210 R.I. Code R. 210-RICR-30-05-2.63

Current through December 3, 2024

Section 210-RICR-30-05-2.63 - Rite Smiles Lock-In

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).

210 R.I. Code R. 210-RICR-30-05-2.63

Amended effective 10/5/2021
Amended effective 12/12/2023
Amended effective 3/17/2024