Transitional Care Requirements

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 and Continuity of Care Management Requirements

FileTypeSizeUploaded onDownload
Aetna Transition PolicyPDF210.43 KB13 Mar, 2019 Download
Official Kansas Transition of Care PolicyPDF397.96 KB30 Nov, 2018 Download
MCO to MCO Specific Transition of Care 2019PDF373.83 KB30 Nov, 2018 Download