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Compare · The Rosemark System

CareBravo® vs The Rosemark System: who does the work after the tap?

Short answer: The Rosemark System suits private-pay, VA and Medicaid home care agencies; tiered Starter / Standard / Enterprise packages; long-time franchise users exist. CareBravo suits single-location Medicaid home care owners who want an AI agent doing each of nine jobs from one tap at the door, with a person confirming anything that moves money or care.

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Side by side.

The Rosemark SystemCareBravo
Built forPrivate-pay, VA and Medicaid home care agencies (press release: ’Medicaid EVV compliance, VA billing, and private-pay agency operations’); tiered Starter / Standard / Enterprise packages; long-time franchise users exist (e.g. a Visiting Angels office named in a 2023 release).Medicaid home and community based care owners, single location, from first clients up. Personal Support Services and case management now; Personal Care Homes and Adult Day Health next.
EVVOwn caregiver app (RCA) plus telephony and offline capture.The caregiver’s tap at the door. Sends to the state’s system where required. Listed by Georgia DCH as an EVV vendor. Rejections come back explained.
PayrollIntegrates rather than runs payroll: QuickBooks integration and standardized payroll exports (GetApp listing; 2025 release says ’billing and payroll integrations’).The timesheet and payroll file are made from the tap, for your payroll company.
BillingIn-product invoicing; 837P/batch billing for certain Medicaid states; VA 837P text files for portal upload; Georgia billing through the Tellus connection.Claims built from checked shifts; every denial worked. Managed Billing adds our specialists and a written 99% guarantee.
AINot described on its site.An AI agent in each of nine jobs, coordinated by Cary®. Works inside rules you write once. A person confirms anything that moves money or changes care; the nurse signs. Runs inside our HIPAA safeguards.
SwitchingNot published.The Parallel Promise™: two weeks beside your current system on real data; nothing switches until the numbers match.

We don’t compare software prices, because the software is not what you are paying for. You are paying for the work after the tap, and who does it. Our prices are all published on Pricing.

The Rosemark System facts are from its own published materials and trade press, checked 28 Oct 2026. Sources are listed below. If something has changed, tell us and we will correct it.

What The Rosemark System does well

  • Longevity and support: in business since 1988 per its own release; GetApp shows 95 reviews at 4.7 with customer support rated 4.9 (per user reviews).
  • Medicaid aggregator coverage: API integrations with Sandata and Tellus/Netsmart, and HHAeXchange by API or CSV depending on state; Tellus has a direct billing connection for Georgia (Rosemark help center).
  • Caregiver app with offline clock-in for rural clients, shift offers, care-plan task entry and choice of mapping app (help center; March 2025 release).
  • Shipped new state integrations recently: Michigan HHAeXchange (March 2025) and Delaware Sandata approval (January 2023).

Where the work still lands on you

  • EVV events outside the agency’s on-time window or distance threshold do not link automatically and require manual review by staff (Rosemark help center).
  • Linking an EVV event can change billable duration or keep the original shift time, a choice the office makes per shift (Rosemark help center).
  • Payroll runs through QuickBooks integration or payroll exports to another system (GetApp listing; 2025 release).
  • State Medicaid integrations sit in the Enterprise tier, above Starter and Standard (Capterra pricing page).
  • In Sandata states, Rosemark notes Sandata has no direct billing connection to state Medicaid, so claims go through a separate billing step (Rosemark help center).
  • Payer back-office work such as payment posting, authorizations and unpaid claims is offered through a separate partner, Paradigm, rather than inside the product (2023 release).

That last column is the pattern we call Tangleware™: good tools, and an owner in the middle, retyping between them. It is not a judgment about The Rosemark System. It is what happens when the visit has to be carried by hand from one system to the next.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary

Which one is right for you.

The Rosemark System may fit if

Private-pay, VA and Medicaid home care agencies (press release: ’Medicaid EVV compliance, VA billing, and private-pay agency operations’); tiered Starter / Standard / Enterprise packages; long-time franchise users exist (e.g. a Visiting Angels office named in a 2023 release). Used mainly in the US and Canada per its 2023 release.

CareBravo fits if

You run a Medicaid home and community based care agency, you are the one in the middle of the apps, and you want the hours back for your clients or your family.

For a Medicaid-heavy single-location Georgia owner, Rosemark is a steady, well-supported scheduling and EVV system with a real Tellus billing connection, but exception review, payroll and payer follow-up stay with her office or a separate partner.

What owners ask about The Rosemark System.

Does The Rosemark System use AI?

Not described on its site.

How is CareBravo’s AI different?

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.

Who is The Rosemark System built for?

Private-pay, VA and Medicaid home care agencies (press release: ’Medicaid EVV compliance, VA billing, and private-pay agency operations’); tiered Starter / Standard / Enterprise packages; long-time franchise users exist (e.g. a Visiting Angels office named in a 2023 release).

Can I switch from The Rosemark System to CareBravo without stopping billing?

Yes. Under the Parallel Promise, The Rosemark System keeps running while CareBravo runs beside it for two weeks on your real data. Nothing switches over until the numbers match, and you pick the day the old system turns off.

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. 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.
Sources for this comparison (11)

You take the bravo. We take the work.

Your agency, not the brochure.

The Calculator shows what the tangle costs your agency today, line by line, before you decide anything about The Rosemark System or us.

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