AxisCare is the best care software for most non-medical home care agencies, with ShiftCare as the budget pick for small teams and AlayaCare as the pick for larger multi-service organisations. ShiftCare is the only item here with a fully published per-user price list, from $8 per user per month when billed annually, while most rivals ask for a quote before they show a number. One fact that changes the math is that ShiftCare counts every person with a login as a user, including care workers, and it enforces a five-user minimum, so a team of five on Basic costs $40 per month when billed annually.
Care software has to cover the daily work of an agency in one place: scheduling, caregiver check-in, care plans, visit verification, billing and payroll exports. The eight systems below all cover that core work, but they price it in different ways. Some charge per user, some charge per client, some charge a flat monthly fee, and several ask for a quote. Use your own caregiver and client counts to test each price, and ask every vendor what is an add-on before you sign.
On this page
Best care software: comparison table
Swipe the table sideways on a phone to see every column.
| # | Name | Best for | Starting price | Free plan / trial | Link |
|---|---|---|---|---|---|
| 1 | AxisCare | Non-medical agencies of 10 to 250 caregivers | quote only | No | Visit |
| 2 | AlayaCare | Larger multi-service home care organisations | quote only | No | Visit |
| 3 | WellSky Personal Care | Private-duty agencies in the WellSky system | quote only | No | Visit |
| 4 | ShiftCare | Small teams that want published per-user pricing | $8 per user/month | Free trial (7 days) | Visit |
| 5 | BridgeCare OS | New and small agencies that want flat pricing | $149 per month | Free trial (14 days) | Visit |
| 6 | Aaniie | Small agencies focused on caregiver engagement | quote only | No | Visit |
| 7 | CareSmartz360 | Agencies that prefer per-client pricing | quote only | No | Visit |
| 8 | Generations Homecare System | Agencies that want unlimited caregivers and clients | quote only | No | Visit |
The 8 best best care software tools, in detail
AxisCare
Best for: Non-medical agencies of 10 to 250 caregivers
AxisCare is built for personal care and companion care agencies, and it covers intake, scheduling, care plans, electronic visit verification, billing, payroll exports and reporting. That breadth is why it suits agencies of 10 to 250 caregivers that want one system for office and field work. The vendor describes unlimited training and support, which matters when caregivers change often and new office staff need to learn the roster fast.
- The limit to plan around is price visibility.
- AxisCare prices by agency size and client count, and its pricing page asks for a quote, so the monthly total depends on your roster and the modules yo
- Ask for the full written quote, including any texting or add-on charges.
- Choose AxisCare when non-medical care is your main work and you want a focused system.
Pros
- Scheduling, care plans, EVV, billing and payroll exports in one system
- unlimited training and support is included in the vendor description
Cons
- No published price on its pricing page, so a quote is needed before you can budget
- no free trial is listed
AlayaCare
Best for: Larger multi-service home care organisations
AlayaCare is a cloud platform for home and community care providers that run many caregivers, branches and service types at once. It covers scheduling, visit management, clinical and visit documentation, workforce management, standard reporting, EVV and billing, with extra modules for analytics and integrations. That range suits larger organisations that mix personal care with clinical services.
- The trade-off is cost and setup.
- AlayaCare states on its pricing page that it uses custom pricing based on organisation size, care models, regions and the modules chosen, and it does
- Implementation is a scoped project that covers configuration, data migration, integrations and training.
- Ask for the proposal to list each module, each region and the implementation work separately.
Pros
- Scheduling, clinical documentation, EVV, billing and analytics in one platform
- caregiver and supervisor mobile apps are included in most standard configurations
Cons
- Custom pricing only, with no published price and no free trial
- implementation is a scoped project, so allow time and budget for setup
WellSky Personal Care
Best for: Private-duty agencies in the WellSky system
WellSky Personal Care, formerly ClearCare, is a long-established choice for private-duty home care. It manages scheduling, billing, payables, receivables and CRM, and it gives families a portal while caregivers use a mobile app for visits and check-in. That combination suits private-duty agencies that want family visibility and a system that office staff and caregivers both use every day.
- The limit is transparency.
- WellSky prices Personal Care by contract, and its pricing page asks for a quote, so you cannot compare a headline monthly figure with a per-user rival
- Ask what is included in the base contract, what is charged per active client or per user, and which state EVV integrations carry an extra charge.
- Choose WellSky Personal Care when you already use other WellSky products or you run home health, hospice or rehab alongside personal care.
Pros
- Scheduling, billing, payables, receivables and CRM for private-duty care
- family portal and caregiver mobile app for daily visit work
Cons
- Pricing is quoted by contract with no published entry price
- the system fits best inside the wider WellSky range, which can add scope for a small agency
ShiftCare
Best for: Small teams that want published per-user pricing
ShiftCare publishes its full price list on its United States pricing page, which is rare in this group. Basic costs $8 per user per month when billed annually, or $9 when billed monthly. Professional costs $13 per user per month when billed annually, or $15 when billed monthly.
- Premium costs $20 per user per month when billed annually, or $25 when billed monthly.
- All three plans include scheduling, EVV, visit notes, GPS clock-in, offline mobile access and AI note tools, and Premium adds care plans, the family p
- The detail that changes the total is the user count.
- Every person with a login counts as a user, including care workers, and every plan needs at least five staff.
Pros
- Published prices on every plan, with Basic at $8 per user per month when billed annually
- EVV, GPS clock-in, offline mobile access and AI note tools are included on Basic
Cons
- Five-user minimum on every plan, so the smallest monthly total is $40 on Basic when billed annually
- care plans, family portal and eMAR are held for Premium at $20 per user per month when billed annually
BridgeCare OS
Best for: New and small agencies that want flat pricing
BridgeCare OS is an all-in-one home care system with scheduling, EVV with GPS and telephony, HIPAA-compliant documentation, a family portal, client and caregiver management, and Medicaid billing. Its pricing page lists four plans. Launch costs $149 per month flat and covers up to 10 caregivers.
- Starter costs $249 per month plus $14 per caregiver per month.
- Professional costs $349 per month plus $14 per caregiver per month.
- Enterprise costs $499 per month plus $12 per caregiver per month.
- Annual billing saves about 17 percent.
Pros
- Published flat pricing with no setup fees and no contracts
- Launch covers up to 10 caregivers for $149 per month with no per-caregiver fee
Cons
- Launch is limited to 10 caregivers, and Starter and Professional add $14 per caregiver per month, so the total rises with each new caregiver
Aaniie
Best for: Small agencies focused on caregiver engagement
Aaniie, formerly Smartcare, aims at small to mid-sized home care and home health agencies that want one platform for the full agency workflow. It covers recruitment, onboarding, scheduling, billing, payroll and CRM, with a caregiver mobile app for schedules, GPS check-in, care plans, messaging and documentation. Caregiver engagement features such as rewards and recognition are built in.
- The limit is that Aaniie does not list a free trial or a free plan, and its price is quoted after a conversation about agency size and client count.
- That means you should ask for the quote to state the client limit, the per-client charge if one applies, and which modules are included in the base pr
- Choose Aaniie when caregiver engagement and one login for the whole workflow matter most.
Pros
- All-in-one platform covering recruitment, onboarding, scheduling, billing, payroll and CRM
- caregiver retention and recognition tools are built in
Cons
- No free trial and no free plan is listed
- pricing is quoted by agency size and client count, so the monthly total needs a written quote
CareSmartz360
Best for: Agencies that prefer per-client pricing
CareSmartz360 is a cloud-based home care management system with scheduling, EVV, multi-payer billing, payroll, care plans, custom forms, reporting, caregiver training and retention tools, and a family portal. It is built for home care agencies and franchises that operate across more than one location and need payer management and franchisor oversight in the same system. Pricing is based on active clients per month, which makes the total track caseload rather than headcount.
- The trade-off is that per-client pricing rises with every new client, even when caregiver headcount stays flat, so a growing caseload raises the bill
- Larger tiers add multi-payer billing, multi-state EVV, advanced AI operational insights and payroll integrations.
- Ask for the quote to state the client band, the per-client charge, and which of those features are in the base tier.
- Choose CareSmartz360 when per-client billing fits your model.
Pros
- Scheduling, EVV, billing, care plans and caregiver training in one system
- pricing is based on active client count, which can suit a small caseload
Cons
- No free trial and no free plan is listed
- larger tiers need a custom quote, so the total depends on client count and the modules selected
Generations Homecare System
Best for: Agencies that want unlimited caregivers and clients
Generations Homecare System is home care agency software for coordinating schedules and keeping client and employee information together. The standard plan lists unlimited support and training, unlimited caregivers and unlimited clients, which removes the per-user and per-client counting that drives the price of several rivals. That structure suits agencies that expect headcount and caseload to grow.
- The limit to check is EVV.
- Generations lists EVV as a separate add-on with a monthly fee plus visit verification fees, so it is not part of the standard plan price.
- Ask for the quote to state the standard monthly fee and the EVV add-on fee.
- Choose Generations when unlimited users and clients matter most.
Pros
- Unlimited support and training, unlimited caregivers and unlimited clients are listed in the standard plan
- scheduling, client and employee records are kept in one system
Cons
- No free trial is listed
- EVV is listed as a separate add-on, so its fee must be confirmed in the quote
How we chose
We chose systems that cover the core home care workflow: scheduling, caregiver check-in, care plans, EVV, billing and payroll exports. We kept only real products with an official homepage and a pricing page or a clear quote route. We did not test any tool hands-on. Prices and plan limits come from official vendor pricing pages and vendor documentation opened on 2026-11-12. Where a vendor showed no price, we wrote quote only. ShiftCare and BridgeCare OS are the two items with a fully published price list opened on that date.
Pick by agency size and budget
| Agency size | First pick | Why it fits | Price to test |
|---|---|---|---|
| Under 10 caregivers | BridgeCare OS Launch | Flat $149 per month, up to 10 caregivers, no per-caregiver fee | $149 per month |
| 5 to 25 caregivers | ShiftCare Basic or Professional | Published per-user price, EVV included, 7-day trial on Premium | $40 per month for 5 users on Basic, billed annually |
| 10 to 250 caregivers, non-medical | AxisCare | Focused non-medical workflow, unlimited training and support described by the vendor | Quote only, ask for a written total |
| 250 clients or more, per-client model | CareSmartz360 | Price tracks active clients, multi-payer billing on larger tiers | Quote only, test on your client count |
| Multi-service, multi-region | AlayaCare | Clinical documentation, analytics and multi-region scheduling | Quote only, ask for module and implementation costs |
| Private-duty in the WellSky range | WellSky Personal Care | Family portal, caregiver app, billing and CRM in one system | Quote only, ask for contract terms |
Frequently asked questions
What is the best care software for a small home care agency?
ShiftCare and BridgeCare OS are the strongest small-agency picks in this list. ShiftCare starts at $8 per user per month when billed annually, with a five-user minimum, and its Basic plan includes scheduling, EVV and visit notes. BridgeCare OS Launch costs $149 per month flat for up to 10 caregivers. AxisCare is the better pick when you want a non-medical system built for 10 to 250 caregivers.
How much does care software cost per month?
The published prices in this list run from $40 per month for five users on ShiftCare Basic when billed annually to $149 per month flat on BridgeCare OS Launch. Most other vendors in this list ask for a quote, so the monthly total depends on client count, caregiver count, modules and state EVV needs. Always ask for a written quote that lists the base fee and any add-on fees.
Which is best for Medicaid billing and EVV?
ShiftCare Premium includes direct Medicaid claims and EVV, and its Basic plan already includes EVV. AlayaCare and WellSky Personal Care also cover EVV and billing, but both are quote only and need a written proposal. Generations lists EVV as a separate add-on, so confirm its fee before you choose it for Medicaid work. Check your state EVV rules before you sign, because state integrations can add cost.
Does any care software offer a free trial?
Yes. ShiftCare offers a 7-day trial on Premium with every feature switched on and no card required. BridgeCare OS offers a 14-day trial on every plan, also with no card required. AxisCare, AlayaCare, WellSky Personal Care, Aaniie, CareSmartz360 and Generations Homecare System do not list a free trial, so ask for a guided demo and a written quote instead.
Which is best for caregiver engagement and retention?
Aaniie is the best pick in this list for caregiver engagement, because it builds retention and recognition tools into the same platform as recruitment, onboarding, scheduling, billing, payroll and CRM. ShiftCare also helps here, with team messaging on Professional and a mobile app with offline access on every plan. Pick Aaniie when engagement is the main gap in your agency.
Sources
- https://axiscare.com
- https://axiscare.com/pricing
- https://alayacare.com
- https://alayacare.com/pricing/
- https://wellsky.com
- https://wellsky.com/pricing
- https://shiftcare.com
- https://shiftcare.com/us/pricing
- https://bridgecareos.com
- https://bridgecareos.com/pricing/
- https://www.aaniie.com
- https://www.caresmartz360.com
- https://www.homecaresoftware.com
Prices and features were read on each company’s own website in November 2026. They change often, so confirm the current offer on the official site before you sign up or buy.