Accountable Communities of Health (ACH)

What is an Accountable Community of Health?

 Accountable Communities of Health (ACHs) bring together leaders from multiple health sectors around the state with a common interest in improving health and health equity. As ACHs better align resources and activities they improve whole person health and wellness.
There are nine ACHs that cover the entire state, with the boundaries of each aligned with the state’s Medicaid Regional Service Areas (see map below).

What are the ACHs goals?

  • Promote health equity across the state.
  • Address issues that affect health through local health improvement plans.
  • Support local and statewide initiatives such as practice transformation, value-based purchasing and the alignment of performance measures.
  • Better align resources and activities that improve whole person health and wellness.

How do ACHs align with Regional Service Areas?

ACHs will consider the specific needs within their regional service areas (RSAs) and communities. Health system transformation depends upon coordination and integration at the delivery system level with community services, social services and public health. This can happen if ACHs build the necessary linkages and supportive environments to address the needs of the whole person. This strategy, along with the shift toward fully integrated purchasing on a regional basis, will be greatly enhanced by the alignment of ACHs and RSAs.

Select map to view larger image.

​​​​​What are the transitional counties?

Klickitat County will move toward fully integrated contracting for physical and behavioral health care on a later timeline than Clark and Skamania, and will remain with the Greater Columbia region for 2016 contracting. Physical and behavioral health services for clients residing in Klickitat County will be delivered through the Greater Columbia RSA. Klickitat County expects to rejoin the Southwest Washington Regional Service Area (RSA), under the fully integrated managed care purchasing model, when local provider infrastructure concerns have been addressed.

Beginning in 2016, Chelan, Douglas and Grant counties will adopt the purchasing model in which behavioral health care is delivered through one behavioral health organization established to serve a three-county North Central RSA. Okanogan clients will receive physical and behavioral health services through the Spokane RSA until Okanogan County elects to rejoin the North Central RSA.

Related forms and publications

Related links


Contact information


Name: Chase Napier
Title: Community Transformation Manager 

Name: Lena Nachand
Title: Community Transformation Specialist

Name: Kayla Down
Title: Community Transformation Specialist