Mark Twain Behavioral Health

What Mark Twain Behavioral Health does

Mark Twain Behavioral Health (MTBH) is a private not-for-profit Certified Community Behavioral Health Organization (CCBHO) headquartered in Hannibal, Missouri, providing comprehensive behavioral health and substance use services across a 14-county region in Northeast Missouri since 1975. The organization serves five primary customer segments — Adults, Youth, Couples, Families, and Community — through seven physical clinic locations in Hannibal (two sites including a Crisis Stabilization Unit), Kirksville, Macon, Mexico, Moberly, and Bowling Green, complemented by telehealth delivery through the MTBH Portal (web and iOS/Android apps). Service portfolio spans 24-hour crisis intervention, community psychiatric rehabilitation, medication-assisted treatment, residential withdrawal management, outpatient and intensive outpatient substance use treatment, school-based therapy, and specialized modalities including DBT, EMDR, PCIT, and Play Therapy. The organization is designated as Administrative Agent for Missouri Department of Mental Health service area 14 and holds CARF International accreditation across 15+ program categories.

MTBH's business model is anchored in Medicaid and Medicare reimbursement under the CCBHO cost-based prospective payment framework, supplemented by private pay (e.g., $200/month case management, $40/hour graduate intern therapy), sliding-scale fees, and state DMH funding. The go-to-market is sales-led through direct service delivery, community-based Behavioral Health Liaisons embedded in schools, law enforcement, courts, and hospitals, and referral pipelines from emergency rooms and crisis systems. Technology infrastructure includes the Carelogic EHR system, the MTBH Portal telehealth platform (integrated with OnCall Health), mobile applications on iOS App Store and Google Play, SurveyMonkey for client satisfaction measurement, and the recently deployed AI Scribe for clinical documentation automation at the Hannibal Forrest Drive outpatient location. A partnership with Genoa Pharmacy provides on-site pharmaceutical consultation and medication access support. The organization is governed by a volunteer board of directors representing the nine-county board area, with no parent company or external equity ownership, operating as an independent nonprofit entity.

Name

Mark Twain Behavioral Health

Legal name

Mark Twain Behavioral Health

Website

https://mtbh.org

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

51–100 employees

Short description

Mark Twain Behavioral Health is a private not-for-profit Certified Community Behavioral Health Organization serving Northeast Missouri across a 14-county area with crisis intervention, therapy, substance use treatment, and psychiatric services for adults, youth, couples, families, and community members.

Ownership category

akta.pro rank

Product category

Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (62322), Offices of Mental Health Practitioners (except Physicians) (621330), Residential Mental Health and Substance Abuse Facilities (623220)

SIC

Services-Social Services (8300), Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

akta.pro secondary industries

Behavioral Health for Children & Adolescents (Youth Services) (HLAFACAL), Residential Mental Health Treatment Centers (HLAFACAC), Behavioral Health & Substance Use Remote Monitoring (HLACAFAD)

Keywords

• Mental health services
• Substance use treatment
• Crisis intervention services
• Behavioral health care
• Psychiatric medication management

Headquarters

HQ city

Hannibal

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Government Healthcare Reimbursement: Medicaid and Medicare reimbursement for certified behavioral health services as a Certified Community Behavioral Health Organization (CCBHO). Services covered include crisis intervention, psychiatric rehabilitation, medication management, substance use treatment, and community support services.
2. Private Pay: Reduced pricing for cash payment. Private pay case management at $200/month. Graduate level intern therapy at $40/hour. Payment plans available.
3. Financial Assistance / Sliding Scale: Reduced pricing based on reasonable costs of operation for eligible individuals. CCBHO funds available for recovery and intensive case management services for uninsured and under-insured individuals. Medicaid application assistance provided.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Mark Twain Behavioral Health is a private not-for-profit Certified Community Behavioral Health Organization providing crisis intervention, psychiatric evaluation and medication management, individual/couples/family therapy, substance use treatment (including medication-assisted treatment, residential, and withdrawal management), and recovery services to residents of a 14-county area in Northeast Missouri. Services are delivered in person at multiple clinic locations and via the MTBH Portal telehealth platform, with CCBHO and CARF-accredited programs covering both adults and youth.

Product overview

Mark Twain Behavioral Health (MTBH) is a private not-for-profit Certified Community Behavioral Health Organization (CCBHO) providing a comprehensive suite of behavioral health and substance use services across Northeast Missouri since 1975. The organization operates as a single integrated healthcare platform offering core clinical services including Access Crisis Intervention (24-hour crisis line), Crisis Stabilization Unit, Community Psychiatric Rehabilitation Program (CPR), and Medication Assisted Treatment. The portfolio includes specialized programs for adults and youth including psychiatry and medication management, individual/couples/family therapy, Dialectical Behavior Therapy, EMDR, and school-based services. Recovery Services encompass residential withdrawal management, clinically managed high-intensity residential services, and substance use treatment. The organization also operates a Digital Platform (MTBH Portal) with telehealth capabilities and recently implemented AI Scribe for clinical documentation automation. Services are delivered across multiple locations in Hannibal, Kirksville, Macon, Mexico, and Moberly, Missouri.

Differentiator

Problem solved

Functional benefit

Products and services

• Access Crisis Intervention (ACI) 24-hour crisis response services delivered by phone or mobile visit for individuals experiencing a mental health crisis, providing assessment, treatment, and referral.
• Crisis Stabilization Unit (CSU@146) Voluntary safe setting offering up to 23 hours of observation for acute psychiatric, substance use, or connection crises, with referrals to long-term care.
• Community Psychiatric Rehabilitation Program (CPR) Case management program supporting adults with mental illness to live independently through a defined set of community-based rehabilitation services.
• Substance Use Treatment Services Comprehensive substance use services including Medication-Assisted Treatment (MAT) for Opioid, Alcohol, and Tobacco use disorders, outpatient programs, intensive outpatient programs, clinically managed high-intensity residential treatment, clinically managed residential withdrawal management, and outpatient education/support groups.
• Psychiatry and Medication Management Comprehensive psychiatric evaluation, diagnosis, treatment, and medication management for adults with mental illness and substance use disorders.
• Individual, Couples, and Family Therapy Therapy services including individual therapy for mental illness and substance use disorders, couples therapy for conflict resolution and life transitions, and family therapy to improve interaction systems and reduce distress.
• School-Based Therapy Services Onsite behavioral health professionals placed in school settings to provide rapid access to mental health care for youth and support academic success.
• Emergency Room Enhancement (ERE) Program Warm engagement program connecting adults experiencing mental health distress in emergency rooms with appropriate services to develop long-term supports and reduce repeat ER visits and hospitalizations.
• Psychosocial Rehabilitation Program (PSR) Social, emotional, and intellectual skill development program teaching coping skills and encouraging peer interaction in group settings for both youth and adults.
• Adolescent Diversion Education Program (ADEP) 10-hour education course for minors with Abuse and Lose, Minor in Possession, or Zero Tolerance offenses.
• Clinical Intervention Program (CIP) 50-hour outpatient counseling program with individual counseling, group counseling, and group education, including 10 hours addressing impaired driving issues.
• Diversion Education Programs (OEP, SATOP) Court-referred education programs including the Offender Education Program (OEP, 10-hour) for lower-risk clients and the Substance Awareness Traffic Offender Program (SATOP) for individuals with administrative suspension/revocation, court orders, probation conditions, or plea bargains related to DWI/DUI offenses.
• Behavioral Health Liaison Services (Community and Youth) Liaison services forming partnerships with crisis systems, law enforcement, courts, schools, juvenile offices, children's division, and hospitals to improve access to behavioral health services. Community and Youth versions cover adult and youth populations respectively.
• Consultation and Educational Services Mental health consultation and educational services for employers, schools, and agencies, including community event participation for public education.
• MTBH Portal Patient-facing portal platform enabling telehealth appointments, communication preferences setup (Email, SMS, Voice), appointment cancellation, and completion of client paperwork, available via web and mobile apps on iOS and Android.

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability1 record

Feature2 records

Partnerships

One partnership is on record.

• Genoa PharmacycoreStrategic or Co-development PartnerOn-site pharmaceutical partner providing consultation services. Genoa Pharmacy assists clients with accessing high-priced behavioral health medications through pharmaceutical assistance programs.

Scale indicators2 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Compass Health Network: Missouri-based Certified Community Behavioral Health Organization providing a comparable mix of outpatient, residential, crisis, and CCBHO-reimbursed services statewide — the most direct regional peer to MTBH in scale, certification, and service model.
• Burrell Behavioral Health: Springfield, Missouri-based nonprofit CMHC and CCBHO offering crisis, outpatient, residential, and youth services across a multi-county region; comparable in CARF accreditation, CCBHO status, and rural community mental health delivery model.
• Places for People: St. Louis-based nonprofit providing behavioral health, substance use, and recovery services including outpatient, residential, and case management; comparable service portfolio with focus on serving underserved populations.
• Brightli (formerly Lakeland Behavioral Health System): Large Missouri-based nonprofit behavioral health provider operating multiple CCBHOs and residential programs; comparable as a regional Missouri behavioral health system with overlapping service lines and CARF accreditation.

Regional players

• Chestnut Health Systems: Illinois-based nonprofit CMHC and substance use provider serving rural counties with crisis, outpatient, residential, and recovery services; comparable rural community mental health model across a neighboring state border.
• Tri-County Mental Health Services: Missouri-based CMHC serving multiple counties with outpatient, crisis, and substance use services; comparable rural community mental health delivery model though operating in a different Missouri catchment.
• Family Counseling Center: Southeast Missouri CMHC serving rural counties with CCBHO-equivalent services including crisis, outpatient, and residential programs; comparable rural CCBHC-style operating model though serving a different Missouri catchment.

Broad incumbents

• Preferred Family Healthcare: Multi-state nonprofit behavioral health and substance use provider operating residential, outpatient, and CCBHO-equivalent services across Missouri, Arkansas, Kansas, and Oklahoma; comparable in scope of behavioral health offerings but at much larger scale.
• BJC Behavioral Health: Hospital-affiliated behavioral health provider in St. Louis offering outpatient mental health, substance use, and crisis services; comparable in service mix but with stronger health-system integration and urban footprint.

Others

• OnCall Health: Telehealth platform provider that integrates with MTBH's MTBH Portal; relevant as a technology/infrastructure enabler rather than a direct competitor, but indicative of the broader telehealth ecosystem shaping behavioral health delivery.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UC3-RGTrFGR7SjQkSnVX1J8Q
• Facebookfacebook.com/Mark-Twain-Behavioral-Health-142814945745431
• Instagraminstagram.com/marktwain_behavioralhealth
• Xx.com/MarkTwainBH

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries1 record

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 Mark Twain Behavioral Health