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2.37 Enrollment of Newborns and Adopted Children A. RHP members remain enrolled in their current plan until the time of renewal or the birth of the child or the end of the pregnancy, whichever comes first. 1. Newborns – Infants born to mothers who are enrolled in an MCO on the date of their baby's birth are automatically enrolled into a RIte Care MCO. If the newborn’s mother is enrolled in a RIte Care MCO, the child is automatically enrolled in the mother's MCO. If the newborn’s mother is enrolled in a RHP MCO, the baby and the mother will be enrolled in a RIte Care MCO, effective on the date of birth, once certification of the birth has been received. If the newborn’s mother is enrolled in an ESI or other qualified health plan (QHP) with a Medicaid wrap, the baby is enrolled in RIte Care or RIte Share if the plan meets the cost-effectiveness test set forth in Part 3 of this Subchapter. See Part 30-00-1 of this Title for newborn deeming provisions. 2. Adopted children – Enrollment of adopted children who are eligible on the basis of their status as an adopted child or as a member of the child group with income under the limit described in Part 30-00-1 of this Title also varies depending on the basis of Medicaid coverage. Legally adopted children are enrolled as of the date the adoption becomes final. This date cannot be prior to the date Medicaid eligibility is established. The applicable provisions on eligibility and enrollment of child participating the State’s adoption subsidy program are located in, Medicaid Affordable Care Coverage Groups Overview and Eligibility Pathways (Subchapter 00 Part 1 of this Chapter). A parent, caretaker or guardian must notify EOHHS when a newborn deemed eligible is adopted. 3. Other Infants and Children –Infants and children with income up to the threshold for the MACC group for children are Medicaid eligible, irrespective of the eligibility of any other member of the household (Subchapter 00 Part 1 of this Chapter). Any infants and children determined eligible on this basis are enrolled in a RIte Care or, as applicable, RIte Share-approved ESI health plan in accordance with the provisions of this rule applicable to all other Medicaid members. 2.38 Medicaid Members Exempt from Enrollment Managed Care A. Certain Medicaid members who would otherwise receive care through the RIte Care or RHP delivery systems may be granted exemptions from mandatory enrollment in an MCO for good cause in narrow range of “extraordinary circumstances” upon approval of EOHHS. An extraordinary circumstance, as defined for these purposes, is a situation, factor or set of factors that preclude a Medicaid member from obtaining the appropriate level of medically necessary care through the managed care delivery system – RIte Care or RHP – designated for the Medicaid member’s coverage group.