HIPAA-Compliant Home Care Software Built for How Your Agency Actually Works

Most home care management software is built around rigid workflows and per-caregiver pricing. Knack Health provides a flexible platform to match your actual process, including EVV workflows, multi-role portals, and state-specific Medicaid requirements — all on flat-rate pricing that doesn’t grow with your workforce.

Most agencies with 500 caregivers are paying $10,000 to $25,000 a month in per-user fees. There’s a better model. 

Knack Health Knack charges by plan, not by user; you get a HIPAA-compliant platform designed to fit your agency’s unique needs. The security layer is handled. The operational logic is yours to configure. 

EVV Workflows Built to Federal Requirements, Configured to Your State

The 21st Century Cures Act requires EVV for all Medicaid-funded personal care and home health services. Every state implements it differently. Knack Health captures all six federally required data points in a system you configure to your state’s specific reporting requirements, not a national average.

“Existing caregiving software is built generically for nationwide use, so every state’s specific Medicaid rules force operators to either change their workflows dramatically or hire more staff to bridge the gap.”
— Home care operator, Arizona ALTCS program

Geolocation on form submission

Location is captured automatically at the moment of clock-in form submission, not through continuous GPS tracking. Caregivers have historically pushed back on real-time location monitoring, and this approach captures the required EVV data point without it.

Timestamp capture

System fields record start and end times at clock-in and clock-out automatically. No manual entry, no reconciliation at the end of the pay period.

Guardian and family approval

Authorized guardians and family members can review and approve caregiver time cards at the end of each pay period through a dedicated portal. Approvals are timestamped and logged.

Cert renewal reminders

Automated notifications go to caregivers and administrators before certification and credential expiration dates. No manual tracking required.

Pay period workflows

Configure approval chains from caregiver clock-in through admin review to payroll export.

CSV / API Export

Generate structured exports for your payroll system or state EVV aggregator in the format they require.

Portals Built for the Entire Care Circle

Secure, scoped access for every stakeholder in the home care ecosystem.

Caregivers

Log in to access assigned visits, clock in and out with geolocation capture, submit visit notes, review their schedule, and track their own certification status. They don't see client medical records or other caregivers' data.

Guardians and Family Members

Log in to view the care schedule for the individuals they're responsible for, review visit history, and approve time cards at the end of each pay period. Their access is scoped to the clients they're connected to — nothing else is visible.

Administrators

Manage the full system — caregiver records and credentials, client profiles, visit logs, scheduling, approval workflows, and reporting. Run payroll exports, track compliance deadlines, and generate reports for state audits or program reviews.

Flat-Rate Pricing That Doesn't Grow With Your Workforce

An agency with 500 caregivers and 500 guardians needs roughly 1,000 logins. On per-user pricing, that’s $10,000 to $25,000 a month before a single administrator is counted. Knack Health charges by plan, not by user. HIPAA plans start at $625 a month.

Knack Health HIPAA

$625/mo

BAA available
HIPAA-ready hosting
Custom workflows

TRADITIONAL SOFTWARE

$10k-$25k/mo

Based on 1,000 Users

Core Capabilities

Everything you need to run home care operations in a single, HIPAA-compliant platform.

Client and Caregiver Records

Maintain complete profiles for every client and caregiver in an encrypted, HIPAA-ready database. Define relationships — caregiver to client, guardian to individual — and link records across your system.

Digital Intake and Enrollment

Replace paper and emailed forms with digital intake that feeds directly into client records. Collect consent, demographics, care preferences, and eligibility with PHI encrypted from submission.

Visit Scheduling and EVV

Assign care visits, manage caregiver availability, and capture EVV-required data at the time of each visit — location, timestamps, service type, and parties involved.

Guardian and Family Portals

Give authorized family members and guardians a secure login to review schedules, track visit history, and approve time cards. Scoped access keeps their view limited to the clients in their care.

Credential and Certification Tracking

Track license renewals, certification expiration dates, training completions, and background check status for every caregiver. Automate reminders and generate compliance documentation on demand.

Reporting and Payroll Exports

Build dashboards and reports that pull directly from operational data. Generate the exports your payroll system and state program require, structured to your format.

What Our Users Are Saying

“The entire company is on Knack. In the beginning, it probably took me three or four days to build out a new section. Now I can build something new in under an hour. We’re saving $250,000 per year or more just from headcount costs alone.”

JD Worley

Curetech CEO

“The two things that were really a game changer for me with the Knack software platform was that they were keeping up with the HIPAA rules and regulations. There was a big change last year and they were keeping up with the change.”

Joe Luzi

Joe Luzi

Social Health Research Founder

“Knack allows an enormous amount of flexibility but is also very robust. Usually, robustness is compromised when you introduce malleability, but in Knack’s case, I haven’t experienced that.”
Amir Gander

Amir Gander

Royal Free London NHS Foundation Trust, University College London Director

Trusted by Home Care and Mobile Health Organizations

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Safe Harbor Home Aides provides comprehensive non-medical home care services that are designed to help their clients live safely, comfortably, and independently at home.

Outgrew Lovable, Blaze, or Another No-Code Tool?

Agencies frequently start on no-code prototyping tools and hit the same wall: the platform cannot sign a BAA, and clients or state programs are starting to ask about HIPAA compliance. Knack Health is built for this transition. You move to a production-ready hosted application with compliance built in, including encrypted data, a signed BAA, role-based access controls, and record change logs, without starting from scratch.

Security and Compliance

HIPAA-ready hosting

with signed BAA for covered entities

Encrypted data

in transit and at rest

Role-based permissions

and access controls

Record change logs

for state audits and compliance reviews

SOC 2 Type II

documentation available

Geolocation capture

at form submission — no continuous tracking

EVV-compatible data capture

(who, what, where, when)

Built for Compliance from Day One

Flat-Rate Pricing That Doesn't Punish You for Growing

No per-user fees. Add caregivers, guardians, family members, and staff without your monthly cost changing.

HIPAA Corporate

Ideal for:

Clinics, practices, and healthcare teams needing a secure, compliant foundation.

Starting at $625 / month

Included:

HIPAA Enterprise

Ideal for:

Large organizations and networks with advanced security, integration, or support needs.

Custom pricing

Included:
Nonprofit and mission-driven organization pricing available on annual plans. Contact our team.

Your state's Medicaid rules are specific.
Your software should be too.

Tell us about your program, your caregiver and guardian population, and how you’re currently handling EVV. We’ll walk through how Knack Health fits.

Home Care Software FAQs

Does Knack Health support EVV compliance?
Yes. Knack Health supports EVV workflows through a combination of native platform capabilities: geolocation auto-capture on form submission for clock-in and clock-out, system timestamp fields that record start and end times, and multi-role portals where guardians can review and approve time cards. All six federally required EVV data points — service provider, care recipient, service type, location, date, and start/end times — can be captured and stored within the system. Integration with state-approved EVV vendors is possible via API. Contact our team to discuss your state’s specific requirements.

When a caregiver submits a clock-in form, Knack Health captures their location at the moment of form submission. This satisfies the EVV requirement to record the visit location without running continuous GPS tracking in the background. Caregivers have historically pushed back on real-time location monitoring — this approach captures the required data with a single point of verification per visit.

Knack Health charges by plan, not by user. Adding caregivers, guardians, family members, or administrative staff doesn’t change your monthly cost. HIPAA plans start at $625/month. That’s a significant difference from per-user pricing, which at typical rates would put 1,000 users in the $10,000–$25,000/month range before any additional tools.

Yes, and this is a common transition. Prototyping tools are useful for proving out a concept, but they can’t sign a Business Associate Agreement, which means they’re not appropriate for handling PHI in a HIPAA-regulated context. Knack Health provides production-ready hosted applications with a signed BAA, encrypted data, and role-based access controls — without requiring you to start from scratch.

Yes. You can build guardian portals with role-based access scoped to the clients each guardian is connected to. Guardians see the care schedule, visit history, and time cards for the individuals in their care — nothing else. Time card approval can be built as a workflow step that logs to the visit record automatically.

Yes. Agencies that build state-specific workflows in Knack Health — for Arizona ALTCS, California IHSS, or other programs — can work with Knack’s partner program to distribute their application to other operators in the same state. Contact us to learn more about the partner and reseller model.

It depends on the services you provide and how you’re funded. Agencies providing skilled nursing, therapy, or other clinical services are typically covered entities under HIPAA. Agencies handling PHI as part of a Medicaid-funded program may be business associates. We recommend confirming your specific obligations with legal counsel. Knack Health provides HIPAA-ready infrastructure and signed BAAs for agencies that need them.

Most organizations have a functioning system within days to a few weeks, depending on complexity. The initial setup — caregiver records, client profiles, EVV clock-in workflows, and guardian portals — is typically the first phase. From there, most teams build out additional capabilities iteratively. No code is required.