Netsmart Technologies Signs Agreements with State of Minnesota and State of Hawaii

Software and Services Intended to Help States Effectively Manage Delivery of Mental Health and Human Services

Great River, New York (March 24, 2006) –

Netsmart Technologies, Inc. (NASDAQ SC: NTST), a leading provider of enterprise-wide software for health and human services organizations, today announced that it has signed contracts totaling $1,137,725 to provide behavioral
healthcare-related software and services to the State of Minnesota and the State of Hawaii.

The State of Minnesota, which has been a client since 1999, has entered into a one-year extension of an existing contract for professional services which expands upon Netsmart’s existing relationship with the State of Minnesota for software and maintenance. That agreement includes growing the state’s use of Netsmart’s clinical software solutions at 12 state facilities, and extending the state’s use of Netsmart’s Avatar software suite to the new Avatar Mobile product, which will enable caseworkers from the State of Minnesota Department of Human Services to use tablet and laptop computers for case management and reporting from remote client sites while not connected to the network. The contract also includes an Electronic Medication Administration Record (EMAR), which is intended to streamline the delivery of medications and facilitate the recording of administration of medications into Netsmart’s Avatar Order Entry module, which the state expects will help reduce medication errors in the future. It also includes an HL7 interface intended to enable seamless communication of pharmacy, laboratory and other information between applications.

In addition, the State of Minnesota will utilize Netsmart consulting services related to the use of Avatar Clinical Workstation (CWS) software, including Computerized Physician Order Entry (CPOE).

The contract with the State of Hawaii is for one year with an option to renew each year for up to five years. It includes upgrading the State of Hawaii Department of Health’s current Behavioral Healthcare Information System (BHIS) and deployment of Avatar CWS, also with CPOE, and an option for integration with the division’s pharmacy system.

The agreement also includes delivery and installation of Avatar CWS, training for division staff, and maintenance and support for Netsmart software and third party products.

“We are pleased that more than 30 state agencies that operate or fund inpatient and outpatient behavioral and public healthcare systems have selected us to meet their clinical and practice management software needs,” said James Gargiulo, executive vice president, clients and solutions, Netsmart Technologies. “We look forward to providing an information technology platform that is designed to help the states of Minnesota and Hawaii serve their citizens with high quality mental health services.”

For information about Netsmart Technology’s full range of solutions for health and human services, visit www.ntst.com or call 1-800-421-7503.

About Netsmart Technologies, Inc.
Netsmart Technologies, Inc., based in Great River, N.Y., is an established, leading supplier of enterprise-wide software solutions for health and human services providers, with more than 1,250 clients, including 34 systems with state agencies. Netsmart’s clients include health and human services organizations, public health agencies, mental health and substance abuse clinics, psychiatric hospitals, and managed care organizations. Netsmart’s products are full-featured information systems that operate on a variety of operating systems, hardware platforms, and mobile devices, and offer unlimited scalability.

Statement on Behalf of Netsmart Technologies, Inc.
Statements in this press release may be “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as “anticipate,” “believe,” “estimate,” “expect,” “intend” and similar expressions, as they relate to the company or its management, identify forward-looking statements. These statements are based on current expectations, estimates and projections about the company’s business based, in part, on assumptions made by management. These statements are not guarantees of future performance and involve risks, uncertainties and assumptions that are difficult to predict. Therefore, actual outcomes and results may, and probably will, differ materially from what is expressed or forecasted in such forward-looking statements due to numerous factors, including those described above and those risks discussed from time to time in Netsmart’s filings with the Securities and Exchange Commission. In addition, such statements could be affected by risks and uncertainties related to product demand, market and customer acceptance, competition, pricing and development difficulties, as well as general industry and market conditions and growth rates, and general economic conditions. Any forward-looking statements speak only as of the date on which they are made, and the company does not undertake any obligation to update any forward-looking statement to reflect events or circumstances after the date of this release. Information on Netsmart’s website does not constitute a part of this release.

Source: Netsmart