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Home care software: what to choose, and what it costs

The home care agency software most US operators use comes down to a short list: WellSky Personal Care, AlayaCare, AxisCare, Smartcare, and Alora. The right one depends on whether you run non-medical, home health, or both, and which EVV and payer integrations your state requires. Below is an honest comparison, rough 2026 pricing, and the second kind of software an agency needs: the tools that bring families in.

We build websites and lead systems for service businesses, including home care agencies, so we'll recommend the operations software honestly and be clear that our piece is the intake and client-getting layer, not the scheduling engine.

The main agency platforms

AxisCare

popular for non-medical

Widely used by non-medical agencies for scheduling, EVV, billing, and a caregiver app. Strong reputation for usability, which matters when your office staff is small. A common starting point for a new private-pay agency.

WellSky Personal Care

scale + integrations

Formerly ClearCare, built for larger agencies with deep payer integrations, family-portal features, and back-office automation. More platform than a tiny startup needs, but the standard as you scale.

AlayaCare / Alora

home health + clinical

Stronger fits when you run skilled home health with clinical documentation, OASIS, and Medicare billing. If your business is medical, not just companion care, these handle the clinical and compliance side the non-medical tools don't.

Smartcare

recruiting + ops focus

Known for combining scheduling and EVV with caregiver recruiting and retention tools — useful because staffing is the industry's hardest problem. A solid all-in-one for a growing non-medical agency.

How to choose, and what it costs

The software that brings clients in

Scheduling and EVV run your operation; they don't generate inquiries. An agency also needs:

When you don't need to upgrade

More software won't fix a thin caseload or staffing:

Where we fit

Keep whatever scheduling and EVV platform fits your model — we don't make it. What we build is the intake layer: a hand-built agency site with your services, service area, and reviews, plus 24/7 AI capture that answers "do you do overnight care" and "how soon can someone start" and takes the family's contact. That's our Start Getting Leads plan at $249/month; Own Your Market from $1,750/month adds a custom intake CRM. Month-to-month, and you own the site and every lead.

See how the AI receptionist catches after-hours inquiries, what local SEO costs to rank for "home care near me," or browse more software guides.

Common questions

What's the best home care software?

WellSky Personal Care, AlayaCare, AxisCare, Smartcare, or Alora. The right pick depends on non-medical vs. home health and your state's EVV and payer needs. AxisCare and Smartcare are popular for non-medical startups.

How much does it cost?

Commonly $5–$15 per active client per month plus a base fee, so a small agency often lands at $300–$800 a month. Home-health platforms with clinical modules cost more. Confirm setup fees and contract length.

What is EVV and do I need it?

Electronic Visit Verification records caregiver clock-in/out, and it's federally required for Medicaid personal care. If you bill Medicaid, your software must support your state's EVV system. Private-pay agencies still benefit.

What brings in clients?

A website that captures families searching "home care near me," and after-hours intake that answers and takes the contact during a crisis. Scheduling software runs the operation; this fills the caseload.

Fill your caseload

Send your agency name and service area — we'll confirm it's open and build a working demo within 48 hours. Free, no card, no commitment.

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