If your agency runs a multi-tool stack, integration ecosystem matters as much as core features. PointClickCare has the largest marketplace (350+ certified partners); AlayaCare has the most modern API; AxisCare leads on non-medical partners; HHAeXchange leads on Medicaid and payer connectivity. HeyHomeCare connects to AxisCare today, with WellSky Personal Care coming.
No agency-management platform does everything. The moment you add background checks, payroll, accounting, or an AI inbound layer, your core platform’s integration ecosystem becomes the thing that decides whether your stack is coherent or a mess of CSV exports. For multi-tool operators, extensibility is a first-class buying criterion.
Two questions matter: how big is the ecosystem (does the tool you need already integrate?), and how deep is each integration (a direct API connection, or a nightly export)? Big-but-shallow and small-but-deep are very different experiences.
The biggest certified-integration ecosystem in post-acute. If you run many tools, the odds your stack already integrates are highest here.
A modern, well-documented published API in mid-market home care. Its API terms require a partner agreement before production use, so ask any add-on vendor whether theirs is signed.
A focused set of partners covering the non-medical stack (payroll, background checks, AI inbound) without enterprise overhead.
Deep state-Medicaid and payer-provider connectivity — the integrations that matter most for a Medicaid book.
PointClickCare’s Marketplace lists over 350 certified integrations — the largest ecosystem in post-acute. For a multi-facility operator running many vendors, that breadth meaningfully reduces integration overhead: the tools you need are likely already certified and supported.
Multi-facility operators, SNF + home care combined
AlayaCare’s API is the most modern in mid-market home care. The catalog is smaller than PointClickCare’s, but the API surface is broad and well documented. Its API terms require a partner agreement for production use and limit some uses, so confirm an add-on vendor’s agreement before you plan around it.
Tech-forward mid-market to enterprise, multi-service agencies
AxisCare offers an API plus a focused set of partners covering the non-medical stack. It’s not trying to be a 350-app marketplace; it’s trying to cover what a non-medical agency actually integrates — payroll, background checks, EVV, and AI inbound — cleanly.
Non-medical agencies, 10–250 caregivers, mid-market growth
HHAeXchange’s integration strength is Medicaid-specific: state aggregators, payer connectivity, and the EVV plumbing a Medicaid book depends on. For Medicaid operators, those are the only integrations that truly matter, and HHAeXchange owns them.
Medicaid-heavy agencies, multi-state Medicaid, EVV-driven
| PointClickCare | AlayaCare | AxisCare | HHAeXchange | |
|---|---|---|---|---|
| Founded | 2000 | 2014 | 2011 | 2008 |
| Integration angle | Largest marketplace | Most modern API | Non-medical partners | Medicaid + payer |
| Ecosystem | PCC Marketplace (350+ certified integrations) | API + iCarol (acquired call center) | API + select partners | State Medicaid + payer integrations |
| HeyHomeCare | Not connected · forwarding works | Built · on once the partner agreement is signed | Connected through the API | Not connected · forwarding works |
Whatever platform you pick, a few integration categories show up in almost every home care stack:
The one most platforms handle worst is the first — caregiver calls and texts after hours. That’s the gap HeyHomeCare was built to fill. It connects to AxisCare today; AlayaCare is built and switched on once AlayaCare’s partner agreement is in place. Axxess, HHAeXchange and PointClickCare aren’t connected today; the line still answers by forwarding. An agency that runs on HeyHomeCare itself gets QuickBooks Online and payroll export files for ADP, Paychex, Viventium and Gusto built in.
Caregiver calls and texts after hours are the work home care platforms leave to a person. HeyHomeCare answers them and works your business rules — call-offs, missed clock-ins, running late — and on AxisCare can reassign the covered visit when you turn that on. WellSky Personal Care is coming. Or run your agency on HeyHomeCare itself.