Advanced Care Transition Simulation (ACTS) is a distinct care management simulation program which provides opportunities for development and/or refinement of core competencies in communication, assessment, transition management and planning skills. Utilizing standard patients in realistic care management scenarios, ACTS offers both new and experienced case managers the opportunity to communicate, assess and document a plan, followed by a facilitated debriefing session with the standard patients to hear feedback on the interaction. All scenarios include a transition to a second care setting. A learning map exercise helps to improve the case manager’s understanding of their system of care which helps in developing a longitudinal view in care coordination for complex patients; this skill is essential, especially as Value-Based Care initiatives continue to expand. Scoring is based on pre and posttests, performance within the simulation, and documentation supporting the plan of care.