The best home health EMR software for most Medicare-certified agencies is WellSky Home Health, Homecare Homebase, or Axxess, because each covers clinical documentation, OASIS, PDGM billing, scheduling, and EVV in one system. Most leading vendors do not publish a price, so plan on a written quote, and ask for the all-in monthly figure, implementation cost, and renewal terms before you compare totals. Copergrine is the clearest priced option here, at $490 per Medicare number per month for the first 6 months for 1 to 15 patients, then $690 per month, with unlimited clinicians and staff.
We compared 10 options for best home health emr software. Each profile below lists the price, free plan, pros and cons as published by the company.
On this page
Best home health emr software: comparison table
Swipe the table sideways on a phone to see every column.
| # | Name | Best for | Starting price | Free plan / trial | Link |
|---|---|---|---|---|---|
| 1 | AlayaCare | Large home and community care agencies | quote only | No | Visit |
| 2 | Homecare Homebase | Large Medicare home health agencies | quote only | No | Visit |
| 3 | WellSky Home Health | Widely used Medicare home health agencies | quote only | No | Visit |
| 4 | Axxess | Multi-line home health, hospice, and palliative care | quote only | No | Visit |
| 5 | KanTime | Mid-size to large post-acute agencies | quote only | No | Visit |
| 6 | MatrixCare | Post-acute agencies that need broad interoperability | quote only | No | Visit |
| 7 | Alora | Small agencies that want a low starting price | $295 per month | No | Visit |
| 8 | Careficient | Small to mid-size home health and hospice agencies | quote only | No | Visit |
| 9 | Netsmart myUnity | Hospice-heavy and integrated post-acute networks | quote only | No | Visit |
| 10 | Copergrine | Small agencies that want published pricing | $490 per Medicare number per month for… | Free trial (14 days) | Visit |
The 10 best best home health emr software tools, in detail
AlayaCare
Best for: Large home and community care agencies
AlayaCare is an end-to-end platform for home and community care, covering referrals and intake, care plans, scheduling, clinical documentation, visit verification, billing, and payroll. It also includes a family portal, mobile tools for caregivers, and analytics for visit completion, staffing, and client needs. The depth is the main trade-off.
- A small agency may find setup, training, and module choices heavier than a simpler system, and price is quoted by agency size, region, and modules sel
- Ask for a written quote that lists each module, EVV coverage by state, and implementation cost.
Pros
- End-to-end client lifecycle from intake to billing
- Advanced scheduling with route planning and visit verification
Cons
- No published price, so budgeting needs a sales quote
- Implementation is scoped separately and can take time for large agencies
Homecare Homebase
Best for: Large Medicare home health agencies
Homecare Homebase, often called HCHB, is a cloud-based EHR for home health, hospice, personal care, and private duty agencies. It covers scheduling and routing, point-of-care documentation, compliance checks, revenue cycle management, and reporting, with billing checks updated for regulatory changes. HCHB is best known for larger agencies, and pricing is quoted by census, modules, and contract terms.
- Ask how long implementation takes, what training is included, and what the total first-year cost will be, including migration and support.
Pros
- Long history in home health, hospice, and personal care
- Clinical, billing, scheduling, and compliance tools in one EHR
Cons
- No published price, so budgeting needs a custom quote
- Enterprise focus can make setup heavy for a small agency
WellSky Home Health
Best for: Widely used Medicare home health agencies
WellSky Home Health, formerly Kinnser, is one of the most widely used home health systems in the United States. Its Intelligent Health Record platform covers intake and eligibility, scheduling, care coordination with HIPAA-compliant messaging, real-time EVV, offline access, OASIS quality assurance, claims, and predictive analytics. WellSky also offers WellSky Scribe for AI-assisted ambient documentation.
- The product page states that users report up to a 50 percent reduction in documentation time.
- Ask what is in the base license, what the AI tools cost, and what the contract term and renewal terms are.
Pros
- AI-assisted documentation and referral management
- Intake, scheduling, EVV, OASIS quality checks, and claims in one platform
Cons
- No published price, and pricing is gated behind a demo and quote
- Advanced analytics and add-on modules can add cost
Axxess
Best for: Multi-line home health, hospice, and palliative care
Axxess is a cloud-based platform for home health, hospice, palliative care, and home care agencies. Its AgencyCore product covers clinical documentation, scheduling, intake, billing, human resources, and compliance, with mobile tools for field staff and related products for hospice and revenue cycle work. Pricing is given after a demo or quote, based on agency size, users, and modules selected.
- Ask for a line-by-line quote that separates the home health license from other modules, plus implementation, training, and support, and how price chan
Pros
- One vendor for home health, hospice, palliative care, and home care
- Clinical, billing, scheduling, HR, and compliance tools in one suite
Cons
- No published price on its own site, so costs depend on a quote
- Separate modules can raise the total as you add lines of business
KanTime
Best for: Mid-size to large post-acute agencies
KanTime is a cloud-based EMR and agency management platform for home health, hospice, private duty, pediatric, and palliative care agencies. It covers patient intake, drag-and-drop scheduling with skill matching, clinical documentation, OASIS-linked point-of-care tools, EVV, billing, payroll, and analytics. The vendor also notes HITRUST and SOC 2 certifications, which matter for data security and compliance.
- Ask for the all-in monthly figure, the implementation fee, and how price moves when census rises by 20 percent, so you can compare total cost.
Pros
- Built for home health, hospice, private duty, and pediatric care
- Scheduling, clinical documentation, billing, payroll, and analytics in one system
Cons
- No published price list, so costs depend on a custom quote
- Implementation and setup are quoted separately
MatrixCare
Best for: Post-acute agencies that need broad interoperability
MatrixCare, a ResMed company, offers a post-acute EHR that covers home health, hospice, private duty, palliative care, and skilled nursing. For home health, it includes patient intake, point-of-care tools, EVV with GPS-tracked time cards, medication reconciliation on mobile, speech-to-text, electronic faxing, and revenue cycle management. Interoperability is a clear focus, with connections through CommonWell Health Alliance, Carequality, and Surescripts.
- Ask which home health modules are in the base price, what integrations cost, and how upgrade fees work when you move between patient tiers.
Pros
- EHR for home health, hospice, private duty, and skilled nursing
- Interoperability through CommonWell, Carequality, and Surescripts
Cons
- No published price on its own site, so costs depend on a quote
- OASIS review is offered at service levels, so it can be a separate cost line
Alora
Best for: Small agencies that want a low starting price
Alora Home Health is a web-based agency management system for home health, home care, hospice, and pediatric home care. It covers clinical documentation, scheduling, EVV, OASIS assessments, billing for Medicare and Medicaid and other payers, payroll, and electronic signatures. The vendor publishes monthly ranges by agency size in its FAQ: small agencies at $295 to $800 per month, medium at $800 to $2,000, and large at $2,000 to $8,000.
- Ask for a written quote that names the plan, the offline add-on cost, and implementation and training.
Pros
- Low starting price for a full home health suite
- Unlimited users or unlimited patients, depending on the plan selected
Cons
- Offline documentation is sold as an add-on to standard licenses
- Specific costs are discussed after a demo, not as a full published plan list
Careficient
Best for: Small to mid-size home health and hospice agencies
Careficient, also listed as Careficient AMS, is a cloud-based EMR for home health, hospice, home care, and palliative care agencies. It covers patient charting, scheduling, clinical documentation, EVV, OASIS and HIS assessments, billing, payroll, and compliance tools in one place. Pricing is subscription-based and scales with agency size, users, locations, and modules selected, and the full price is quoted after the system is configured.
- Ask for a written quote that lists each module, the number of users, and implementation and onboarding cost.
Pros
- End-to-end agency system for charting, scheduling, billing, and payroll
- Covers home health, hospice, home care, and palliative care
Cons
- Full pricing is quoted after configuration, so the entry figure alone does not show the total
- Separate modules can add cost
Netsmart myUnity
Best for: Hospice-heavy and integrated post-acute networks
Netsmart myUnity is a cloud-based post-acute EHR for home health, hospice, palliative care, personal care, senior living, and skilled nursing. It covers clinical, administrative, and financial workflows, with point-of-care tools, scheduling, billing, and reporting, and it is verified by CHAP for home health and hospice. MyUnity fits hospice-heavy agencies and integrated post-acute networks that need one chart across settings.
- Ask for a written quote, a clear implementation timeline, data migration cost, training hours, and the contract term before you sign.
Pros
- Unified EHR for home health, hospice, palliative care, and senior living
- Interoperability through the Netsmart CareRecord network
Cons
- Enterprise quote only, with no published rate card
- Implementation for large agencies can run 4 to 9 months
Copergrine
Best for: Small agencies that want published pricing
Copergrine EMR covers telehealth, in-person, and home health on one chart. For home health, its pricing page lists OASIS and EVV, iQIES export, PDGM grouping, 837I claims, an AI scribe with clinician sign-off, a built-in clearinghouse, e-prescribing, a patient portal, and audit logs in the subscription. Pricing is per Medicare number, or CCN, stepped by active patient census, with unlimited clinicians and staff.
- For 1 to 15 patients, the price is $490 per month for the first 6 months, then $690 per month.
- A one-time $499 setup fee is waived on annual prepay.
Pros
- Published home health price per Medicare number, with unlimited clinicians and staff
- OASIS, EVV, iQIES export, PDGM grouping, and 837I included in the subscription
Cons
- Price steps up after the first 6 months, from $490 to $690 per month for 1 to 15 patients
- Agencies with 301 or more patients are quoted, not listed on the published table
How we chose
We checked each vendor product page and pricing page on 2026-11-12, and we used the vendor own site as the main source for features and price. Where a vendor did not publish a price, we recorded quote only, rather than using a third-party estimate as a vendor price. We included systems that cover home health clinical documentation, OASIS, PDGM billing or claims, scheduling, and EVV, and we left out tools built only for non-medical home care. We did not claim hands-on testing, and we did not use review scores, awards, or customer counts to rank the tools.
What to check before you buy
Start with your Medicare status, census, and lines of business. A Medicare-certified agency needs OASIS, PDGM, iQIES export, and claims support. Confirm EVV rules in each state where you operate, and ask how the system handles offline visits, GPS time cards, and visit verification when internet access drops. Check scheduling, skill matching, missed visits, and billing for Medicare, Medicaid, managed care, and private pay.
Ask for a written quote that lists the price unit, the census or user count it is based on, each module included, implementation and migration cost, training hours, and renewal terms. Ask what happens to price when census grows by 20 percent, what the minimum term is, how cancellation works, and what it costs to export your data. Confirm HIPAA controls, audit logs, user roles, and data hosting in writing.
| Agency size | Likely monthly range | Best starting point | Watch out for |
|---|---|---|---|
| 1 to 15 active patients, 1 CCN | $295 to $690 | Alora, Copergrine | Offline add-on cost, price step after 6 months |
| 16 to 50 active patients | $800 to $2,000 | Alora, Copergrine, Careficient | Module add-ons, implementation fees |
| 51 to 120 active patients | $2,000 to $5,000 | Copergrine, KanTime, Axxess | Census band changes, training time |
| 121 or more active patients | Quote only, often $5,000 or more | WellSky, HCHB, MatrixCare, Netsmart myUnity | Long implementation, multi-year contracts |
Frequently asked questions
What is the best home health EMR software for a small agency?
Alora and Copergrine are the clearest starting points for a small agency. Alora starts at $295 per month, and Copergrine starts at $490 per Medicare number per month for the first 6 months for 1 to 15 patients, then $690 per month. Both cover scheduling, documentation, billing, and EVV. Ask for a written quote that lists add-ons and implementation.
Do home health EMR vendors publish their prices?
Most do not. In this list, only Copergrine publishes a full home health price table, and Alora publishes monthly ranges by agency size in its FAQ. AlayaCare, Homecare Homebase, WellSky, Axxess, KanTime, MatrixCare, Careficient, and Netsmart myUnity use quote-based pricing. Ask each vendor for the all-in monthly figure in writing.
What features does a Medicare home health EMR need?
A Medicare home health EMR needs OASIS assessments, PDGM grouping, iQIES export, claims support, scheduling, EVV, and audit-ready clinical documentation. It should also support care plans, orders, visit notes, medication lists, and secure messaging. Check that it handles Medicare, Medicaid, managed care, and private pay before you commit.
How long does it take to switch to a new home health EMR?
Timing varies by agency size and data migration needs. A small single-CCN agency using a published-price system can go live in days to weeks, while a large enterprise system can take 4 to 9 months or more. Ask for a written timeline that covers data migration, payer setup, EVV recertification, training, and a parallel run period.
Is offline documentation important for home health clinicians?
Yes, because clinicians often work in homes with weak internet access. Look for offline visit notes, EVV capture, and sync when the connection returns. Confirm if offline access is included or sold as an add-on, as Alora sells offline documentation as an add-on. Test the mobile app in a low-signal area during the demo.
Should I choose a system that also covers hospice and home care?
Choose a multi-line system only if you run those lines now or plan to add them soon. Axxess, KanTime, MatrixCare, and Netsmart myUnity cover home health, hospice, and related care in one platform, which can reduce duplicate systems. If you run home health only, a focused system may be faster to set up and easier to manage.
Sources
- https://www.alayacare.com/
- https://alayacare.com/request-a-demo/
- https://www.hchb.com/
- https://wellsky.com/home-health-software/
- https://www.axxess.com/
- https://www.kantime.com/
- https://www.matrixcare.com/
- https://www.alorahealth.com/
- https://www.careficient.com/
- https://www.ntst.com/
- https://www.copergrine.com/
- https://www.copergrine.com/emr/pricing
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.