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SmartCare review

A cloud EHR spanning behavioral-health care, revenue cycle, telehealth, and residential workflows.

7.3/10Editor score
SmartCare7.3 Visit Streamline

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

SmartCare brings behavioral-health EHR and care-management workflows together for organizations serving multiple communities and levels of care. Developed by Streamline Healthcare Solutions, it is positioned for enterprise behavioral-health and human-services providers, including residential programs. Its scope reaches from assessments, treatment plans, progress notes, and workflow validation to revenue cycle management, primary care, and business intelligence. The breadth may appeal to organizations coordinating clinical and operational work across different care settings; a smaller practice seeking a narrower, simpler system may find that scope excessive.

The clinical and service workflows are a notable strength. In addition to standard care documentation, SmartCare covers inpatient and residential medication administration, bed management, and documentation, as well as intensive outpatient and day services group attendance and documentation. Role-personalized dashboards, clinical decision support, and reporting support different staff roles. Telehealth appointment management is integrated with the EHR, and the patient portal supports care information, appointments, assessments, messaging, and payments. Electronic prescribing is offered through the Surescripts network. This combination makes the platform relevant to providers that need more than outpatient notes and scheduling, though buyers should assess whether its included and optional modules match their own workflows.

For ecosystem fit, listed integrations include Microsoft Azure, Surescripts, Zoom, GoToWebinar, and Microsoft Teams. The platform is cloud-based and web-accessible, with HIPAA listed as a compliance area. According to the vendor's pricing information, SmartCare is a subscription offering with contact-sales pricing, so evaluation involves a direct sales conversation rather than choosing from published plan tiers. That enterprise-oriented buying approach may work for larger organizations evaluating multiple care levels and revenue-cycle needs, but could be a drawback for teams seeking a self-serve purchase or straightforward price comparison. Organizations needing non-web access should also consider alternatives.

SmartCare pros and cons

  • Where it wins
    • Combines clinical documentation with billing, claims, and financial dashboards
    • Supports inpatient, residential, intensive outpatient, and day-service workflows
    • Includes integrated telehealth, a patient portal, and Surescripts e-prescribing
  • Where it doesn't
    • Contact-sales pricing makes budget comparison less direct
    • Enterprise focus may be a poor fit for smaller practices
    • Web-only platform may not suit teams needing a desktop or native mobile app

SmartCare fact sheet, pricing and score →

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