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Care management · EVV · Billing · Payroll

Technology
That Cares

One system for home and community-based care agencies — from the schedule and the caregiver’s clock-in to the paid Medicaid claim and payroll. Built for Pennsylvania first, ready for every state.

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  • PA PROMISe EDI certified
  • Built for HIPAA · BAA with every provider
  • Cloud-based

Built for HIPAA — we sign a BAA with every provider.

A care coordinator using the AgilaCare web app to manage a monthly schedule (sample data)

Certified for Pennsylvania Medical Assistance EDI (PROMISe)

AgilaCare passed Pennsylvania Medical Assistance EDI testing and certification.

  • 837 Professional
  • 270/271 Batch
  • 270/271 Interactive
View certifications

A complete solution

Everything you need in one platform

Scheduling, visit verification, documentation, billing and payroll share one record — nothing is typed twice.

A caregiver and an older adult looking at AgilaCare on a laptop (illustration)

  • Scheduling

    Shifts against authorized units, coverage gaps, backup plans and open-shift claims.

  • Electronic Visit Verification

    GPS clock in and out on the phone, offline when there is no signal. Certified for Pennsylvania DHS Alternate EVV (Sandata aggregator).

  • Billing & Claims

    837P from verified visits, 270/271 eligibility, 999 / 277CA responses and 835 remittance posted automatically.

  • Care Documentation

    Daily Notes, plans of care, medication (MAR), incidents and behavior support — printed exactly as the state expects.

  • Workforce & Payroll

    Credentials, training, time off, measured mileage and pay-period hours straight from verified visits.

  • Compliance & Reporting

    Role-based access, an audit trail of every PHI view, alerts on the home screen and ready-to-print reports. Runs on AWS with HIPAA safeguards under a Business Associate Agreement, including encryption, multi-factor sign-in and tested backups.

How it works

From the visit to the paid claim

  1. 1

    Schedule

    Shift built on the authorization

  2. 2

    Clock in

    GPS on the DSP's phone, offline-safe

  3. 3

    Daily Note

    Miles measured, signed on the phone

  4. 4

    Claim 837P

    Built from the verified visit

  5. 5

    835 posted

    Payment matched to each claim

  6. 6

    Payroll

    Hours and mileage for the pay run

For DSPs in the field

The AgilaCare mobile app

Everything a direct support professional needs during a visit — on a phone or a tablet.

  • Clock in and out with GPS — works without signal
  • Mileage measured automatically from Clock In to Clock Out
  • Daily Notes, incidents, medication and plan of care, sent straight to the office
  • Alarm-style reminders so no shift is missed
  • Messages, documents to sign, call-off requests and My hours
  • Get it on Google Play
Mobile app home screen with upcoming shifts, this week's hours and a Clock In button (sample data)Mobile Clock In screen with the visit location on a map and the GPS reading (sample data)Mobile Daily Note with clock-in and clock-out times, measured mileage and the visit questions (sample data)

Who we serve

Built for Medicaid-funded care

  • Developmental Disabilities

    ODP waiver services, ISP outcomes, BSP and medication.

  • Home & Community Care

    Personal care, companion and respite with EVV.

  • Behavioral Health

    Support plans, incidents and progress reports.

  • Other Human Services

    Any program that schedules people and bills Medicaid.

For clearinghouses & partners

Ready to connect

AgilaCare produces X12 5010 transactions (837P and 270/271 PROMISe certified) and connects each provider through its own account — one integration, many independent providers.

Partner with AgilaCare
  • 837PProfessional claims
  • 270/271Eligibility
  • 5010ANSI X12 standard
  • 999 · TA1Acknowledgements
  • 277CAClaim acknowledgement
  • 835Remittance (ERA)

Together, we build brighter futures.

Now accepting early-access providers in Pennsylvania.

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