Community Care Behavioral Health Organization
Community Care Behavioral Health Organization is a Pennsylvania Medicaid Behavioral Health Managed Care Organization (BH-MCO) coordinating mental health, substance use, and developmental disability services for Medical Assistance recipients across 41 counties. It is a wholly-owned component of UPMC Insurance Services Division.
- Company typePrivate
- Founded1999
- HeadquartersPittsburgh, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingServices
What Community Care Behavioral Health Organization does
Community Care Behavioral Health Organization is a Behavioral Health Managed Care Organization (BH-MCO) that manages behavioral health benefits for Pennsylvania Medical Assistance (Medicaid) recipients across 41 Pennsylvania counties under the state's HealthChoices program. The organization coordinates care for mental health conditions, substance use disorders, and developmental disabilities through a contracted network of providers, with members automatically assigned by county of residence. Services are provided at no cost to members, with no copayments, deductibles, or visit limitations, and the organization operates 24/7 customer service, crisis hotlines, transportation assistance, and care coordination. Community Care is a wholly-owned component of the UPMC Insurance Services Division, sitting alongside UPMC Health Plan, Workpartners, and UPMC for You, which provides structural integration with one of Pennsylvania's largest health systems.
The company operates a dual-portal technology architecture: a member-facing portal at members.ccbh.com (provider search, health education library, self-management tools, decision support, and member resources) and a separate provider portal at providers.ccbh.com for authorization requests and care coordination. The product portfolio includes specialized programs such as Operation Service Net (military families), Peer Support Services, the CCARE Anti-Stigma Campaign, Academy + Library recovery resources, and Member and Family Advisory Boards. Revenue is generated entirely through capitated payments received from the Pennsylvania Department of Human Services on a per-member-per-month basis, with no direct member billing. The organization holds URAC and NCQA health plan accreditations and is recognized as a "Best Place to Work" on the HRC Corporate Equality Index.
Strategically, Community Care's position is anchored by long-standing regulatory contracts (25+ years) with the Pennsylvania DHS, county-level geographic exclusivity under HealthChoices, and the UPMC parent affiliation. The organization is a mature, operationally stable entity with no disclosed M&A, funding events, or geographic expansion signals; growth is therefore tied to Medicaid enrollment trends in Pennsylvania and capitated rate adjustments rather than to commercial expansion.
Community Care Behavioral Health Organization firmographics
Firmographics- Name
- Community Care Behavioral Health Organization
- Legal name
- Community Care Behavioral Health Organization
- Website
- https://members.ccbh.com
- Company type
- Private
- Founded year
- 1999
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Community Care Behavioral Health Organization is a Pennsylvania Medicaid Behavioral Health Managed Care Organization (BH-MCO) coordinating mental health, substance use, and developmental disability services for Medical Assistance recipients across 41 counties. It is a wholly-owned component of UPMC Insurance Services Division.
- Ownership category
- akta.pro rank
Community Care Behavioral Health Organization industry classification
Industry- Product category
- Behavioral Health Managed Care
- NAICS
- Outpatient Mental Health and Substance Abuse Centers (621420)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro primary industry
- Behavioral Health Managed Care (Medicaid) / BH Carve-In-Carve-Out Plans (HLAEAEAE)
- akta.pro secondary industries
- Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ), Behavioral Health Benefit Administration (MBHO Core) (HLAEAHAA)
Keywords
Where Community Care Behavioral Health Organization is headquartered
LocationHeadquarters
- HQ city
- Pittsburgh
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Community Care Behavioral Health Organization business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales
Revenue model
- Medicaid Managed Care: Community Care Behavioral Health Organization operates as a Behavioral Health Managed Care Organization (BH-MCO) under Pennsylvania's HealthChoices Medicaid program. The organization receives capitated payments from the Pennsylvania Department of Human Services to manage behavioral health benefits for Medical Assistance recipients in 41 counties.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Others | Medicaid-covered behavioral health services |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels4 records
Community Care Behavioral Health Organization product offering
Product offeringCore offering
Community Care Behavioral Health Organization operates as a Behavioral Health Managed Care Organization (BH-MCO) under Pennsylvania's HealthChoices Medicaid program, managing behavioral health benefits for Medical Assistance recipients across 41 Pennsylvania counties. The organization receives capitated payments to coordinate mental health, substance use disorder, and developmental disability services through a contracted provider network, with no cost-sharing for members. It is part of the UPMC Insurance Services Division and serves as a recovery-focused care coordinator linking Medicaid members to appropriate behavioral health treatment.
Product overview
Community Care Behavioral Health Organization is a Behavioral Health Managed Care Organization (BH-MCO) that provides Medicaid behavioral health managed care services across 41 Pennsylvania counties. The organization operates a dual-portal architecture: the member-facing portal (members.ccbh.com) serves as the primary interface for members to access provider directories, health education resources, self-management tools, and member services; while the separate provider portal (providers.ccbh.com) enables participating providers to manage care coordination. The product portfolio includes complementary educational and support services such as the Health Topics Resource Center, Academy + Library, Healthwise wellness app, CCARE anti-stigma campaign, Operation Service Net for military families, and the Foundations Member Newsletter. The organization also offers structured member engagement programs including advisory boards and satisfaction surveys, crisis hotlines, and peer support services. The company is part of the UPMC Insurance Services Division.
Differentiator
Problem solved
Functional benefit
Products and services
- Member Portal (members.ccbh.com) Web-based member services portal providing behavioral health managed care services for Pennsylvania Medicaid members, including provider search, health topics, FAQs, and member resources.
- Provider Portal (providers.ccbh.com) Web portal for behavioral health care providers to manage patient care, authorization requests, and provider services within the Community Care network.
- Peer Support Services Specialized recovery support services delivered by Certified Peer Specialists who use their own lived recovery experience to assist members with mental health challenges in achieving their goals.
- Operation Service Net Specialized program designed to improve access to and quality of behavioral health care services for veterans, service members, and their families.
- Healthwise Mobile Application Free mobile application that helps members manage and improve their health and wellness through guided resources, decision support, and self-management tools.
- HealthChoices Behavioral Health Managed Care Services Capitated managed care services coordinating mental health treatment, substance use disorder treatment, and developmental disability services for Pennsylvania Medicaid (Medical Assistance) recipients across 41 counties, with no cost-sharing for covered services.
Companies that use Community Care Behavioral Health Organization
Customer profileNamed customers1 record
Segments1 record
Ideal customer profiles3 records
Community Care Behavioral Health Organization technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Community Care Behavioral Health Organization partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- UPMC Insurance Services DivisioncoreCommunity Care is a proud part of the UPMC Insurance Services Division, which also includes UPMC Health Plan, Workpartners, and UPMC for You (Medical Assistance). This affiliation provides integration with a major Pennsylvania health system.
Scale indicators2 records
Recent moves5 records
Expansion highlights5 records
Community Care Behavioral Health Organization competitors and assessment
Company assessmentDirect peers
- Cenpatico: Centene's specialized behavioral health subsidiary serving Medicaid populations across multiple states. Directly comparable BH managed care model for Medicaid lives.
- Community Behavioral Health (CBH): Philadelphia-based BH-MCO managing behavioral HealthChoices for Philadelphia County residents under a similar capitation arrangement with PA DHS.
- PerformCare: Pennsylvania-based BH-MCO operating HealthChoices contracts in multiple PA counties. Direct competitor with same business model, customer (PA DHS), and population served.
- Magellan Health (Centene): Centene-owned managed behavioral health organization with significant Medicaid MBHO presence including in Pennsylvania. Direct competitor for HealthChoices contracts and similar BH-MCO business model.
Broad incumbents
- Carelon Behavioral Health: Elevance Health's behavioral health subsidiary (formerly Beacon Health Options). Directly comparable BH-MCO with Medicaid contracts across multiple states including PA.
- Amerigroup (Elevance Health): Elevance-affiliated Medicaid managed care organization with behavioral health components. Competes indirectly in PA Medicaid space and operates BH-MCO contracts in other states.
- Humana Behavioral Health: Humana's behavioral health arm providing managed behavioral health services primarily to commercial and Medicare populations. Broader incumbent with adjacent product overlap.
- Optum Behavioral Health: UnitedHealth Group's behavioral health arm, one of the largest MBHOs nationally. Operates behavioral health managed care for Medicaid and commercial populations at much larger scale.
Emerging players
- New Directions Behavioral Health: MBHO serving Medicaid and commercial populations with managed behavioral health services. Comparable business model though with less Pennsylvania-specific concentration.
Others
- UPMC Health Plan: Sister organization within UPMC Insurance Services Division — provides physical health Medicaid managed care via UPMC for You. Adjacent business sharing capital, infrastructure, and oversight with Community Care.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
Community Care Behavioral Health Organization social profiles
Digital presenceCommunity Care Behavioral Health Organization compliance and trust
Trust signalCompliance2 records
Community Care Behavioral Health Organization financial estimates
Financial estimateRevenue estimate
Valuation estimate
Community Care Behavioral Health Organization leadership team
Management profileNumber of profiles
Profiles12 records
Community Care Behavioral Health Organization funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Community Care Behavioral Health Organization M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Community Care Behavioral Health Organization
What does Community Care Behavioral Health Organization do?
Community Care Behavioral Health Organization operates as a Behavioral Health Managed Care Organization (BH-MCO) under Pennsylvania's HealthChoices Medicaid program, managing behavioral health benefits for Medical Assistance recipients across 41 Pennsylvania counties. The organization receives capitated payments to coordinate mental health, substance use disorder, and developmental disability services through a contracted provider network, with no cost-sharing for members. It is part of the UPMC Insurance Services Division and serves as a recovery-focused care coordinator linking Medicaid members to appropriate behavioral health treatment.
Is Community Care Behavioral Health Organization a public or private company?
Community Care Behavioral Health Organization is a private company. It is classified as corporate owned and is currently operating.
When was Community Care Behavioral Health Organization founded?
Community Care Behavioral Health Organization was founded in 1999. It employs 501 to 1,000 people.
Where is Community Care Behavioral Health Organization based?
Community Care Behavioral Health Organization is headquartered in Pittsburgh, United States, in the North America region.
How does Community Care Behavioral Health Organization make money?
One revenue line is on record: medicaid Managed Care.
Who are Community Care Behavioral Health Organization's main competitors?
Direct peers on record are Cenpatico, Community Behavioral Health (CBH), PerformCare and Magellan Health (Centene). Broad incumbents are Carelon Behavioral Health, Amerigroup (Elevance Health), Humana Behavioral Health and Optum Behavioral Health. New Directions Behavioral Health is listed as an emerging player. UPMC Health Plan is listed as an others.
Does Community Care Behavioral Health Organization have an API?
No public API is recorded for Community Care Behavioral Health Organization.
What industry is Community Care Behavioral Health Organization in?
Community Care Behavioral Health Organization's product category is Behavioral Health Managed Care. Its primary akta.pro industry code is HLAEAEAE, Behavioral Health Managed Care (Medicaid) / BH Carve-In-Carve-Out Plans, with a secondary code of HLAEAEAJ, Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP). Its NAICS code is 621420 and its SIC code is 6324.