Providing quality care services through a pandemic has its challenges. But, adapting to virtual realities has sparked an innovative model of comprehensive care coordination at Achievable Health Center. Achievable is a Federally Qualified Health Center (FQHC) designed to address the whole person from physical health to mental health services across the lifespan. This is critical for individuals with I/DD and MI who also have medical complexities who require integration of a variety of services, specialty care and supports. The benefits of this telehealth model includes comprehensive care coordination to remote patients with limited access to services and/or transportation, virtual “warm handoffs”, virtual case conferencing with interdisciplinary professionals, virtual screenings and assessments, virtual mental health services, increased likelihood of treatment follow-up, improved outcomes, and reduced medical costs. Achievable has an innovative focus on training the future leaders in providing therapy services for the most vulnerable and underserved individuals. It is our hope that creating a virtual replicable model will be the catalyst necessary to improve the health care delivery system for all individuals with I/DD and vulnerabilities. This curriculum can be used to replicate nationwide to provide a unique link between pediatric patients, behavioral health, social services and managed care.