Transitioning from pediatric to adult healthcare, especially for children with special health care needs, has been an important metric for the US health system for many years, but has received increasing attention in the last decade.[1] The Maternal and Child Health Bureau (MCHB) has included transition for youth with special health care needs as a core outcome for primary care beginning with Healthy People 2000 and reiterated in the 2010 and 2020 releases.[2] A review of the 2009–2010 National Survey of Children with Special Health Care Needs revealed only 40% of children with special health care needs meet the transition requirement. Concerted efforts by several associations were made in 2011 to increase national efforts to transition these youth into adulthood including the American Academy of Pediatrics, the American Academy of Family Physicians, the American College of Physicians, the Committee on Quality Assurance as well as all Federal agencies through the Affordable Care Act.[3–5] In the 2017 Title V Block Grant Applications, 32 states selected transition as a targeted performance measure, including Arizona. The purpose of this project is threefold: 1) to evaluate the current proportion of practitioners in Arizona who have a formal transition policy; 2) to determine the impact of existing transition polices; and 3) to develop and pilot a transition implementation program to assist practitioners without policies to incorporate transition into regular practice. This proposal presents a plan for preparation of an evaluation plan, data collection instruments, stakeholder involvement and a pilot training program. The ultimate objective will be to develop a proposal for developing understanding, emphasizing importance and implementing policy with sustained practice for transitioning youth with special health care needs into adulthood across the state. The plan involves the following objectives: Objective 1: Recruit and enroll physicians in Arizona practitioner training and implementation using the “Got Transitions” program tools and resources for pediatric to adult transitions Objective 2: Identify and recruit critical stakeholders to guide and promote statewide efforts to improve Arizona practice of formal pediatric to adult transitions Objective 3: Create an evaluation system to track improvement over “Got Transitions” baseline data annually and track state efforts related to education and training as well as skills achievement