Home Care Agency Software Built for Your State, Your Medicaid Rules, and Your Scale

Generic home care software is built for nationwide use. When your state’s Medicaid rules don’t fit, you either change your workflows or hire staff to bridge the gap. Knack Health gives you a HIPAA-compliant platform you can build to your actual requirements — EVV, multi-role portals, and Medicaid billing workflows included.

Knack Health gives you a HIPAA-compliant platform you build to your actual process. The security layer is handled. The operational logic is yours to configure. 

Most home care software is built for national use. When your state Medicaid program — Arizona ALTCS, California IHSS, New York CDPAP — has specific rules around visit verification, billing, or authorization, you end up adapting your workflows to fit software that wasn’t designed for your requirements.

EVV Workflows Built to Federal Requirements — Without Generic Software That Doesn't Fit Your State

Knack Health captures all six federally required EVV data points — service provider, recipient, service type, location, date, and start/end times — in a system built around your state’s actual process, 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

When a caregiver clocks in, location is auto-captured at the moment of form submission — no continuous GPS tracking. Caregivers have historically pushed back on real-time location monitoring. This captures the required geolocation data without it.

Timestamp capture

System fields record start and end times natively. No manual entry, no reconciliation.

Guardian and family approval

When a caregiver clocks in, location is auto-captured at the moment of form submission — no continuous GPS tracking. Caregivers have historically pushed back on real-time location monitoring. This captures the required geolocation data without it.

Cert renewal reminders

Automate notifications for caregiver certification and credential renewals before they lapse.

Pay period workflows

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

CSV / API Export

Generate the exports your payroll system requires, structured to your format.

Pricing at Scale

500 Caregivers and 500 Guardians Shouldn’t Break Your Software Budget

An agency with 480 caregivers and 500 guardians needs roughly 1,000 logins. On per-user pricing, that’s $10,000–$25,000/ month before a single admin is counted. Knack Health charges by plan, not by user. HIPAA plans start at $625/month.

Knack Health HIPAA

$625/mo

BAA available
HIPAA-ready hosting
Custom workflows

TRADITIONAL SOFTWARE

$10k-$25k/mo
Based on 1,000 UserS

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.

Reseller and Partner Model

Build a State-Specific Solution Once. Offer It to Other Agencies.

Home care agencies operating in specific Medicaid programs often discover that their custom-built Knack workflows solve exactly the problem that other agencies in the same state are dealing with. Because Knack Health is a platform rather than a packaged product, the system you build for your own operations can be the foundation for a solution you offer to others.
Agencies that build Knack Health applications for Arizona ALTCS, for example, can work with the Knack partner program to distribute and support that application across other Arizona operators — creating a revenue stream from the operational investment they’ve already made.

Core Capabilities

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

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

Chesapeake Mobile Healthcare offers PICC and IV placement, blood transfusions, and advanced home care services in patients’ homes as well as in medical and care facilities.

Verio Healthcare is a home healthcare provider that offers a comprehensive line of equipment, products, and services for patient homecare.

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 run into the same wall: the platform can’t sign a BAA, and clients or state programs are starting to ask about HIPAA compliance. Knack Health is designed for this transition. You move to a production-ready hosted application with compliance built in — encrypted data, signed BAA, role-based access, 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.

Yes. Most specialty clinics use Knack Health to build workflows and tools that sit alongside their primary clinical system — handling what their EHR doesn’t support, making data accessible to non-clinical staff, or managing operational processes that don’t belong in a clinical record. Knack connects to external systems via API and supports 500+ native integrations.

Most teams have a functional app within days, not months. Starting from a template or using the AI app builder to describe your workflow, you can have a working system quickly and customize from there. Teams with complex integrations or multi-site configurations typically take longer, and our team can assist with initial setup on HIPAA plans.
HIPAA plans include encrypted data handling in transit and at rest, role-based access controls, record change logs, and a signed Business Associate Agreement for covered entities. SOC 2 Type II compliance documentation is available for security reviews. Knack Health provides the infrastructure and controls — your organization remains responsible for configuring your application and managing your compliance obligations appropriately.
Yes. Many specialty clinics use Knack Health for both: internal operational tools for clinical and administrative staff, and patient-facing portals where patients complete intake forms, access records, or view results. Both run in the same HIPAA-compliant environment with separate role-based access controls.
Neither. Knack Health charges by plan, not by user or record volume — so your cost stays flat as your team and patient roster grow. Plans designed for covered entities handling protected health information start at 25/month.
Neither. Knack Health charges by plan, not by user or record volume — so your cost stays flat as your team and patient roster grow. Plans designed for covered entities handling protected health information start at 25/month.
Neither. Knack Health charges by plan, not by user or record volume — so your cost stays flat as your team and patient roster grow. Plans designed for covered entities handling protected health information start at 25/month.