SmartCare EHR

What Is SmartCare EHR? 

SmartCare EHR by Streamline Healthcare Solutions is a cloud-based electronic health record and practice management platform. It brings outpatient, residential, day services, and primary care functions into one system. This lets multi-service agencies manage different levels of care without maintaining separate systems for each service. It can also reduce the number of interfaces IT teams need to secure and reconcile. 

SmartCare gives clinical, administrative, and financial teams role-based dashboards. This allows users to access the information relevant to their work without searching across different parts of the system. Its reporting tools can support decisions around census, staff productivity, and patient outcomes. It also enables organizations to use an optional data warehouse and integrate external BI tools when they need more detailed analysis. The platform runs through a web browser and supports Chrome and Edge. This lets staff access SmartCare from different devices without relying on a locally installed desktop application. 

What Is SmartCare EHR Best For? 

SmartCare offers a ‘golden thread’ feature, which connects information across different stages of care. It carries demographic and clinical data from intake through assessment, care and treatment plans, services, progress notes, and results. This means users can work with information already entered instead of entering the same details again. For clinical directors, this can reduce duplicate data entry and make the client record easier to follow across different stages of care. 

How Much Does SmartCare EHR Cost? 

SmartCare EHR pricing typically starts at $13/client/month. Organizations evaluating SmartCare EHR should also account for the following estimated additional costs:

• Implementation and system configuration: $8,000–$30,000
• Data migration: $2,500–$15,000
• Onboarding and staff training: $1,500–$10,000
• Interface and third-party integrations: $2,000–$15,000/integration (depending on integration complexity) 
• Custom forms, workflows and reports: $2,000–$20,000
• Additional user licenses: $75–$200/user/month
• Premium support and customer success: $500–$5,000/year
• Additional storage and document archive: $100–$500/month

Get in touch with us to request a personalized SmartCare EHR pricing quote built around your organization's size and service mix. 

Disclaimer: Pricing references are based on publicly available third-party information and industry benchmarks. Actual costs may vary. 

SmartCare EHR Integrations 

The software integrates with various management systems, labs, payer systems and EHR, including: 

• Surescripts 
• Microsoft Power BI 
• Tableau
• SAS
• Microsoft Teams
• Zoom 
• GoToWebinar

How Does SmartCare EHR Work? 

Here's how, after the software's successful installation, you can make use of its features: 

• Log in, create a new patient file and input their information 
• Configure role-based dashboards, so each user can only see the metrics that are most relevant to their responsibilities 
• Efficiently manage scheduling and appointments, ensuring optimal patient care
• Use the billing and claims tools to manage revenue cycle tasks within the same system
• Create progress notes to document patient health and follow changes in their condition over time 
• Communicate with patients and give them access to relevant information using the patient portal
• Directly send e-prescriptions to pharmacies, reducing paperwork and errors 
• Utilize the system's reporting and analytics tools for insightful data analysis 

Still struggling with the implementation process? Schedule a free SmartCare EHR demo to walk you through the software's functionalities. 

Who Is SmartCare EHR For? 

SmartCare EMR software caters to behavioral health and human service organizations that manage multiple programs or levels of care. The platform is used across the following sectors: 

• Behavioral health centers 
• Substance use disorder 
• Foster care and adoption 
• Certified Community Behavioral Health Clinics (CCBHCs) 
• Intellectual/Development Disabilities
• Primary care
• Managed Care Organizations (MCOs) 
• Inpatient and residential treatment programs 

SmartCare EHR Use Cases 

Based on our analysis of user reviews and SmartCare EHR's current capabilities, we have identified the scenarios where this software fits well: 

1. CCBHCs Working With State-Specific Reporting Requirements 

CCBHCs may need to adjust their reporting based on state-specific measures and submission formats. This can become difficult when reporting requirements change and organizations have to rely on vendor-built reports. SmartCare gives each organization its own application instance, which lets reporting requirements be configured for its specific needs. The platform supports state reporting requirements such as Illinois IM+CANS and DARTS submissions through its reporting tools. This capability is useful for CCBHCs that need to respond to changes in state or federal reporting requirements without requesting a separate development project for every change. 

2. Field-Based Teams Working Without An Internet Connection 

Staff working in rural areas, correctional facilities, or client homes may not always have a reliable internet connection when documenting care. SmartCare Anywhere lets them record information offline and sync it with SmartCare when a connection becomes available. Since it uses the same treatment plan, diagnosis, and documentation structure as the main system, staff can continue working with the client's existing record instead of creating a separate mobile record. This is particularly useful for teams that need to document visits in the field without adding a second data-entry step when they return to a connected environment. 

3. Agencies That Find Documentation Gaps After Claims Are Submitted 

SMARTcomply uses live prompts and automated checks to identify missing documentation against an organization's requirements before submission. It works alongside SmartCare's configurable validation system, which checks clinical and reporting requirements at different stages of the care process. This can help agencies using Medicaid and MCO contracts identify issues such as missing medical necessity information while documentation is still being completed. The feature is particularly relevant for organizations that need their documentation to meet both internal standards and payer requirements. 

4. Clinicians Managing High Session Volumes in Psychiatry and Group Settings 

SMARTscribe captures the clinical narrative during a session and structures it around the patient's treatment plan and medical necessity requirements. As an integrated SmartCare capability, it can connect the resulting documentation with the goals and objectives already recorded in the patient's chart. This makes it a valuable tool for psychiatrists and other clinicians who document a high volume of individual or group sessions and need their notes to reflect the existing treatment plan. 

5. Multi-Service Agencies Managing Outpatient, Residential, and Primary Care 

SmartCare can be a fit for agencies that need to coordinate care across several programs while keeping each program's workflows distinct. Its shared patient record lets staff see relevant information from other services without requiring them to maintain separate records for the same client. This can be particularly useful when clients receive services from multiple programs at the same time, as staff can refer to information recorded elsewhere when planning or documenting care. 

SmartCare EHR User Sentiment 

SmartCare EHR Features 

The software offers the following key features: 

SmartCare™ Rx 

SmartCare™ Rx lets prescribers create, modify, refill, and cancel prescriptions from the client record and send them to pharmacies on the Surescripts network. It also enables prescribers to print prescriptions for pharmacies outside the network. The prescribing dashboard shows medication history, consent, order history, diagnoses, medications, and known allergies, with drug data from First DataBank. In addition, it supports Electronic Prescribing of Controlled Substances (EPCS) and links prescriptions to the care and treatment plan for tracking and reporting. This keeps prescribing and related medication information within the same clinical workflow. 

Telehealth 

This module enables providers to schedule and manage virtual appointments through SmartCare using phone, Zoom, GoToWebinar, or Microsoft Teams. It allows staff to change an appointment from in-person to virtual or vice-versa, while keeping it linked to the client’s care plan and appointment record. This lets teams manage both types of visits within the same scheduling workflow. 

Patient Portal 

The portal allows clients to complete intake and view appointments, medications, and lab results. It also lets them manage appointments, communicate with their treatment team, and view or make payments. Furthermore, the secure messaging functionality supports communication between staff and clients and, where appropriate, family members. The feature also enables them to triage and respond to messages in batches. This moves several routine client tasks into the portal and reduces the work handled directly by staff. 

Appointment Scheduling 

SmartCare lets staff schedule and manage individual and group appointments while keeping appointment details linked to the client record and care workflow. It lets staff view the client's appointment history alongside other client information, making it easier to coordinate visits across different services and care settings. 

SmartCare™ Business Intelligence

This module combines reporting, a dedicated data warehouse, dashboards, and external Business Intelligence (BI) integrations. It brings together clinical, financial, operational, HR, accounting, payer, and other data for analysis. It allows users to access standard reports or create ad hoc reports. In addition, role-based dashboards show the metrics relevant to each user. This gives organizations more control over how they review and report on operational and clinical data. 

SmartCare™ RCM

The feature manages billing and reimbursement for commercial and government payers, including Medicare, Medicaid, and MCOs. It reviews services, rates, and completed charges to identify items ready for billing and flags charges that need correction. The module also handles electronic eligibility checks, claims, and remittance transactions, while organizing denied and underpaid claims for follow-up. Financial dashboards bring billing and revenue data together with clinical information, giving billing teams a clearer view of claim status and payment activity. 

SmartCare™ Anywhere

The mobile solution gives field staff access to SmartCare on tablets and smartphones, including when they work without an internet connection. From the mobile interface, they can review caseloads, check client and team information, and view or schedule appointments. It also lets them complete assessments and collect electronic signatures during visits. Treatment plans, diagnoses, and other client information remain linked to the record, with updates synced automatically or manually when needed. It supports documentation in the field through voice-to-text, navigation, and image uploads. This reduces the need to re-enter information after a visit. 

SMARTscribe™ 

SMARTscribe™ uses AI to generate documentation suggestions within SmartCare. It supports documentation for group sessions and psychiatry workflows. The tool works within the clinical record, so staff can use its suggestions while completing notes. This reduces the amount of manual writing involved in routine documentation. 

SMARTcomply™

The feature provides prompts while staff complete documentation and checks notes against organizational standards. It also identifies missing elements before a note is submitted. These checks take place within the documentation workflow, giving staff an opportunity to address gaps before the record moves forward. 

Is SmartCare EHR Right For You? 

SmartCare EHR is suited to behavioral health facilities that manage several service lines and want to keep them on one client record.

The platform uses HIPAA-compliant processes for clinical records, internal staff messaging, and billing transactions such as eligibility checks, claims, and remittances. It is hosted on Microsoft Azure, allowing each organization to configure and scale its own environment independently. This can be useful for organizations managing multiple programs or serving several counties. 

For implementation, Streamline uses its MAPIT methodology, which begins with a review of an organization's existing workflows and includes implementation planning, data migration support, user training, and guidance from a dedicated implementation team. After go-live, organizations receive ongoing support through a Customer Success Program that includes a dedicated Customer Success Manager, technical support, training resources, and user groups for sharing best practices. 

Furthermore, in February 2026, the California Mental Health Services Authority selected SmartCare and Eleos as part of a statewide behavioral health AI initiative.