EVV, payroll, Medicaid billing, and accounting — built for Missouri home care, in one HIPAA-secure platform. From clock-in to paycheck to a balanced set of books.
Built for scale
Multi-tenant from the ground up — one CareBOS deployment is built to carry hundreds of agencies and thousands of consumers, with the books still reconciling in real time.
One platform
Stop stitching together point solutions and spreadsheets. CareBOS connects visits, payroll, billing, and accounting so the numbers reconcile themselves.
Clock in/out by GPS app or a toll-free phone call (IVR) — per-consumer geofencing, task checklists, and one-click Sandata (OpenEVV altEVV) submission.
No smartphone required. Caregivers dial a toll-free line from the client's own phone — caller ID is the location proof and a private PIN is their signature. They confirm each care task by keypad, and every call is logged to stand up to a Medicaid audit.
Caregivers run their own paperwork from their phone: clock in and out, download pay stubs and W-2s, update W-4 withholding, and manage direct deposit — with bank changes verified before any payroll moves.
Automatic federal (Pub 15-T) and Missouri withholding, FICA, FUTA/SUTA, direct-deposit paystubs, and remittance-ready tax liability reports.
Program → service → rate straight from the MO DHSS rate book. Bill CDS and In-Home correctly, with AR posted the moment a visit is verified.
A true double-entry general ledger — trial balance, P&L by program, and balance sheet — so payroll and revenue always reconcile.
Aides clock in and out from any phone, complete their task list, and capture visit notes — no app store, no extra device.
Role-based access with configurable permissions, an append-only audit trail, and field-level PHI encryption — HIPAA and SOC 2 in mind from day one.
Also for residential care
Assisted Living and Residential Care is a bolt-on, not a second system — the census, staff, timeclock, and books all share the CareBOS spine. Facility care is EVV-exempt, so there's no claims busywork.
Admissions, rooms & beds, care levels, and SNC-aware private-pay monthly billing that posts straight to your ledger — by facility.
Med orders, a per-shift med pass with given/refused/held, PRN, and a documentation-grade record — with the med tech's credential on every entry.
Mount a tablet; staff punch in and out with a PIN. Hours flow into payroll automatically — no verification step, no data re-entry.
A live dashboard of what a DHSS surveyor flags — missing or overdue ISPs, open and unreported incidents, and medication exceptions.
Individualized service plans with tasks care staff verify each shift, plus incident reporting — the clinical record surveys ask for.
Assign users to specific facilities; managers and med techs see only their building. HIPAA-minded access, by design.
How it works
The caregiver clocks in on the mobile app inside the geofence — or dials the toll-free line from the client's phone; tasks and hours are recorded.
Your office verifies the visit; it's submitted to Sandata and becomes payroll- and billing-ready.
Medicaid AR posts at the correct rate; payroll runs with full tax withholding and paystubs.
Every dollar flows into the general ledger — no re-keying, no month-end scramble.
Built for healthcare
CareBOS is designed around HIPAA and SOC 2 controls: tenant isolation, role-based access with configurable capabilities, an append-only audit log, encrypted PHI, and self-hosted mapping so no protected data leaves for third-party tiles.
Every agency is fully separated — data is scoped to your organization at every query.
Configurable roles let you grant exactly the permissions each staff member needs.
An append-only audit trail records who changed what, when — with before/after detail.
Beyond the software
Running a home-care or residential agency is more than software. Our team helps with the hard parts — operations, compliance, the state, and anything the product doesn't do yet.
Compliance reviews, policies, and contracts — connected with counsel who understand Medicaid home care and residential regulation.
Medicaid enrollment, licensing, state relations, cost reports, and grant support — help navigating DHSS and the agencies you answer to.
Bespoke features, reports, and integrations built on your CareBOS instance — when you need something the standard product doesn't cover.
See CareBOS on your own programs and rates. We'll walk you through it.
Request a demoGet started
Tell us a bit about your agency and we'll reach out to schedule a walkthrough.