How we make this list: we compare pricing pages, product documentation and public user reviews. Ratings come from G2, Capterra or Trustpilot, with the date we checked them.
Key takeaways
- AxisCare and AlayaCare lead for agencies that need deep scheduling, billing, and compliance in one system, but both require a real onboarding effort.
- CareSmartz360 and Aaniie use per-client pricing, which can suit smaller agencies better than a large flat monthly fee.
- WellSky Personal Care fits private-duty agencies that want a family portal and a mobile app caregivers actually open each day.
- Electronic visit verification (EVV) rules vary by state, so confirm your state's model before you sign, not after.
- The cheapest monthly fee is rarely the cheapest total cost once EVV add-ons, texting, training, and payroll integrations are counted.
Quick comparison
| Tool | Best for | Starting price | Free plan |
|---|
 AlayaCare | Larger agencies with complex scheduling | See website | No |
 AxisCare | Home care agencies of all sizes | From $200 per month | No |
 WellSky Personal Care | Private-duty agencies | From $100 per active client per month | No |
 CareTime | Small agencies that want simple scheduling | See website | Free trial |
 Rosemark | Agencies that want scheduling plus payroll | See website | No |
 Axxess Home Care | Agencies needing documentation and billing | See website | No |
 CareSmartz360 | Agencies that prefer per-client pricing | From $10 per client per month | No |
 Aaniie | Small agencies focused on caregiver engagement | From $195 per month | No |
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
The best care management software
#1AlayaCare
Best for: Larger agencies with complex scheduling4.0/5 on
G2 (144 reviews, checked Oct 2026)
Visit alayacare.com
Starting priceSee website
Free planNo
AlayaCare is built for home and community care organizations that run many caregivers, branches, and service types at once. Its visual scheduler handles complex rosters, and route optimization helps cut travel time between visits. Clinical features, including documentation tools and telehealth, make it a fit for agencies that sit closer to health care than to simple companionship.
The trade-off is effort. AlayaCare is a platform to implement, not an app to try for an afternoon, and smaller agencies may find the scope more than they need. Pricing is quoted after a sales conversation, so budget time for a demo and ask for the full cost including implementation, training, and any per-user or per-client charges.
What we like- Multi-branch scheduling and route optimization
- Clinical documentation and telehealth options
- Configurable visit verification
Watch out for- Pricing is quote only
- Onboarding can take longer than simpler tools
#2AxisCare
Best for: Home care agencies of all sizes4.7/5 on
G2 (237 reviews, checked Oct 2026)
Visit axiscare.com
Starting priceFrom $200 per month
Free planNo
AxisCare covers the full agency workflow: intake, scheduling, care plans, EVV, billing, payroll exports, and reporting. Its attribute matching helps schedulers fill shifts by skills, location, language, and availability rather than by scrolling through a list. Caregivers get a native mobile app for schedules, clock-ins, messaging, and visit notes.
Pricing starts around $200 per month with tiers based on agency size, but add-ons can push the total higher, so ask for a complete quote. AxisCare also integrates with billing partners such as Waystar and Change Healthcare, plus QuickBooks, which matters when billing and payroll must stay in sync. Agencies that value customization and a strong mobile app will find it a solid core system.
What we like- Attribute-based caregiver matching
- Geofenced clock-ins and GPS EVV
- Many native billing integrations
Watch out for- Add-ons such as texting cost extra
- Some users report occasional desktop glitches
Starting priceFrom $100 per active client per month
Free planNo
WellSky Personal Care, formerly ClearCare, is a long-established choice for private-duty home care. It combines scheduling, billing, human resources, and CRM features in one place, and its family portal gives relatives a clear view of care plans and visit activity. Caregivers can view schedules, claim open shifts, and clock in by phone or app, which helps agencies that employ staff with varied comfort levels with technology.
Per-active-client pricing is the key math to check. At $100 per active client per month in published comparisons, a growing caseload raises the bill directly, even if headcount stays flat. Agencies with stable, higher-paying private-pay clients may accept that, while Medicaid-heavy agencies should compare total cost against flat-fee rivals before deciding.
What we like- Family portal with real-time care plan access
- Mobile app for schedules and open shifts
- Telephony clock-in option
Watch out for- Third-party integrations are limited
- Per-active-client pricing grows quickly with caseload
#4CareTime
Best for: Small agencies that want simple scheduling2.8/5 on
G2 (4 reviews, checked Oct 2026)
Visit caretime.us
Starting priceSee website
Free planFree trial
CareTime targets smaller home care agencies that want the core workflow without enterprise complexity. Scheduling, caregiver management, EVV, and billing sit in one system, and the mobile app keeps caregivers connected to their shifts and client notes. For a new agency, that simplicity shortens training and gets the first clients scheduled faster.
Larger or multi-state agencies may outgrow CareTime sooner than they would AxisCare or AlayaCare, especially where custom reporting or many payer integrations are required. Pricing is not published as a simple list, so request a quote tied to your client count and confirm which EVV options your state accepts. As a starting system for a small team, it earns a shortlist spot.
What we like- Straightforward scheduling and EVV
- Caregiver mobile app
- Billing and payroll features for small teams
Watch out for- Smaller integration ecosystem than larger rivals
- Less suited to multi-state enterprise complexity
#5Rosemark
Best for: Agencies that want scheduling plus payroll4.5/5 on
G2 (4 reviews, checked Oct 2026)
Visit rosemark.com
Starting priceSee website
Free planNo
Rosemark is a home care management system that puts scheduling, care coordination, billing, and payroll under one roof. That matters because payroll errors and billing delays are two of the most common frustrations for agency owners. When visit data flows straight into payroll and invoicing, there are fewer manual transfers and fewer disputes about hours.
The downside is that pricing requires a conversation, and the interface will not impress buyers who judge software by looks alone. Rosemark suits owners who care more about accurate payroll and dependable scheduling than about a flashy dashboard. Ask for a demo using your own shift patterns and payer mix, since those two details decide whether the system fits.
What we like- Scheduling, billing, and payroll in one system
- Caregiver app with visit documentation
- Reporting for agency owners
Watch out for- Quote-only pricing
- User interface feels less modern than some rivals
#6
Axxess Home Care
Best for: Agencies needing documentation and billing
Visit axxess.com
Starting priceSee website
Free planNo
Axxess Home Care serves home care and home health organizations with scheduling, documentation, EVV, billing, and family communication. Caregivers document visits on a mobile device, which keeps notes closer to the time of care and reduces end-of-day paperwork. Billing and claims workflows connect to that visit data, which helps agencies get paid faster and with fewer rejections.
Axxess is a large vendor with a broad product family, so the buying experience can feel more enterprise than boutique. Smaller agencies should confirm onboarding help, training, and support hours in writing. If your agency already uses other Axxess products, or plans to add home health services later, the shared platform is a real advantage.
What we like- Mobile documentation at the point of care
- EVV and billing workflows
- Family access features
Watch out for- Quote-only pricing
- Implementation support varies by agency size
#7CareSmartz360
Best for: Agencies that prefer per-client pricing4.7/5 on
G2 (72 reviews, checked Oct 2026)
Visit caresmartz360.com
Starting priceFrom $10 per client per month
Free planNo
CareSmartz360 is built for home care agencies that want scheduling, EVV, billing, and caregiver management with pricing tied to client volume. Starting around $10 per client per month in published comparisons, it can be cheaper than flat-fee systems for a small agency, and it includes features such as quick scheduling, payer management, and a family portal. Franchisor and multi-location tools also suit growing franchise groups.
Users report a learning curve, and support hours are a genuine consideration for agencies that run evening and weekend shifts. Add-ons can also raise the total, so compare the full configuration rather than the headline per-client rate. For agencies that want predictable per-client costs and can invest in training, CareSmartz360 is a practical option.
What we like- Per-client pricing scales with caseload
- Quick scheduling and GPS EVV
- Family portal and franchisor tools
Watch out for- Steep learning curve for some users
- No 24/7 support on standard plans
#8Aaniie
Best for: Small agencies focused on caregiver engagement4.6/5 on
G2 (65 reviews, checked Oct 2026)
Visit aaniie.com
Starting priceFrom $195 per month
Free planNo
Aaniie, formerly Smartcare, aims at small to mid-sized agencies that want an approachable all-in-one platform. Drag-and-drop scheduling, color coding, and shift reminders make daily work easy to follow, and caregiver engagement features such as rewards help with retention, which is a constant problem in home care. The mobile app gives caregivers schedules, care plans, and secure messaging in one place.
The compromise is depth. Reporting and integrations are less extensive than those of AlayaCare or AxisCare, so data-driven agencies may hit limits. Published pricing starts around $195 per month for up to 15 clients in some comparisons, with per-client options also reported, so confirm the current plan structure on a demo. For a small agency that values ease of use and caregiver satisfaction, Aaniie is a friendly fit.
What we like- Friendly drag-and-drop scheduling
- Caregiver rewards and engagement features
- Clear mobile app for caregivers
Watch out for- Reporting is thinner than enterprise rivals
- Integration list is less detailed
How we chose
We compared pricing pages, product documentation, and public reviews on G2, Capterra, and SelectHub, focusing on features home care agencies actually use daily: scheduling, EVV, caregiver mobile access, billing, payroll, and family communication. Tools were included only if they serve home care or community care agencies as a core market. Where pricing was quote only or varied by agency size, we wrote See website or gave the published comparison figure and advised readers to confirm it on a demo.
Choosing the right system for your agency
Start with your payer mix and your state. Medicaid agencies live or die by EVV compliance and claims accuracy, while private-pay agencies care more about family portals, scheduling speed, and caregiver retention. A system that excels at one may be average at the other, so rank your top three daily problems before you watch any demo.
Questions to ask on every demo
Ask how EVV works in your state, including GPS, telephony, and any state aggregator requirements. Ask whether billing, payroll, and scheduling share the same visit record, or whether data must be exported and re-entered. Ask about training, migration from your current system, and support hours, since home care runs well beyond office hours.
Total cost, not headline price
A $200 monthly plan with paid EVV states, texting add-ons, and implementation fees can cost more than a higher headline plan that includes them. Build a one-year total that includes setup, training, add-ons, and price changes as client count grows. Also confirm contract length and exit terms, including how you export client and caregiver records if you leave.
Frequently asked questions
What does care management software do?
Care management software helps home care agencies schedule caregivers, track visits, verify care delivery, manage care plans, and handle billing and payroll. Most systems also include a caregiver mobile app and a family portal. The goal is to replace spreadsheets and phone calls with one shared record for each client.
What is EVV and why does it matter?
Electronic visit verification records the time, location, and caregiver for each home visit, usually by app or phone. Many US states require EVV for Medicaid-funded home care, and the accepted method varies by state. Choose a vendor that supports your state's model, or claims and payments can be delayed.
How much does home care software cost?
Pricing varies widely, from around $10 per client per month to $100 per active client per month, plus flat-fee plans from about $195 to $200 per month and quote-only enterprise plans. The right comparison is total annual cost for your client count, including add-ons, not the lowest advertised figure.
Can caregivers use these tools on their phones?
Yes. Every tool on this list offers a caregiver mobile app for schedules, clock-ins, visit notes, and messaging, with telephony options on several platforms. Check that the app works on the phones your caregivers actually own, and that offline access covers areas with weak signal.
How long does implementation take?
Simple systems can go live in days to a few weeks, while larger platforms such as AlayaCare may take several weeks including data migration and training. Ask for a written timeline, a named implementation contact, and training for both office staff and caregivers before you sign.
Is care management software HIPAA compliant?
Reputable vendors design for HIPAA compliance, with access controls, audit trails, and secure data handling, but compliance also depends on how your agency configures and uses the system. Confirm the vendor's security documentation, business associate agreement, and data export options during procurement.
Sources we checked (8)
- https://www.alayacare.com/pricing
- https://axiscare.com/pricing
- https://wellsky.com/pricing
- https://www.caretime.us/pricing
- https://www.rosemark.com/pricing
- https://www.axxess.com/pricing
- https://www.caresmartz360.com/pricing
- https://www.aaniie.com/pricing
Is your product missing or out of date?
We review this list regularly. Vendors can request a listing, send updated pricing or ask about featured placement.
Shihab Mia · Founder, Rankite
Shihab has 5+ years in B2B and SaaS SEO. He writes Rankite's software buying guides from pricing pages, documentation and public user reviews. More about Shihab.