Home Care
Complete Home Care Software in the USA
Missed visits, late notes and rejected claims cut into margins that don’t have room for them. ShiftCare connects scheduling, EVV, care documentation and billing in one system, so the visit your caregiver delivers is the claim you get paid for.
Home care, home health and IDD providers run on ShiftCare. Plans start from $8 per user a month billed annually ($9 monthly).
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Book a demoUsed by 8,000+ agencies globally · 300,000+ caregivers · $5B+ in provider claims each year · HIPAA compliant · Support answered in under 30 seconds
What is home care software? Home care software is the system a home care agency uses to schedule caregivers, verify visits with EVV, document care and bill Medicaid and other payers. ShiftCare runs all four in one platform, so every completed visit carries the record and the claim that goes with it.
Billing Gaps Drain Medicaid Home Care Margins Before a Claim Is Filed
Medicaid home care margins average 5 to 8 percent. On margins that thin, a handful of denied claims per week determines whether the month closes in the black.
- Visits a caregiver completed but never verified through EVV, leaving the billing record incomplete
- Care delivered beyond the authorized hours, which Medicaid won't reimburse regardless of need
- Claims denied for late or missing documentation
- Authorized hours that go unfilled because a scheduling gap wasn't caught in time
One Platform for Home Care, Home Health and IDD Providers
Plenty of agencies serve more than one line of business, or want to. ShiftCare handles all of them in one place, so you can grow into a new program without buying a second system or going back to spreadsheets. And because ShiftCare is built for non-medical community care, not an EMR, you get the compliance depth without the clinical complexity.
ShiftCare captures every visit where it happens, with the time, place and service on the record. The visit you bill from is the visit that took place.
| You run | What ShiftCare gives you |
|---|---|
| A home care agency | Scheduling, care notes, a family portal, HIPAA-safe records and billing in one login. |
| Home health services | Everything above, plus documentation that holds up when a payer or state auditor asks for proof. |
| An IDD or waiver program | Person-centered plans, goal and progress tracking, and DSP scheduling built around each participant's authorization. |
| A Regional Center provider | Visit data formatted the way DDS and its EVV aggregator expect it, so submissions go through the first time. |
In 2026, Incomplete EVV Records Don’t Get Flagged. They Get Rejected.
Through 2025, most states ran EVV on soft edits: a claim with an incomplete or missing visit record got flagged but still paid. In 2026, those same states are moving to hard edits. A flagged claim now gets rejected outright, and nothing moves until you correct the data and resubmit.
Under the 21st Century Cures Act, every Medicaid personal care and home health visit must capture six data elements electronically: the service type, the individual receiving care, the caregiver delivering it, the date, exact start and end times, and the location. States also track manual edit rates. Cross 15 to 20 percent and most states will open a compliance review or hold payment on pending claims.
How Shiftcare Captures All Six Required Fields
Caregivers clock in and out on their phone with GPS, record visit notes, and capture every required EVV field during the visit, with or without a cell signal. Back at the office, your team reviews exceptions on the EVV dashboard and sends verified data to your state’s aggregator.
ShiftCare Verify formats visit data to each state aggregator’s specification: Sandata, HHAeXchange, Tellus and CareBridge. Rules change; the format updates automatically. In California, ShiftCare holds state-issued Alt-EVV certification and transmits visit data directly to the state aggregator through Sandata in the format DHCS requires.
The agencies that will struggle in 2026 aren’t the ones without EVV. They’re the ones running it as a separate app the caregiver forgets to open. Build it into the visit and the problem goes away.
MATCH CLIENTS AND STAFF
Home Care Scheduling Software That Puts the Right Caregiver on the Right Visit
Match clients with caregivers on skills, location and availability. Consistent assignments reduce the coordination overhead your office carries when clients regularly rotate through unfamiliar workers. For IDD and waiver programs, the match runs against what each participant’s plan authorizes: credential type, service category and approved hours. The right DSP shows up for the right service, and authorized time doesn’t sit unfilled.
Care management
Client Records, Care Plans and IDD Authorizations in One Place
Upload care plans and key documents and share them with staff the moment they’re ready. Workers see shift details and client files before they leave for the visit, which cuts the coordination calls your office handles between booking and delivery.
IDD providers attach person-centered plans, goals and service authorizations directly to each participant’s record. Support workers open the app and see the active plan before the visit starts. Progress gets logged during the shift against the authorization, not pieced together from memory at the end of the day.
NOTE-TAKING
Visit-Level Documentation That Meets State Standards
Care workers add notes and update client files directly in the app, with talk-to-text for fast capture during or immediately after a visit. Every entry is timestamped and visible to your whole team in real time.
For waiver-funded services, those notes double as the documentation record: times, services and progress logged against each authorization, ready when a Medicaid reviewer asks. When an auditor requests visit records, they’re already there.
SHIFTCARE CONNECT
Give families a way to stay close
ShiftCare Connect is a private portal for family and friends. They can see an overview of care, stay involved, and make certain decisions on the client’s behalf. For families of IDD participants, that visibility is often what turns a good service into one they recommend.
COMPLIANCE
HIPAA-compliant. EVV-integrated.
Client records are stored and transmitted as ePHI, with role-based access controls, audit logs, and encryption configured to HIPAA standards. For Medicaid-funded visits, the platform captures all six CMS-required EVV data elements: service type, individual, date, location, provider identity, and time in and out. Verified visit data routes directly into billing, reducing first-pass claim denials.
TAKING THE FIRST STEPS
Just Starting a Home Care or IDD Agency
A new agency is exciting, and it comes with its own set of headaches. Knowing what those are, and setting up the right habits early, is how you build something lean enough to run and solid enough to scale, whether you serve private-pay clients or waiver-funded participants.
View the guide
ShiftCare gives you a framework to grow into. Every month we’re still growing, and ShiftCare just mops up all that growth.”
Sue Pullar Founder, Sue's Home Care Nursing Success Stories
From a paper diary to 100 staff.
Sue Pullar started with two staff and a double-page diary. Today Sue’s Home Care is a 100-person agency running on ShiftCare.
Read Sue's StoryHave any questions ?
Does ShiftCare work for IDD providers?
Yes. ShiftCare supports person-centered care plans, goal and progress tracking, eMAR and DSP scheduling, so it fits intellectual and developmental disability programs as well as home care. Regional Center providers use it to format and submit visit data to DDS.
Does ShiftCare handle Medicaid EVV?
Yes. ShiftCare Verify captures the six data points EVV requires and sends them to your state’s aggregator, including Sandata, HHAeXchange, Tellus and CareBridge. In California it is a state-certified Alt-EVV that submits through Sandata.
What is changing with EVV in 2026?
States including Minnesota, Missouri, Ohio, Pennsylvania and Indiana are moving from soft edits to hard edits in 2026. A claim with missing or incorrect visit data used to be flagged and paid anyway. Now it is denied until the data is corrected and resubmitted, which makes clean visit capture a cash-flow issue, not just a compliance one.
How much does ShiftCare cost?
Plans start from $8 per user a month billed annually ($9 monthly), with a free 7-day trial and no credit card required to start.
Can caregivers use it in the field with no signal?
Yes. The app works offline. Caregivers clock in with GPS, add notes and record visit data during the visit, and everything syncs once they are back in range.
Does it connect to payroll and accounting?
Yes. ShiftCare connects to QuickBooks Online, Paychex, Viventium, Paradigm and others, so hours and billing move without re-keying.