This research article demonstrates how telehealth can enhance care for older adults in congregate care communities (CCC). Through partnerships formed by the Virginia Infection Mitigation, Prevention and Control Through Technology initiative, administrators, staff, and leaders across Virginia identified barriers and needs for this population. This collaboration led to the “Four I” Framework—Initiate, Integrate, Incentivize, and Inspire—which provides a practical roadmap for age-inclusive telehealth readiness and implementation in CCC, PACE centers, and other settings.