CERTIFICATIONS PURSUANT TO
                             18 U.S.C. SECTION 1350
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

        I, James L. Conway, Chief Executive Officer of Netsmart Technologies,
Inc., hereby certify that the Form 10-Q of Netsmart Technologies, Inc. for the
period ended March 31, 2004 fully complies with the requirements of Section
13(a) or 15(d) of the Securities Exchange Act of 1934 and the information
contained in such report fairly presents, in all material respects, the
financial condition and results of operations of Netsmart Technologies, Inc.


                              /s/ James L. Conway
                              ----------------------
                              Name: James L. Conway
                              Date: May 5, 2004


        I, Anthony F. Grisanti, Principal Financial and Accounting Officer of
Netsmart Technologies, Inc., hereby certify that the Form 10-Q of Netsmart
Technologies, Inc. for the period ended March 31, 2004 fully complies with the
requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934
and the information contained in such report fairly presents, in all material
respects, the financial condition and results of operations of Netsmart
Technologies, Inc.

                            /s/ Anthony F. Grisanti
                            ------------------------
                            Name: Anthony F. Grisanti
                            Date: May 5, 2004


        These certifications are being furnished pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002 and, except to the extent required by the
Sarbanes-Oxley Act, shall not be deemed to be filed as part of the periodic
report described herein nor shall they be deemed filed by Netsmart Technologies,
Inc. for purposes of Section 18 of the Securities Exchange Act of 1934, as
amended.

        A signed original of the written statements required by Section 906 has
been provided to Netsmart Technologies, Inc. and will be retained by Netsmart
Technologies, Inc. and furnished to the Securities and Exchange Commission or
its staff upon request.