Page 60
4. Children who reside outside of the State of Rhode Island. Those children who are not eligible to participate in the RIte Smiles Program receive dental benefit coverage under the fee-for-service system. 2.59 Retroactive Eligibility A. If a member is eligible for retroactive eligibility, the dental plan does not provide coverage to Medicaid beneficiaries during the period of retroactive eligibility. 2.60 Enrollment Process A. All children determined eligible for Medicaid who were born on or after May 1, 2000 must enroll in a RIte Smiles Program dental plan. The parent(s) or guardian(s) of the eligible children may have a choice of dental plans, if more than one (1) plan is available, in which to enroll. B. The enrollment process ensures that applicants/beneficiaries are provided with sufficient information (if a choice of dental plan is available) in order to make an informed choice when deciding upon which RIte Smiles plan to choose. 2.61 Voluntary Selection of a Dental Plan A. Newly eligible children for RIte Care, RIte Share, or fee-for service Medicaid will be given a choice of RIte Smiles plans on their Medicaid application. 2.62 Auto Re-Enrollment Following Resumption of Eligibility A. Members of families who receive Medicaid and who are disenrolled from a dental plan due to loss of eligibility are automatically re-enrolled, or assigned, into the same plan should they regain eligibility within sixty (60) calendar days. If more than sixty (60) days has elapsed, the family is permitted to select a plan from those open for enrollment at that time. 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;