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myAvatar SCIM guide

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How to automate myAvatar user provisioning, and what it actually costs

Summary and recommendation

myAvatar, Netsmart's behavioral health EHR system, offers no SCIM provisioning capabilities on any plan. Despite being an enterprise-focused platform with custom pricing for mid-to-large behavioral health organizations, myAvatar lacks both native SCIM support and documented integrations with major identity providers like Okta or Microsoft Entra. This forces IT teams to manually manage user accounts across what is often a mission-critical system handling sensitive patient data and clinical workflows.

This creates a significant operational burden for healthcare IT teams who must manually provision, update, and deprovision user accounts in myAvatar while maintaining compliance with HIPAA and other healthcare regulations. Without automated provisioning, organizations face increased security risks from delayed deprovisioning of terminated staff who retain access to sensitive patient records, along with the administrative overhead of coordinating user lifecycle management across clinical and IT teams.

The strategic alternative

myAvatar has no native SCIM. Automate offboarding, user access reviews, and license workflows across every app, including the ones without APIs. We maintain the integration layer underneath. You focus on judgment, not plumbing.

Quick SCIM facts

SCIM available?No
SCIM tier requiredN/A
SSO required first?No
SSO available?Yes
SSO protocolSAML 2.0
DocumentationNot available

Supported identity providers

IdPSSOSCIMNotes
OktaVia third-partyNo Okta OIN integration found for Netsmart myAvatar
Microsoft Entra IDVia third-partyNo Microsoft Entra integration documentation found
Google WorkspaceVia third-partyNo native support
OneLoginVia third-partyNo native support

The cost of not automating

Without SCIM (or an alternative like Stitchflow), your IT team manages myAvatar accounts manually. Here's what that costs:

Source: Stitchflow research, normalized to 500 employees:
Orphaned accounts (ex-employees with access)5
Unused licenses12
IT hours spent on manual management/year85 hours
Unused license cost/year$3,500
IT labor cost/year$5,100
Cost of compliance misses/year$890
Total annual financial impact$9,490

The myAvatar pricing problem

myAvatar gates SCIM provisioning behind premium plans, forcing significant cost increases for basic user management.

Tier comparison

PlanPriceSSOSCIM
EnterpriseCustom quote

Pricing structure

PlanPriceSCIM
EnterpriseCustom quote❌ Not available

Market reality for myAvatar

Enterprise-focused with customized deployment pricing
Available as on-premise or cloud-based solutions
Healthcare compliance requirements (HIPAA) add complexity
No public pricing transparency
requires sales engagement

What this means in practice

Without native SCIM support, myAvatar user management relies entirely on manual processes:

New hires
IT must manually create accounts in myAvatar after IdP provisioning
Role changes
Requires separate updates in both IdP and myAvatar systems
Offboarding
Manual account deactivation creates security gaps if forgotten
Bulk changes
No API-driven updates for organizational restructuring

For a 200-user behavioral health organization, this typically means 2-3 hours weekly of manual user administration work.

Additional constraints

Healthcare compliance burden
HIPAA requirements add approval workflows that slow manual provisioning
No IdP integration documentation
Neither Okta nor Microsoft Entra have published myAvatar integration guides
Deployment complexity
On-premise installations create additional IT overhead for user management
Custom enterprise pricing
Budget approval processes delay implementation even when provisioning solutions are identified

Summary of challenges

  • myAvatar does not provide native SCIM at any price tier
  • Organizations must rely on third-party tools or manual provisioning
  • Our research shows teams manually provisioning this app spend significant hidden costs annually

What myAvatar actually offers for identity

No native identity management features

Based on available documentation, Netsmart myAvatar does not offer:

SCIM provisioning capabilities
Built-in SSO integration
Okta Integration Network (OIN) listing
Microsoft Entra ID gallery application
Public identity management documentation

Enterprise deployment model

myAvatar operates on a custom Enterprise pricing model designed for mid-to-large behavioral health organizations:

FeatureDetails
Deployment optionsOn-premise or cloud-based
PricingCustom quotes only
Target marketHealthcare organizations with 100+ users
Compliance focusHIPAA, behavioral health regulations

The reality: myAvatar's Enterprise model assumes IT teams will handle identity management through manual processes or external systems. There's no built-in automation for user lifecycle management.

What this means for IT teams

Without native identity features, myAvatar administrators must:

Manually create user accounts for each new hire
Manually update user permissions and roles
Manually deactivate accounts during offboarding
Coordinate user management across multiple healthcare systems
Maintain compliance audit trails through external processes

This manual approach creates significant operational overhead and compliance risks in healthcare environments where user access must be tightly controlled and auditable.

What IT admins are saying

myAvatar's lack of automated provisioning creates significant operational overhead for healthcare IT teams managing user lifecycles:

  • Manual user creation required for every new clinician, even with SSO
  • No centralized user management across multiple behavioral health facilities
  • Time-intensive onboarding process for clinical staff who need immediate system access
  • Compliance audit challenges when tracking user access changes manually

The recurring theme

Healthcare organizations using myAvatar face the double burden of manual user management combined with strict HIPAA compliance requirements. When clinical staff turnover is high, IT teams spend excessive time on routine provisioning tasks that should be automated, taking focus away from critical healthcare technology initiatives.

The decision

Your SituationRecommendation
Small behavioral health practice (<20 users)Manual management acceptable with infrequent staff changes
Mid-size organization with stable clinical staffManual management with focus on HIPAA compliance documentation
Large healthcare system (100+ users)Use Stitchflow: automation essential for compliance and efficiency
Multi-location behavioral health networkUse Stitchflow: centralized provisioning critical for operational consistency
Enterprise with strict audit requirementsUse Stitchflow: automated audit trail essential for healthcare compliance

The bottom line

myAvatar serves behavioral health organizations with comprehensive EHR capabilities, but it provides no identity provisioning automation whatsoever. For healthcare organizations that need reliable user management with full audit trails for HIPAA compliance, Stitchflow delivers the automation myAvatar cannot.

Make myAvatar workflows AI-native

myAvatar has no native SCIM. We build complete offboarding, user access reviews, and license workflows across every app, including the ones without APIs.

Covers apps without native SCIM, including the ones without APIs
Less than a week, start to finish (~2 hours of your time)
Built with your team; extend to anything else in the company
Book a Demo

Technical specifications

SCIM Version

Not specified

Supported Operations

Not specified

Supported Attributes

No public SCIM documentation availableEnterprise-focused customized pricingDesigned for mid-to-large behavioral health organizationsAvailable as on-premise or cloud-based deploymentHealthcare-specific compliance requirements (HIPAA)

Plan requirement

Not specified

Prerequisites

Not specified

Key limitations

  • No public SCIM documentation available
  • Enterprise-focused customized pricing
  • Designed for mid-to-large behavioral health organizations
  • Available as on-premise or cloud-based deployment
  • Healthcare-specific compliance requirements (HIPAA)

Documentation not available.

Unlock SCIM for
myAvatar

myAvatar has no native SCIM. We still automate end-to-end workflows across every app, including the ones without APIs.

See how it works
Admin Console
Directory
Applications
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myAvatar
via Stitchflow

Last updated: 2026-01-20

* Pricing and features sourced from public documentation.

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