AtlasCare vs HHAeXchange
HHAeXchange is Texas's state-designated EVV aggregator and a Medicaid-focused home care platform. Atlas is built for the private pay agency you're running today.
HHAeXchange plays two distinct roles in Texas home care. As the state-funded Electronic Visit Verification vendor, it is the required submission portal for Texas Medicaid agencies — and that portal is free to providers. As a commercial software company, HHAeXchange also sells a Medicaid-focused home care management platform used by agencies of many sizes for scheduling, billing, payroll, and compliance. Information current as of June 2026.
Atlas Care Software is built for a different customer: small and launching private pay agencies that need scheduling, GPS-verified visits, and invoicing without Medicaid billing complexity or enterprise pricing. If your agency bills private pay clients and you're evaluating home care software, here's how the two compare.
AtlasCare vs HHAeXchange at a glance
| Feature | AtlasCare | HHAeXchange |
|---|---|---|
| Starting price | Free until your first client, then $199/mo flat | Listed at ~$375/mo on software review sites; contact sales for current quote |
| Pricing model | Flat monthly price — no per-seat or per-client fees | Quote-based; scales with agency size and service lines |
| Texas EVV aggregator role | In development — GPS visit data captured today; TMHP aggregator integration coming | IS the Texas state-funded EVV aggregator (required for Medicaid; free portal) |
| Medicaid billing | In development — private pay today | Core offering; Medicaid-first platform |
| Private pay billing | Built-in, generated from GPS-verified visits | Supported |
| Caregiver mobile app | Included free | Included |
| GPS EVV clock in / clock out | Included on every shift | Included |
| Setup / onboarding | Usually one day | Varies; implementation and onboarding required |
| Contract | None — cancel anytime | Varies by plan |
| Best for | Launching and small private pay agencies | Medicaid and multi-payer agencies; managed care organizations |
Competitor details based on publicly available information and subject to change. Verify current details with the vendor.
Why agencies choose Atlas
Private pay agencies don't need Medicaid complexity
HHAeXchange's commercial platform is built around Medicaid billing workflows, managed care payer connections, and state compliance reporting. If your agency bills families directly, you're paying for infrastructure you'll never use. Atlas covers the operations a private pay agency runs every day — scheduling, GPS-verified visits, and invoicing — and nothing you don't.
Transparent pricing before you talk to anyone
Atlas publishes its price: free until your first client, then $199/mo flat. HHAeXchange's commercial software is quote-based, and pricing scales with your agency size and service lines. For a small agency evaluating software, knowing the number before the sales call matters.
Operational in a day, not weeks
HHAeXchange's enterprise depth means implementation and onboarding are built into the process. Atlas is set up in a day: add your team in the morning, schedule clients in the afternoon. Our team migrates your data free on the Growth plan, and your old system stays live until you're ready.
Frequently asked questions
If you bill Texas Medicaid for personal care or home health services, yes — HHAeXchange is the state-designated EVV aggregator for Texas HHSC programs (replacing AuthentiCare and Vesta as of October 2023), and visit data must be submitted through it. The state portal is free for Texas Medicaid providers. Private pay agencies are not required to submit data to HHAeXchange, though Atlas captures GPS-verified visit records on every shift regardless.
HHAeXchange operates both. Their state portal is a government-contracted EVV submission system — free for Texas Medicaid providers and required for HHSC program participation. Separately, HHAeXchange sells a commercial home care management platform (scheduling, billing, payroll, compliance) competing with AxisCare, Axxess, and similar tools. This comparison covers the commercial software; the state EVV portal is a required government system, not a product you choose.
If your agency bills private pay clients, yes — Atlas is purpose-built for that model. You get scheduling, GPS-verified visits, and invoicing at $199/mo flat with no Medicaid complexity. If your agency bills Texas Medicaid today, you still need to submit EVV data through the HHAeXchange state portal regardless of which software you use — and Atlas's direct TMHP/HHAeXchange integration is in active development.
Texas EVV aggregator integration (submitting visit data through HHAeXchange to TMHP) is in active development at Atlas. Agencies planning to bill Texas Medicaid will be able to do so through Atlas once that integration ships. Contact us if Texas Medicaid is on your roadmap and we'll share current timelines.
Atlas publishes its pricing: free until your first client, then $199/mo flat ($124/mo billed annually) for up to 4 active clients. HHAeXchange's commercial software is listed at approximately $375/month starting price on software review sites — contact their sales team for a current quote, as pricing scales with agency size.
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