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Healthcare Medicine

Top 10 Best Private Duty Nursing Software of 2026

Find the top private duty nursing software with scheduling, billing & care tracking tools. Explore trusted solutions for efficient care management—get started today.

Gitnux Team

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Private duty nursing software is indispensable for managing operations, ensuring compliance, and enhancing care delivery in a dynamic home care landscape. With a spectrum of tools—from robust scheduling to specialized billing and compliance features—the right platform can drive efficiency and client satisfaction, as explored in the curated list above.

Quick Overview

  1. 1#1: Axxess - Comprehensive cloud-based platform for private duty home care with advanced scheduling, billing, EVV, and compliance features.
  2. 2#2: AlayaCare - All-in-one home care management software supporting private duty nursing through scheduling, telehealth, and financial tools.
  3. 3#3: HHAeXchange - Specialized private duty nursing solution for scheduling, electronic visit verification, and payer-provider connectivity.
  4. 4#4: CareSmartz360 - Full-featured home care software optimized for private duty agencies with billing, CRM, and caregiver management.
  5. 5#5: AxisCare - User-friendly platform for managing private duty and live-in care operations including rostering and client portals.
  6. 6#6: WellSky - Robust private duty billing and scheduling software with deep integration for home-based nursing services.
  7. 7#7: CareVoyant - Cloud-based home health platform with tailored workflows for private duty nursing documentation and analytics.
  8. 8#8: ShiftCare - Intuitive scheduling and invoicing software designed for efficient private duty home care coordination.
  9. 9#9: Sandata - Home care technology with strong EVV and timekeeping capabilities for private duty nursing compliance.
  10. 10#10: KanTime - Versatile home health software adaptable for private duty nursing with billing, scheduling, and mobile access.

Tools were ranked based on key functionalities like scheduling, billing, and compliance (including EVV), combined with usability, technical quality, and value, ensuring they address the unique needs of private duty nursing agencies.

Comparison Table

This comparison table examines top private duty nursing software solutions, including Axxess, AlayaCare, HHAeXchange, CareSmartz360, AxisCare and more, to guide care providers in evaluating tools that suit their operational, scheduling, and client management needs. Readers will discover key features, usability, and unique strengths of each platform, enabling informed decisions for their organization's specific requirements.

1Axxess logo9.8/10

Comprehensive cloud-based platform for private duty home care with advanced scheduling, billing, EVV, and compliance features.

Features
9.9/10
Ease
9.6/10
Value
9.5/10
2AlayaCare logo9.2/10

All-in-one home care management software supporting private duty nursing through scheduling, telehealth, and financial tools.

Features
9.5/10
Ease
8.4/10
Value
8.9/10

Specialized private duty nursing solution for scheduling, electronic visit verification, and payer-provider connectivity.

Features
9.2/10
Ease
8.1/10
Value
8.4/10

Full-featured home care software optimized for private duty agencies with billing, CRM, and caregiver management.

Features
9.1/10
Ease
7.9/10
Value
8.4/10
5AxisCare logo8.7/10

User-friendly platform for managing private duty and live-in care operations including rostering and client portals.

Features
9.0/10
Ease
9.2/10
Value
8.4/10
6WellSky logo8.1/10

Robust private duty billing and scheduling software with deep integration for home-based nursing services.

Features
8.8/10
Ease
7.6/10
Value
7.9/10
7CareVoyant logo8.2/10

Cloud-based home health platform with tailored workflows for private duty nursing documentation and analytics.

Features
8.7/10
Ease
7.9/10
Value
8.0/10
8ShiftCare logo7.6/10

Intuitive scheduling and invoicing software designed for efficient private duty home care coordination.

Features
8.1/10
Ease
8.0/10
Value
7.0/10
9Sandata logo8.1/10

Home care technology with strong EVV and timekeeping capabilities for private duty nursing compliance.

Features
8.7/10
Ease
7.4/10
Value
7.8/10
10KanTime logo7.8/10

Versatile home health software adaptable for private duty nursing with billing, scheduling, and mobile access.

Features
8.4/10
Ease
7.1/10
Value
7.4/10
1
Axxess logo

Axxess

enterprise

Comprehensive cloud-based platform for private duty home care with advanced scheduling, billing, EVV, and compliance features.

Overall Rating9.8/10
Features
9.9/10
Ease of Use
9.6/10
Value
9.5/10
Standout Feature

AI-driven scheduling optimizer that automatically matches caregivers to shifts based on skills, availability, and location for maximum efficiency.

Axxess Private Duty is a leading cloud-based software platform tailored for private duty nursing and home care agencies, offering end-to-end management of scheduling, caregiver assignments, electronic visit verification (EVV), billing, and compliance. It features a intuitive mobile app for caregivers to clock in/out, document visits, and access schedules in real-time, while administrators benefit from robust reporting, payroll integration, and HIPAA-compliant tools. The platform emphasizes automation to reduce administrative burdens and ensure regulatory adherence in private duty settings.

Pros

  • Comprehensive all-in-one platform with EVV, scheduling, billing, and payroll integration
  • Highly intuitive mobile app and dashboard reducing paperwork and errors
  • Excellent compliance tools and 24/7 customer support for regulatory needs

Cons

  • Custom pricing can be steep for very small agencies
  • Initial setup and training may take time for complex workflows
  • Limited third-party integrations compared to some competitors

Best For

Ideal for mid-sized to large private duty nursing agencies seeking a scalable, fully automated solution with strong EVV and compliance capabilities.

Pricing

Custom pricing starting at around $200/month for small agencies, scaling based on users, visits, and features; contact sales for demo and quote.

Visit Axxessaxxess.com
2
AlayaCare logo

AlayaCare

enterprise

All-in-one home care management software supporting private duty nursing through scheduling, telehealth, and financial tools.

Overall Rating9.2/10
Features
9.5/10
Ease of Use
8.4/10
Value
8.9/10
Standout Feature

AI-powered scheduling engine that optimizes caregiver assignments to reduce travel time and overtime costs.

AlayaCare is a comprehensive cloud-based home care management platform tailored for private duty nursing agencies, providing end-to-end tools for scheduling, electronic visit verification (EVV), billing, payroll, and clinical documentation. It streamlines caregiver assignment, tracks visits in real-time via a robust mobile app, and ensures compliance with regulations like Medicaid EVV requirements. The platform also offers analytics, telehealth integration, and client portals to enhance operational efficiency and care quality.

Pros

  • All-in-one platform covering scheduling, EVV, billing, and reporting
  • Powerful mobile app for caregivers with real-time updates
  • Strong compliance tools and scalability for growing agencies

Cons

  • Steep learning curve for advanced features
  • Custom pricing can be expensive for small agencies
  • Occasional reports of customer support delays

Best For

Mid-to-large private duty nursing agencies needing a scalable, integrated solution for compliance-heavy operations.

Pricing

Quote-based pricing starting around $250/month base fee plus $5-10 per user/month or per visit, depending on agency size and modules selected.

Visit AlayaCarealayacare.com
3
HHAeXchange logo

HHAeXchange

specialized

Specialized private duty nursing solution for scheduling, electronic visit verification, and payer-provider connectivity.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
8.1/10
Value
8.4/10
Standout Feature

Seamless EVV sandbox testing and direct integration with 40+ state Medicaid systems and payers for effortless compliance.

HHAeXchange is a comprehensive cloud-based platform designed for private duty nursing and homecare agencies, offering robust tools for caregiver scheduling, electronic visit verification (EVV), billing, and payroll management. It enables real-time visit tracking via a mobile app, automates compliance with state Medicaid requirements, and streamlines claims submission to payers. The software supports consumer-directed services and fiscal employer models, making it ideal for agencies handling complex reimbursement processes.

Pros

  • Industry-leading EVV compliance with state integrations
  • Intuitive mobile app for caregivers with GPS and photo capture
  • Direct payer billing and automated payroll processing

Cons

  • Steep initial learning curve for advanced features
  • Custom pricing can be expensive for small agencies
  • Reporting customization requires support assistance

Best For

Mid-sized private duty nursing agencies focused on EVV compliance, complex billing, and scalable operations.

Pricing

Custom pricing based on visits, users, and modules; typically starts at $400-600/month for small agencies with quotes required.

Visit HHAeXchangehhaexchange.com
4
CareSmartz360 logo

CareSmartz360

enterprise

Full-featured home care software optimized for private duty agencies with billing, CRM, and caregiver management.

Overall Rating8.6/10
Features
9.1/10
Ease of Use
7.9/10
Value
8.4/10
Standout Feature

AI-driven Smart Scheduler that auto-assigns shifts based on skills, location, and preferences

CareSmartz360 is a cloud-based all-in-one platform tailored for home care agencies, including private duty nursing, offering tools for scheduling, billing, EVV compliance, and caregiver management. It automates administrative tasks, supports client care plans, and provides real-time reporting to streamline operations for medical and non-medical services. The software integrates with payroll systems and ensures adherence to state and federal regulations like Medicaid EVV requirements.

Pros

  • Comprehensive EVV and compliance tools for private duty nursing
  • Intelligent scheduling optimizes caregiver assignments and reduces overtime
  • Robust mobile app for real-time clock-ins and visit documentation

Cons

  • Steep learning curve for non-tech-savvy users
  • Higher pricing tiers for advanced features
  • Custom support can be slower during peak times

Best For

Mid-sized private duty nursing agencies needing scalable EVV-compliant scheduling and billing automation.

Pricing

Custom quotes starting at $295/month for small agencies, scaling to $1,000+ for enterprise with per-user or per-visit add-ons.

Visit CareSmartz360caresmartz360.com
5
AxisCare logo

AxisCare

specialized

User-friendly platform for managing private duty and live-in care operations including rostering and client portals.

Overall Rating8.7/10
Features
9.0/10
Ease of Use
9.2/10
Value
8.4/10
Standout Feature

Family Portal for direct scheduling views, payments, and communication with caregivers

AxisCare is a cloud-based software platform designed specifically for private duty home care agencies, offering tools for scheduling, billing, caregiver management, and EVV compliance. It features mobile apps for caregivers and families, enabling real-time updates, time tracking, and communication. The solution emphasizes ease of use and scalability for small to mid-sized agencies handling private pay clients.

Pros

  • Intuitive scheduling with drag-and-drop and auto-fill capabilities
  • Strong EVV integration and mobile apps for caregivers and families
  • Responsive customer support with dedicated onboarding

Cons

  • Pricing scales quickly for larger agencies
  • Limited advanced reporting and customization options
  • Fewer integrations with third-party payroll systems

Best For

Small to mid-sized private duty home care agencies focused on efficient scheduling, billing, and family engagement.

Pricing

Custom quotes starting at ~$250/month for basic plans, scaling with number of clients/caregivers (typically $3-6 per visit or client).

Visit AxisCareaxiscare.com
6
WellSky logo

WellSky

enterprise

Robust private duty billing and scheduling software with deep integration for home-based nursing services.

Overall Rating8.1/10
Features
8.8/10
Ease of Use
7.6/10
Value
7.9/10
Standout Feature

AI-powered predictive scheduling and workforce optimization engine

WellSky Private Duty is a robust, enterprise-grade software solution tailored for private duty nursing and personal care agencies, offering comprehensive tools for scheduling, billing, EVV compliance, and caregiver management. It integrates advanced workforce optimization, client CRM, and financial reporting to streamline operations and support regulatory adherence. Designed for scalability, it serves growing agencies with data-driven insights and customizable workflows.

Pros

  • Comprehensive EVV and compliance tools ensure regulatory adherence
  • Scalable scheduling and workforce management for large agencies
  • Integrated billing, payroll, and analytics for efficient revenue cycle

Cons

  • Steep learning curve and complex interface requires extensive training
  • High cost may not suit small agencies
  • Customization options can be time-consuming and consultant-dependent

Best For

Mid-to-large private duty nursing agencies seeking an enterprise-level, all-in-one platform with strong scalability and compliance features.

Pricing

Custom enterprise pricing upon request, typically starting at several thousand dollars per month based on agency size and modules.

Visit WellSkywellsky.com
7
CareVoyant logo

CareVoyant

specialized

Cloud-based home health platform with tailored workflows for private duty nursing documentation and analytics.

Overall Rating8.2/10
Features
8.7/10
Ease of Use
7.9/10
Value
8.0/10
Standout Feature

AI-powered scheduling engine that intelligently matches caregivers to shifts based on skills, location, and preferences

CareVoyant is a cloud-based software platform tailored for home care agencies, with strong capabilities in private duty nursing through features like automated scheduling, EVV compliance, and billing integration. It manages caregiver assignments, client care plans, payroll, and real-time reporting to streamline operations and ensure regulatory adherence. The system supports scalability for growing agencies while offering mobile access for field staff.

Pros

  • Robust EVV and multi-payer billing automation
  • AI-driven scheduling optimizes caregiver matching
  • Comprehensive mobile app for caregivers and real-time dashboards

Cons

  • Steeper learning curve for non-tech-savvy users
  • Custom pricing can be expensive for small agencies
  • Limited native integrations with some third-party tools

Best For

Mid-sized private duty nursing agencies needing scalable EVV compliance and intelligent scheduling.

Pricing

Quote-based pricing, typically starting at $500/month for small agencies, scaling with users, modules, and payer integrations.

Visit CareVoyantcarevoyant.com
8
ShiftCare logo

ShiftCare

specialized

Intuitive scheduling and invoicing software designed for efficient private duty home care coordination.

Overall Rating7.6/10
Features
8.1/10
Ease of Use
8.0/10
Value
7.0/10
Standout Feature

Smart Roster Optimiser that intelligently assigns shifts based on carer skills, preferences, location, and compliance requirements

ShiftCare is a cloud-based workforce management platform designed for home care and disability service providers, including private duty nursing agencies. It excels in staff rostering, client management, timesheet tracking via a mobile app, and automated billing with compliance features like NDIS integration. While versatile for scheduling complex shifts and carer assignments, it is primarily optimized for Australian markets rather than US-specific private duty nursing needs such as EVV or HIPAA-focused tools.

Pros

  • Intuitive drag-and-drop rostering with smart auto-fill matching skills and availability
  • Robust mobile app for real-time timesheets, care notes, and shift updates
  • Integrated billing and reporting that saves time on invoicing

Cons

  • Limited US-centric features like Medicaid EVV or deep HIPAA nursing compliance
  • Pricing scales quickly for small agencies with add-ons
  • Steeper learning curve for non-Australian compliance tools like NDIS

Best For

Mid-sized home care agencies in Australia or similar regulated markets handling private duty nursing shifts and disability care.

Pricing

Custom quote-based pricing, typically starting at AUD 99/month for essentials, with per-user fees around AUD 5-10/week scaling by roster size and features.

Visit ShiftCareshiftcare.com
9
Sandata logo

Sandata

enterprise

Home care technology with strong EVV and timekeeping capabilities for private duty nursing compliance.

Overall Rating8.1/10
Features
8.7/10
Ease of Use
7.4/10
Value
7.8/10
Standout Feature

Nationally compliant EVV aggregator that simplifies multi-state deployments and ensures 100% adherence to federal mandates

Sandata is a comprehensive enterprise-level homecare management platform designed for private duty nursing agencies, offering tools for scheduling, electronic visit verification (EVV), billing, payroll, and compliance management. It streamlines operations through a centralized dashboard and mobile apps that enable real-time caregiver check-ins, visit documentation, and data synchronization. The software supports scalability for growing agencies while ensuring adherence to state and federal regulations like Medicaid EVV mandates.

Pros

  • Robust EVV compliance tools with national aggregator support for seamless state integrations
  • Comprehensive scheduling, billing, and reporting features tailored to private duty nursing
  • Scalable platform with mobile apps for caregivers enabling real-time visit tracking

Cons

  • Steep learning curve and complex initial setup requiring significant training
  • Custom pricing can be expensive for smaller agencies
  • User interface feels dated in some areas, impacting ease of navigation

Best For

Mid-to-large private duty nursing agencies requiring enterprise-grade EVV compliance and operational scalability.

Pricing

Custom quote-based pricing starting at $5,000+ per month for mid-sized agencies, depending on users, modules, and EVV integrations.

Visit Sandatasandata.com
10
KanTime logo

KanTime

enterprise

Versatile home health software adaptable for private duty nursing with billing, scheduling, and mobile access.

Overall Rating7.8/10
Features
8.4/10
Ease of Use
7.1/10
Value
7.4/10
Standout Feature

Advanced EVV integration with real-time GPS verification and payer-direct claims submission

KanTime is a comprehensive cloud-based software platform designed for home health, hospice, and private duty nursing agencies, focusing on scheduling, electronic visit verification (EVV), billing, and payroll management. It enables efficient caregiver shift scheduling, real-time visit documentation via a mobile app, and automated billing to payers for PDN services. The solution prioritizes regulatory compliance, including Medicaid EVV requirements, and provides reporting tools for operational insights.

Pros

  • Strong EVV compliance with multi-state support
  • Integrated billing and payroll automation
  • Mobile app for real-time caregiver clock-in and documentation

Cons

  • Steep learning curve for non-tech-savvy users
  • Limited customization for unique workflows
  • Higher costs for smaller agencies

Best For

Mid-sized private duty nursing agencies seeking robust compliance and revenue cycle tools.

Pricing

Custom quote-based pricing, typically $60-$150 per user/month depending on modules, agency size, and EVV needs.

Visit KanTimekantime.com

Conclusion

The reviewed tools showcase the breadth of innovation in private duty nursing software, each offering unique strengths to streamline operations. Axxess leads as the top choice, with its comprehensive cloud-based platform integrating advanced scheduling, EVV, and compliance features. AlayaCare and HHAeXchange follow as strong alternatives, providing all-in-one management and specialized connectivity, respectively, ensuring agencies of various needs find value.

Axxess logo
Our Top Pick
Axxess

To unlock efficient, compliant, and seamless private duty nursing management, start with Axxess today—its integrated features can transform your operations.