Rhode Island Code of Regulations
Title 210 - Executive Office of Health and Human Services
Chapter 30 - Medicaid for Children, Families, and Affordable Care Act (ACA) Adults
Subchapter 05 - Service Delivery Options
Part 2 - Medicaid Managed Care Delivery Options
Section 210-RICR-30-05-2.63 - Rite Smiles Lock-In
Universal Citation: 210 RI Code of Rules 30 05 2.63
Current through March 25, 2025
A. After initial enrollment into a RIte Smiles plan, enrollees are restricted to that dental plan until the next open enrollment period, unless disenrolled under one (1) of the conditions described below:
1. Loss of
Medicaid eligibility, including for non-payment of applicable premium shares
for RIte Care or RIte Share;
2.
Selection of another dental plan during open enrollment, if another plan
exists;
3. Death;
4. Relocation out-of-State;
5. Adjudicative actions;
6. Change of eligibility status;
7. Eligibility determination error;
8. As the result of a formal grievance filed
by the member against the dental plan or by the dental plan against the
member;
9. Just cause (as
determined by EOHHS).
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