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Healthcare Medicine

Top 10 Best Substance Abuse EHR Software of 2026

Discover top 10 Substance Abuse EHR software. Improve patient care, streamline workflows – compare now!

Rajesh Patel

Rajesh Patel

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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In the complex landscape of behavioral health and substance use disorder treatment, robust electronic health record (EHR) software is not just essential—it is a cornerstone for delivering consistent, compliant, and patient-centered care. With a diverse range of solutions tailored to specific needs, selecting the right tool can transform operational efficiency, care outcomes, and practice sustainability, as highlighted by the 10 platforms reviewed here.

Quick Overview

  1. 1#1: Credible - Cloud-based EHR and practice management platform tailored for behavioral health and substance use disorder treatment centers.
  2. 2#2: CareLogic - Comprehensive EHR solution with revenue cycle management for addiction recovery and mental health providers.
  3. 3#3: TherapyNotes - Secure EHR and billing software designed for therapists and counselors treating substance abuse disorders.
  4. 4#4: ICANotes - Psychiatric EHR with time-saving templates for substance abuse assessments and treatment planning.
  5. 5#5: BestNotes - Behavioral health EHR supporting SUD treatment outcomes tracking and compliance reporting.
  6. 6#6: Valant - Integrated EHR for behavioral health practices with tools for addiction treatment measurement-based care.
  7. 7#7: Netsmart myUnity - Enterprise platform for community behavioral health including substance use disorder services and analytics.
  8. 8#8: AWARDS - Case management EHR for SUD programs, mental health, and supportive housing services.
  9. 9#9: Methasoft - Specialized EHR for opioid treatment programs handling methadone dispensing and SAMHSA compliance.
  10. 10#10: SimplePractice - Practice management and telehealth EHR for independent substance abuse counselors and therapists.

These tools were rigorously selected and ranked by evaluating key criteria including specialized features for substance abuse treatment, clinical functionality, user-friendliness, interoperability, and overall value, ensuring relevance and effectiveness for providers in the field.

Comparison Table

This comparison table analyzes leading Substance Abuse EHR software tools, such as Credible, CareLogic, TherapyNotes, ICANotes, BestNotes, and more, examining features, usability, and practice fit. Readers will discover critical details to identify the platform that aligns with their workflow needs, whether focusing on documentation efficiency or compliance support.

1Credible logo9.5/10

Cloud-based EHR and practice management platform tailored for behavioral health and substance use disorder treatment centers.

Features
9.7/10
Ease
8.8/10
Value
9.2/10
2CareLogic logo8.8/10

Comprehensive EHR solution with revenue cycle management for addiction recovery and mental health providers.

Features
9.2/10
Ease
7.8/10
Value
8.3/10

Secure EHR and billing software designed for therapists and counselors treating substance abuse disorders.

Features
8.2/10
Ease
9.1/10
Value
7.8/10
4ICANotes logo8.4/10

Psychiatric EHR with time-saving templates for substance abuse assessments and treatment planning.

Features
8.7/10
Ease
8.2/10
Value
8.0/10
5BestNotes logo8.2/10

Behavioral health EHR supporting SUD treatment outcomes tracking and compliance reporting.

Features
8.5/10
Ease
8.0/10
Value
7.7/10
6Valant logo8.2/10

Integrated EHR for behavioral health practices with tools for addiction treatment measurement-based care.

Features
8.5/10
Ease
8.0/10
Value
7.7/10

Enterprise platform for community behavioral health including substance use disorder services and analytics.

Features
8.6/10
Ease
7.4/10
Value
7.9/10
8AWARDS logo8.2/10

Case management EHR for SUD programs, mental health, and supportive housing services.

Features
8.7/10
Ease
7.4/10
Value
7.9/10
9Methasoft logo8.1/10

Specialized EHR for opioid treatment programs handling methadone dispensing and SAMHSA compliance.

Features
8.6/10
Ease
7.7/10
Value
7.8/10

Practice management and telehealth EHR for independent substance abuse counselors and therapists.

Features
7.4/10
Ease
9.1/10
Value
7.6/10
1
Credible logo

Credible

enterprise

Cloud-based EHR and practice management platform tailored for behavioral health and substance use disorder treatment centers.

Overall Rating9.5/10
Features
9.7/10
Ease of Use
8.8/10
Value
9.2/10
Standout Feature

Integrated ASAM decision engine for automated, evidence-based level-of-care recommendations

Credible by Qualifacts is a comprehensive cloud-based EHR platform tailored for behavioral health providers, with robust support for substance abuse treatment programs. It streamlines clinical workflows through customizable treatment plans, progress notes, e-prescribing, and ASAM criteria assessments, while integrating billing, telehealth, and outcomes tracking. Designed for SUD facilities, it ensures HIPAA compliance, regulatory reporting, and data-driven insights to improve patient outcomes and operational efficiency.

Pros

  • Specialized SUD tools like ASAM assessments and relapse prevention tracking
  • Seamless billing and revenue cycle management with high clean claims rates
  • Strong telehealth and mobile app for flexible care delivery

Cons

  • Steep initial learning curve for complex features
  • Custom pricing can be expensive for small practices
  • Some customization requires vendor assistance

Best For

Mid-to-large substance abuse treatment centers and behavioral health organizations needing a scalable, compliant EHR with advanced analytics.

Pricing

Custom quotes based on users and modules; typically $150-$300 per user/month with implementation fees.

Visit Crediblequalifacts.com
2
CareLogic logo

CareLogic

enterprise

Comprehensive EHR solution with revenue cycle management for addiction recovery and mental health providers.

Overall Rating8.8/10
Features
9.2/10
Ease of Use
7.8/10
Value
8.3/10
Standout Feature

Built-in ASAM Decision Engine for automated assessment and level-of-care recommendations

CareLogic is a comprehensive cloud-based EHR and practice management platform tailored for behavioral health providers, with specialized tools for substance abuse treatment including ASAM criteria support, treatment planning, and outcomes tracking. It streamlines clinical documentation, scheduling, billing, telehealth, and compliance reporting to enhance patient care and operational efficiency. Designed for addiction recovery centers, it integrates e-prescribing, medication-assisted treatment tracking, and customizable progress notes.

Pros

  • Robust ASAM levels of care and treatment planning tools specific to substance abuse
  • Seamless integration of billing, claims management, and revenue cycle tools
  • Strong telehealth and mobile access for providers and clients

Cons

  • Steep learning curve and dated interface for new users
  • Custom pricing can be expensive for small practices
  • Limited customization options without additional support fees

Best For

Mid-sized to large substance abuse treatment centers requiring integrated EHR, billing, and regulatory compliance features.

Pricing

Quote-based pricing starting at approximately $125 per user per month, with tiers based on practice size and modules.

Visit CareLogiccarelogic.com
3
TherapyNotes logo

TherapyNotes

specialized

Secure EHR and billing software designed for therapists and counselors treating substance abuse disorders.

Overall Rating8.4/10
Features
8.2/10
Ease of Use
9.1/10
Value
7.8/10
Standout Feature

Customizable note templates and treatment plan builder for efficient behavioral health documentation

TherapyNotes is a cloud-based EHR and practice management platform tailored for mental health professionals, including those treating substance abuse disorders through outpatient counseling. It provides customizable progress notes, treatment plans, scheduling, billing, telehealth, and a client portal to support behavioral health documentation and administrative tasks. While versatile for therapy practices, it requires customization for SUD-specific needs like screening tools or ASAM criteria.

Pros

  • Intuitive interface with quick-entry progress notes
  • Strong HIPAA-compliant billing and claims processing
  • Reliable telehealth and secure client messaging

Cons

  • Limited built-in SUD-specific tools like ASAM assessments or drug screen integration
  • No native mobile app, web-only access
  • Pricing scales per user without tiered plans for larger SUD programs

Best For

Solo or small-group outpatient substance abuse therapists seeking an all-in-one EHR for documentation and billing.

Pricing

Starts at $49/user/month for the first clinician ($39/additional), plus $0.15/claim or credit card fees; no setup fees.

Visit TherapyNotestherapynotes.com
4
ICANotes logo

ICANotes

specialized

Psychiatric EHR with time-saving templates for substance abuse assessments and treatment planning.

Overall Rating8.4/10
Features
8.7/10
Ease of Use
8.2/10
Value
8.0/10
Standout Feature

Button-driven progress notes with SUD-specific auto-fill templates for ultra-fast, detailed charting

ICANotes is a cloud-based EHR software tailored for behavioral health professionals, including substance abuse treatment providers, offering customizable progress notes, treatment plans aligned with ASAM criteria, and integrated e-prescribing. It streamlines clinical documentation with a button-driven interface that auto-populates fields based on clinician inputs, reducing note-taking time significantly. The platform also supports scheduling, billing, telehealth, and compliance with HIPAA and state regulations for SUD care.

Pros

  • Highly specialized templates for substance use disorder assessments, progress notes, and treatment plans
  • Rapid documentation via intuitive button-click interface with auto-population
  • Seamless integration of e-prescribing, telehealth, and billing tailored for behavioral health

Cons

  • Pricing model based on documented patients can become costly for high-volume practices
  • User interface appears dated compared to modern EHRs
  • Initial learning curve for full customization and advanced features

Best For

Substance abuse treatment centers and behavioral health clinics prioritizing fast, compliant clinical documentation over extensive administrative tools.

Pricing

Unique pay-per-documented-patient model starting at $3 per patient/month (min. 50 patients), with tiered discounts for higher volumes; custom quotes required.

Visit ICANotesicanotes.com
5
BestNotes logo

BestNotes

specialized

Behavioral health EHR supporting SUD treatment outcomes tracking and compliance reporting.

Overall Rating8.2/10
Features
8.5/10
Ease of Use
8.0/10
Value
7.7/10
Standout Feature

ASAM multidimensional assessment and criteria-based treatment planning tools

BestNotes is a cloud-based EHR and practice management software tailored for behavioral health providers, including substance abuse treatment centers. It supports clinical documentation with ASAM criteria integration, customizable treatment plans, progress notes, and outcome tracking specific to addiction recovery. The platform also includes scheduling, billing, telehealth, and reporting tools to streamline operations in substance abuse practices.

Pros

  • Strong support for ASAM assessments and substance abuse-specific templates
  • Integrated billing and revenue cycle management reduces administrative burden
  • HIPAA-compliant telehealth and mobile access enhance patient engagement

Cons

  • Customization requires initial setup time and training
  • Reporting analytics are functional but less advanced than top competitors
  • Pricing can escalate for larger practices with add-ons

Best For

Small to mid-sized substance abuse treatment centers needing a comprehensive, behavioral health-focused EHR with strong documentation tools.

Pricing

Custom subscription pricing starting around $99-$150 per user per month, plus implementation fees and add-ons for telehealth or advanced billing.

Visit BestNotesbestnotes.com
6
Valant logo

Valant

enterprise

Integrated EHR for behavioral health practices with tools for addiction treatment measurement-based care.

Overall Rating8.2/10
Features
8.5/10
Ease of Use
8.0/10
Value
7.7/10
Standout Feature

Integrated ASAM Criteria decision engine for standardized substance use disorder assessments and treatment planning

Valant is a cloud-based EHR and practice management software tailored for behavioral health providers, including substance abuse treatment centers. It provides specialized tools like ASAM criteria assessments, outcome tracking, customizable treatment plans for addiction recovery, scheduling, billing, telehealth, and e-prescribing. The platform emphasizes compliance with HIPAA and helps streamline workflows to improve patient outcomes in substance use disorder care.

Pros

  • Robust behavioral health-specific features like ASAM assessments and outcome measures
  • Strong integrated billing and revenue cycle management for efficient claims processing
  • Reliable telehealth and mobile app support for remote substance abuse counseling

Cons

  • Pricing can be steep for small practices or solo providers
  • Some users report a moderate learning curve for advanced customization
  • Limited interoperability with non-behavioral health systems

Best For

Mid-sized behavioral health clinics specializing in substance abuse treatment that require comprehensive compliance and billing tools.

Pricing

Custom quoted pricing, typically $299-$499 per provider per month depending on practice size and modules selected.

Visit Valantvalant.com
7
Netsmart myUnity logo

Netsmart myUnity

enterprise

Enterprise platform for community behavioral health including substance use disorder services and analytics.

Overall Rating8.1/10
Features
8.6/10
Ease of Use
7.4/10
Value
7.9/10
Standout Feature

Built-in ASAM multidimensional assessment and automated level-of-care recommendation engine

Netsmart myUnity is a robust, web-based EHR platform tailored for behavioral health providers, including substance abuse treatment facilities, offering comprehensive tools for clinical documentation, treatment planning, and care coordination. It supports ASAM criteria for level-of-care determination, medication-assisted treatment tracking, and regulatory compliance such as HIPAA and SAMHSA standards. The software integrates billing, telehealth, and analytics to streamline operations in addiction recovery programs.

Pros

  • Strong behavioral health-specific features like ASAM assessments and outcomes tracking
  • Excellent regulatory compliance and reporting for substance abuse programs
  • Integrated revenue cycle management and telehealth capabilities

Cons

  • Steep learning curve due to extensive customization options
  • Pricing can be prohibitive for small practices
  • Occasional reports of slower customer support response times

Best For

Mid-to-large substance abuse treatment centers needing enterprise-level compliance and integrated behavioral health workflows.

Pricing

Custom quote-based pricing, typically starting at $5,000+ per month for mid-sized organizations, scaling with users, modules, and implementation services.

8
AWARDS logo

AWARDS

enterprise

Case management EHR for SUD programs, mental health, and supportive housing services.

Overall Rating8.2/10
Features
8.7/10
Ease of Use
7.4/10
Value
7.9/10
Standout Feature

Integrated ASAM and LOCUS decision support tools for precise level-of-care placement

AWARDS by Foothold Technology (now CentralReach) is a comprehensive EHR platform tailored for behavioral health and substance abuse treatment organizations. It supports client intake, ASAM-aligned assessments, treatment planning, progress notes, and billing with HIPAA-compliant features. The software excels in outcomes tracking, grant reporting, and data analytics for SUD programs, enabling measurement-based care.

Pros

  • Strong ASAM criteria integration for level-of-care decisions
  • Robust outcomes measurement and grant reporting tools
  • Customizable workflows and HIPAA-compliant security

Cons

  • Dated interface with a steep learning curve for new users
  • Pricing lacks transparency and can be high for small practices
  • Limited native mobile app functionality compared to modern competitors

Best For

Mid-sized substance abuse treatment agencies focused on compliance, outcomes tracking, and grant-funded programs.

Pricing

Custom quote-based pricing; typically $100-200 per user/month for enterprise subscriptions with implementation fees.

Visit AWARDSfootholdtechnology.com
9
Methasoft logo

Methasoft

specialized

Specialized EHR for opioid treatment programs handling methadone dispensing and SAMHSA compliance.

Overall Rating8.1/10
Features
8.6/10
Ease of Use
7.7/10
Value
7.8/10
Standout Feature

Automated ASAM multidimensional assessment and level-of-care decision support tools

Methasoft is a cloud-based EHR platform tailored for substance use disorder (SUD) treatment providers, including opioid treatment programs (OTPs), residential, and outpatient facilities. It streamlines clinical documentation, ASAM-based treatment planning, e-prescribing, billing, scheduling, and regulatory reporting for HIPAA and SAMHSA compliance. The software supports medication-assisted treatment (MAT) workflows and integrates telehealth capabilities to enhance patient care delivery.

Pros

  • Specialized SUD features like ASAM criteria integration and OTP federal reporting
  • Robust billing and revenue cycle management with claims scrubbing
  • Mobile app for providers and patients to access records on-the-go

Cons

  • Steep learning curve for non-tech-savvy staff due to dense interface
  • Pricing can be high for smaller practices without scalable options
  • Limited third-party integrations compared to larger EHR competitors

Best For

Mid-sized SUD treatment centers and OTPs needing comprehensive regulatory compliance and MAT support.

Pricing

Quote-based pricing, typically $200-$400 per user/month plus setup fees and add-ons for telehealth or advanced reporting.

Visit Methasoftmethasoft.com
10
SimplePractice logo

SimplePractice

specialized

Practice management and telehealth EHR for independent substance abuse counselors and therapists.

Overall Rating7.8/10
Features
7.4/10
Ease of Use
9.1/10
Value
7.6/10
Standout Feature

Seamless integration of telehealth directly into the EHR for compliant virtual substance abuse sessions

SimplePractice is a comprehensive cloud-based EHR and practice management platform tailored for behavioral health professionals, including substance abuse counselors. It streamlines scheduling, billing, telehealth sessions, and documentation with customizable templates for progress notes, treatment plans, and intake forms adaptable to addiction recovery workflows. While HIPAA-compliant and user-friendly, it lacks deep specialization in substance use disorder metrics like ASAM criteria or integrated toxicology screening.

Pros

  • Intuitive interface with quick setup for notes and scheduling
  • Strong telehealth capabilities with built-in video and secure messaging
  • Excellent insurance billing and claims management tools

Cons

  • Limited built-in support for SUD-specific tools like ASAM assessments or PDMP integration
  • Customization requires add-ons or workarounds for complex group practices
  • Per-claim fees can add up for high-volume substance abuse practices

Best For

Solo or small private practices providing outpatient substance abuse counseling alongside general behavioral health services.

Pricing

Starts at $29/user/month (Starter) up to $99/user/month (Pro), plus $0.30-$1.50 per insurance claim and add-ons for advanced features.

Visit SimplePracticesimplepractice.com

Conclusion

Evaluating the top 10 substance abuse EHR tools, Credible emerges as the clear leader, with its specialized focus on behavioral health and substance use disorder treatment centers. CareLogic and TherapyNotes follow closely, offering strong alternatives: CareLogic combines EHR with comprehensive revenue cycle management, while TherapyNotes stands out for secure, billing-integrated solutions—each fitting distinct practice needs. These tools collectively demonstrate the power of well-designed software to support effective substance abuse treatment.

Credible logo
Our Top Pick
Credible

Take the first step in enhancing your substance abuse practice by trying Credible, the top-ranked tool built to streamline operations and improve care outcomes.