Nevada Behavioral Health Systems

What Nevada Behavioral Health Systems does

Nevada Behavioral Health Systems (NBH) is a private, Las Vegas-based managed care organization founded in 2015 that manages mental health and substance abuse services for Nevada residents on behalf of contracted health plans. It operates as a two-sided intermediary: contracting with health insurers (Optum, United Healthcare, Health Plan of Nevada/Sierra Health and Life, Intermountain Health, and P3HP) to receive member referrals, and contracting with a network of community behavioral health providers (talk therapy, medication management, chemical dependency assessments, intensive outpatient programs) to deliver care. Services are coordinated through a centralized scheduling system and a "no wrong door" model covering serious mental illness, serious emotional disturbance, substance use disorder, and intellectual/developmental disabilities.

NBH's product surface extends beyond clinical referral into member support programs including a free Community Care Coordination program (up to 1 year), a physical Support Center providing meals, showers, crisis stabilization, peer support, and housing/employment assistance, and a set of online self-management and screening tools (PHQ-9, CAGE-AID, BMI, stress, recovery worksheets). Operational infrastructure includes CAQH ProView-integrated provider credentialing, an NCQA-aligned quality improvement program using HEDIS measurements, HIPAA and ADA compliance, and a provider manual with clinical practice guidelines adopted from APA, AACAP, ASAM, and SAMHSA. No proprietary technology platform is described; the website links to external health plan portals (Connect.werally.com) for provider directories and scheduling.

The business model is managed services revenue: NBH is paid by health plans to administer behavioral health benefits for their Nevada members, with member volume governed by plan enrollment and referral patterns. There is no disclosed pricing to members beyond a sliding-scale copay assistance program. The organization operates with 11–50 employees, holds no disclosed parent company, has raised no external funding, and reports no M&A, leadership turnover, or geographic expansion beyond Nevada.

Name

Nevada Behavioral Health Systems

Legal name

Nevada Behavioral Health Systems

Website

https://nvbhs.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

101–250 employees

Short description

Nevada Behavioral Health Systems is a Las Vegas-based managed care organization that contracts with health plans to administer behavioral health and substance abuse services for Nevada residents through a network of community providers and support programs.

Ownership category

akta.pro rank

Product category

Managed Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Health Services (8000), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Behavioral Health & Psychiatry Virtual Care (Payer Network) (HLALACAC)

Keywords

• Managed behavioral health
• Mental health services
• Substance abuse treatment
• Behavioral health network
• Community mental health

Headquarters

HQ city

Las Vegas

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Managed Care Contracts: NBH generates revenue by managing mental health and substance abuse services for residents of Nevada under contract with health insurance plans. They contract with a wide variety of behavioral health care providers to deliver services to members.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Nevada Behavioral Health Systems (NBH) is a managed behavioral health organization that contracts with health insurance plans to deliver mental health and substance abuse services to Nevada residents through a network of credentialed community providers. It operates centralized scheduling, care coordination, a physical Support Center, and a Quality Improvement Program aligned with NCQA standards to ensure members receive evidence-based, community-based behavioral health care.

Product overview

Nevada Behavioral Health Systems (NBH) operates as a managed behavioral health organization that manages mental health and substance abuse services for Nevada residents since 2015. The organization functions as a single integrated platform managing a provider network rather than a modular software product. The core offering is the provider network management system delivering: direct clinical services (talk therapy, medication management, chemical dependency assessments, CDIOP); member support programs (Care Coordination, Support Center, Self-Management Tools); provider enablement (CAQH credentialing, Clinical Practice Guidelines, Behavioral Health Screening Tools, Provider Manual); and quality oversight (Quality Improvement Program). All components serve the unified mission of delivering comprehensive, evidence-based behavioral health services through contracted community providers, with centralized scheduling and no-wrong-door access for persons with mental illness, substance use disorders, or intellectual development disabilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Talk Therapy Appointments Individual talk therapy sessions delivered by network mental health providers for behavioral health treatment of health plan members in Nevada.
• Medication Management Appointments Psychiatric medication management and prescribing services delivered by licensed prescribers within the NBH provider network.
• Chemical Dependency Assessments Clinical evaluations to assess substance use disorders and determine appropriate treatment recommendations for members.
• Chemical Dependency Intensive Outpatient Program (CDIOP) Intensive outpatient treatment program for substance use disorders providing structured therapeutic interventions.
• Community Care Coordination Short-term program (up to 1 year) providing personalized care plans, care navigation, and coordination with providers for eligible members with serious mental illness, serious emotional disturbance, substance use disorder, or intellectual developmental disabilities.
• Support Center Safe drop-in facility offering daily meals, showers, laundry, computer access, medication checks by APRN, clinical process groups, crisis stabilization, peer support services, case management, high school education, housing assistance, job skill development, and primary care access.
• Quality Improvement Program Program monitoring clinical care, clinical service, organizational service, and member experience using HEDIS measurements per NCQA standards, including member satisfaction surveys, accessibility standards, network adequacy, practitioner credentialing, complaint monitoring, and utilization review.
• Care Coordination Referral System Referral system connecting patients with complex care needs to community care coordination services across health system levels to ensure appropriate service provider matching.

Named customers5 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Partnerships

Six partnerships are on record, tiered core and minor.

• OptumcoreChannel Partner/ Reseller/ DistributorOptum is one of NBH's contracted health plans through which members access behavioral health services. NBH provides mental health and substance abuse services to Optum members in Nevada through its provider network.
• United HealthcarecoreChannel Partner/ Reseller/ DistributorUnited Healthcare is a contracted health plan partner. NBH provides behavioral health services to UHC members through its network of providers.
• Health Plan of Nevada / Sierra Health and LifecoreChannel Partner/ Reseller/ DistributorPrimary health plan partner for Nevada residents. NBH manages mental health and substance abuse services for HPN/Sierra Health and Life members through its comprehensive provider network.
• Intermountain HealthminorChannel Partner/ Reseller/ DistributorIntermountain Health is a health plan partner providing access to NBH's behavioral health provider network for Intermountain members.
• P3HPminorChannel Partner/ Reseller/ DistributorP3HP is a contracted health plan partner through which members access NBH's behavioral health services in Nevada.
• National Committee for Quality Assurance (NCQA)coreOthersNBH's Quality Improvement Program uses NCQA standards for performance measurement and follows HEDIS measurements. NBH has adopted clinical practice guidelines developed by nationally recognized organizations to monitor and evaluate quality of care.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Carelon Behavioral Health (Elevance Health): Carelon is Elevance Health's behavioral health managed care subsidiary (formerly Beacon Health Options), administering behavioral health benefits for millions of members across multiple states. Directly comparable as a payer-sponsored behavioral health MCO serving commercial and Medicaid populations, though at national scale.
• Optum Behavioral Health: Optum (UnitedHealth Group) operates one of the largest behavioral health managed care platforms in the U.S., serving Medicaid, Medicare, and commercial members. Directly comparable managed-care-operating-model peer, and notably also one of NBH's largest customers — illustrating the vertical integration overlap.
• Magellan Health (Centene subsidiary): Magellan is a national behavioral health managed care organization acquired by Centene, serving Medicaid, Medicare, and commercial populations. Closely comparable business model — managed behavioral health networks for health plan members — at much larger scale.
• Centene Corporation: Centene is the largest Medicaid managed care insurer in the U.S. and parent of Magellan Health. Operates multiple Medicaid health plans whose members NBH serves in Nevada, illustrating the customer-overlap/competitor-overlap dynamic central to NBH's market.
• Molina Healthcare: Molina is a major Medicaid managed care plan with significant Nevada presence. Operates in NBH's same payer ecosystem as a competitor-for-contracts (Medicaid MCO) and potentially as a current/future NBH contracting counterparty.

Direct peers

• New Directions Behavioral Health: New Directions is a managed behavioral health care organization providing services through provider networks for health plan and employer customers. Most directly comparable smaller-scale behavioral health MCO peer with similar payer-contracted network management model.
• Community Care Behavioral Health: Community Care is a behavioral health managed care organization affiliated with UPMC, serving Medicaid and commercial health plan members. Comparable regional managed behavioral health MCO model contracting with payers and managing provider networks.
• PerformCare: PerformCare is a managed behavioral health care organization coordinating mental health and substance use services for Medicaid and commercial plan members. Directly comparable in business model — payer-contracted behavioral health network administration with care coordination.

Regional players

• Health Plan of Nevada / Sierra Health and Life (UnitedHealth): HPN/Sierra is Nevada's largest health plan and NBH's primary contracting partner (part of UnitedHealth Group). Functions as both customer and a related-party competitor via Optum's behavioral MCO arm, exemplifying NBH's concentrated payer exposure.
• Carelon Behavioral Health of Nevada (formerly Beacon): Carelon (formerly Beacon Health Options) has historically operated Nevada behavioral health networks and competes directly with NBH for the same payer contracts. Closest geographic competitor within Nevada, though now operating under Carelon/Elevance rather than independently.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Nevada Behavioral Health Systems