The same coach every week
A certified peer recovery specialist who is in recovery themselves, on video, thirty minutes at a time, once, twice or three times a week depending on acuity.
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For health plans
An integrated partner for ASAM Level 1.0, long-term remission monitoring.
Accountable covers the year after treatment: the same certified peer recovery coach every week, at-home testing, a group every day, and care coordination with the member's clinicians and family. Delivered from home, in all 50 states, as a program the plan sponsors directly or in-network through our Insurance Offering Partners.
Joint Commission accreditedBehavioral Health Care and Human ServicesTreatment programs across the country already refer into Accountable.
Where we fit
After the discharge date, when the plan has the least visibility.
ASAM is the American Society of Addiction Medicine. Its criteria are the standard clinicians and insurers use to decide what level of care someone needs. The newest edition includes Level 1.0, long-term remission monitoring: regular coaching sessions and check-ins after treatment, watching for early signs of trouble, and getting someone back into care quickly if they need it.
That is what Accountable does, delivered by certified peer coaches with at-home testing, so we describe our support as aligned to that level. We are peer support, not treatment. We sit after the discharge date and alongside outpatient care, therapy, and medication, for the period when a member is at home.
What a member gets
Everything a self-pay member gets, for the members you cover.
Testing at home
A breathalyzer check twice a day with facial verification, and random saliva screens on recorded video. Devices ship to the member. Results go only to the people the member has chosen.
A group every day
Group recovery meetings on video every day, led by a coach.
A care team the member chooses
Their therapist, their prescriber, their treatment program, a parent, a partner. The member picks who is in the know and how much each person sees. A program or plan hears from us only with a signed release.
If a member misses a session or a check-in, or tests positive, nothing automatic happens. They get a message from their coach, not a report to anyone else, and nobody is dropped for a relapse. If we are worried about their safety, we tell them first and help them get to clinical care.
How we work with a plan
Referral, reporting and billing that fit how you already work.
01
Referral in about two minutes
By form or phone. We reach the member within one business day, and a first session can happen as soon as the next business day. Tell us before discharge and a coach is ready the day they get home.
02
Reporting you can act on
You see the claims, and with a data-sharing agreement and the member's signed release, your care team gets longitudinal reporting across the members we serve, plus a call from the coach when something changes.
03
Billing that fits how you already pay
Available as a sponsored program the plan pays for directly, or in-network through our Insurance Offering Partners, the medical groups that provide clinical services through Accountable and bill covered services under your plan's rules. Some members are covered through their health plan today. In Florida, New Jersey, New York, North Carolina, Tennessee and Texas, Medicare may cover peer navigation when a licensed clinician finds a qualified clinical need.
04
Privacy the member controls
Data sharing is opt-in and member-controlled under HIPAA and 42 CFR Part 2. Members choose exactly who sees what, and can change it any week.
Who this is built for
The members with the most to lose in the months after treatment.
Members leaving residential or IOP, in the months when return to use is most likely.
After treatment →Members on medication-assisted treatment. We support every path to recovery, including medication, and coordinate with the prescriber.
Does virtual support work? →Members who are not ready for abstinence. About one in six members are here for harm reduction.
Harm reduction →Medicare members in FL, NJ, NY, NC, TN and TX, where a licensed clinician finds a qualified clinical need.
Medicare →Families who need a person to call and a weekly group of their own.
For families →Treatment programs and clinicians who refer into the program, or license the testing platform for their own practice.
Testing platform →
Outcomes
Six years of recovery support, measured.
We computed every figure in our Outcomes Summary from anonymized program data for the 10,110 members served since December 2020. Twelve pages cover engagement, monitoring, symptom change, recovery capital, and member satisfaction, with the methodology behind every number.
-40%depression score (PHQ-9) among members who started at moderate or higher
97.4%of submitted breathalyzer readings negative
32 minmedian time to a coach's reply
82Net Promoter Score; 77% of responses a perfect 10
Get the outcomes report →Free. We email you the PDF.
Behavioral Health Care and Human Services accreditation for peer support services and care coordinationAccreditation
Accredited by The Joint Commission.
Accountable holds Joint Commission accreditation for Behavioral Health Care and Human Services, effective August 26, 2026, following a survey in August 2026. The accredited services are peer support services and care coordination; our remote monitoring is how we deliver them.
You can verify Accountable's accreditation in The Joint Commission's provider locator.
Does it work?
What members say.
98/100
Ninety-eight out of a hundred members surveyed in 2026 said they would recommend Accountable to someone they love (592 surveyed). The research on recovery support, with sources, is in the guide on whether virtual recovery support works.
"They do what they say they're going to do, even when I resented them for it at times. They've been instrumental in coordinating care, giving my family peace of mind, and most importantly, holding me accountable."
Olivia M., member
"The daily check-ins and encouragement from the team have kept me motivated and focused on my goals. I don't feel alone in this process anymore."
Samantha L., member
"My peer coach, Dani, is wonderful and very supportive. She really understands where I'm coming from and my struggles from day to day. I will continue with the groups and my progress thanks to this program."
Rebecca A., member
Common questions
What plans ask us.
Certified peer recovery specialists who are in recovery themselves. The coaches featured on our site hold the NCPRSS credential (National Certified Peer Recovery Support Specialist), and several hold state credentials on top of it. The program is overseen by AJ Diaz, LMSW, CASAC, Chief Clinical Officer.
No. Accountable is peer recovery support, aligned to ASAM Level 1.0, long-term remission monitoring. We work alongside the member's treatment program, therapist, or prescriber, and we tell the member and their care team when we think they need more care than we provide.
Alcohol, opioids, stimulants, and poly-substance use. Members range from four days out to five years in, on medication or not, abstinent or working toward a goal they set.
Coaches are not a crisis line, and we say so to every member. If we are worried about a member's safety, we tell them first, loop in the clinicians and contacts they have chosen, and help them get to clinical care. In an emergency, members are directed to 988.
By keeping members engaged in the period when plans have the least visibility and members have the least structure. A coach every week, a check-in twice a day and a group every day mean a return to use is noticed in days rather than at the next claim, and the coach's job at that moment is rapid reengagement in care. Our Outcomes Summary reports engagement, monitoring and symptom change across the members we have served since 2020.
Recovery management checkups have been studied in randomized trials for more than two decades. The consistent finding is that regular, scheduled check-ins after treatment, paired with fast linkage back to care when someone needs it, get people back into treatment sooner and more often than usual aftercare. ASAM's 4th Edition Level 1.0, long-term remission monitoring, draws on that model. Accountable operationalizes it with certified peer specialists, at-home testing and care coordination, and we can share the underlying literature with your clinical team.
The claims, first. Beyond that, we set up data sharing with the plan so you get longitudinal reporting on the members we serve, with the member's signed release: engagement, sessions, check-ins, test results where the member has chosen to share them, and a call from the coach when something changes.
A conversation. Tell us which members you have in mind and whether you want to sponsor the program directly or run it in-network through our Insurance Offering Partners, and we will show you how referral, reporting, and billing would work for your plan.
Let's talk.
Email hello@youareaccountable.com or call (646) 450-7641, weekdays 9 to 7 ET.