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.
Treatment 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 not certified by ASAM, and we are 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, and Medicare may cover care in select states when a 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 buprenorphine or methadone. 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 select states, 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 →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 peer 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.
Let's talk.
Email hello@youareaccountable.com or call (646) 450-7641, weekdays 9 to 7 ET.