SEGUNDO R VICUNA
CIN: KY24547N
Date of Birth: March 8, 1960
Gender: Male
Created: Sept. 14, 2026
Address:
37-24 93 STREET 1STFL
, JACKSON HEIGHTS, NY 11372
Last Updated: Sept. 14, 2026 7:20 AM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC MAP
Recertification:
Yes — Oct. 31, 2026
Code 60:
No
S1:
Yes
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Sept. 14, 2026 | Eligible | ✓ | — | ✓ | Client Details - October_Month_CINs.csv | View |