The Allegany County Local Behavioral Health Authority (LBHA) is responsible for planning, managing, and monitoring publicly funded behavioral health services with the county. This includes planning for service development, encouraging providers to develop and deliver a full range of treatment and rehabilitation services for persons with mental illness or substance use disorders, and working with the Behavioral Health Administration, Office of Health Care Quality, and Administrative Service Organizations to investigate complaints and monitor the delivery of services.

Additionally, the LBHA works to ensure people have access to needed services, educates the public about mental health and substance abuse, hosts trainings to enhance skills of behavioral health providers, and advocates with other systems on the behalf of individuals with mental health and substance use disorder.