Best CareSmartz360 Alternatives in 2026
The top CareSmartz360 alternatives are AlayaCare, AxisCare and HHAeXchange: 15 home care scheduling software our editors would look at instead of CareSmartz360, in our ranking order.
CareSmartz360: A broad home care platform spanning scheduling, EVV, billing, payroll, portals, and integrations. Where it falls short: pricing is quote-based rather than publicly itemized.
Switching from CareSmartz360? For most home care scheduling software buyers the best CareSmartz360 alternative is AlayaCare, built for large agencies needing an end-to-end platform. On a budget, ShiftCare starts at $8/user/mo. HHAeXchange has a free plan, which CareSmartz360 does not.
Why People Look for a CareSmartz360 Alternative
- Pricing is quote-based rather than publicly itemized
- Advanced capabilities vary by agency tier
- The broad feature set may exceed narrower scheduling needs
- No free plan — 2 of the alternatives below have it
Quick Picks by What You Need
- Best overallAlayaCare8.9
Large agencies needing an end-to-end platform
Visit AlayaCare - Lowest priceShiftCare8.4
Paid plans from $8/user/mo
Visit ShiftCare - Best free optionHHAeXchange8.6
Has a free plan (CareSmartz360 has none)
Visit HHAeXchange
All 15 CareSmartz360 Alternatives, Ranked
Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.
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Best forLarge agencies needing an end-to-end platform
- Better than CareSmartz360:
- Editor score 8.9 vs 8.5
A broad platform for agencies managing care delivery, operations, billing, and family access.
- Route optimization
- Client portal
- Availability management
8.9/10★★★★☆Visit AlayaCare -
Best forGrowing agencies wanting AI-assisted matching
- Better than CareSmartz360:
- Editor score 8.7 vs 8.5
A broad home care operations platform with AI matching and quote-based pricing.
- Route optimization
- Client portal
- Availability management
8.7/10★★★★☆Visit AxisCare -
Best forMedicaid-focused agencies needing compliance workflows
- Better than CareSmartz360:
- Free plan
- Editor score 8.6 vs 8.5
A broad Medicaid-focused platform combining scheduling, EVV, compliance, billing, and care documentation.
- Availability management
8.6/10★★★★☆Visit HHAeXchange -
Best forCost-conscious teams wanting broad integrations
A broad home care operations platform with strong integrations and tiered pricing.
- Client portal
- Availability management
8.4/10★★★★☆Visit ShiftCare -
Best forSmall agencies seeking the lowest listed price
A broad home care suite at a low entry price, with paid-tier and Medicaid caveats.
- Client portal
- Availability management
8.2/10★★★★☆Visit Rosemark -
Best forUK agencies needing low-cost full operations software
A broad UK home care suite covering scheduling, care records, payroll and family access.
- Client portal
- Availability management
8.1/10★★★★☆Visit CareLineLive -
Best forCare providers prioritizing medication and quality tools
A broad homecare platform with strong medication, documentation and quality tools.
- Route optimization
- Client portal
- Availability management
8.0/10★★★★☆Visit Birdie -
Best forEstablished agencies wanting traditional full operations
A full operations suite for established agencies, with higher monthly costs for EVV.
- Client portal
- Availability management
7.9/10★★★★☆Visit Generations -
Best forTeams wanting a free entry point and automation
- Better than CareSmartz360:
- Free plan
A broad home care platform with free portals and paid automation for providers.
- Route optimization
- Client portal
- Availability management
7.8/10★★★★☆Visit CareCade -
Best forSmall agencies wanting predictable per-patient pricing
A focused home care platform with predictable per-patient pricing and broad agency workflows.
- Route optimization
- Client portal
- Availability management
7.7/10★★★★☆Visit AveeCare -
Best forClinical agencies needing unified records and billing
A broad care operations platform for agencies managing records, visits, billing, and payroll.
- Client portal
- Availability management
7.6/10★★★★☆Visit CareVoyant -
Best forEstablished multi-office home care agencies
A broad scheduling and operations platform for established, multi-office home care agencies.
- Availability management
7.5/10★★★★☆Visit Alora -
Best forAgencies needing dynamic scheduling and family access
A broad home care operations suite with dynamic scheduling, EVV, and family access.
- Client portal
- Availability management
7.4/10★★★★☆Visit Aaniie -
Best forAgencies needing matching and payroll connectivity
A broad home care platform for agencies needing matching, EVV, and payroll connectivity.
- Availability management
7.3/10★★★★☆Visit eCaring -
Best forAgencies needing scheduling and family access
A broad home care platform combining scheduling, EVV, billing, payroll, and family access.
- Route optimization
- Client portal
- Availability management
7.1/10★★★★☆Visit ANKOTA
CareSmartz360 Alternatives: Common Questions
What is the best alternative to CareSmartz360?
AlayaCare: #1 in our Home Care Scheduling Software ranking, with an editor score of 8.9 out of 10. A broad platform for agencies managing care delivery, operations, billing, and family access.
Is there a free alternative to CareSmartz360?
Yes. HHAeXchange and CareCade have a free plan or a free tier.
What is the cheapest paid alternative to CareSmartz360?
Of the alternatives here that publish a price, ShiftCare starts lowest, at $8/user/mo.
Why do people look for CareSmartz360 alternatives?
Pricing is quote-based rather than publicly itemized; Advanced capabilities vary by agency tier; The broad feature set may exceed narrower scheduling needs.
How do I switch from CareSmartz360?
Export your data from CareSmartz360 (most tools have an export in their settings). Sign up for the alternative; start on its free plan or trial if it has one. Import your export and set up the integrations your team relies on. Run both side by side for a short while, then cancel CareSmartz360.
How to Switch from CareSmartz360
- Export your data from CareSmartz360 (most tools have an export in their settings).
- Sign up for the alternative; start on its free plan or trial if it has one.
- Import your export and set up the integrations your team relies on.
- Run both side by side for a short while, then cancel CareSmartz360.
CareSmartz360 vs Each Alternative
| # | Tool | Free plan | Paid from | Caregiver mobile app | EVV support | Care documentation | Score |
|---|---|---|---|---|---|---|---|
| 4 | CareSmartz360 | No | Yes | Yes | Yes | 8.5 | |
| 1 | AlayaCare | No | Yes | Yes | Yes | 8.9 | |
| 2 | AxisCare | No | Yes | Yes | Yes | 8.7 | |
| 3 | HHAeXchange | Yes | Yes | Yes | Yes | 8.6 | |
| 4 | ShiftCare | No | $8/user/mo | Yes | Yes | Yes | 8.4 |
| 5 | Rosemark System | No | $49/mo | Yes | Yes | Yes | 8.2 |
| 6 | CareLineLive | No | £8.10/user/mo | Yes | Yes | Yes | 8.1 |
| 7 | Birdie | No | £2.75/unit usage-based | Yes | Yes | Yes | 8.0 |
| 8 | Generations Homecare System | No | $25/mo | Yes | Yes | Yes | 7.9 |
| 9 | CareCade | Yes | $300/mo | Yes | Yes | Yes | 7.8 |
| 10 | AveeCare | No | $6/unit/mo | Yes | Yes | Yes | 7.7 |
| 11 | CareVoyant | Yes | Yes | Yes | 7.6 | ||
| 12 | Alora Home Care | Yes | Yes | Yes | 7.5 | ||
| 13 | Aaniie | No | $195/mo | Yes | Yes | Yes | 7.4 |
| 14 | eCaring | $150/mo | Yes | Yes | Yes | 7.3 | |
| 15 | ANKOTA | No | Yes | Yes | Yes | 7.1 |
Head-to-Head
- CareSmartz360 vs AlayaCare
- CareSmartz360 vs AxisCare
- CareSmartz360 vs HHAeXchange
- CareSmartz360 vs ShiftCare
- CareSmartz360 vs Rosemark System
- CareSmartz360 vs CareLineLive
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update