Kansas is requesting to extend its "KanCare" demonstration for another 5 years that implements statewide mandatory Medicaid managed care through section 1115 authority. The state is proposing program changes with the goal of helping Kansans achieve healthier, more independent lives by coordinating services and supports for social determinants of health and independence in addition to traditional Medicaid benefits. Social determinants of health are conditions in the environment in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. The state intends to demonstrate that by addressing social determinants of independence in conjunction with social determinants of health, it accelerates an individual’s path to higher levels of independence and attainment of their vision for a good life. The federal public comment period will be opened from December 28, 2017 through January 27, 2018.