For Medicaid home and community based care owners

Built for the hardest payer in American home and community based care. Runs your whole agency.

Not another app. An operating system for your agency, with an AI agent built into each of its nine jobs.

CareBravo® is AI home care software for Medicaid agencies: the EVV your state approved, plus an AI agent for billing, payroll, charts, family updates and five more jobs, with a person confirming anything that moves money or care.

130+ agencies run on CareBravo (Oct 2026) · Listed by Georgia DCH as an EVV vendor · Nobody calls unless you ask

CareBravo on the web: the owner's home with the nine jobs and Community down the left, and the five things that need her today.
CareBravo on a phone: Good morning, Grace. A swap request Cary already matched. Take it or Decline.

Real product screens. Sample agency, sample data.

You didn’t start an agency to become its back office.

Same agency. Same Tuesday. Two mornings.

Now CareDrain™

5:04 AM

A caregiver can’t make it. The phone tree starts before your coffee does.

9:00 AM

The state sends a rejection code. You decode it on Thursday.

9:40 PM

You retype Tuesday’s visits into payroll, then into billing, then answer a daughter’s text.

On CareBravo Done

5:19 AM

Covered, using a rule you set once. You find out at breakfast.

9:00 AM

The rejection came back in plain words. You tapped Go ahead, and it went back in tonight’s batch.

9:40 PM

Payroll, the claims and the daughter’s update were made from the caregiver’s tap this morning. You are not at the desk.

Why the nights never got shorter

You already have an EVV, a scheduling app, payroll and billing. They do not talk to each other. You are the one in the middle.

So one caregiver’s tap at the door gets typed again, and again, by someone in the office. Every retype is a chance for the numbers to drift apart. When they do, you get the denial, the short paycheck, the daughter who stopped trusting you, and the survey finding.

One tap at the doorthe caregiver, 8:00 AM
Timesheetretyped
Paycheckretyped
Claimretyped
Chartretyped
Familya phone call

More apps did not fix this. Every new app is one more place to retype, and one more login for you at 9:40 at night. The fix is not a better app. It is something underneath the apps.

What the tangle costs you

You are already paying for an operating system. You just pay for it five times, and it still does not exist.

The tangle of disconnected systems has a name: Tangleware™. It has a price too, and it is not on any report you run. The Calculator adds it up for your agency. For a typical agency with 15 caregivers, about 45 clients, it comes to about $247,000 a year.

Your number is different from this one. Four minutes in the Calculator shows it, line by line, with your agency’s name on it. That is the money the operating system gives back, before anyone talks about price.

$30K–$120Ka year in subscriptions for apps that do not talk to each other: EVV, scheduling, payroll, billing, a family portal, training, documents. Depends on agency size and how many apps.
$4,800per caregiver per year of paid time spent on screens instead of care: up to 8 hours a week. At 15 caregivers, that line alone is $72,000.
The driftthe denials, the short paychecks, the caregiver who left, the survey finding. It is the biggest line and the one nobody writes down, because it looks like bad luck.

Figures scale with the number of caregivers. Sources: Screen Tax from BMC Geriatrics, Ausserhofer et al., 2023; subscription range from vendor pricing benchmarks and CareBravo customer-disclosed data; the composite from the CareDrain Calculator methodology, shown line by line on your result.

Why this works

One tap at the door should run the whole agency.

In CareBravo, the caregiver’s tap at the door and her one voice note at the end of the shift are the only things anyone types. The timesheet, the paycheck, the claim, the chart line and the family’s update are all made from them.

One tap. One voice note.the caregiver, at the door
Timesheetmade from it
Paycheckmade from it
Claimmade from it
Chart linemade from it
Family updatemade from it

Nothing is retyped, so nothing drifts. If the tap is missing, the caregiver is asked one question and the office confirms the time. If the state rejects a record, it comes back explained in plain words and goes back in tonight’s batch after your Go ahead. The nurse signs the chart. That is the whole trick. It is why denials stop, why payroll is right on Friday, and why the family never has to call.

The tap. If it is missing, one question, one answer, and the office confirms the time.
CaregiverThe tap. If it is missing, one question, one answer, and the office confirms the time.
The voice note. She says what happened. CareJot® writes it down. The chart line and the family’s sentence come from it.
CaregiverThe voice note. She says what happened. CareJot® writes it down. The chart line and the family’s sentence come from it.

Real product screens. Sample agency, sample data.

What an Autonomous Care OS® is

Your phone has an operating system. The apps run on it, and you never think about it. Your agency never had one.

It had five apps, and you in the middle. CareBravo is the operating system underneath. The caregiver’s tap goes in once. Nine agents, one for each job, do the work on top of it. A person confirms anything that matters. Everything your EVV, your billing software and your payroll software do, it does from that one tap. Then it does the jobs they never touched.

What you pay for todayWhat it doesOn the Autonomous Care OS
Your EVV appProves the visit to the state.Proves the visit. Listed by Georgia DCH. Rejections come back explained, and go back after your Go ahead.
Your billing softwareBuilds the claim from what the office types.Builds the claim from the tap. Nothing retyped. Every denial worked.
Your payroll softwarePays from a timesheet someone keyed in.The timesheet and the payroll file are made from the tap. Your payroll company pays from it, right.
Your scheduling appShows you the open shift. You make the calls.The call-out is covered under your rule. You find out at breakfast.
Your phoneFamilies call to ask where the caregiver is.The family gets one plain sentence, from the tap, before they think to call.
NothingCharts, referrals, hiring, keeping caregivers, training: you, at night.Five more agents, five more outcomes. Listed below.

The name says what it is. Autonomous: the agents do the work before you wake up. Care: the nurse signs every clinical field, and a person confirms anything that moves money or changes care. OS: everything in your agency runs on it, so nothing is retyped between apps.

Nine jobs. Nine agents. Nine outcomes you can check.

Each agent owns one job and is judged on one outcome.

The outcome is written on the agent’s own screen, in these words. If the agent is not delivering it, you can see that too. Tap a job for the night that went differently.

The offer

Who does these nine jobs in your agency today?

That one question picks the plan. Each plan includes everything above it. Community is in every plan. Not sure? The Calculator picks one for you, and never sells you up.

Your people

A scheduler, a biller, a nurse, an office.

Core

All nine jobs in one app. Your team does the work, and you can see all of it.

$15per active client a month
A small team that needs the routine carried
Autonomous

Core, plus Cary® and nine agents working inside your rules. You decide the exceptions. The nurse signs every clinical field.

1.97%of eligible billed revenue for the next 50 agencies, locked 12 months. Standard rate 2.47%.
Not enough people, or none for billing
Managed Billing

Autonomous, plus our billing specialists and the written 99% guarantee.

4.47%of eligible billed revenue; $250 a month before claims begin

The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.

Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. You pick the day it turns off. The Parallel Promise™
  2. 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

Founding rate — 1.97% for the next 50 agencies, locked 12 months. Standard rate 2.47%. See pricing →

Meet Cary

Cary is the one you talk to. She runs the nine agents.

You ask her in plain words, by typing or by speaking: “Who is at risk of leaving?” “Why was Tuesday’s claim held?” She answers from your own agency’s data and shows you the rule behind every action.

The agents work inside rules you write once, in plain sentences. For example: “If a caregiver calls out before 6am, offer the shift to anyone within 10 miles who asked for more hours.” Cary follows the rule, and tells you what she did.

So “autonomous” does not mean a robot runs your agency. It means the office work is done before you wake up, and the decisions that need an owner are the only ones that reach you.

Cary, the CareBravo avatar you talk to
Cary

Three rules that never change

Cary drafts. A person confirms.

Nothing is filed until someone in your agency says yes.

Nothing that moves money or changes care is sent without your Go ahead.

No setting removes that step. A rejected record is resubmitted tonight, after you say so.

The nurse signs every clinical field.

Cary never signs. Her flags are prompts for a nurse’s judgment, never findings.

Standing rules: plain sentences you write once, grouped by job.
Standing rules. Plain sentences, grouped by job. Cary follows them and shows you the rule behind every action.
Requests and approvals: everything waiting for a person, with who asked and when.
Requests and approvals. Anything that changes money or care waits here for you.

Real product screens. Sample agency, sample data.

What your people see

The caregiver, the nurse and the daughter each get one thing to do.

Caregiver screen asking: did your 8:00 shift happen?

Caregiver

Forgot to clock in? One question.

Nurse home screen with a Cary swap request

Nurse

A swap request Cary already matched.

Family home screen: Ana was with Mom 8:00 to 1:04, verified at the door

Family

The daughter who never had to call.

Caregiver screen to fix a held shift

Caregiver

A missing clock is one question, one tap.

Caregiver swap a shift screen

Caregiver

Swap a shift. The office confirms before anything moves.

Real product screens. Sample agency, sample data.

And you

Each morning you get a short list: the few things only you can decide, costliest first.

CareBravo owner home: five things need you today, with the numbers that ran without you this week.

Real product screen. Sample agency, sample data, not a claim.

What we cover

One operating system for all of Medicaid home and community based care.

The nine jobs are the same whether the care happens in a home, a personal care home or a day center. We start with Personal Support Services (home care) and case management. Personal Care Homes and Adult Day Health are coming in November 2026.

The scheduling desk for a home care agency.

Live now

Personal Support Services

Home care: scheduling, payroll, billing, paperwork, hiring and family updates.

The case manager screen.

Live now

Case management

Case managers see their own members, checked and current, without calling.

Personal care homes: open beds today, residents and prospects.

Coming November 2026

Personal Care Homes

Open beds, residents and referrals for every home.

Adult day centers screen.

Coming November 2026

Adult Day Health

Day centers, attendance and transport, in the same app.

Real product screens. Sample agency, sample data.

Up to 8 hoursper week, per care worker, goes to screen work instead of care. BMC Geriatrics, Ausserhofer et al., 2023
Georgia DCHlists CareBravo as an EVV vendor. Georgia Medicaid programs
Every statehas a plain-language guide to its EVV system, programs and billing. Not running in yours yet? Tell us, and we will make you an offer to start now. Find your state

Questions owners ask.

How is CareBravo’s AI different from other home care software?

Other home care software uses AI for parts of the work: a caregiver match, a drafted note, a claim check. CareBravo runs an integrated AI workforce: an agent for each of the nine jobs a Medicaid office does, coordinated by Cary, from one tap at the door. Of the home care software on our AI comparison page, checked 28 Oct 2026, none has an agent for all nine. CareBravo’s AI runs inside our HIPAA safeguards. Your clients’ records are not sent to public frontier AI models. Read the full answer

What should I look for in home care agency software?

Start with what Medicaid requires: EVV that captures the six federal data elements and works with your state. Then check scheduling, payroll, billing, and caregiver notes in one place. Ask who owns your data, what happens at exit, what support costs, and whether it works in your state. Read the full answer

Is all-in-one software better than using separate tools?

All-in-one is usually easier when the money depends on matching: a checked shift becomes pay, a claim and a note. Separate tools can be fine if each one is strong and they connect without retyping. Count how many times someone retypes the same fact. That is the cost. Read the full answer

How do I switch software without stopping my billing?

Run the new system beside the old one on real data before you switch. Compare schedules, pay and claims until the numbers match. Move on a clean cut-off date, such as the start of a pay period, and keep the old system readable for audits. Ask for a written export of your data. Read the full answer

What is the difference between authorized hours and scheduled hours?

Authorized hours are what the state or plan approved for the client. Scheduled hours are what you put on the calendar. You can only bill up to the authorized amount, so schedule inside it. CMS lists billing more units than the plan allows as a common error that leads to improper payment. Read the full answer

Why was my claim denied for units or authorization?

Medicaid pays only for the units and dates that were authorized. If your claim has more units than the authorization allows, falls outside its dates, or lists a different provider ID, it denies. In Georgia these show as codes like 3052, 3011 and 3044. Prior authorization alone does not guarantee payment. Read the full answer

More answers in Learn

You take the bravo. We take the work.

You take the bravo. We take the work.

The bravo is the family’s thank-you, the clean survey, the paycheck that is right on Friday. That is yours, and it stays yours. The nine jobs behind it are ours. Four minutes with the Calculator shows which job to hand over first.

We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

See What’s Draining Your Agency →View the demo