The honest version
Therap is a serious platform. It has been in this market a long time, it is deployed across large I/DD organizations nationally, and it does far more than we do. Anyone telling you Therap is bad software is selling something.
The question is fit. Therap was designed for organizations with hundreds of staff, multi-state operations and dedicated administrators to configure it. Sothcare is designed for a provider running four homes with eight DSPs and no full-time admin.
Those are different problems, and the pricing models reflect it.
The pricing math for a small provider
| Therap (reported) | Sothcare | |
|---|---|---|
| Pricing model | Per user, tiered by size and modules | Flat per service line |
| Small team (1–10 users) | ~$200 per user / month | $199 / month total |
| 8 DSPs + 1 manager | ~$1,800 / month | $199 / month |
| Implementation | $5,000–$15,000 reported | Quoted up front, varies by line |
| Free trial | Not offered | Not offered on this plan |
| Contract | Annual, quoted | Month-to-month |
Therap figures are from third-party software directories, not from Therap. Therap does not publish pricing and actual costs vary by contract, user count and module selection. Verify directly with Therap before making a decision on cost.
Where the per-user model bites hardest
Residential services have high DSP turnover. Under per-user pricing that produces two costs: you pay for accounts belonging to people who left until someone remembers to deprovision them, and you pay again the moment you hire a replacement.
It also produces a quieter cost. When logins have a price, small providers ration them — and shared accounts appear. At that point the audit trail stops being attributable to an individual, which is the entire reason a licensor wants an electronic record. The pricing model quietly undermines the compliance the software exists to support.
A flat fee removes both. Every DSP gets their own login because it costs nothing extra, and your invoice in a hiring month matches your invoice in a quiet one.
Where Therap is genuinely the better choice
Multi-state operations. Therap handles billing across many state Medicaid systems. We are deepest in Minnesota and expanding state by state.
Large organizations. If you have hundreds of staff and dedicated administrators, Therap's configurability is an asset rather than an overhead.
Modules beyond residential documentation. Employment services, extensive I/DD-specific tooling, complex billing configurations — Therap has a catalog we do not.
If any of those describe you, we would rather tell you now than sell you something you leave in four months.
Where we think we win for Minnesota 245D
Cost at small scale. $199 flat against roughly $1,800 a month for a nine-person team on reported per-user rates, and a one-time implementation fee quoted up front rather than a $5,000–$15,000 implementation project.
Minnesota depth. 245D documentation, EUMR and VAMRA workflows, MAARC-aligned incident reporting, HHAeXchange EVV against the current 80% threshold, and 144G assisted living if you hold both licenses.
Time to live. About a week to go live and 30 days to fully transition, running in parallel — against an implementation project.
Who answers support. A founder, at least at our current size. That stops being true above some scale and we would rather say so than pretend otherwise.
See Minnesota 245D detail →Common questions
Is Therap a bad product?
No. Therap is mature, widely deployed and genuinely capable, particularly for large multi-state I/DD organizations. The question is not whether it is good software — it is whether its pricing model and complexity fit a provider running one to five homes.
What does Therap cost?
Third-party sources report roughly $500–$1,000 per month depending on user count and modules, with small teams of 1–10 users paying around $200 per user monthly, plus implementation fees reported between $5,000 and $15,000. Therap does not publish pricing, and actual figures vary by contract — confirm directly with them.
What does Sothcare cost?
$199 per month, flat, with unlimited staff accounts. No per-user fee, no per-resident fee, and no annual contract. A one-time implementation fee applies and varies by service line.
Can we migrate our data from Therap?
Yes. We run in parallel with your existing system during onboarding rather than cutting over on a date, so resident records, ISPs and active medication orders come across before you stop using Therap.
What does Therap do that Sothcare doesn't?
Therap has a far broader module catalog — billing across many state Medicaid systems, employment services, extensive I/DD-specific tooling, and multi-state configurations. If you operate across several states or need modules outside residential documentation, Therap is likely the better fit and we will say so.
Which should a Minnesota 245D provider choose?
If you run one to five homes in Minnesota and mainly need 245D documentation, eMAR, DSP scheduling, EVV and incident reporting, we think Sothcare fits better and costs substantially less. If you are a large multi-state organization, Therap is built for that and we are not.
Bring your Therap invoice
20 minutes, founder-led. We will run the comparison on your actual numbers, and tell you if you should stay.
Book my 20-min demoWellSky, Axxess, Homecare Homebase, Alora, AlayaCare, Therap and HHAeXchange are trademarks of their respective owners. Sothcare is not affiliated with, endorsed by or sponsored by any of them; their names are used here solely to identify the products being compared.
Competitor pricing figures are drawn from public software directories, not from the vendors themselves, and vary by contract, module selection and agency size. Verify directly before making a decision on cost. Last checked August 2026.