AlayaCare is built for the enterprise. AgenciesForge is built on AI.
AlayaCare is a credible home-health platform — clinical documentation, OASIS, scheduling, EVV, billing, and ML-based analytics. It's also enterprise-priced, home-health-centric, and deployed over months with analytics bolted onto traditional software. If you're a small-to-mid agency — or you run home health pluswaiver or behavioral health — that's a heavy, narrow fit.
AgenciesForge is AI-native, bundles the Stedi clearinghouse, spans home health + DD/IDD + behavioral health, and gets you live in days — with no per-seat fees and the launch/certification lifecycle built in.
How the two compare
| Capability | AlayaCare | AgenciesForge |
|---|---|---|
| OASIS-E + PDGM + 485 Plan of Care | Yes (mature) | Yes · AI narrative drafting · LUPA alerts |
| Scheduling + EVV | Yes (enterprise-grade) | Yes · GPS + Sandata/HHAeX/state-direct adapters |
| Behavioral health charting + outcomes | Not a focus | Built in · SOAP/BIRP/DAP/GIRP + instruments |
| DD/IDD waiver documentation (MUI, ISP, DSP) | Not a focus | 7 state authorities native |
| Clearinghouse for claims | Integrations / add-on | Stedi bundled · 837P/270/271/835 |
| 15-point AI claim pre-submit audit | Analytics, not pre-submit audit | Catches denials before wire fees |
| AI documentation drafting from voice | ML analytics layer | AI-native · AI Forge · 23 AI tools |
| Per-agency self-learning (denials, fee schedules) | Aggregate analytics | 25 auto-learning loops, per agency |
| WENO ePrescribing (EPCS + PDMP) | Varies / integration | Integrated |
| Telehealth (HIPAA-compliant) | Add-on / integration | Self-hosted LiveKit included |
| Agency launch + certification workflows | None | 60-day idea→certified arc built in |
| Multi-agency / multi-NPI network management | Enterprise config | Parent/child agencies from one login |
| Time to live | Implementation in months | Self-serve · working the same week |
| Pricing | Enterprise, quote-based | $199/$499/$1,099 · unlimited users |
What AlayaCare does that we don't (yet)
Enterprise scale + scheduling depth:AlayaCare is built for large, multi-branch home-health organizations with thousands of visits a week. Its scheduling, workforce optimization, and reporting are tuned for that scale and have years of enterprise hardening behind them. If you're a very large agency with a dedicated implementation team, AlayaCare's maturity at scale is real.
Established payer + integration ecosystem: AlayaCare has long-standing payer relationships and a wide integration catalog built up over years. We bundle a managed Stedi clearinghouse and add adapters as customer volume justifies them — broad but newer.
Large support + professional-services organization:Enterprise buyers sometimes want a big vendor with formal SOWs, dedicated CSMs, and on-site rollout. AlayaCare can staff that. AgenciesForge offers concierge onboarding and a dedicated success manager on the top tier, but we're a leaner, faster-moving team by design.
How agencies typically migrate
- Export your patient + clinician + episode data from AlayaCare (CSV / report exports).
- Import into AgenciesForge → Patients → CSV import. Bulk records land in ~10 minutes.
- Configure EVV and your service mix (home health / DD / BH) in the wizard.
- Train staff on the AI Forge dictation + OASIS drafting flow — most learn it in under an hour.
- Cut over on an episode boundary; keep AlayaCare read-only for retention if your contract requires it.
Common questions
Isn't AlayaCare already a full home-health platform?
It is — AlayaCare is a credible enterprise platform with clinical documentation, OASIS, scheduling, EVV, billing, and ML-based analytics. The difference is fit and model. AlayaCare targets larger enterprise agencies with longer implementations, higher price points, and analytics layered onto traditional software. AgenciesForge is AI-native from the ground up, bundles the clearinghouse, spans home health + DD/IDD + behavioral health, and is priced and deployed for small-to-mid agencies that want to be live in days, not quarters.
What does 'AI-native' actually mean versus AlayaCare's machine learning?
AlayaCare adds ML and analytics on top of a traditional EHR — predictive scores, dashboards. AgenciesForge is built so AI executes the workflow: AI Forge drafts session notes and OASIS narratives from voice, runs a 15-point pre-submit claim audit, writes denial appeals and prior-auth letters, classifies inbound faxes, and answers questions across the whole chart — and it learns per agency from your own paid-claim and denial history. The AI does the administrative labor, not just report on it.
Does AgenciesForge handle OASIS-E, PDGM, and the 485 like AlayaCare?
Yes — OASIS-E assessments (SOC/ROC/Recert/Discharge) with the full M-item set and AI-guided narrative drafting, PDGM episode tracking with LUPA proximity alerts, NOA submission with 5-day-window tracking, and 485 plan-of-care generation ready for physician signature. The clinical home-health core is there.
We also run waiver or behavioral-health lines. Does that matter?
It's a major advantage. AlayaCare is home-health-centric. AgenciesForge spans home health, DD/IDD waiver (7 state authorities, MUI, ISP, DSP credentialing), and behavioral health (SOAP/BIRP/DAP/GIRP, outcome instruments, safety plans) in one platform — so a multi-line agency runs everything in one system instead of stitching home health to a separate BH or waiver tool.
How does pricing and onboarding compare?
AlayaCare is enterprise quote-based pricing with implementation timelines often measured in months. AgenciesForge is capacity-tiered ($199 / $499 / $1,099 per month by active patient count) with unlimited clinician seats, Stedi clearinghouse bundled, and self-serve onboarding — most agencies are working in the platform the same week. No per-seat fees, ever.
See the AI-native difference side-by-side
Book a 30-minute walkthrough — bring a real OASIS assessment and a recent claim, and we'll show you AI Forge drafting the narrative from voice and the 15-point audit catching denials before submission. If you're a very large enterprise agency, we'll be honest about where AlayaCare's scale fits better.