Home Care · Hospice · Palliative Care · All 50 States

One platform for
Home Care, Hospice
& Palliative Care.

The modern care management platform built for home care, hospice, and palliative care agencies nationwide. HIPAA-compliant, EVV-ready, and $150 cheaper per month than legacy enterprise platforms. No contracts. No per-visit fees. No surprises.

Start Free Trial → 30 Days Free Explore Live Demo

No credit card · HIPAA-aligned stack · BAA available · Cancel anytime

$149
Starting price/mo
vs. $295 cheapest competitor
50
States covered
with state-specific compliance
16+
Tools in one platform
clinical, billing, EVV, mobile
30
Day free trial
no credit card required
vs. legacy platforms Legacy enterprise EHR $2,000/mo | Major home health vendor $375/mo | Legacy mid-tier platform $295/mo | PivotChart from $149/mo
The Problem

Home care agencies are stuck between
paper and $2,000/month software

Small and mid-size agencies across all 50 states can't afford enterprise EHRs but paper and Excel leave them exposed to audits, denied claims, and EVV penalties.

πŸ“„
Paper has no audit trail
Paper records and Excel spreadsheets can't survive a state audit. Missing signatures, undated notes, and lost forms cost agencies thousands in citations and recoupments.
πŸ’Έ
Enterprise EHRs are out of reach
Legacy enterprise EHRs from major home health vendors start at $2,000/month more than most small agencies clear in profit. They're built for hospital systems, not 10-caregiver shops.
πŸ—ΊοΈ
Generic EHRs don't know your state's rules
A California-built EHR doesn't know Minnesota's 144A rules. A Texas vendor doesn't know New York's EVV requirements. Generic software leaves compliance gaps that regulators find.
Built for Modern Home Care Agencies. Ready for All 50 States.

We went deep on Minnesota compliance then scaled it to every state

PivotChart started by mastering the toughest home care regulatory environment in the country MDH licensing, MN Medicaid EVV, CADI/BI/EW waivers. That rigor is now applied to all 50 states. Every state's clinical forms, EVV aggregator, Medicaid billing rules, and licensing requirements built in.

State-specific clinical form libraries (all 50 states)
State EVV aggregator and third-party EVV vendor integrations
State Medicaid billing rules pre-loaded
Automatic updates when state regulations change
States with deep compliance coverage
MN CATXFL NYILOH PAGANC MINJVA WAAZMA TNINMO MDWICO SCALLA KYOROK CTNVIA ARMSKS NENMID WVHINH MEMTRI DESDND AKVTWY UT
Minnesota deepest compliance coverage
Platform Features

Everything your agency needs. Nothing it doesn't.

One platform for home care, hospice, and palliative care β€” replaces your EHR, EVV app, billing tracker, scheduling tool, and compliance checklist.

AI OASIS Scoring Assistant
Flags scoring errors in real time, suggests ICD-10 codes, and previews your PDGM payment group before you submit. No other affordable EHR does this.
AI Powered
πŸ’°
PDGM Grouper
Calculates your Medicare 30-day payment group and estimated reimbursement from OASIS data. LUPA risk alert tells you when you're about to lose full payment.
Medicare
πŸ“
Integrated EVV
GPS check-in/out on the caregiver mobile app. Auto-transmits to your state EVV aggregator. 21st Century CURES Act compliant in all 50 states.
All 50 States
Caregiver Mobile App
Installable PWA for caregivers visit schedule, GPS EVV check-in/out, notes, messaging. Works offline and syncs when connection returns.
PWA
πŸ“Š
Revenue Cycle Analytics
Denial rate by payer, A/R aging by bucket, days in A/R, clean claim rate, revenue per caregiver. See exactly where money is leaking and fix it.
Billing
βœ…
Pre-Visit Eligibility Check
One-tap Medicaid and Medicare eligibility verification before every visit. Catches coverage lapses before services are delivered and claims get denied.
All Payers
State Compliance Engine
Real-time rule checks for your state's licensing, Medicaid, EVV, and Medicare CoP requirements. Know your compliance score before your surveyor does.
50 States
πŸ‘¨β€πŸ‘©β€πŸ‘§
Family Portal
Families see live visit status, caregiver info, recent notes, and alerts. A powerful differentiator when families are choosing between agencies.
Unique
πŸ“‹
One-Click Audit Package
Generate a complete, audit-ready documentation package for any patient, any date range OASIS, visit notes, EVV, signed orders in seconds. Not days.
Enterprise
Coming Soon β€” Hospice & Palliative Care

Expanding into Hospice & Palliative Care

The same affordable, modern platform β€” now built for hospice and palliative care agencies. Join the waitlist to be first in line.

πŸ₯
HIS Assessments
Hospice Item Set assessments built in β€” admission, discharge, and quality reporting. Fully Medicare-compliant out of the box.
Hospice
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IDG Meeting Management
Interdisciplinary Group meeting tools β€” track attendance, document care plan updates, and capture physician certification all in one place.
Hospice
πŸ’›
Bereavement & Spiritual Care
Bereavement tracking, chaplain documentation, volunteer management, and social worker notes β€” every discipline covered in one chart.
Hospice
πŸ’΅
Hospice Per Diem Billing
Medicare and Medicaid hospice per diem claims, NOE/NF workflows, eligibility verification, and revenue cycle analytics built for hospice reimbursement.
Billing
πŸ“‹
Palliative Care Documentation
Palliative visit notes, symptom management tracking, goals of care conversations, and advance directive management β€” purpose-built for palliative teams.
Palliative
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Hospice Survey Readiness
Real-time Medicare and state-specific hospice compliance scoring. Know your survey readiness score before your surveyor does β€” all 50 states covered.
Compliance
Join the Hospice Waitlist →

Be first when the hospice module launches · No commitment required

Competitive Comparison

Compare plans

See how PivotChart stacks up against legacy platforms β€” for both home care and hospice.

Legacy Platform A
$2,000+/mo
Legacy Platform B
$375+/mo
Legacy Platform C
$295+/mo
PivotChart
from $149/mo
OASIS-E / CMS-485 / HISIncluded
AI OASIS Scoring AssistantRoadmap
PDGM GrouperPartial
EVV (GPS check-in/out)Included
All 50-state compliance formsIncluded
Revenue Cycle AnalyticsPartial
Pre-visit Eligibility CheckPartial
Caregiver Mobile AppIncluded
Family PortalIncluded
Smart Caregiver Matching (AI)Roadmap
Caregiver Retention TrackerPartial
One-Click Audit PackageIncluded
30-day free trial, no credit cardIncluded
Flat monthly pricing (no per-visit fee)Included
Annual Training / In-Service EducationIncluded
πŸ₯ Hospice & Palliative Care
HIS Admission & Discharge (CMS)Included
IDG Care Plan & Meeting ManagementIncluded
Hospice Per Diem Billing (NOE, RHC/GIP)Roadmap
Survey Readiness Dashboard (10 CoPs)Included
Chaplain, SW, Volunteer, Palliative NotesIncluded
Starting Price $2,000/mo $375/mo $295/mo $149/mo

Comparison for informational purposes. Trademarks belong to their respective owners. PivotChart is not affiliated with or endorsed by any named platform. Pricing based on publicly listed rates as of June 2026.

Pricing

Flat monthly pricing.
No per-visit fees. No surprises.

The most affordable Home Care, Hospice & Palliative Care platform in the US. Everything included — no add-ons required.

Starter
$149/mo
or $119/mo billed annually — save 20%
New agencies up to 15 active clients. Everything you need to get compliant and start billing Medicaid and Medicare.
Start 30-Day Free Trial
  • Home Care Clinical
  • OASIS-E, HIS, CMS-485
  • All 50-state clinical forms
  • E-signature workflow
  • Hospice & Palliative Care
  • HIS Admission & Discharge
  • IDG Care Plan & Meeting Management
  • Hospice per diem billing (NOE, RHC/GIP)
  • Chaplain, SW & Volunteer notes
  • EVV & Operations
  • GPS EVV + EVV aggregator
  • Caregiver mobile app
  • Visit scheduling
  • Billing
  • 837P & hospice per diem claim tracker
  • Denial management
  • Limits
  • Up to 15 clients · 5 caregivers
Enterprise
$499/mo
or $399/mo billed annually — save 20%
Multi-location agencies and DSPs. White-label available. Dedicated support and SLA.
Start 30-Day Free Trial
  • Everything in Growth, plus:
  • One-Click Audit Package
  • Multi-location support
  • White-label / custom branding
  • Dedicated onboarding specialist
  • Phone + Slack support
  • 99.9% uptime SLA
  • Custom BAA & data agreements
  • Limits
  • Unlimited everything

All plans include a 30-day free trial · No credit card required · HIPAA-aligned stack · BAA available on request · Cancel anytime

What agencies are saying

Built for the people running agencies,
not the people selling to them

"We switched from paper after an MDH survey found 3 citations. PivotChart caught the same issues in a mock audit before our next survey. Zero citations."
SM
Sarah M.
Agency Director · Minneapolis, MN
"The PDGM Grouper alone paid for 6 months of the subscription in the first week. We were under-billing on 4 patients because we didn't know how to score functional impairment."
RJ
Robert J.
Owner · Home Care Agency · Houston, TX
"Legacy platforms quoted $2,400/month and wanted 2-year contracts. PivotChart gave us more features, month-to-month, for $299. It wasn't even a close decision."
AT
Angela T.
Operations Manager · Chicago, IL
FAQ

Common questions

Do you cover my state?
Yes all 50 states. PivotChart started as a Minnesota-only product, which gave us deep compliance expertise. We've since built that same rigor for every state's home care licensing, Medicaid, and EVV requirements.
What EVV systems do you connect to?
We integrate with state EVV aggregators and third-party EVV vendors used nationwide β€” including those required in Minnesota, Illinois, and other states. During your agency setup, we auto-configure the right aggregator for your state. You provide your credentials and we handle the transmission.
Is the $149 really all-inclusive?
Yes. One flat price covers all features in your plan no per-visit fees, no per-claim fees, no per-user fees beyond plan limits. No setup fee. What you see is what you pay.
How does the PDGM Grouper work?
As you complete OASIS scores, PivotChart calculates your patient's PDGM case-mix group and estimated 30-day Medicare payment in real time. It also alerts you when visit counts are too low and you're at risk of a LUPA (lower payment rate).
Is PivotChart HIPAA compliant?
Yes. All patient data is stored in Medplum β€” a HIPAA-compliant FHIR R4 platform with a signed BAA. Data is encrypted in transit (TLS 1.2+) and at rest (AES-256). We sign a Business Associate Agreement with each agency before real patient data goes in β€” contact us to request yours.
What if I'm still waiting on my state license?
Start your trial now. You can set up your agency, configure caregivers, and run through compliance checklists while your license is pending. Add your license number in Settings when it arrives.
Can I try it before paying?
Yes 30 days free, no credit card required. You get full access to every feature in your chosen plan. Explore the live demo at app.pivotchartmn.com anytime no login needed.
What's the "MN" in PivotChart?
Minnesota is where we built our deepest compliance layer MDH 144A, CADI/BI/EW waivers, MN Medicaid EVV. That expertise is the foundation. The platform now serves agencies in all 50 states with the same depth of compliance knowledge.

The most affordable
full-featured care management platform.

$149/month. Home Care, Hospice & Palliative Care. All 50 states. 30-day free trial. Your agency can be live in under 10 minutes.

Start Free Trial → No Credit Card Explore Live Demo

30-day free trial · HIPAA-aligned stack · BAA available · No contracts · Cancel anytime · All 50 states

Get Started

Start your free 30-day trial

No credit card required. We'll reach out within one business day to get your agency set up.

HIPAA-aligned stack · BAA available on request · No contracts · Cancel anytime