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2.55 Rite Smiles Dental Plan Overview A. The RIte Smiles Program is a statewide dental benefits managed care delivery system established under a Federal waiver. The program's goal is to improve access to oral health services for Rhode Island children who receive Medicaid. Emphasis is placed on preventive and primary care dental services and education. B. Children born on or after May 1, 2000 who are receiving dental benefits through Medicaid are enrolled in a RIte Smiles dental plan. EOHHS contracts with one (1) or more dental plans to provide oral health services to these Medicaid-eligible children. 2.56 Legal Authority A. Title XIX of the Social Security Act, 42 U.S.C. §§ 1396-1396w-8, provides the legal authority for the Medicaid Program. The RIte Smiles Program operates under the State's Section 1115 waiver. 2.57 Coverage Groups A. Participation in the RIte Smiles Program is mandatory for all children in the following populations who were born on or after May 1, 2000 and who are receiving Medicaid: 1. Section 1931 children and related populations (including poverty level groups and RI Works cash recipients); 2. Blind and/or disabled children; 3. Foster care children who are receiving foster care or adoption subsidy assistance (Title IV-E), are in foster care, or are otherwise in an out-of- home placement; 4. Section 1115 Waiver Children. 2.58 Excluded Coverage Groups A. The following groups are excluded from participation in the RIte Smiles Program: 1. Children born on or before April 30, 2000; 2. Children who have access to third (3rd) party dental benefits; 3. Children who reside in nursing facilities or Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/ID).