Northeast Behavioral Health Care Consortium

What Northeast Behavioral Health Care Consortium does

Northeast Behavioral Health Care Consortium (NBHCC) is a Pennsylvania-based non-profit organization created and jointly governed by the four counties of Lackawanna, Luzerne, Susquehanna, and Wyoming. The consortium was established to administer the HealthChoices behavioral health managed care program, a statewide mandatory managed care initiative serving individuals who receive Medical Assistance (Medicaid). The HealthChoices program in NBHCC's four-county region launched on July 1, 2006, and the consortium currently oversees behavioral health services for over 180,000 members, including mental health treatment, substance abuse treatment, crisis intervention, and recovery support services.

NBHCC's core function is program administration rather than direct service delivery. The organization contracts with a regional network of behavioral health providers, manages member enrollment and services information, publishes provider manuals and member handbooks, and conducts annual member and provider satisfaction surveys. There are no proprietary technology platforms, APIs, or AI/ML systems described in the available data; the digital property is limited to a WCAG 2.1 Level AA-compliant informational website and standard phone helpline operations (24/7 crisis line plus local and toll-free numbers). Reporting outputs include annual reports, fact sheets, and Consumer and Family Satisfaction Team reports covering adult and child service lines.

The revenue model is exclusively managed services under a single payer: the Pennsylvania Department of Human Services, which funds the program through the state's HealthChoices Medicaid managed care waiver. Members do not pay directly for services, as enrollment is automatic upon Medicaid eligibility. The organization operates as a lean administrative body of 11-50 employees based in Moosic, PA, with governance exercised through county-appointed Boards of Directors and corporate membership structures.

Name

Northeast Behavioral Health Care Consortium

Legal name

Northeast Behavioral Health Care Consortium

Website

https://nbhcc.org

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

11–50 employees

Short description

Northeast Behavioral Health Care Consortium (NBHCC) is a Pennsylvania non-profit created by four counties (Lackawanna, Luzerne, Susquehanna, Wyoming) to administer the state-mandated HealthChoices behavioral health managed care program for over 180,000 Medical Assistance recipients since 2006.

Ownership category

akta.pro rank

Product category

Behavioral Health Managed Care

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

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

Keywords

• Behavioral health services
• Managed care administration
• Medicaid health plan
• Mental health treatment
• Substance abuse treatment

Headquarters

HQ city

Moosic

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales

Revenue model

1. HealthChoices Managed Care Administration: NBHCC receives state funding to administer the mandatory HealthChoices behavioral health program for Medical Assistance recipients in four Pennsylvania counties. The program operates as a managed care organization under Pennsylvania's Medicaid waiver program.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

NBHCC administers the mandatory HealthChoices behavioral health managed care program for Medical Assistance recipients in Lackawanna, Luzerne, Susquehanna, and Wyoming counties in Northeast Pennsylvania. Services coordinated through a contracted provider network include mental health treatment, substance abuse treatment, crisis intervention, case management, and recovery support for over 180,000 members.

Product overview

NBHCC operates as a unified behavioral health managed care administration organization providing the HealthChoices Program for four Pennsylvania counties. The core offering is program management services, supported by Member Services, Provider Services, and Consumer and Family Satisfaction Team Reports covering Adult and Child behavioral health services including Case Management, Crisis Receiving Stabilization Unit, Medication Assisted Treatment, Mental Health Inpatient/Outpatient, and Intensive Behavioral Health Services. Additional offerings include Annual Reports, Fact Sheets, and Satisfaction Surveys documenting program performance and service quality.

Differentiator

Problem solved

Functional benefit

Products and services

• HealthChoices Behavioral Health Program Management Mandatory managed care administration for behavioral health services to Medical Assistance recipients across four Pennsylvania counties, currently serving over 180,000 members through a contracted provider network.
• Member Services Provides behavioral health services information, member handbooks (including a Spanish-language member handbook), and a 24/7 crisis helpline for individuals receiving Medical Assistance through the HealthChoices program.
• Provider Services Offers the Northeast Provider Manual and program resources to support behavioral health providers participating in the HealthChoices provider network across the four-county service area.

Segments1 record

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core and supporting.

• Pennsylvania Department of Human ServicescoreStrategic or Co-development PartnerState agency that oversees the HealthChoices program and provides Medicaid funding. NBHCC operates under state waiver as a county-based behavioral health managed care organization.
• Community Care Behavioral Health (UPMC)coreStrategic or Co-development PartnerUPMC-owned managed care organization that may serve as a behavioral health administrator or partner in the region.
• County Governments (Lackawanna, Luzerne, Susquehanna, Wyoming)coreStrategic or Co-development PartnerFour county governments that created NBHCC to manage the HealthChoices behavioral health program. Counties maintain governance through Board of Directors and corporate membership structure.
• SAMHSAsupportingStrategic or Co-development PartnerFederal Substance Abuse and Mental Health Services Administration provides resources and guidance for behavioral health services.
• National Alliance on Mental Illness (NAMI)supportingStrategic or Co-development PartnerMental health advocacy organization providing resources and support for individuals and families affected by mental illness.

Scale indicators3 records

Recent moves5 records

Expansion highlights3 records

Broad incumbents

• UnitedHealth Group / Optum Behavioral Health: Largest U.S. health insurer with Optum's behavioral health arm providing managed care, EAP, and behavioral health services. Represents the upper bound of MCO scale and a potential counterparty or competitor in state procurement.
• Molina Healthcare: Medicaid-focused managed care plan serving government-sponsored healthcare programs across multiple states. Comparable in government payer mix and Medicaid managed care administration, with growing behavioral health capabilities.
• Centene Corporation: Largest U.S. Medicaid managed care insurer with significant behavioral health offerings across multiple states. Comparable as a Medicaid-focused MCO that competes for state behavioral health contracts, including in Pennsylvania.
• Carelon Behavioral Health (formerly Beacon Health Options): Elevance Health-affiliated behavioral health managed care organization serving commercial, Medicaid, and Medicare populations nationwide. Comparable as a scaled behavioral health administrator with similar utilization management and provider network functions.
• Magellan Health: Large national managed behavioral health organization serving Medicaid, Medicare, and commercial populations across multiple states. Provides scale benchmark for behavioral health managed care administration and serves similar state Medicaid customers.
• ValueOptions / Evernorth Behavioral Health: Cigna/Evernorth behavioral health subsidiary providing managed behavioral health services to Medicaid, Medicare, and commercial plans. Comparable as a national TPA competing for state Medicaid behavioral health contracts.

Direct peers

• PerformCare: Community Care Behavioral Health Organization that administers Pennsylvania HealthChoices behavioral health contracts for other counties. Closest functional competitor serving the same Pennsylvania Medicaid population under identical program rules.
• Community Care Behavioral Health (UPMC): UPMC-owned behavioral health managed care organization that administers HealthChoices contracts in other Pennsylvania counties. Most directly comparable peer given overlapping program, state, and managed-care model, and is already documented as a strategic partner of NBHCC.

Regional players

• Allegheny County Department of Human Services (Behavioral Health): County-run behavioral health administration for Allegheny County under HealthChoices. Structurally analogous government-affiliated entity managing Medicaid behavioral health carve-out, though larger in scale than NBHCC.
• HealthChoices Other County Behavioral Health MCOs: Other Pennsylvania county-based behavioral health MCOs operating HealthChoices contracts under the same state framework. Direct structural peers running identical programs in different counties but serving non-overlapping geographies.

Market position

Strengths1 record

Weaknesses1 record

Competitive moat3 records

Key risks1 record

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/northeast-behavioral-health-care-consortium

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 Northeast Behavioral Health Care Consortium