Buyer's Guide

Software for a home health agency: honest 2026 buyer's guide

The honest 2026 software for home health agency buyer's guide. Side-by-side OASIS-E, PDGM, billing, and EVV across 25 vendors with real starting prices. No sponsored content.

By Calvin Nesvig, Founding Partner·Updated May 3, 2026·15 min read
Quick answer
  • If you bill Medicare, you need OASIS-E + PDGM + 837I + HHVBP dashboards. Six vendors do this well at small-agency price: Alora, Igea, Devero, KanTime, Axxess, HealthWyse.
  • Mid-to-large Medicare HH defaults to WellSky (Kinnser), Homecare Homebase, KanTime, MatrixCare, Netsmart myUnity.
  • If you also operate non-medical home care alongside skilled HH, AveeCare runs the home care side at $6 / active client / month with EVV export support across all 50 states.
  • Most vendors do not publish prices. Plan for 6-12 weeks of vendor demos and quote-gathering before signing.
  • Avoid 3-year contracts on first purchase. Negotiate to 1-year max, with a clean data-export clause if you leave.

25 home health software vendors compared

Click any row to expand pricing model, contract term, and notes. Filter by vertical or search by name. Numbers are estimates from public sources, partner decks, and buyer-reported quotes (Q1 2026); always confirm in writing.

Note on AveeCare: we serve non-medical home care across all 50 states. Skilled Medicare home health agencies must contact us before signing up to confirm our current OASIS / PDGM coverage meets your needs.

VendorVerticalOASISPDGMEVVStartingTerm
AveeCare(us)Home care (non-medical)NoNoExport only$6 / client / moMonth-to-month
Homecare Homebase (HCHB)Home health (Medicare)YesYesIncluded$4,000+ / mo2–3 year typical
WellSky Home Health (Kinnser)Home health (Medicare)YesYesIncluded$2,500+ / mo1–3 year
Axxess Home HealthHome health (Medicare)YesYesIncluded$1,500+ / mo1 year typical
KanTime HealthcareHome health (Medicare)YesYesIncluded$2,000+ / mo1–2 year
Alora Home HealthHospice + HHYesYesIncluded$995+ / mo1 year typical
MatrixCare Home HealthHospice + HHYesYesIncluded$2,500+ / mo1–3 year
Netsmart myUnity Home HealthHospice + HHYesYesIncluded$3,000+ / mo2–3 year
ForcuraHome health (Medicare)LimitedLimitedNo$500+ / mo1 year typical
CitusHealthHome health (Medicare)NoNoNo$300+ / mo1 year
Devero (CarePort / WellSky)Home health (Medicare)YesYesIncluded$1,500+ / mo1–2 year
Curantis SolutionsHospice + HHYesYesIncluded$1,800+ / mo1 year
PointClickCare Home HealthHospice + HHYesYesIncluded$2,500+ / mo2 year
Brightree Home HealthHospice + HHYesYesIncluded$2,000+ / mo1–2 year
AlayaCare Home HealthHome care + HHYesLimitedIncluded$2,500+ / mo1 year typical
SynziHome health (Medicare)NoNoNo$400+ / mo1 year
Tellus / Netsmart EVVHome care + HHNoNoIncluded$1,200+ / mo1 year
HHAeXchange (vendor system)Home care + HHLimitedNoIncluded$800+ / mo1 year
HealthWyseHome health (Medicare)YesYesIncluded$1,500+ / mo1–2 year
Thornberry NDocHome health (Medicare)YesYesIncluded$2,000+ / mo1–2 year
CarecentaHome care + HHLimitedLimitedIncluded$1,000+ / mo1 year
CareVoyantPDN / pediatricYesYesIncluded$1,500+ / mo1 year
Igea Home HealthHome health (Medicare)YesYesIncluded$1,200+ / mo1 year
Suncoast / Netsmart SuncoastHospice + HHYesYesIncluded$2,000+ / mo2 year
Hospice ToolsHospice + HHLimitedLimitedIncluded$595+ / mo1 year
Showing 25 of 25 vendors. Prices are estimates from public sources, partner deck disclosures, and buyer-reported quotes (Q1 2026). Confirm in writing before signing.

8 must-haves for any Medicare-certified home health software

If a vendor cannot demo all 8 in a single 60-minute session, drop them.

OASIS-E start-of-care to discharge

Live scrubbing, CMS-form-update SLA, transfer + recertification supported.

PDGM HIPPS calculator

Live HIPPS code on chart, LUPA-threshold warnings, comorbidity adjustment visible at episode level.

837I claims + remits

Direct submission to your MAC. ERA / 835 import. Denial reason categorized, not just shown raw.

EVV for the personal-care line

If you operate any HCBS or PCS Medicaid alongside skilled HH, the same vendor needs to handle EVV — or play nicely with an aggregator.

Mobile clinician app

Offline charting, GPS visit verification, photo + voice intake, BAA-covered.

Scheduling that handles missed visits

Auto-reassign on callout, productivity dashboards, drive-time math.

HHVBP performance dashboards

OASIS quality measure trending, claims-based measure tracking, peer-cohort comparison.

Reporting + ad-hoc query

Pre-built CMS-aligned reports + a way to build new ones without a service ticket.

OASIS-E + PDGM: what your software actually has to do

OASIS-E is not optional. CMS requires the assessment at five trigger points (start of care, resumption, recertification, transfer, discharge). The 2023 update added Social Determinants of Health items, and CMS has signaled additional question revisions for 2026-2027 as part of HHVBP refinement. Vendors should ship form updates within 30 days of CMS publication; ask for the SLA in writing.

PDGM groups each 30-day period into one of 432 case-mix categories using clinical grouping, functional impairment level, comorbidity adjustment, admission source, and episode timing. Your software has to: (1) compute the HIPPS code live as the chart is built, (2) flag LUPA risk before you under-visit, (3) populate the 837I claim with grouper output, and (4) reconcile the 835 remit back to the episode.

A vendor that says "our calculator runs at month-end" is selling you a problem. Episode pricing is decided when the chart starts, not when the chart closes.

EVV + billing: where home health and home care meet

If your agency runs only Medicare-certified skilled home health and never bills Medicaid PCS / HHCS, EVV is not federally required for you. The 21st Century Cures Act EVV mandate applies to Medicaid personal care services and home health care services, not to Medicare home health.

In practice, most agencies that started as skilled HH end up adding a Medicaid PCS line or a private-pay personal-care line within their first 3 years. The cost of stitching a separate EVV system onto your EHR mid-stride usually exceeds what you would have paid up front. Buyers should pick software that either includes EVV or exports cleanly to the state aggregator (Sandata, HHAeXchange, Tellus, AuthentiCare, CareBridge) for whichever state they operate in.

For 837I claims, ask every vendor: how many MACs are pre-configured, what does denial-management look like, and can you import 835s automatically? An EHR that posts ERA payments by clicking through 200 line items is selling you a part-time AR job.

Pricing patterns: what you will actually pay

Agency sizeTypical monthlyImplementationCommon pricing model
Startup (1-5 clinicians)$300 - $1,500 / mo$0 - $5,000Per-user or flat
Small (6-25 clinicians)$1,500 - $5,000 / mo$3,000 - $12,000Per-user, sometimes per-episode
Mid (26-100 clinicians)$5,000 - $15,000 / mo$10,000 - $25,000Per-user + per-episode
Large (100+ clinicians)$15,000+ / mo$25,000+Custom; per-user + per-episode + add-ons

Where AveeCare actually fits

AveeCare is built for non-medical home care across all 50 states. If you run a hybrid Medicare home health + non-medical home care operation, we are a great fit for the personal-care side at $6 per active client per month, with EVV export support included.

For pure Medicare-certified skilled home health, you will get more from a Kinnser, KanTime, or Alora today. Contact us first if you want to evaluate AveeCare for skilled HH, so we can confirm whether our current OASIS / PDGM coverage meets your specific workflow.

Frequently asked questions

7-step, 4-week shortlist process

Run this to avoid 3 months of demo-fatigue.

Week 1
Inventory the workflows you must keep (intake, OASIS, scheduling, billing, payroll, EVV)
Week 1
Set 3 hard cost-of-ownership ceilings: per-month, per-user, per-episode
Week 2
Pick your top 5 vendor candidates from the table above; cut anything missing a must-have
Week 2
Demo each on the same scripted scenario (1 OASIS-E SOC + 1 problematic recert + 1 LUPA episode)
Week 3
Get written quotes; compare 3-year total cost of ownership including implementation, training, and integration fees
Week 3
Reference 2 customers who switched off your existing system to the new one — ask what broke during cutover
Week 4
Get the BAA, contract, and SLA in writing. Negotiate term length down to month-to-month or 1 year max

Home health software glossary

OASIS-E
CMS-required assessment instrument for Medicare home health (start of care, resumption, recertification, transfer, discharge).
PDGM
Patient-Driven Groupings Model. Medicare home health payment system; 30-day episode with case-mix.
HIPPS
Health Insurance Prospective Payment System code. The 5-character payment code computed from PDGM inputs.
LUPA
Low Utilization Payment Adjustment. If visits in a 30-day period fall below threshold, payment drops to per-visit.
HHVBP
Home Health Value-Based Purchasing. National program adjusting payment based on quality scores.
CoP
Conditions of Participation. The federal regulations Medicare-certified HH agencies must meet.
837I
Institutional claim format. The X12 transaction file submitted to a MAC for payment.
835 / ERA
Electronic Remittance Advice. The X12 transaction file MACs send back with payment + denial detail.
BAA
Business Associate Agreement. HIPAA-required contract between covered entity (you) and any vendor that touches PHI.
EVV
Electronic Visit Verification. Federally mandated under 21st Century Cures Act for Medicaid PCS and HHCS.
Aggregator
A state-contracted EVV vendor (Sandata, HHAeXchange, Tellus, AuthentiCare, CareBridge) that consolidates EVV data on behalf of the Medicaid agency.
CN
Calvin Nesvig
Founding Partner, AveeCare

Builds home care software full-time and talks to home health and home care agencies about what they actually need from their EHR every week.

Run a hybrid HH + home care operation?

See if AveeCare fits the personal-care side of your business at $6 / active client / month.