Let $(R,underline{m})$ be a commutative Noetherian local ring and $M$ be a non-zero finitely generated $R$-module. We show that if $R$ is almost Cohen-Macaulay and $M$ is perfect with finite projective dimension, then $M$ is an almost Cohen-Macaulay module. Also, we give some necessary and sufficient condition on $M$ to be an almost Cohen-Macaulay module, by using $Ext$ functors.