KCTO broadcasts to the greater Kansas City area simulcasting Spanish Catholic programming from Radio Maria.
KCTO occasionally breaks away from this schedule to carry coverage of Kansas City Mavericks ice hockey in English.
KCTO upgraded its power in 2009, and, in March 2010, broke away from simulcasting KCXL while continuing to offer a talk format during the week and Adult Standards on weekends.
As of February 2021 the station switched from Radio Maria to audio from CatholicTV, offering Catholic programming in English, while Hosanna Christian Network was still heard during the morning hours.
As of Sunday, March 7, 2021, Hosanna Christian Network expanded its time on KCTO by 14 hours, now beginning at 5pm and broadcasting until noon.