Streamline SmartCare API
A public SMART on FHIR R4 reference with OAuth 2.0 covers read-only USCDI data, but only Streamline's vendor admins can register an app. The broader SmartCare API is free yet must be requested by a contracted customer; no public docs exist for it.
Frequently asked questions
Streamline SmartCare scores D on Supergood's API Report Card. A public SMART on FHIR R4 reference with OAuth 2.0 covers read-only USCDI data, but only Streamline's vendor admins can register an app. The broader SmartCare API is free yet must be requested by a contracted customer; no public docs exist for it.
Without a usable official API, teams fall back on manual exports, file drops, or one-off vendor integrations. The other option is an unofficial API layer like Supergood that automates the authenticated web app directly. Site terms may apply to any integration approach, and how they apply is a determination each team makes for itself.
SmartCare is the enterprise, single platform behavioral health and human services EHR from Streamline Healthcare Solutions, hosted on Microsoft Azure and covering clinical care, revenue cycle, primary care integration, business intelligence, SmartCare Rx ePrescribing and a SmartCare MCO module for managed care organizations.
Healthcare, community behavioral health and human services. Agencies run inpatient, outpatient and residential programs on one database: intake and screening, treatment plans, progress notes, ePrescribing, group and bed management, state reporting, claims and denial management, and dashboards.
Streamline reports 22 partnerships and more than 8,000 end users in Ohio alone and a statewide California footprint through CalMHSA, with 333 to 455 employees and roughly $15 million in revenue per LinkedIn and Tracxn, which makes it a serious regional enterprise player but smaller than Netsmart, Qualifacts or NextGen (https://www.cbinsights.com/company/streamline-healthcare-solutions, https://linkedin.com/company/streamline-healthcare-solutions-llc, https://tracxn.com/d/companies/streamlinehealthcare/__e_53dqpUKDShJskDdIBSg74iv5US07tu-mXp_qzSk98).
Behavioral health and substance use PHI under 42 CFR Part 2, inpatient and residential census, treatment plans, ePrescribing and medication histories, IDD and foster care case records, state reporting datasets, payer authorizations, claims and adjudication data for MCOs, and provider scheduling and productivity.
Twenty three year old company; SmartCare 5.0 was certified in 2017 as a fully web based application and R6 in 2022, with the platform hosted on Azure and a 2023 rebrand for the twentieth anniversary.
A health IT professional warns readers to stay away from SmartCare, calling it the worst and buggiest EHR their organization has used. Great medical records but a terrible financial tool that does not do proper accounting to export transactions into accounting software. Full sourced list under Sources below.
Common alternatives include Netsmart, CareLogic by Qualifacts, Credible, NextGen Healthcare, Welligent, Core Solutions. Graded alternatives appear under "More from the report card" below.
Supergood's grades measure one thing: can a customer's engineering team get their own data out programmatically? Supergood checks six things (whether a real API exists, how access is gated, data coverage, auth quality, docs and developer experience, and stability) and rolls them into a letter grade. Supergood re-verifies grades, and they only move on evidence.
Not that we could find. There is no official Streamline SmartCare MCP server in any public registry, and no maintained community server we're aware of. We re-verify this periodically — report an inaccuracy below if we missed one.
Not natively. Streamline SmartCare doesn't publish an MCP server, so MCP clients like Claude, Cursor, and Codex have nothing to connect to out of the box. If that changes, this page will reflect it.