A strong Connected Communities of Care (CCC) governance structure is vital to successful CCC operations and longevity. Foregoing the work to establish a strong governance foundation up front often results in a solution that does not meet the needs of the stakeholders, a lack of participation in the model, or a lack of buy-in from key stakeholders, all of which result in the loss of dollars and time. A CCC governance framework partners two different sectors (clinical and community) in sharing responsibilities and accountabilities towards a united vision and mission. The governing body needs to lead and manage the CCC operations, engagement, and eventually, community ownership of this collaborative effort.