StoriiCare vs OneCarePortal: Which Is Actually Built for ADHC?

When ADHC operators start shopping for software, StoriiCare and OneCarePortal both appear in search results. On the surface, both say they serve adult day care. But the similarities end there. One was built for the international aged care market and adapted for the U.S. The other was built inside a U.S. ADHC center, specifically for Medicaid waiver programs. This post breaks down what that difference actually means for your center.

Where StoriiCare Comes From — And Why It Matters

StoriiCare was originally designed for aged care facilities in the UK and Australia. Their platform focuses on care home management, activity tracking, and family engagement — all valuable in those settings. When they expanded to the U.S. market, they positioned themselves as adult day care software.

The problem: U.S. Adult Day Health Care is a fundamentally different care model. ADHC centers operate under Medicaid waiver programs with specific documentation requirements, service authorization workflows, and billing rules that don't exist in international aged care. A platform built for one can't simply be relabeled for the other.

• ADHC requires Medicaid-specific documentation: ISPs, daily notes tied to service codes, attendance-based billing, and state-specific compliance templates
• Service authorizations drive everything: Without tracking auth dates, remaining units, and expiration alerts, you risk delivering unbillable services
• Billing is Medicaid billing: 837 professional claims, ERA 835 remittance posting, and clearinghouse integration aren't optional — they're the foundation

ADHC-Specific Workflows: Generic vs. Purpose-Built

StoriiCare offers care planning and activity logs. These features serve a general care model well. But ADHC operators need workflows that match their specific daily operations:

• Attendance tracking tied to billing: OneCarePortal links daily attendance directly to claim generation — because in ADHC, attendance is billing
• Daily notes mapped to service codes: Your documentation needs to support the specific waiver services you're authorized to deliver
• State-specific templates: Kentucky ADHC documentation looks different from New York or California. Your software should know that
• ISP and service plan management: Not generic care plans — actual Individualized Service Plans that meet Medicaid waiver requirements

Service Authorization Tracking: The Dealbreaker

In Medicaid waiver programs, every service you deliver needs to be covered by an active authorization. If the authorization expires or you've used all approved units, you're delivering services you can't bill for. StoriiCare does not offer service authorization tracking. OneCarePortal tracks every authorization with automatic alerts when they're approaching expiration or running low on units.

For any ADHC center or waiver agency, this single feature often justifies the entire platform switch.

Medicaid Billing: Having It vs. Not Having It

OneCarePortal includes a full Medicaid billing engine integrated through the Stedi clearinghouse. That means:

• 837 professional claim generation from documented services
• Electronic claim submission to state Medicaid programs
• 835 ERA auto-posting for remittance advice
• Denial tracking and resubmission workflows
• Revenue cycle visibility from service delivery to payment

StoriiCare does not include a Medicaid billing engine. If billing is part of your workflow — and for every ADHC center, it is — this gap requires external software, manual processes, or both.

Pricing and Transparency

OneCarePortal publishes its pricing: $5.99 per active participant per month for the Care Management Module, and $1.50 per submitted claim for the Billing Module. No enterprise contracts. StoriiCare uses a quote-based pricing model, which makes direct comparison difficult before you're deep into a sales process.

The Bottom Line

StoriiCare is a capable care management platform for its target market. But if you're running a U.S. Adult Day Health Care center under Medicaid waiver programs, you need software that was built for that specific reality. OneCarePortal was built by people who operate ADHC centers — not by a team that adapted international software for a new market.

If you're evaluating both platforms, ask yourself: Does this software handle my service authorizations? Can it generate Medicaid claims? Does it know what my state requires for documentation? If the answer to any of those is no, you're looking at the wrong tool.