Background: Sweden strives to transition to good and close care, where municipalities and regions need to work together to meet the increasing need for care in an ageing population. Challenges related to patient safety have been identified where MAS and MAR have an important role to play in ensuring safe and appropriate healthcare within the municipality's area of responsibility. Aim: The aim of this study is to investigate MAS and MAR's perceptions of the prerequisites for being able to carry out their statutory responsibilities in the transition to close care. Method: A qualitative interview study with an inductive approach with fifteen informants consisting of medically responsible nurses and medically responsible for rehabilitation in the Gothenburg region. The collected data has been analyzed using a qualitative content analysis. Results: Three main categories emerged: (1) to be invited to participate, (2) a desire to get an increased mandate, and (3) prerequisites and challenges of providing safe care at home. The analysis identified nine subcategories. Informants emphasized the importance of structured collaboration, adequate information transfer, and strategic involvement to ensure safe care. Challenges such as limited decision-making power, resource scarcity, and insufficient technological support were noted. A strong demand for innovation and competency development emerged as key to overcoming barriers and enabling effective care transitions. Conclusion: The study underscores that MAS and MAR’s ability to fulfill their responsibilities is more influenced by organizational structures and mandates than their position within the organization. Enhanced collaboration, resource allocation, and strategic inclusion are critical for meeting statutory obligations and ensuring patient safety in the transition to close care.