Home Health · Hospice · Palliative · Assisted Living · Group Home · CFSS · All 50 States

One platform for
every care line you serve.

Home Health, Hospice, Palliative Care, Assisted Living, Group Home, and CFSS β€” choose the lines your agency operates and get a purpose-built EHR for each one. HIPAA-compliant, EVV-ready, and a fraction of what the legacy enterprise EHRs charge. 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—Ί
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.

Choose the care lines your agency operates β€” Home Health, Hospice, Palliative, Assisted Living, Group Home, or CFSS. One platform 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“ 
In-Chart Secure Fax
Send and receive HIPAA faxes right inside the patient chart. Faxed physician orders attach to the record automatically β€” no separate fax service, no printing, no re-scanning.
New
πŸ“„
Admission Packet Generator
One click builds the patient admission packet β€” Bill of Rights, consents, and privacy notice β€” e-signed and filed to the chart, built to your state's requirements.
New
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
Hospice & Palliative Care

Built for Hospice & Palliative Care agencies.

HIS assessments, IDG management, per diem billing, bereavement tracking β€” every Medicare and Medicaid requirement covered out of the box.

πŸ₯
HIS Assessments
Hospice Item Set assessments built in β€” admission, discharge, and quality reporting. Fully Medicare-compliant out of the box.
Hospice
πŸ‘₯
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
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Palliative Care Documentation
Palliative visit notes, symptom management tracking, goals of care conversations, and advance directive management β€” purpose-built for palliative teams.
Palliative
πŸ›‘
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
CFSS & Community Support

Built for CFSS, Group Home & Assisted Living providers.

Minnesota DHS is phasing out PCA and replacing it with CFSS (MN Stat. 256B.85). PivotChart supports both delivery models, HHAeXchange EVV integration, and 245D-compliant Group Home documentation.

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CFSS SSA Assessment
Standardized Support Assessment for CFSS participants β€” ADL, IADL, health tasks, and supervision needs. Agency-Provider (T2025) and Budget Model (H2015) billing supported.
CFSS
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HHAeXchange EVV Integration
GPS clock-in/out stores as FHIR Encounter data and formats to Minnesota’s EVV Data Aggregator specification for transmission to MN DHS through HHAeXchange — the state-selected aggregator under MN’s open EVV model.
MN DHS
🏠
245D Group Home Compliance
Six-step admission with Person-Centered Planning, BSP documentation, waiver billing (DD/CADI/BI), and incident tracking β€” fully labeled with 245D citations.
245D
🏑
Assisted Living (144G)
Resident admission, care level scoring, monthly billing at Level 1/2/3 rates, incident trend analytics, and annual re-assessment under MN Stat. 144G.
144G
πŸ’°
Units-Based Billing
CFSS bills by unit (1 unit = 15 min). Auth tracker shows hours used vs. authorized per participant. Generate claims, mark paid, and export EVV reconciliation reports.
Billing
πŸ”„
Annual Re-Assessments
All 6 care lines include annual re-assessment workflows that pre-populate from prior admission data β€” CFSS (256B.85), 245D GH, 144G AL, and OASIS-E recertification for home health.
All Lines
Competitive Comparison

Compare plans

See how PivotChart stacks up against legacy platforms β€” across all 6 care lines.

Legacy Platform A
$2,000+/mo
Legacy Platform B
$375+/mo
Legacy Platform C
$295+/mo
PivotChart
from $149/mo
OASIS-E / CMS-485 / HISβœ“βœ“Included
AI OASIS Scoring AssistantPartial
PDGM Grouperβœ“Included
EVV (GPS check-in/out)βœ“βœ“βœ“Included
All 50-state compliance formsβœ“Included
Revenue Cycle Analyticsβœ“βœ“Partial
Pre-visit Eligibility Checkβœ“βœ“Partial
Caregiver Mobile Appβœ“βœ“βœ“Included
Family PortalIncluded
Smart Caregiver MatchingIncluded
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
🏠 CFSS / Group Home / Assisted Living
CFSS SSA Assessment (256B.85)Included
HHAeXchange EVV Integration (MN DHS)Included
245D Group Home Admission & BSPIncluded
Assisted Living (144G) BillingIncluded
πŸ₯ Hospice & Palliative Care
HIS Admission & Discharge (CMS)βœ“Included
IDG Care Plan & Meeting Managementβœ“Included
Hospice Per Diem Billing (NOE, RHC/GIP)βœ“Partial
Survey Readiness Dashboard (10 CoPs)Included
Chaplain, SW, Volunteer, Palliative Notesβœ“Included
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 multi-care-line EHR in the US. Choose the care lines your agency operates at setup — the same multi-care-line model the big enterprise EHRs use, but at a fraction of the cost and no long-term contracts.

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
  • Choose Your Care Lines at Setup
  • Home Health (OASIS-E, CMS-485, PDGM)
  • Hospice (HIS, IDG, per diem billing)
  • Palliative Care documentation
  • Assisted Living — 144G admission & billing
  • Group Home — 245D admission & waiver billing
  • CFSS — SSA assessment, T2025/H2015 billing
  • EVV & Operations
  • EVV & Operations
  • GPS EVV + EVV aggregator
  • Caregiver mobile app
  • Visit scheduling
  • Billing
  • 837P & hospice per diem claim tracker
  • Denial management
  • Add-Ons Available
  • Secure e-fax — $25/mo
  • 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
  • Secure E-Fax (Level B) — Included
  • 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 β€” for the care lines you select at setup. At onboarding you choose which care lines your agency operates (e.g. Home Health, or Home Health + Hospice). Your plan covers those lines with no per-visit fees, no per-claim fees, and no per-user fees beyond plan limits. Adding a care line later is a separate agreement, just like every major EHR on the market.
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.

Starting at $149/month. Choose from Home Health, Hospice, Palliative, Assisted Living, Group Home & CFSS β€” the same multi-care-line model as the major enterprise EHRs, at a fraction of the price. 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