Home health ops · Home care, EVV, and day services software
Ankota
Ankota is software for home care, EVV, adult day, I/DD, and self-direction programs that runs scheduling, visit verification, billing, payroll, and family communication in one system.
Strong fit
- Home care agencies that also run adult day, I/DD, or self-direction programs
- Medicaid-funded agencies that need EVV built in
- Agencies that want a family app and an AI companion app for clients
Weak fit
- Skilled home health agencies that need OASIS and Medicare billing
- Large enterprises that want a big vendor with a deep services bench
- Buyers who need a published price per client or caregiver
Bottom line
Ankota is Boston software for home care, EVV, adult day, I/DD, and self-direction programs. It covers more program types than most tools its size. It fits agencies that run several Medicaid programs and want one system, if support for their state checks out.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Ankota makes software for agencies that help older and disabled people live at home. Ken Accardi was an original co-founder and its first CTO. He bought the company's assets in January 2014, moved it to Boston, and became CEO in June 2015.
The product covers home care, electronic visit verification, adult day services, I/DD programs, and self-direction financial management. Its agency platform brings scheduling, care plans, authorizations, billing, payroll, and reporting into one system. Caregivers use a mobile app in several languages to clock in, record tasks, and pick up open shifts.
Ankota uses AI in an approval assistant that helps staff review visits and clear EVV exceptions. It also sells KOTA Companion, an app that pairs emergency response with an AI companion for older adults. A family app shows visits and updates, and a public API connects Ankota to EVV aggregators, accounting, and HR systems.
Ankota says it sells to agencies of every size, from start-ups to franchises. It also supports PACE programs, Area Agencies on Aging, and Centers for Independent Living. The range is the draw, but it is a small company spread across many program types.
AxisCare, CareSmartz360, or ShiftCare fit when a private-pay home care agency wants a widely used scheduling and billing system. AlayaCare or HHAeXchange fit larger agencies and Medicaid programs that need deep payer connections.
Therap fits when I/DD documentation is the main job. CareVoyant fits when one agency runs home health, hospice, and private duty together.
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| AxisCare | 7.5 | 7.2 |
| ShiftCare | 7.4 | 7.3 |
| Therap | 7.3 | 7.1 |
| AlayaCare | 7.2 | 6.9 |
| Ankota | 7.2 | 7.3 |
| CareSmartz360 | 7.1 | 6.9 |
| CareVoyant | 7.0 | 6.8 |
| HHAeXchange | 6.9 | 6.6 |
Pricing
| Item | Detail |
|---|---|
| Model | A subscription quoted by Ankota for each agency or program. |
| What usually drives cost | For Ankota, cost depends on the number of clients and caregivers, which programs you run, EVV and billing needs, and add-ons such as KOTA Companion or the API. |
| What to ask before you buy | Ask Ankota for the monthly cost at your census, what EVV and the family app add, and what setup and data migration cost. |
| Published pricing | Ankota does not publish a price list. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.