17 Best Payroll Software for Home Care Reviewed in 2025
10 Best Payroll Software for Home Care Shortlist
Here’s my shortlist of the best payroll software for home care:
Our one-on-one guidance will help you find the perfect fit.
Running a home care agency comes with its own set of challenges, especially when it comes to managing payroll. You want to ensure your team is paid accurately and on time, while also dealing with the complexities of compliance and financial reporting.
In my experience, the right payroll software can make a big difference. It helps you manage these tasks efficiently, freeing up time for you to focus on what truly matters—providing excellent care.
In this article, I’ll walk you through my top picks for payroll software tailored for home care. I’ll share insights on what makes each one stand out, so you can find the best fit for your team.
Need expert help selecting the right tool?
With one-on-one help, we guide you to your top software options. Narrow down your software search & make a confident choice.
Why Trust Our Software Reviews
We’ve been testing and reviewing medical practice software since 2023. As medical practice technology researchers ourselves, we know how critical and difficult it is to make the right decision when selecting software. We invest in deep research to help our audience make better software purchasing decisions.
We’ve tested more than 2,000 tools for different medical practice use cases and written over 1,000 comprehensive software reviews. Learn how we stay transparent & check out our software review methodology.
Best Payroll Software for Home Care Summary
This comparison chart summarizes pricing details for my top payroll software for home care selections to help you find the best one for your budget and business needs.
| Tool | Best For | Trial Info | Price | ||
|---|---|---|---|---|---|
| 1 | Best for independent agencies | Free demo available | From $49/user/month, (billed annually). | Website | |
| 2 | Best for team collaboration | Free demo available | Pricing upon request | Website | |
| 3 | Best for global teams | Free demo available | From $29/month | Website | |
| 4 | Best for payroll compliance | Free demo available | From $195/month | Website | |
| 5 | Best for medical billing | Free demo available | $500/user/month | Website | |
| 6 | Best for care scheduling | Free demo available | From $75/user/month | Website | |
| 7 | Best for clinical documentation | Free demo available | From $140/user/month. | Website | |
| 8 | Best for Medicaid billing | Free demo available | Pricing upon request | Website | |
| 9 | Best for HR integration | Free demo available | Pricing upon request | Website | |
| 10 | Best for small businesses | Free demo available | Pricing upon request | Website |
Best Payroll Software for Home Care Review
Below are my detailed summaries of the best payroll software for home care on my shortlist. My reviews look at each tool’s key features, pros & cons, integrations, and ideal use cases to help you find the best one.
CareSmartz360 offers end-to-end payroll processing with precision, flexibility, and ease. It empowers smaller agencies to handle payroll without needing large back-office teams, thanks to its comprehensive tools and integrations with top payroll providers.
Why I picked CareSmartz360: The platform’s advanced filtering system allows agencies to process payrolls based on location, employee type, caregiver status, and date range. Its payroll functionality simplifies complex pay rates and overtime calculations across multiple offices. CareSmartz360 also offers a client portal for improved transparency and communication.
Standout features & integrations:
Features include real-time reporting, caregiver mobile app, and electronic visit verification. The software assists in maintaining compliance with various care regulations, which is crucial for agencies. Additionally, the customizable dashboard helps you track key performance metrics.
Integrations include QuickBooks, ADP, Paychex, Twilio, and Google Calendar.
Pros and cons
Pros:
- Real-time visit updates
- Automated multi-office processing
- Draft payroll batches
Cons:
- Limited supervisor roles
- Basic benefits handling
- Clunky rehire workflow
InMyTeam enables agencies to prepare and run payroll efficiently, then export the results to major payroll providers, ensuring accurate data transfer and efficient payroll management. It minimizes administrative burdens and allows agencies to focus more on delivering quality care.
Why I picked InMyTeam: The software focuses on team collaboration with features like real-time messaging and shared calendars. Its scheduling tools allow easy shift swaps and notifications, keeping your team informed. InMyTeam also offers payroll management that integrates with scheduling, reducing errors. These features help your team stay connected and efficient, making it ideal for collaborative environments.
Standout features & integrations:
Features include real-time messaging, shared calendars, and automated shift reminders. The software offers task management tools to help your team stay organized. Additionally, its payroll management integrates directly with time-tracking, ensuring accurate pay.
Integrations include QuickBooks, ADP, Google Calendar, Microsoft Outlook, and Paychex.
Pros and cons
Pros:
- Integrated compliance tracking
- EVV-synced payroll exports
- AI-assisted payroll prep
Cons:
- Limited customization options
- Delayed billing resolutions
- Third-party payroll reliance
Deel enables organizations to hire, manage, and pay healthcare professionals across 100+ countries, ensuring compliance with local labor laws and tax regulations. With in-house legal and HR experts, it ensures that healthcare providers maintain compliance across diverse jurisdictions.
Why I picked Deel: It excels in serving global teams with features like multi-currency support and local compliance management. Deel simplifies international hiring with automated contract generation and tax compliance tools. The software offers a centralized platform for managing contractors and employees across different countries. These features ensure your team can operate smoothly on a global scale.
Standout features & integrations:
Features include automated contract generation, tax compliance tools, and employee onboarding. Deel helps your team manage payroll across multiple countries with ease. Its compliance management tools ensure adherence to local labor laws and regulations.
Integrations include QuickBooks, Xero, NetSuite, BambooHR, Workday, Rippling, Gusto, Lever, Greenhouse, and Ashby.
Pros and cons
Pros:
- Integrated HRIS platform
- Multi-currency payments
- Global EOR coverage
Cons:
- No caregiver bonuses module
- Inflexible overtime settings
- Limited shift differentials
Aaniie offers an advanced payroll system that supports complex pay structures. It facilitates compliance with EVV mandates, optimizes payroll processes, and adheres to regulatory standards.
Why I picked Aaniie: It offers compliance-focused payroll features, such as automated tax calculations and reporting. The software provides tools for managing employee benefits, which helps your team stay organized. Aaniie also includes audit trails to enhance transparency and accountability. These features make it ideal for agencies prioritizing compliance and efficient payroll management.
Standout features & integrations:
Features include customizable reporting, employee self-service portals, and benefits management. The software helps your team automate payroll tasks and reduce errors. Its reporting capabilities offer insights into financial performance and compliance status.
Integrations include QuickBooks, ADP, Paychex, Gusto, BambooHR, Xero, Sage, FreshBooks, Zoho Books, and Wave.
Pros and cons
Pros:
- Efficient benefits management
- Detailed audit trails
- Strong compliance features
Cons:
- Limited report templates
- Manual overtime calculations
- Limited QuickBooks integration
CareVoyant is a cloud-based software with payroll integrations that streamlines processes by maintaining a single employee record across multiple service lines. It automates key functions and supports billing for diverse payers.
Why I picked CareVoyant: This tool excels in medical billing with features like multi-payer billing and automated claims management. It provides detailed billing reports to help your team monitor financial performance. CareVoyant also supports integrated clinical documentation, ensuring compliance with healthcare regulations. These capabilities make it a strong choice for agencies needing efficient billing solutions.
Standout features & integrations:
Features include customizable dashboards, patient management, and electronic visit verification. The software helps you maintain compliance with healthcare regulations through integrated documentation. Its scheduling tools allow for effective resource allocation and management.
Integrations include QuickBooks, Microsoft Dynamics, Salesforce, Cerner, Epic, and Allscripts.
Pros and cons
Pros:
- Integrated clinical documentation
- Supports multi-payer billing
- Comprehensive billing features
Cons:
- Complicated wage rule setup
- No in-app payroll preview
- Manual time edits needed
AxisCare provides a comprehensive suite of features that streamlines operations and enhances caregiver management. It has powerful scheduling capabilities and integrated payroll features that address home care needs.
Why I picked AxisCare: The software excels in care scheduling with features like drag-and-drop scheduling and automatic shift reminders. It also includes GPS visit verification, ensuring accurate caregiver tracking. AxisCare provides solid billing tools to help your team manage claims and invoices. These capabilities make it ideal for agencies focused on optimizing scheduling and billing processes.
Standout features & integrations:
Features include caregiver mobile apps, electronic visit verification, and family portals. These tools enhance communication between caregivers and clients, providing transparency. AxisCare's reporting features help you track performance and compliance.
Integrations include QuickBooks, ADP, Paychex, WellSky, ClearCare, Sandata, CareWatch, AlayaCare, and HHAeXchange.
Pros and cons
Pros:
- Caregiver feedback tools
- Custom ADL enforcement
- Next-day payroll funding
Cons:
- Limited report templates
- Manual overtime edits
- Weak QuickBooks syncing
Alora Home Health offers complete documentation tools for all home health care disciplines, including skilled nursing, therapy services, and medical social work. It streamlines the documentation process, reducing administrative burdens and enhancing accuracy.
Why I picked Alora Home Health: It offers comprehensive clinical documentation tools, including point-of-care data entry and compliance checks. The software ensures accurate documentation with integrated OASIS assessment and plan of care management. Alora Home Health also features electronic visit verification, enhancing accountability and accuracy. These functionalities make it a strong choice for agencies prioritizing clinical accuracy and regulatory compliance.
Standout features & integrations:
Features include mobile access for caregivers, customizable forms, and billing management. The software helps your team maintain compliance with healthcare regulations through integrated documentation. Its scheduling tools allow for effective resource allocation and management.
Integrations include QuickBooks, Microsoft Dynamics, Salesforce, Cerner, Epic, Allscripts, ADP, Sage, Xero, and Paychex.
Pros and cons
Pros:
- Multi-location support
- Custom pay rate setup
- Integrated EVV payroll sync
Cons:
- Manual overtime adjustments
- No API access
- Limited QuickBooks integration
HHAeXchange integrates with Electronic Visit Verification (EVV) systems and direct connections to payers, making it an excellent option for Medicaid billing. It focuses on billing, scheduling, and compliance management and enhances Medicaid programs’ financial processes.
Why I picked HHAeXchange: This platform offers features like electronic visit verification (EVV) and automated claim processing. It ensures accuracy by verifying caregiver visits against contracts and authorizations. HHAeXchange integrates seamlessly with payroll vendors, which helps in managing payroll tasks efficiently. The revenue cycle management tools provide visibility into claims and billing, supporting financial stability.
Standout features & integrations:
Features include electronic visit verification, automated claim processing, and compliance management. These features help your team reduce manual tasks and ensure accurate billing. The platform also offers data reporting for improved financial oversight.
Integrations include ADP, CareWatch, Sandata, and several Medicaid programs.
Pros and cons
Pros:
- Supports multiple Medicaid programs
- Seamless EVV integration
- Comprehensive compliance management
Cons:
- Requires training for new users
- Expensive setup costs
- Delayed claim responses
Viventium offers a unified platform that integrates payroll processing with human resources management. It simplifies complex HR tasks such as onboarding, benefits administration, and compliance tracking, all in the same system.
Why I picked Viventium: The platform offers HR integration with features like employee self-service and custom pay stubs. Automated overtime calculations support compliance with labor laws such as FLSA and ACA. Viventium also includes integrated background checks, enhancing the hiring process. These features help you manage HR tasks alongside payroll, making it a comprehensive solution for home care agencies.
Standout features & integrations:
Features include applicant tracking, onboarding, and benefits administration. The platform simplifies multi-state pay complexities, helping your team manage payroll effectively. Scheduling tools enhance caregiver management and retention.
Integrations include QuickBooks, Sage Intacct, and various background check providers.
Pros and cons
Pros:
- Multi-location payroll handling
- Automated overtime calculations
- Custom pay stub options
Cons:
- Restricted supervisor permissions
- Inflexible rehire process
- Complex general ledger setup
Paypro automates complex payroll processes, handling varying pay rates, overtime, and diverse shift types, ensuring accurate and timely compensation. It simplifies compliance with healthcare regulations, including state-specific laws, reducing administrative burdens for small businesses.
Why I picked Paypro: The software offers customizable payroll processing and HR management that benefits small businesses. It offers automated compliance tracking to help your team stay up to date with regulations. Paypro also includes time and attendance tracking, which integrates seamlessly with payroll functions. These features make it a practical choice for small agencies looking to streamline their operations.
Standout features & integrations:
Features include customizable reporting, employee self-service portals, and benefits management. The software helps your team automate payroll tasks and reduce errors. Its reporting capabilities offer insights into financial performance and compliance status.
Integrations include QuickBooks, ADP, Paychex, Gusto, BambooHR, Xero, Sage, FreshBooks, Zoho Books, and Wave.
Pros and cons
Pros:
- Caregiver credential tracking
- HIPAA-compliant platform
- Instant pay access
Cons:
- Inadequate PTO tracking
- Manual overtime adjustments
- No API access
Other Payroll Software for Home Care
Here are some additional payroll software for home care options that didn’t make it onto my shortlist, but are still worth checking out:
- Paylocity
For employee engagement
- Paychex Flex
For scalable payroll solutions
- Paycor
For midsize teams with HR needs
- QuickBooks Payroll
For small business payroll
- ShiftCare
For shift management
- Gusto
For benefits management
- eCaring
For real-time care tracking
Payroll Software for Home Care Selection Criteria
When selecting the best payroll software for home care to include in this list, I considered common buyer needs and pain points like compliance with healthcare regulations and managing complex pay rates. I also used the following framework to keep my evaluation structured and fair:
Core Functionality (25% of total score)
To be considered for inclusion in this list, each solution had to fulfill these common use cases:
- Process payroll efficiently
- Handle tax calculations
- Support direct deposit
- Generate payroll reports
- Ensure compliance with regulations
Additional Standout Features (25% of total score)
To help further narrow down the competition, I also looked for unique features, such as:
- Automated compliance updates
- Real-time data analytics
- Mobile access for caregivers
- Multi-location management
- Flexible pay options
Usability (10% of total score)
To get a sense of the usability of each system, I considered the following:
- Intuitive user interface
- Easy navigation
- Minimal training requirement
- Clear documentation
- Responsive design for mobile use
Onboarding (10% of total score)
To evaluate the onboarding experience for each platform, I considered the following:
- Availability of training videos
- Interactive product tours
- Access to templates
- Supportive chatbots
- Regular webinars
Customer Support (10% of total score)
To assess each software provider’s customer support services, I considered the following:
- 24/7 support availability
- Multiple support channels
- Fast response times
- Knowledgeable staff
- Comprehensive help center
Value For Money (10% of total score)
To evaluate the value for money of each platform, I considered the following:
- Competitive pricing
- Flexible pricing plans
- No hidden fees
- Discounts for annual plans
- Cost-effective for small agencies
Customer Reviews (10% of total score)
To get a sense of overall customer satisfaction, I considered the following when reading customer reviews:
- Positive feedback on features
- Satisfactory customer support
- Reports of reliability
- User recommendations
- High ratings on review sites
How to Choose Payroll Software for Home Care
It’s easy to get bogged down in long feature lists and complex pricing structures. To help you stay focused as you work through your unique software selection process, here’s a checklist of factors to keep in mind:
| Factor | What to Consider |
| Scalability | Ensure the software can grow with your agency. If you plan to expand, choose a solution that can handle increased staff and client numbers without slowing down. |
| Integrations | Look for software that integrates with tools like QuickBooks or HR systems, so your team can maintain efficient workflows without manual data entry. |
| Customizability | Your agency has unique needs. Choose software that lets you customize reports, user roles, and dashboards to fit your specific processes and preferences. |
| Ease of Use | The software should have an intuitive interface. Your team should be able to navigate it easily without extensive training, saving time and reducing errors. |
| Budget | Consider total cost, including setup and support fees. Ensure the software fits your budget and offers good value for the features you need. |
| Security Safeguards | Protect sensitive data with robust security measures. Look for features like encryption, user authentication, and regular security updates to keep data safe. |
| Compliance | Payroll software should help you meet healthcare regulations. Check if it offers tools for managing compliance with state and federal laws. |
| Support | Reliable customer support is crucial. Ensure the provider offers 24/7 support through multiple channels, so you’re never left without help when needed. |
Trends in Payroll Software for Home Care
In my research, I sourced countless product updates, press releases, and release logs from different payroll software for home care vendors. Here are some of the emerging trends I’m keeping an eye on:
- AI-Powered Analytics: Vendors are integrating AI to offer predictive analytics, helping agencies forecast staffing needs and financial performance. This feature allows users to make data-driven decisions, enhancing efficiency.
- Contactless Payments: More software is incorporating digital payment options like e-wallets, reducing the need for physical checks. This trend is vital for agencies seeking faster, more secure payment methods.
- Remote Workforce Management: With remote work on the rise, tools are now offering features to manage off-site employees effectively. This includes virtual check-ins and remote time tracking, ensuring productivity and accountability.
- Enhanced Data Privacy: As data breaches become more common, vendors are focusing on advanced encryption and privacy measures. This helps agencies protect sensitive payroll and employee data.
- Custom Reporting Tools: There’s a growing demand for customizable reports that allow agencies to tailor data views to their specific needs. This trend is crucial for users needing to analyze performance metrics in detail.
What Is Payroll Software for Home Care?
Payroll software for home care is a specialized tool that manages payroll processes for home care agencies. These tools are used by HR professionals, payroll administrators, and agency managers to ensure accurate and timely payment for caregivers.
Its features, such as automated tax calculations, compliance management, and direct deposit support, help reduce errors, simplify payroll tasks, and ensure compliance with healthcare regulations.
Features of Payroll Software for Home Care
When selecting payroll software for home care, keep an eye out for the following key features:
- Automated tax calculations: This feature ensures accurate tax deductions, reducing manual errors and saving time for your team.
- Compliance management: Helps agencies stay up-to-date with healthcare regulations, minimizing risks associated with non-compliance.
- Direct deposit support: Facilitates quick and secure payments to caregivers, improving payment efficiency.
- Employee self-service portals: Allow staff to access pay stubs and tax documents, enhancing transparency and convenience.
- Customizable reporting: Offers tailored insights into payroll data, helping managers make informed decisions.
- Real-time analytics: Provides instant insights into financial and staffing metrics, aiding in proactive decision-making.
- Mobile access: Enables caregivers to track time and attendance on the go, ensuring accurate payroll processing.
- Electronic visit verification: Confirms caregiver visits electronically, reducing fraud and ensuring service delivery accuracy.
- Multi-location management: Supports agencies operating in multiple locations, centralizing payroll and HR tasks.
- Integration capabilities: Connects with other systems like QuickBooks or HR tools, streamlining workflows and data management.
Benefits of Payroll Software for Home Care
Implementing payroll software for home care provides several benefits for your team and your business. Here are a few you can look forward to:
- Time savings: Automated processes like tax calculations and direct deposits reduce manual work, freeing up time for more important tasks.
- Improved accuracy: Features like compliance management and electronic visit verification minimize errors and ensure correct payments and records.
- Enhanced compliance: The software helps you stay aligned with healthcare regulations, reducing the risk of penalties and legal issues.
Better financial insights: Real-time analytics and customizable reporting offer valuable data, aiding in strategic decision-making. - Increased transparency: Employee self-service portals allow staff to access their pay information easily, building trust and satisfaction.
- Scalability: Multi-location management supports business growth, allowing you to handle expanding operations efficiently.
- Improved caregiver experience: Mobile access and efficient payroll processes enhance the overall experience for caregivers, promoting retention.
Costs and Pricing of Payroll Software for Home Care
Selecting payroll software for home care requires understanding the various pricing models and plans available. Costs vary based on features, team size, add-ons, and more. The table below summarizes common plans, their average prices, and typical features included in payroll software for home care solutions:
Plan Comparison Table for Payroll Software for Home Care
| Plan Type | Average Price | Common Features |
| Free Plan | $0/user/ month | Basic payroll processing, limited reporting, and email support. |
| Personal Plan | $5-$25/ user/month | Enhanced payroll processing, direct deposit, tax calculations, and basic compliance tools. |
| Business Plan | $26-$50/ user/month | Advanced reporting, employee self-service portals, integrations, and mobile access. |
| Enterprise Plan | $51-$100/ user/month | Comprehensive compliance management, custom reporting, multi-location support, and dedicated customer support. |
Payroll Software for Home Care FAQs
Here are some answers to common questions about payroll software for home care:
How can payroll software help with home care compliance?
Payroll software helps ensure compliance by automating tax calculations and generating reports that align with federal and state regulations. It also keeps track of changes in laws, providing updates to help you stay compliant. This reduces the risk of penalties and errors, saving your agency time and money.
How secure is payroll software for home care?
Payroll software typically includes security features like encryption, user authentication, and regular updates to protect sensitive data. It’s crucial to choose a solution that prioritizes data security to safeguard employee information and comply with privacy regulations.
How does payroll software help home health care agencies manage compliance with Medicare and client needs?
Payroll software designed for the home care industry helps home health care agencies stay compliant with Medicare regulations by tracking caregiver hours and aligning them with authorized care services. It integrates care plans and schedules to ensure caregivers are compensated correctly and only for approved services.
Additionally, it allows care providers to log their time and access patient-related information, ensuring transparency and accurate wage calculations tied to each client visit.
How can payroll software simplify workforce management for home care providers?
Home care payroll systems streamline workforce management by automating time tracking and attendance, allowing staff members to clock in and out digitally—often through mobile or web-based tools.
These systems generate accurate timesheets, minimizing errors and reducing manual calculations. They also help track caregiver certifications, ensuring that only qualified individuals are scheduled and paid, which is essential for regulatory compliance and high-quality care delivery.
How does payroll software support admin teams in managing referrals and caregiver assignments?
For admin teams in home care, payroll software plays a key role in client management and caregiver coordination. It allows for efficient scheduling and accurate payroll linked to services rendered, improving the handling of referrals by ensuring timely and appropriate caregiver assignments.
A strong support team can use these systems to reduce administrative overhead, streamline payroll runs, and maintain smooth communication between clients, caregivers, and HR personnel.
What's Next?
To stay updated on the latest trends, best practices, and solutions related to your medical practice, subscribe to The Medical Practice newsletter.