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Head-to-head · Psychiatry Electronic Medical Records Software

ICANotes vs SmartCare

  • Updated Sep 2026
  • Both researched from official sources
  • 3 checks side by side
Higher score ICANotes #2 in Psychiatry Electronic Medical Records Software 6.7/10 Free plan · paid from $25/user/mo · 30-day trial Free plan✓ 1 of 6 features Visit ICANotes

ICANotes leads on 1 check, SmartCare on 1, and 1 is even. Who comes out ahead on the 3 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreICANotes · 6.7/10
  • Free planonly ICANotes
  • Most featuresSmartCare · 2 of 6

Our editors rank ICANotes at #2 and SmartCare at #4 for psychiatry electronic medical records software; SmartCare has no rubric score yet (facts researched, not yet scored), so the checks below decide.

ICANotes offers free plan; SmartCare doesn't publish it. SmartCare offers patient portal; ICANotes doesn't publish it.

ICANotes is the better fit for budget-conscious psychiatry practices. SmartCare is the better fit for enterprise behavioral-health networks.

  • ICANotes fits best

    Budget-conscious psychiatry practices

  • SmartCare fits best

    Enterprise behavioral-health networks

Advertiser disclosure: iTechGuides is reader-supported. We may earn a commission when you click some links. It never changes our verdict. How we rank.

Side by side

Feature ICANotes 6.7/10 Visit ↗ SmartCare —/10 Visit ↗
At a glance
Editor score 6.7 —
Ranking #2 in Psychiatry Electronic Medical Records Software #4 in Psychiatry Electronic Medical Records Software
Best for Budget-conscious psychiatry practices Enterprise behavioral-health networks
Pricing model Free plan + paid Paid
Starting price $25/user/mo Not published
Free plan ✓ (best) Not published
Free trial — —
Deployment Cloud Cloud
Platforms Web Web
Compliance HIPAA HIPAA
Integrations 4 integrations 5 integrations
Built for Solo, Small business, Mid-market, Enterprise Enterprise
Features ICANotes 1/6 · SmartCare 2/6
E-prescribing Not published Not published
Telehealth visits ✓ ✓
Psychiatry templates Not published Not published
Claims and billing Not published Not published
Patient portal Not published ✓ (best)
Mobile app Not published Not published
Our review
Pros
  • Behavioral health templates, treatment plans and clinical rating scales
  • Scheduling, portal, telehealth, claims and online payment tools
  • Prescribing plans include medication management and lab integration
  • Connects assessments, treatment plans, progress notes, and workflow validation
  • Supports billing, claims, remittance posting, and financial dashboards
  • Includes inpatient, residential, and intensive outpatient workflows
Cons
  • Prescribing clinician plans cost more than non-prescribing options
  • Notes-only plans exclude scheduling, portal and billing tools
  • No mobile apps are listed among its platform options
  • Designed for enterprise organizations rather than smaller practices
  • Subscription pricing requires contacting sales
  • Web is the only listed platform
Our verdict

ICANotes combines behavioral health electronic records with practice-management features for therapists, psychiatrists, social workers and group practices. Its clinical tools include documentation templates, treatment planning and rating…

Read the review →

SmartCare is a cloud-based electronic health record and care management platform from Streamline Healthcare Solutions, designed for behavioral health and human services organizations. Its scope suits enterprise networks coordinating care…

Read the review →
  1. ICANotesPsychiatry Electronic Medical Records Software 6.7Free plan · paid from $25/user/mo · 30-day trial
  2. SmartCarePsychiatry Electronic Medical Records Software —Pricing on request

Strengths and trade-offs

  • ICANotes — where it wins

    • Behavioral health templates, treatment plans and clinical rating scales
    • Scheduling, portal, telehealth, claims and online payment tools
    • Prescribing plans include medication management and lab integration

    Where it doesn't

    • Prescribing clinician plans cost more than non-prescribing options
    • Notes-only plans exclude scheduling, portal and billing tools
    • No mobile apps are listed among its platform options
  • SmartCare — where it wins

    • Connects assessments, treatment plans, progress notes, and workflow validation
    • Supports billing, claims, remittance posting, and financial dashboards
    • Includes inpatient, residential, and intensive outpatient workflows

    Where it doesn't

    • Designed for enterprise organizations rather than smaller practices
    • Subscription pricing requires contacting sales
    • Web is the only listed platform
  • ICANotes6.7/10 · Free plan · paid from $25/user/mo · 30-day trial

    Psychiatry-focused documentation and practice tools, with plans from $25 per user monthly.

    Visit ICANotesFull verdict →
  • SmartCare—/10 · Pricing on request

    A cloud EHR spanning behavioral health care, revenue cycle, and multiple levels of service.

    Visit StreamlineFull verdict →

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026