MCOs are required to provide transition of care management for all KanCare Enrollees. Specialized care coordination is required for Enrollees whose health care needs are changing for a variety of reasons, including:

• Changing from one MCO to another
• Hospital (Ex: State hospital, ICF-IID, etc.) to home or nursing facility
• Nursing facility to home/home to nursing facility
• Enrollee assignment to HCBS waiver
• Enrollee assignment of chronic care management moved from one provider to another
• Transition to or from KanCare eligibility
• Transitions for children in Foster Care

MCO Transitional & Continuity of Care Management Requirements