Generations Homecare System

Generations Homecare System is cloud-hosted software for managing homecare agencies, from scheduling and visits to billing and payroll. It is best suited to agencies coordinating office teams, caregivers and clients in one system. Its broad operational coverage is appealing, but agencies should budget for extra user and location licenses and EVV fees.

Overview

Generations brings scheduling, client and caregiver management, care documentation, reporting, billing and payroll together. That breadth can reduce the need to split routine operations across separate tools. GPS or verified-telephone shift verification gives caregivers two ways to record visits, with real-time verification for office oversight.

The vendor says the system supports HIPAA compliance through audit trails, user-based permissions and secure documentation. Web access uses SSL, agency data is isolated at the database level, and backups are encrypted. These safeguards are relevant for sensitive records, though they do not replace an agency’s own compliance responsibilities.

Key features

Operations and visit verification

Scheduling, availability management, reporting, billing, payroll and care documentation cover much of the administrative work of a homecare agency. The EVV add-on supports GPS and telephone verification, but it carries additional visit verification fees on top of its monthly charge. Agencies that need EVV should include both costs in their budget.

Apps, integrations and support

Separate mobile apps serve caregivers, office staff, clinicians and clients, and require an existing subscription. The system also supports QuickBooks and QuickBooks Online integration, clearinghouse billing exports, and payroll and billing exports for ADP, Paychex and others. Unlimited support and training, LiveChat, phone support and a one-on-one onboarding trainer give agencies several routes to assistance during setup and ongoing use.

Pricing

Generations is paid software with no free plan. The Standard Software and Service plan costs $363/month and includes three user licenses, one location, unlimited caregivers and unlimited clients. Additional user licenses cost $30.25 each and additional locations cost $121 each. The included licenses and location may suit a smaller operation, but agencies with more office users or sites will pay more than the starting price.

The separate Electronic Visit Verification (EVV) plan costs $25/month and requires an existing Generations account; additional visit verification fees also apply. It is an add-on, not a lower-cost way to access the agency system. Both plans are billed monthly, and the mobile apps require a subscription.

Platforms

Generations is browser-based and cloud-hosted, with access from networked PCs, Macs, tablets and smartphones. Apps for caregivers, office staff, clinicians and clients are offered through the App Store, Google Play and Amazon. The combination accommodates office and field use, while app access remains tied to an existing subscription.

Who it's for

Homecare administrators, schedulers and case managers can use the system to coordinate operations, while caregivers and people receiving care have their own mobile apps. It is a stronger fit for agencies seeking one system for administration, visits and payroll than for buyers looking only for an EVV tool: EVV requires a paid account and brings additional fees.

Pros and cons

• Pros: Scheduling, EVV, documentation, billing and payroll sit within one agency system, helping teams keep core workflows together.
• Pros: Unlimited caregivers and clients are included in the standard plan, so those counts do not add a per-person charge.
• Pros: Apps cover caregivers, office staff, clinicians and clients, and support and training are unlimited.
• Cons: The $363/month standard plan includes only three user licenses and one location; additional licenses and locations raise the monthly cost.
• Cons: EVV costs $25/month beyond the standard plan and adds visit verification fees.
• Cons: Mobile apps require an existing subscription, so they are not a standalone option.

Alternatives

For a broader comparison of tools in this category, see Home Care Scheduling Software.

• CareVoyant is another paid option, available on Android, iOS and web, with custom pricing.
• Rosemark System may suit a small private-pay agency seeking a month-to-month plan: Starter costs $49 a month and has no long-term contract.
• ANKOTA is a paid platform for home care, EVV, I/DD, adult day and self-direction programs; pricing is custom.
• Birdie offers SmartPlans at £2.75 per recording hour with a monthly commitment, and unused hours roll forward.
• AxisCare has custom-priced plans for medium agencies with 15–500 clients and enterprise agencies with 1,000+ clients.
• CareCade offers Grow at $300/mo for up to 50 clients with unlimited staff, or Scale at $550/mo for unlimited clients and staff.
• CareConnect EVV has a Starter plan at $299/mo for up to 10 active clients, with a $1,000 implementation and onboarding fee.
• CareLineLive offers eRoster at £8.10 per carer per month, excluding VAT, with a £120 minimum monthly fee.

Verdict

Generations is a good fit for homecare agencies that want scheduling, visit verification and core administrative workflows in one cloud-hosted system, with apps for both care teams and clients. Its unlimited caregiver and client allowance is useful, but the $363/month base price covers only three user licenses and one location, and EVV adds both a monthly charge and visit fees. Agencies with leaner needs or tight budgets should compare alternatives before committing.