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Qualifacts Alternatives

Behavioral Health EMR
Visit Qualifacts
PlanMonthlyAnnual
PlusMost popular$795.00/mo$9,540.00/yr
Standard$495.00/mo$5,940.00/yr
See our full ranking: Best Behavioral Health EMR Softwares of 2026

Verdict

Qualifacts (CareLogic and Credible) is the broadest-installed CCBHC-anchored behavioral-health EMR in the US, with multi-state Medicaid billing, CCBHC reporting, addiction and behavioral-health EHR, and clinical documentation under one platform. Standard runs roughly $495 per user monthly and Plus near $795 for the upgrade tier with advanced reporting, APIs, and multi-program coordination. The cost flip happens when a small group or solo therapy practice over-buys the CCBHC depth, when an IDD-plus-behavioral-health agency needs intellectual-and-developmental-disability workflow as a primary primitive, when Midwest state-Medicaid specifics outweigh national CCBHC reporting, or when a mid-volume agency wants the same scope on a lower per-user entry rate.

Where alternatives win

Netsmart myEvolv covers behavioral health plus IDD plus addiction plus child welfare in one community-services platform, the obvious pick for agencies whose program mix genuinely spans IDD alongside behavioral health.

ICANotes prices per clinician rather than per user at an agency rate card, with the cheapest credible paid tier on this page for solo therapists and small group practices that the Qualifacts entry rate prices out.

Sigmund AURA delivers mid-tier behavioral-health and addiction EHR roughly 20% below Qualifacts at the Standard tier with parity scope for mid-volume behavioral-health agencies.

Procentive (Minnesota) is the Midwest state-Medicaid specialist, with deep state-aggregator integrations for Minnesota, Wisconsin, Iowa, and similar markets that national platforms treat as one reporting surface among many.

By Subrupt EditorialPublished Reviewed

Behavioral health EMR splits cleanly by agency type and program mix. Solo and 1-clinician therapy practices need affordable EMR, scheduling, and billing. Mid-volume behavioral health agencies and CCBHCs layer on state reporting, Medicaid billing, and clinical documentation. Enterprise multi-program behavioral + IDD + addiction agencies need roster, custom workflows, and APIs.

Qualifacts dominates the CCBHC + state reporting + addiction segment with the broadest installed base. Netsmart myEvolv competes on IDD + multi-program enterprise consolidation. ICANotes serves the solo and group therapy budget segment. Sigmund AURA leads mid-tier behavioral health entry. Procentive focuses on state-Medicaid-led behavioral health ops.

On cost, a 10-clinician agency pays roughly $59,400/year on Qualifacts Standard versus $71,400 on Netsmart myEvolv, $47,400 on Sigmund AURA, and $47,400 on Procentive. ICANotes scales differently at $50-$295/user (mid-volume mix lands ~$30,000-$50,000). The 1-1.5x spread tracks CCBHC + state reporting depth, IDD + multi-program ops, solo + group therapy budget, mid-tier entry, and state-Medicaid-led ops.

Quick map by agency type. Solo + 1-clinician budget: ICANotes at $50/unlicensed or $75/licensed clinician. IDD + multi-program enterprise: Netsmart myEvolv. Mid-tier behavioral entry: Sigmund AURA. State-Medicaid-led: Procentive. Mid-volume CCBHC + Qualifacts stack: stay with Qualifacts. Multi-program + custom workflows: Qualifacts Plus + Netsmart myEvolv Enterprise.

Affiliate disclosure: Subrupt earns a commission when you switch to a service through our recommendation links. This never changes the price you pay. We only recommend services where there's a real cost or feature advantage for you, and our picks are based on the data on this page, not on which programs pay the most.

Quick pick by use case

If you only have thirty seconds, find your situation below and skip to that pick.

If your enterprise rollout spans IDD + behavioral health + addiction multi-programNetsmart myEvolvNetsmart myEvolv Standard at custom $595 per user monthly + Enterprise at $895 ships behavioral health + IDD + addiction EMR + care coordination + state reporting + analytics tighter than Qualifacts for IDD + multi-program enterprise agencies.If you are a solo + 1-clinician therapy practice or small group where per-clinician cost is the primary constraintICANotesICANotes Standard at $50 per unlicensed + $75 per licensed clinician monthly + Plus at $150 group + $295 prescriber ships behavioral health EMR + scheduling + billing + behavioral-specific note templates at the cheapest credible solo + group therapy budget pricing.If you want a mid-tier behavioral health entry below Qualifacts pricingSigmund AURASigmund AURA Standard at custom $395 per user monthly + Plus at $695 ships behavioral health + addiction EMR + scheduling + billing + clinical documentation at 20% lower entry cost than Qualifacts Standard.If your differentiation is state-Medicaid-led behavioral health opsProcentiveProcentive Standard at custom $395 per user monthly + Plus at $695 ships behavioral health + addiction EMR + scheduling + billing + state Medicaid reporting tighter than Qualifacts for state-Medicaid-led ops in Minnesota + Wisconsin + Iowa + similar markets.

Quick verdict

Skip these picks if: If your CCBHC reporting, multi-state Medicaid billing flow, and clinical documentation are deeply tuned to Qualifacts (CareLogic or Credible) and your program mix is behavioral-health-only without IDD, the picks below do not port that investment cleanly. Stay with Qualifacts and revisit only when a new program (IDD, child welfare) or a price renegotiation forces the question.

At a glance: Qualifacts alternatives

Quick comparison across pricing floor, best fit, and switching effort. Tap a row to jump to the full pick.

Feature comparison

FeatureNetsmart myEvolvICANotesSigmund AURAProcentive
Permanent free tierFree that does not expire after a trial window✗✗✗✗
CCBHC reporting✓✗✗✓
IDD plus behavioral health combined✓✗✗✗
Addiction-treatment EHR depth✓~✓✓
Per-clinician pricing (not agency rate)✗✓✗✗
Multi-state Medicaid billing✓~✓~
Midwest state-aggregator integrations~✗~✓
Standard tier rate$595/user/mo$75/clinician/mo$395/user/mo$395/user/mo

Cost at your volume

Approximate cost per pick at typical agency size.

PickSmall (5 users)5 agency sizeMid (15 users)15 agency sizeLarge (40 users)40 agency size
ICANotes$4,500/mo$13,500/mo$36,000/mo
Sigmund AURA$23,700/mo$71,100/mo$189,600/mo
Procentive$23,700/mo$71,100/mo$189,600/mo
Netsmart myEvolv$35,700/mo$107,100/mo$285,600/mo

Standard-tier annual rate per user (or per clinician for ICANotes). Real quotes are custom; these are agency-rate-card approximations. Plus or Enterprise tier roughly doubles the per-user rate. ICANotes models the licensed-clinician rate; the unlicensed-clinician rate is lower and the prescriber rate is higher.

Our picks for Qualifacts alternatives

#1

Netsmart myEvolv

High switching effort 4.0/5

Best for IDD + multi-program enterprise

Try Netsmart myEvolv

Netsmart myEvolv Standard at custom $595 per user monthly covers behavioral health + IDD + addiction EMR + care coordination + state reporting + analytics + standard support. Enterprise at $895 per user adds multi-program + advanced analytics + APIs + custom integrations + SLA + priority support. Where Qualifacts focuses on CCBHC + state reporting + addiction depth, Netsmart myEvolv leads on IDD + multi-program enterprise consolidation: behavioral health + intellectual + developmental disabilities + addiction + child welfare + foster care multi-program consolidation, enterprise APIs + custom integrations, and SLA-backed enterprise tier. For enterprise multi-program agencies (behavioral + IDD + addiction + child welfare combined), Netsmart beats Qualifacts on multi-program consolidation. The trade vs Qualifacts: 1.2-1.1x higher entry cost, weaker Qualifacts-equivalent CCBHC + state reporting depth in mid-market, less mature mid-market entry economics.

Strengths

  • +IDD + multi-program enterprise consolidation
  • +$595 + $895 per user predictable tiers
  • +Enterprise adds APIs + SLA + custom integrations
  • +Strong fit for enterprise multi-program agencies

Trade-offs

  • −1.1-1.2x higher entry cost vs Qualifacts
  • −Weaker Qualifacts-equivalent CCBHC + state reporting in mid-market
  • −Less mature mid-market entry economics
Standard
Custom ~$595/user/mo
Enterprise
Custom ~$895/user/mo with APIs + SLA
Differentiator
IDD + multi-program enterprise
Strength
Multi-program consolidation
Pricing verified
2026-04-30
Migration steps
  1. Schedule demo at ntst.com (typically a 60-90 minute walk-through plus custom pricing).
  2. Plan a 6-12 month enterprise rollout; pilot Netsmart myEvolv on 1 program first.
  3. Migrate Qualifacts clinical + scheduling + billing + state reporting history via Netsmart onboarding.
  4. Configure Netsmart myEvolv multi-program EMR + analytics + custom integrations workflow.
  5. Cancel Qualifacts once Netsmart myEvolv covers full clinical + scheduling + billing + multi-program cycle for one quarter.

Not for: Pass on Netsmart myEvolv if you are a mid-volume behavioral-health-only agency valuing Qualifacts's CCBHC + state reporting + addiction workflow depth; Qualifacts Standard + Plus fit those shapes better.

Paid plans from $595.00/mo

#2

ICANotes

Low switching effort 4.0/5

Best for solo + group therapy budget entry

Try ICANotes

ICANotes Standard at $50 per unlicensed + $75 per licensed clinician monthly covers behavioral health EMR + scheduling + billing + behavioral-specific note templates + standard support. Plus at $150 per group + $295 per prescriber adds advanced reporting + APIs + e-prescribing + multi-clinic + custom workflows + priority support. Where Qualifacts Standard at $495 per user is the entry tier with CCBHC + state reporting + addiction depth, ICANotes per-clinician at $50-$75 ships solo + group therapy budget entry at 80-90% lower per-clinician cost. For solo + 1-clinician therapy practices + small group therapy practices where per-clinician cost is the primary constraint, ICANotes beats Qualifacts on solo + group therapy economics. The trade vs Qualifacts: weaker Qualifacts-equivalent CCBHC + state reporting + multi-program depth, smaller US enterprise behavioral health installed base, less mature multi-program enterprise consolidation.

Strengths

  • +$50-$75 per clinician (vs Qualifacts $495)
  • +Behavioral-specific note templates
  • +Plus adds APIs + e-prescribing + multi-clinic
  • +Strong fit for solo + group therapy budget

Trade-offs

  • −Weaker Qualifacts-equivalent CCBHC + state reporting
  • −Smaller US enterprise behavioral health installed base
  • −Less mature multi-program enterprise consolidation
Standard
$50/user/mo unlicensed + $75 licensed
Plus
$150 group + $295 prescriber
Differentiator
Solo + group therapy budget
Strength
Solo + 1-clinician + group therapy
Pricing verified
2026-04-30
Migration steps
  1. Sign up at icanotes.com (typically a 30-day free trial).
  2. Migrate Qualifacts clinical + scheduling + billing history via ICANotes data import.
  3. Configure ICANotes behavioral health EMR + scheduling + billing + note templates workflow.
  4. Train clinicians on ICANotes UI vs Qualifacts.
  5. Cancel Qualifacts once ICANotes covers full clinical + scheduling + billing cycle for one quarter.

Not for: ICANotes falls short for mid-volume + enterprise behavioral health agencies depending on Qualifacts's CCBHC + state reporting + multi-program workflow depth; Qualifacts Standard + Plus fit those shapes better.

Paid plans from $75.00/mo

#3

Sigmund AURA

Medium switching effort 4.0/5

Best for mid-tier behavioral health entry

Try Sigmund AURA

Sigmund AURA Standard at custom $395 per user monthly covers behavioral health + addiction EMR + scheduling + billing + clinical documentation + standard support. Plus at $695 per user adds advanced reporting + APIs + integrations + multi-clinic + custom workflows + priority support. Where Qualifacts Standard at $495 is the mid-volume entry tier with CCBHC + state reporting + addiction depth, Sigmund AURA Standard at $395 ships parity scope (behavioral health + addiction EMR + scheduling + billing + clinical documentation) at 20% lower entry cost. For mid-volume behavioral health agencies wanting mid-tier behavioral health entry below Qualifacts pricing, Sigmund AURA beats Qualifacts on entry economics. The trade vs Qualifacts: weaker Qualifacts-equivalent CCBHC + state reporting depth, smaller US installed base, less mature multi-program enterprise consolidation.

Strengths

  • +$395 Standard (vs Qualifacts $495)
  • +Bundled behavioral health + addiction EMR + scheduling + billing
  • +Plus adds APIs + multi-clinic + custom workflows
  • +Strong fit for mid-tier behavioral health entry

Trade-offs

  • −Weaker Qualifacts-equivalent CCBHC + state reporting
  • −Smaller US installed base
  • −Less mature multi-program enterprise consolidation
Standard
Custom ~$395/user/mo
Plus
Custom ~$695/user/mo with APIs + multi-clinic
Differentiator
Mid-tier behavioral health entry
Strength
Mid-volume behavioral health
Pricing verified
2026-04-30
Migration steps
  1. Schedule demo at sigmundsoftware.com (typically a 30-60 minute walk-through plus custom pricing).
  2. Migrate Qualifacts clinical + scheduling + billing + addiction history via Sigmund AURA onboarding.
  3. Configure Sigmund AURA behavioral health + addiction EMR + scheduling + billing + clinical documentation workflow.
  4. Train clinicians + billing staff on Sigmund AURA UI vs Qualifacts.
  5. Cancel Qualifacts once Sigmund AURA covers full clinical + scheduling + billing + addiction cycle for one quarter.

Not for: Sigmund AURA is suboptimal for CCBHC-led mid-volume agencies valuing Qualifacts's CCBHC + state reporting + multi-program depth; Qualifacts Standard + Plus fit those shapes better.

Paid plans from $395.00/mo

#4

Procentive

Medium switching effort 4.0/5

Best for state-Medicaid-led ops

Try Procentive

Procentive Standard at custom $395 per user monthly covers behavioral health + addiction EMR + scheduling + billing + state Medicaid reporting + standard support. Plus at $695 per user adds advanced reporting + APIs + integrations + multi-clinic + custom workflows + priority support. Where Qualifacts focuses on CCBHC + state reporting + addiction broadly, Procentive specialises in state-Medicaid-led behavioral health ops in specific Midwest + Upper Midwest markets (Minnesota + Wisconsin + Iowa + Illinois + similar): deep state-Medicaid reporting, Medicaid-specific billing workflow, and state-aggregator integrations tuned for state-Medicaid-led behavioral health ops. For state-Medicaid-led behavioral health agencies in Procentive's regional footprint, Procentive beats Qualifacts on regional state-Medicaid workflow fit. The trade vs Qualifacts: weaker Qualifacts-equivalent CCBHC + national state reporting depth, smaller installed base outside Procentive's regional footprint, less mature multi-program enterprise consolidation.

Strengths

  • +State-Medicaid-led behavioral health + addiction EMR
  • +$395 + $695 per user predictable tiers
  • +Plus adds APIs + multi-clinic + custom workflows
  • +Strong fit for Midwest + Upper Midwest state-Medicaid agencies

Trade-offs

  • −Weaker Qualifacts-equivalent CCBHC + national state reporting
  • −Smaller installed base outside regional footprint
  • −Less mature multi-program enterprise consolidation
Standard
Custom ~$395/user/mo
Plus
Custom ~$695/user/mo with APIs + multi-clinic
Differentiator
State-Medicaid-led + Midwest
Strength
State-Medicaid behavioral health
Pricing verified
2026-04-30
Migration steps
  1. Schedule demo at procentive.com (typically a 30-60 minute walk-through plus custom pricing).
  2. Migrate Qualifacts clinical + scheduling + billing + state Medicaid history via Procentive onboarding.
  3. Configure Procentive behavioral health + addiction EMR + scheduling + billing + state Medicaid workflow.
  4. Train clinicians + billing staff on Procentive UI vs Qualifacts.
  5. Cancel Qualifacts once Procentive covers full clinical + scheduling + billing + state Medicaid cycle for one quarter.

Not for: Procentive is suboptimal for non-Midwest agencies + CCBHC-led ops valuing Qualifacts's CCBHC + national state reporting depth; Qualifacts Standard + Plus fit those shapes better.

Paid plans from $395.00/mo

When to stay with Qualifacts

Stay with Qualifacts (CareLogic or Credible) if your CCBHC reporting, multi-state Medicaid billing, and clinical documentation are tightly tuned to the platform, or your multi-program rollout already uses the Plus tier APIs and custom workflows. The picks below address IDD plus multi-program agencies, solo and group therapy practices priced out by per-user math, mid-tier agencies looking below Qualifacts on entry economics, and Midwest state-Medicaid-anchored operators.

4 Alternatives to Qualifacts

Netsmart myEvolv

Netsmart myEvolv starts at $595.00/mo vs Qualifacts Plus at $795.00/mo

From $595.00/mo

Save $200.00/mo ($2,400.00/yr)

Switch to Netsmart myEvolv
ICANotes

ICANotes starts at $75.00/mo vs Qualifacts Plus at $795.00/mo

From $75.00/mo

Save $720.00/mo ($8,640.00/yr)

Switch to ICANotes
Sigmund AURA

Sigmund AURA starts at $395.00/mo vs Qualifacts Plus at $795.00/mo

From $395.00/mo

Save $400.00/mo ($4,800.00/yr)

Switch to Sigmund AURA
Procentive

Procentive starts at $395.00/mo vs Qualifacts Plus at $795.00/mo

From $395.00/mo

Save $400.00/mo ($4,800.00/yr)

Switch to Procentive

Price Comparison

Compared against Qualifacts Plus ($795.00/mo)

Continue your research

Netsmart myEvolv alternativesICANotes alternativesSigmund AURA alternatives

How we picked

We compared behavioral health EMR platforms across the solo therapy through enterprise multi-program segment on per-user pricing, behavioral health + addiction EMR depth, CCBHC + state reporting + Medicaid billing, IDD + multi-program enterprise, and integrations ecosystem.

We weighted predictable per-user pricing, bundled vs add-on pricing model, and agency-stage fit (solo therapy, mid-volume behavioral health, enterprise multi-program). Pricing pulled from each vendor's site or sales conversations on the review date. Last refreshed 2026-04-30.

Update history2 updates
  • Initial published version with 4 picks.
  • Backfilled to Stage 2 schema with structured verdict and deep-links, Quick Verdict (4 entries plus skipIf), Feature Matrix (8 dimensions across 4 picks), Usage Cost Table (3 agency sizes at Standard-tier per-user annual rates), per-pick author ratings. No sourceable operator testimonials in this niche after Reddit, G2, Capterra, and case-study sweep (G2 and Capterra block automated fetch, vendor case pages omit attributed switch stories); the testimonials field is intentionally left off rather than fabricated. Prose still carries the 2026-04-30 voice; tables now carry the price grid.

Frequently asked questions about Qualifacts alternatives

What is Qualifacts pricing?

Qualifacts Standard at custom $495 per user monthly covers behavioral health + addiction EMR + CCBHC + state reporting + Medicaid billing + standard support. Plus at custom $795 per user adds advanced reporting + APIs + integrations + multi-program + custom workflows + priority support.

Is there a free behavioral health EMR?

No vendor in this segment offers a permanent free tier; Qualifacts + Netsmart myEvolv + ICANotes + Sigmund AURA + Procentive all require paid tiers. Vendors typically offer 14-30 day trials but no free perpetual tier.

Which platform leads on IDD + multi-program enterprise?

Netsmart myEvolv is engineered for IDD + multi-program enterprise consolidation (behavioral health + IDD + addiction + child welfare + foster care). Standard at $595 per user monthly + Enterprise at $895 are canonical for enterprise multi-program agencies.

What replaces Qualifacts for solo + group therapy budget?

ICANotes Standard at $50 per unlicensed + $75 per licensed clinician monthly + Plus at $150 group + $295 prescriber are canonical for solo + 1-clinician therapy practices + small group therapy practices where per-clinician cost is the primary constraint.

Which platform fits state-Medicaid-led ops in Midwest markets?

Procentive Standard at $395 per user monthly + Plus at $695 are canonical for state-Medicaid-led behavioral health agencies in Minnesota + Wisconsin + Iowa + Illinois + similar Midwest + Upper Midwest markets. Procentive specialises in regional state-Medicaid reporting + Medicaid-specific billing workflow.

Ready to switch?

Our top Qualifacts alternative: Netsmart myEvolv

Netsmart myEvolv covers behavioral health plus IDD plus addiction plus child welfare in one community-services platform, the obvious pick for agencies whose program mix genuinely spans IDD alongside behavioral health.

Try Netsmart myEvolv freeOr compare all 4 picks
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About the author: Subrupt Editorial

The team behind subrupt.com. We track subscriptions, surface cheaper alternatives, and publish comparisons where the score formula is on the page so you can recompute it yourself. We do not claim 30,000 hours of testing. What we claim is live pricing from our database, a transparent composite score, and honest savings math against a category baseline.

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