2026
Address: 8921 ELMHURST AVENUE 122 , QUEENS, NY 11373
Last Updated: Sept. 14, 2026 7:19 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