MyCare Family (Merrimack Valley Accountable CareOrganization (MVACO)) a partnership between Greater Lawrence Family HealthCenter (GLFHC) and Lawrence General Hospital (LGH) in Lawrence Massachusetts, adiverse high poverty community, with 76% of the population Hispanic.Socioeconomic factors and a recent community disaster contribute to highdisease burden and mortality rates including Diabetes, Behavioral Health, Asthma and Opioid Addiction. Recognizing the critical needs of the population, MyCare Family sought to develop a collaborative partner telehealth services strategy. The plan would address the critical disease states of clients,Emergency Department overuse, transient behaviors, language barriers,homelessness and lack of transportation. Through stakeholder interviews andstudies, current service needs, existing services community needs, strategicpriorities and ROI were analyzed with a determination that clients lackedaccess to care in major areas including: Dermatology, Behavioral Health andLanguage Services. From an ACO perspective dependence is on providing servicesthrough partners. The project resultsincluded a clear picture and path defining telehealth services for high qualitysustainable access to care and positive clinical and financial return oninvestment. The results demonstrate how an ACO can propel telehealth as asuccessful collaborative partner with providers and community services in achallenging patient environment.