What is care management? States participating in CHCS’ Managed Care for People with Disabilities Purchasing Institute — California, Indiana, Nevada, New York, Pennsylvania, and Washington — sought to answer this question and to consistently define the essential requirements of care management. The following technical assistance tool includes a definition of care management and a framework that can serve as a guide for state purchasers regarding “must have” care management components. States can use this resource as a starting point for developing a call for proposals or contract specifications for plans serving adults with complex and special needs.