MAINE BEHAVIORAL HEALTH PARTNERSHIP

Name

MAINE BEHAVIORAL HEALTH PARTNERSHIP

Legal name

Behavioral HealthCare Program

Website

https://bhcp.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Behavioral Health Managed Care Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

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

akta.pro primary industry

Behavioral Health Managed Care (Medicaid) / BH Carve-In-Carve-Out Plans (HLAEAEAE)

akta.pro secondary industry

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

Keywords

• Behavioral health managed care
• Mental health benefits management
• Substance use treatment services
• Behavioral health provider network
• Managed care organization

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Managed Care Administration: BHCP manages mental health and substance use benefits for health insurance plan members, likely operating on a capitation or administrative services arrangement with health plan partners.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels1 record

Core offering

BHCP is a behavioral health managed care organization that administers mental health and substance use disorder benefits for approximately 165,000 members of partnered health insurance plans across six U.S. states. It operates a network of 2,600+ outpatient providers and 100 hospitals/behavioral health centers to deliver the full continuum of behavioral healthcare — inpatient care, partial hospitalization, intensive outpatient, residential, crisis services, outpatient therapy, and medication management — supported by 24/7 clinical call center support and an online provider search portal.

Product overview

The Behavioral HealthCare Program (BHCP) is a behavioral health managed care organization that operates as a unified platform managing mental health and substance use benefits for 165,000 members across multiple health insurance plans. The core offering consists of a provider network management system with over 2,600 outpatient providers and 100 hospitals/behavioral health centers. BHCP provides member-facing services including provider search and self-service portals, clinical support tools including MCG care guidelines and BHCP-developed clinical guidelines for primary care physicians, and provider services encompassing credentialing, utilization management, and accessibility standards. Treatment services span the full continuum of care including inpatient, partial hospitalization, intensive outpatient, residential, crisis, and outpatient therapy.

Differentiator

Problem solved

Functional benefit

Products and services

• Provider Network Management Services BHCP maintains a network of over 2,600 outpatient providers and 100 hospitals and behavioral health centers, providing members access to licensed behavioral healthcare specialists, mental health centers, and hospitals. The service is for health insurance plan members requiring mental health and substance use disorder treatment.
• Mental Health and Substance Use Benefit Administration BHCP administers mental health and substance use disorder benefits for health insurance plan members across commercial, Medicare Advantage, and TRICARE plans. It is for health insurance plans (Aetna/MaineHealth, Martin's Point, Anthem/MaineHealth Medicare Advantage) seeking outsourced behavioral health benefit management.
• Provider Services (Credentialing, Contracting, Utilization Management, Clinical Support) Services for network providers including credentialing, contracting, utilization management, and clinical support with 24/7 access lines for urgent member and provider calls. It is for licensed behavioral healthcare providers participating in the BHCP network.
• Treatment Services (Inpatient, Partial Hospitalization, Intensive Outpatient, Residential, Crisis, Outpatient Therapy, Medication Management) Comprehensive behavioral health treatment options including inpatient care, partial hospitalization programs, intensive outpatient programs, residential services, crisis services, individual outpatient therapy, group and family therapy, and medication evaluation and management. It is for health insurance plan members needing behavioral health treatment.
• MCG Care Guidelines Platform MCG guidelines tool used by BHCP to determine medical necessity for managed plans, accessible to members and prospective members through a protected web interface. It is for BHCP clinical staff and plan members seeking transparency on medical necessity criteria.
• BHCP Clinical Guidelines for Primary Care Physicians BHCP Quality Committee-created clinical guidelines for Primary Care Physicians treating mental health conditions including ADHD, Bipolar, Depression, and Anxiety, including medication algorithms. It is for primary care physicians and providers in the BHCP network.

Quantifiable outcome

• 165,000 members served across multiple health insurance plans

Named customers4 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Five partnerships are on record, tiered core.

• Aetna/MaineHealthcoreStrategic or Co-development PartnerAetna/MaineHealth is a key health insurance partner whose members' mental health and substance use benefits are managed by BHCP. This partnership covers Maine and potentially other states where Aetna and MaineHealth operate jointly.
• US Family Health Plan at Martin's PointcoreStrategic or Co-development PartnerUS Family Health Plan at Martin's Point is a TRICARE health plan for military families. BHCP manages the mental health and substance use benefits for USFHP members.
• Martin's Point Generations AdvantagecoreStrategic or Co-development PartnerMartin's Point Generations Advantage is a Medicare Advantage plan. BHCP manages mental health and substance use benefits for Generations Advantage members.
• Anthem/MaineHealth Medicare AdvantagecoreStrategic or Co-development PartnerAnthem/MaineHealth Medicare Advantage is a Medicare Advantage health plan partnership. BHCP manages mental health and substance use benefits for Anthem/MaineHealth Medicare Advantage members.
• MaineHealthcoreStrategic or Co-development PartnerMaineHealth is the parent health system that BHCP is affiliated with. The MaineHealth ACO (Accountable Care Organization) logo appears on the BHCP website, indicating a close operational relationship.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Centene Corporation: Centene is the largest US Medicaid managed care organization and parent of Magellan Health. Comparable in that BH carve-out / managed care capability is a core component of its Medicaid value proposition, with overlapping MCO and BH benefit delivery across multiple states including those BHCP serves.
• Magellan Health (Centene subsidiary): Magellan, acquired by Centene in 2022, is a longstanding behavioral health managed care and specialty health solutions provider serving Medicaid, Medicare, commercial, and employer plans. Directly comparable in BH managed care but now operates inside Centene's broader Medicaid footprint.
• Anthem Blue Cross Blue Shield (Elevance Health): Elevance Health's Anthem plans are both a customer (Anthem/MaineHealth Medicare Advantage members are managed by BHCP) and an industry incumbent. Operates BH benefit administration at national scale through Carelon, directly comparable in capability even though channel roles differ.
• Evernorth Behavioral Health (Cigna): Evernorth, Cigna's health services arm, includes behavioral health administration and provider solutions serving millions of Cigna plan members. Comparable in capability and customer but sits inside a much broader services portfolio (PBM, specialty, care).

Direct peers

• Carelon Behavioral Health (formerly Beacon Health Options): Carelon Behavioral Health (Elevance Health's health services arm, formerly Beacon Health Options) is one of the largest US behavioral health carve-outs, administering BH benefits for health plan members nationally. It is the closest direct comparable to BHCP in business model (BH managed care on behalf of insurers) and category.
• Lucet (formerly New Directions + Catasys/Tridiuum): Lucet is a behavioral health managed care company formed from New Directions Behavioral Health and Tridiuum, serving health plan, employer, and government markets with utilization management and provider network services. Closely comparable to BHCP in operating model and customer type.
• Optum Behavioral Health: Optum Behavioral Health, part of UnitedHealth Group, is the dominant national behavioral health managed care platform, serving millions of members and running provider networks. Directly comparable in core offering (BH benefit administration and provider network management) but at materially larger scale.

Others

• MaineHealth: MaineHealth is the regional health system with which BHCP is operationally affiliated (MaineHealth ACO logo appears on BHCP's website). Connected through partnership and ACO integration but operates in a different vertical (provider delivery vs. managed care administration).

Regional players

• CDPHP (Capital District Physicians' Health Plan): CDPHP is a New York-based regional health plan with integrated behavioral health offerings for its commercial, Medicare, and Medicaid members. Comparable as a regional payer-adjacent behavioral health administrator, but serves a different primary geography than BHCP's Northern New England base.
• Community Health Options: Community Health Options is a Maine-based nonprofit health plan selling ACA individual and small group coverage, with behavioral health benefits often administered through partners. Comparable as a Maine-anchored regional health plan in BHCP's core geography, though it is an issuer rather than a BH carve-out administrator.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/maine-behavioral-health-partnership

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 MAINE BEHAVIORAL HEALTH PARTNERSHIP