HOME CARE PAYROLL · AGENCIES, PRIVATE DUTY & HOME HEALTH

Three homes, two rates, an hour of windshield time. WageTime sees the week.

WageTime is payroll for home care and home health agencies, not for families hiring privately: when one caregiver’s week spans several clients, rates, and the drive between them, overtime, travel pay, and visit hours all come out right on one check.

Built on infrastructure processing $35B+ in payroll & taxes · 2.8M+ employees paid
SOUND FAMILIAR?

The workplace is someone’s living room, and it moves every few hours.

Agency payroll isn’t hard because the wages are high. It’s hard because one person’s week is scattered across houses, rates, and a car, and every scattered piece has its own pay rule.

WINDSHIELD TIME

Travel between clients is payable time

The drive from one client’s door to the next is work time under federal rules, and mileage money doesn’t make it go away: one is wages, the other is an expense. Agencies that paid only the mileage have signed some very expensive judgments. Yours shouldn’t learn that rule from a lawyer’s letter.

TWO CLIENTS, TWO RATES

Overtime math the spreadsheet loses

Personal care at one rate Monday, companion visits at another Thursday, a weekend differential on top. That week’s overtime comes out of the weighted average of everything earned, not whichever rate the 41st hour happened to land on. The Friday spreadsheet picks one rate and hopes.

THE PER-VISIT TRAP

Nurses paid by the visit, paperwork paid by the hour

Per-visit pay for RNs and LPNs feels clean until the documentation time, the meetings, and the on-call hours pile up next to it. Mixed per-visit and hourly pay is a documented litigation trap in home health, and it still has to come out as one correct paycheck.

THE EVV RE-KEY

Visits verified once, typed twice

Every Medicaid visit is already verified electronically: who, where, when, to the minute. Then somebody exports the week, fixes the exceptions, and re-types approved hours into a payroll system that has never heard of a visit. Pay from raw punches instead of approved visits and the difference leaks out as payroll.

CREDENTIAL ROULETTE

The TB test that expired in March

CPR cards, TB tests, HHA certificates, RN licenses: dozens of dates, each quietly ticking. The lapse never announces itself; the surveyor finds it, or the schedule breaks when the one available caregiver isn’t cleared to work.

Every one of these is a payroll problem before it’s a legal one. Here’s how WageTime runs them.
01 · THE CAREGIVER’S WEEK

One person, three homes, two rates: overtime on the weighted average.

When a caregiver works two or more rates in one week, WageTime computes overtime on the weighted-average regular rate automatically: straight-time earnings across every client, service code, and differential, divided by total hours, with the premium on top.

  • Care, travel, and differential hours all land in the same math.
  • Night, weekend, and holiday differentials run as pay codes, on-call pay too.
  • Per-visit rates run as per-unit pay codes for clinicians.
  • Mixed per-visit and hourly weeks ride the same weighted-average overtime.
  • Minimum-wage processing at federal, state, and local levels.
app.wagetime.com/payroll/paystub-preview

Paystub Preview · Rosa M. · Week of Sep 8

3 clients · 2 ratesOT on weighted average
Every client, service code and differential ÷ total hours = the regular rate
Rosa M. · 42.0 hrs this week
Overtime hours2.0 OT hrs
Weighted-average rate$17.31
Premium · 0.5 × $17.31$17.31
Gross · one check$744.31
LineRateAmount
Personal careHarmon residence · 18.0 hrs$17.50$315.00
Personal careOkafor residence · 8.0 hrs$17.50$140.00
Companion visitsDelgado residence · 12.0 hrs$16.00$192.00
Travel between clients4.0 hrs$16.00$64.00
Weekend differential8.0 hrs+$2.00$16.00
One check, one correct ratecare, travel and differential in the same math

Replaces the one-rate guess the spreadsheet made every Friday, and the argument when a caregiver’s check came up short.

02 · BETWEEN THE HOUSES

Drive time is wages. Mileage is a reimbursement. WageTime pays both, correctly labeled.

Under federal rules, drive time between clients during the workday is payable work time, and mileage is an expense, not a substitute for wages. WageTime keeps the two apart on the same check.

  • Travel hours count toward overtime; mileage runs as a separate reimbursement code.
  • The ordinary commute is not payable time; between-client drives are.
  • Mileage configurable as a non-taxable earning type.
  • Per-diem codes for live-in and overnight arrangements, configured to your policy.
  • Every pay code itemized on the paystub the caregiver sees.
app.wagetime.com/time/travel

Travel & Mileage · Week of Sep 8-14

Drive time flows into overtime mathMileage: non-taxable code
Between-client drive time pays as hours; the ordinary commute does not
14.75Drive hrs as wages
233Miles logged
$168.93Reimbursed
CaregiverDrive hoursReimbursed
Rosa M.9 segments · 62 miles4.0$44.95
Denise K.7 segments · 48 miles3.25$34.80
Marcus T.5 segments · 39 miles2.5$28.28
Alina P.11 segments · 84 miles5.0$60.90
Drive hours paid as wages, mileage paid as an expensenon-taxable earning type

Replaces the mileage check that quietly stood in for wages, and the exposure that came with it.

03 · VERIFIED VISITS IN

Your scheduling system already knows the hours. Stop re-typing them.

WageTime imports visit and clock hours from your EVV or agency-management system, so approved visits land against the right caregiver, client, and rate with no double entry. Tell us your system on the demo and we’ll confirm the exact flow.

  • Pay from approved visits, not raw punches.
  • Exceptions held for review instead of paid by accident.
  • Private-pay visits: GPS mobile clock, geofence radius you set, map view.
  • Timesheet attestation, change logs, and locking for audit trails.
  • Approved hours flow straight into the run. No Thursday re-key.
app.wagetime.com/time/visits

Visit Hours · Imported · Fri Sep 12

Imported from your scheduling system2 exceptions to review
Approved visits only, matched to caregiver, client and rate on import
15Visits approved
74.5Hours to payroll
2Held for review
CaregiverHoursStatus
Rosa M.Harmon residence · 5 visits26.0Approved
Denise K.Delgado residence · 6 visits30.0Approved
Marcus T.Okafor residence · 4 visits18.5Approved
Alina P.Reyes residence · 3 visits12.0Missed clock-out
Sam W.Boone residence · 4 visits16.0Outside geofence
Approved hours post straight into the runexceptions wait for review, they never pay by accident

Replaces the Sunday export, the exception hunt, and the hours that got paid twice because nobody could tell which file was final.

04 · CLEARED TO WORK

Credentials tracked, training documented, before the surveyor asks.

WageTime tracks credentials and licenses on the employee record with date-driven expiration alerts and each document attached, so a state licensure review or accreditation survey can see who was cleared to work in a client’s home.

  • HHA certificates, RN licenses, CPR cards, TB tests: recurring 30/60/90-day warnings.
  • Renewal alerts reach the caregiver and the office, not just a binder.
  • HIPAA and safety training assigned per role in the learning module.
  • Completion records for HIPAA training, exportable when the survey starts.
  • Electronic I-9 with E-Verify case creation inside onboarding.
app.wagetime.com/hr/credentials

Credentials & Training · All caregivers

3 expiring within 30 daysHIPAA training 94% complete
Each certificate attached to the employee record, exportable when a survey starts
42Caregivers tracked
30/60/90Alert days ahead
CaregiverExpiresStatus
Rosa M.CPR certificationOct 1230-day alert sent
Denise K.HHA certificateFeb 2027Current
Marcus T.TB testSep 28Expires in 11 days
Alina P.RN licenseJan 2027Current
Sam W.HIPAA trainingRenews Aug 2027Completed
3 expiring inside the windowrenewal alerts reach the caregiver and the office

Replaces the credential spreadsheet nobody updated since the last survey.

05 · PAY DAY, EVERY FRIDAY

The roster turns over. Pay day is why some of it stays.

Industry benchmarking put median caregiver turnover at 75 percent in 2025, and weekly beats biweekly in caregiver recruiting ads for a reason. WageTime makes cadence a setting, not a fee: unlimited runs included, and a final check can go out the day someone leaves.

  • Weekly pay at no extra cost on the same $50 + $10 pricing.
  • Off-cycle runs and final checks included, no per-run fees.
  • New hires self-onboard from their phones with e-signatures.
  • Caregiver app: paystubs, W-2s, PTO requests and balances, no office calls.
  • ACA look-back measurement for variable-hour aides; 1095-C forms e-filed.
app.wagetime.com/payroll/schedule

Pay Day · Every Friday · September

Weekly runs · $0 extra
Cadence is a setting, not a fee: unlimited runs, off-cycle and final checks included
5Runs in September
8New hires onboarded
$510September invoice
RunPeople paidNet pay
Fri Sep 52 new this week41$28,470.00
Fri Sep 123 new this week43$30,115.00
Fri Sep 191 new this week42$29,340.00
Fri Sep 262 new this week44$30,690.00
Mon Sep 29off-cycle final check1$612.00
$119,227.00 net paid in September$50 company + 46 people paid × $10

Replaces the per-run fee that made weekly pay a luxury, and the paystub reprint queue in the scheduler’s inbox.

PRICING

Simple payroll pricing. No surprises.

Full-service payroll is $10 a month per person paid that month, plus $50 a month per company, with unlimited runs. No long-term contracts, no per-run charges.

  • Full-service payroll, unlimited runs
  • Federal, state & local tax filing
  • Year-end W-2s & 1099s
  • Direct deposit, checks & pay cards
  • Contractor payments & filings
  • Off-cycle runs & bonuses, no extra fee
  • Employee paystubs & W-2 access
  • QuickBooks integration
$10/mo per person paid
+ $50/mo per company

Off-cycle runs and bonuses cost nothing extra. No long-term contracts; cancel anytime.

Example: 50 people paid × $10 + $50 company = $550 for the month

HR & hiring, onboarding, PTO, time tracking, benefits, and workers’ comp are optional add-ons, priced separately when you’re ready.

See a demo
THE INFRASTRUCTURE BEHIND WAGETIME
$35B+
in payroll & taxes paid
2.8M+
employees paid
4.3M+
W-2s & 1099s filed
100%
of tax filings automated

Home care payroll FAQ

How does overtime work when a caregiver has two pay rates in one week?

Overtime computes on the weighted average, automatically. WageTime totals the week’s straight-time earnings across every rate, service code, and differential, divides by total hours to get the regular rate, and pays the overtime premium on that rate. Care hours and paid travel hours land in the same calculation. Bring one real multi-client week to the demo and see it run down to the paystub.

Do we have to pay caregivers for travel time between clients, or does mileage cover it?

Travel pay and mileage are two different obligations. Under federal rules, drive time between clients during the workday is payable work time, while mileage reimbursement is an expense payment that doesn’t substitute for those wages. In WageTime, travel hours run as paid time inside the overtime math and mileage runs as a separate reimbursement code, configurable as a non-taxable earning type, both on the same check.

Can WageTime pay nurses per visit?

Yes. Per-visit rates run as per-unit pay codes, with different rates per visit type, and hourly time for documentation or meetings runs alongside in the same payroll. Mixed per-visit and hourly weeks go through the same weighted-average overtime engine. Whether a given clinician is overtime-exempt is a question for your employment counsel; WageTime handles the math either way.

Our visits live in AxisCare, WellSky, HHAeXchange, or AlayaCare. How do hours get into payroll?

We import visit and clock hours from your EVV or agency-management system so there’s no double entry. Tell us your system on the demo and we’ll confirm the exact flow for your setup, including how approved visits map to caregivers and rates. For private-pay work outside EVV, caregivers can punch on WageTime’s GPS-stamped mobile clock instead.

Did the 2025 federal overtime changes end overtime for home care agencies?

No. In July 2025 the Department of Labor proposed reinstating the companionship and live-in exemptions for agencies and paused its own enforcement of the 2015 home care rule while that proposal is pending. The rule itself remains on the books, private lawsuits are unaffected, and state overtime laws apply regardless. Most agencies keep paying overtime, and WageTime computes it either way. Educational summary as of mid-2026, not legal advice.

How is caregiver and client data protected?

The platform behind WageTime is SOC 2 Type II audited and ISO 27001 certified, with safeguards built for handling HIPAA-covered data, and business and employee data protected end to end with bank-level encryption. HIPAA training itself is assigned and tracked in the learning module, so completion records are on file per caregiver.

What does it cost?

$50 per month per company, plus $10 per person paid that month. Weekly pay costs nothing extra: runs are unlimited, and off-cycle and final checks are included. Every federal, state, and local tax is filed automatically, with year-end W-2s and 1099s included. No long-term contracts; cancel anytime. Switching is full-service and paid; we’ll scope the effort and timing on the demo so you can pick a clean cutover week.

Bring one caregiver’s week.

One aide’s week across two or three clients, your visit export, and the states you serve. Twenty minutes with a payroll specialist on a live demo company: you’ll see the weighted-average overtime, the travel and mileage lines, the credential alerts, and the invoice math.

Book a 20-minute demo