Member resources
We are happy to have your child(ren) as a member. We are committed to providing quality dental care for your child(ren). The UnitedHealthcare ‐ RIte Smiles program contracts with dental providers and dental clinics so your child(ren) have access to the dental services they need. We cover preventive care, check‐ups, and dental treatment services for Medicaid eligible children born on or after May 1, 2000.
Member services
If you have questions about RIte Smiles you can always call our Member Services at 1-866-375-3257 (TTY 711). Our staff is here Monday through Friday from 8:00 am to 6:00 pm to answer your questions. Interpreter services are also available for calls to Member Services. Here are some of the reasons you might want to call Member Services:
- Questions about dental benefits or RIte Smiles
- If you receive a bill for dental services
- Help finding a dental provider
- Arrange for an interpreter to come to an appointment with you
- Help you report fraud and abuse
- Assist with out of plan benefits
- Help you file complaints, grievances and appeals
- Help you arrange transportation through MTM
The following resources are available to RIte Smiles members at no cost by calling Member Services at 1-866-375-3257 (TTY 711).
- Member Handbook
- Provider Directory
- Find a Dentist
- Updating Your Personal Information
- Non-discrimination and Language Assistance Notice
- UHC Dental Authorized Representative for Appeals Form
If you have questions about RIte Smiles call Member Services at 1-866-375-3257 (TTY 711). Our staff is here Monday through Friday from 8:00 a.m. to 6:00 p.m. to answer your questions. Interpreter services are also available for calls to member services.
Medicaid Benefit Renewals
Starting April 1, 2023, people in RI who receive Medicaid benefits must take action to renew their medical Medicaid coverage.
The most important thing to do is to update your contact information so that the Rhode Island Medicaid program can send you notices and information you need to keep or change your health insurance.
Update your information:
- Online or mobile app: To access your account online visit healthyrhode.ri.gov or download the HealthyRhode mobile app on your smart phone.
- Call: HSRI at 1-855-840-4774 (Monday through Friday, except holidays, from 8 a.m. to 6 p.m.).
- In person: Visit staff at the Rhode Island Department of Human Services (DHS). For locations visit: DHS Offices | RI Department of Human Services
Appeal information
As a member of RIte Smiles, you have a right to voice grievances or appeals about RIte Smiles or the care provided by its providers and/or agencies. Go to your member handbook or call UHC Dental Member Services for information on filing a grievance or appeal.
When appealing, you must first appeal to UnitedHealthcare Dental:
UnitedHealthcare RIte Smiles
Attn: Grievance and Appeals Unit
P.O. Box 170 Milwaukee, WI 53201
If you are unsatisfied with our decision you can request a RI State Fair Hearing and/or an external appeal.
To request a State Fair Hearing, you can either:
- Call 401-462-2132 (TDD 401-462-3363), after you have finished the MCO’s internal appeal process, or
- Fax your request to 401-462-0458, or
- Email your request to: OHHS.AppealsOffice@ohhs.ri.gov, or
- Mail your request to: EOHHS Appeals Office Virks Building, 3 West Road Cranston, RI 02920