The legacy giant of IDD documentation, feature-rich, but designed for an era before mobile and AI
Built for DD-waiver providers, with AI-assisted documentation, transparent pricing, and free migration from Therap.
Therap is the most widely deployed IDD documentation system in the United States. It is used heavily by larger state-funded providers, regional centers, and any organization that adopted electronic documentation early in the 2000s and never switched.
Therap Services has been serving the IDD field since the early 2000s and was a pioneer in electronic documentation for residential and day-program providers. The platform is comprehensive: T-Logs, ISP Programs, MAR, GERs, behavioral data, billing, training tracking, and more. It earned its position by being thorough, almost every regulatory artifact a state surveyor might ask for has a corresponding Therap module. That depth is also Therap's main weakness: the interface is dated, the workflows are designed around desktop-first compliance officers rather than frontline DSPs on a phone, and getting up to speed on the platform typically takes weeks of staff training. Therap's pricing is opaque (you have to talk to sales), and add-on modules accumulate quickly, billing, scheduling, training, e-signing, mobile, and analytics are each potentially a separate line item. Many small and mid-size DD-waiver providers tell us the same story: Therap does what they need on paper, but the contract is expensive, the day-to-day experience for staff is rough, and switching off feels impossible because of how much historical data lives in it. CareHub was built specifically to address that gap.
We don't pretend competitors don't have strengths, here's where Therap earns its place.
Genuinely comprehensive feature catalog, almost every state regulatory artifact has a corresponding module
Long track record, many state agencies are familiar with Therap reports
Large user base means a deep network of trained staff if you need to hire
Established integrations with several state Medicaid billing systems
What you get with CareHub that Therap doesn't offer , or charges extra for.
CareHub pricing is published on /pricing, $149 to $699/mo by service location, no per-individual seat fee, no contract. Unlimited individuals and unlimited staff on every plan.
Smart Draft for daily notes, Smart Rephrase for clinical tone, Face Sheet AI extraction from physician orders, all included on every plan. Therap has no comparable AI surface today.
Built for the phone DSPs already carry. No app store, no compatibility setup, just a URL. Documentation can be completed on shift instead of after.
Eric and Dana migrate your data themselves, face sheets, ISPs, MAR history, forms. No fee, no contract upgrade, no separate professional-services SOW. Most migrations land within a day to a week.
Guardians and SDMs sign daily notes, ISPs, and forms through a one-time email link. No account creation, no password. Therap requires guardian logins.
Submit a ticket from inside CareHub and track it in SupportHub with SSO. Critical issues answered within 4 hours. No ticket-purgatory.
CareHub vs Therap on the features most DD-waiver providers care about.
| Feature | CareHub | Therap |
|---|---|---|
| Pricing transparency | Public, $149–$699/mo by service location | Quote required; per-individual seat fees |
| Contract | Month-to-month or annual (5% off) | Multi-year typical, early-exit penalties |
| AI documentation | Smart Draft, Smart Rephrase, Face Sheet AI, included | Not available |
| Mobile experience | Mobile-first; works on any phone browser | Mobile app exists; desktop-first workflows |
| Custom forms builder | Included | Limited customization; templates locked |
| Magic-link guardian signing | Yes, no guardian account required | Guardian must have a Therap login |
| Multi-service-type under one license | Residential, day, in-home, sponsored residential, all included | Often requires separate modules |
| Migration support | Free, hands-on, day-to-week timeline | Self-serve or paid professional services |
| Support | SupportHub real-time ticketing, 4hr critical SLA | Email/phone tickets; response varies |
Migrating from Therap to CareHub is one of the most common moves we make. We extract data either through Therap's export tools or via documents you already keep (ISPs, face sheets, MAR PDFs). Active individuals get full data migrated; archived individuals are migrated with status preserved. Most migrations off Therap land between a day and a week.
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Common questions from providers evaluating Therap vs CareHub.
For most small and mid-size DD-waiver providers, yes, significantly. Therap charges per-individual seat fees and quotes vary widely; CareHub is $149–$699/mo for unlimited individuals and unlimited staff at a service-location-based price. We have published pricing at /pricing so you can do the math yourself before talking to anyone.
It depends on which Therap modules you actually use. The 80% that most DD-waiver residential providers rely on, daily notes, MAR, ISPs, GERs, face sheets, behavioral data, scheduling, billing, are all in CareHub. The 20% of niche modules (some specialized state-specific reports) we sometimes have to recreate as a custom form. We tell you upfront before migration if anything's missing for your use case.
No, providers often run both systems in parallel during the transition so they can be fully migrated and trained in CareHub before their existing contract ends, with no rush and no double-entry.
We migrate everything we can lay hands on. Active individuals get full data migrated (face sheets, ISPs, MAR history, behavioral data, forms). Archived individuals are migrated with status preserved so your historical records remain complete. The migration is free and hands-on, Eric and Dana run it themselves.
CareHub serves DD-waiver providers in 9 states today (VA, MD, WV, NC, PA, GA, OH, TX, CA) with state-specific compliance dashboards aligned to the local regulatory body, DBHDS, DDA, BHHF, DHHS, ODP, DBHDD, DODD, HHSC, and DDS. New states are added based on customer demand.
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