Statewise vs SETWorks.Compared for IDD agencies.
Two IDD platforms, one clear default. SETWorks has a real niche in supported-employment and vocational case management - Statewise wins everywhere else IDD agencies work: a true native mobile app, full day-services support, GPS EVV, documentation, and AI Medicaid billing in one system.
SETWorks fits supported employment. Statewise runs everything else in IDD.
SETWorks has a real niche: deeply configurable case management for supported-employment and vocational programs. Outside that lane, Statewise is the better system for IDD agencies - a true native mobile app, full day-services support, GPS EVV, documentation, and AI Medicaid billing in one platform, with new forms built in about a week and state-rule changes shipped in days, not months.
Statewise and SETWorks, dimension by dimension.
| Statewise | SETWorks | |
|---|---|---|
| Core focus | Medicaid-native IDD EHR: EVV, documentation, AI billing | Cloud case management for disability agencies |
| Built for | IDD agencies: day services, residential, community, in-home | IDD: supported employment, day, vocational, residential |
| Mobile app | True native iOS and Android app; works offline in the field | Web-based; accessed through a mobile browser |
| Day services | Attendance, group notes, EVV, and billing - end to end | Day-program case management; configuration-driven |
| EVV | GPS EVV built in; submits to state aggregators | EVV inside documentation; integrates with aggregators |
| Documentation | Care plans, state forms, service notes, RN oversight | Case notes, goals, custom forms |
| Medicaid billing & claims | Medicaid-native; AI scrubbing; 99.6% clean-claim acceptance | 837/835 EDI with validation rules |
| Configurability | Custom forms in ~1 week; state-rule changes shipped in days | Configurable, but changes run through implementation |
| Implementation | ~14 weeks average | About 3-5 months |
| Pricing | From $1,000/mo | Tiered by individuals served per year; setup fee; EVV separate |
| Best-fit buyer | IDD agencies wanting one Medicaid system end to end | Agencies whose core is supported-employment case management |
Competitor details from SETWorks published materials (set-works.com); Statewise figures are first-party. Pricing and features change - verify current details with each vendor.
When each platform is the right call.
When to choose SETWorks
- Supported employment: Your core service is supported-employment or vocational programs with milestone or outcome billing.
- Deep program configuration: You want to tailor case-management workflows to those employment programs specifically.
When to choose Statewise
- One IDD system: EVV, documentation, and billing in one platform - including day services - not separate modules.
- A true mobile app: Field and day-program staff work from a real native app, online or offline.
- Revenue cycle: AI claim scrubbing, 835 reconciliation, and an optional managed billing team.
- Keeps up with the states: New forms in about a week, state-rule changes in days.
What to weigh on SETWorks.
Implementation: SETWorks reports onboarding of about three to five months.
Reported by SETWorks (FAQ)Pricing: Tiered by individuals served per year, with a setup fee and EVV licensed separately.
Reported by SETWorks (FAQ)Focus: Case management centered on supported-employment and vocational programs.
Reported by SETWorks (set-works.com)Each point above is paraphrased from the linked third-party source and reflects that source's assessment. Vendors change - verify current details directly.
Built Medicaid-first, from visit to remittance.
A true native mobile app
Direct support staff get a real iOS and Android app - visit clock-in, group notes, and GPS EVV in the field, online or offline. Not a mobile web page.
Day services, fully covered
Attendance, group and individual notes, goal tracking, EVV, and billing for day and community programs. Statewise runs day services end to end - we concede it to no one.
Forms and changes that keep up
New custom forms in about a week, and configuration changes ship in days - not multi-month implementation cycles. When a state changes its rules, Statewise keeps up in days, not months.
EVV straight through to the 835
GPS EVV is captured in the same system that scrubs, submits, and reconciles the Medicaid claim - which is how Statewise providers reach 99.6% clean-claim acceptance.
Questions IDD agencies ask when comparing the two.
Is Statewise better than SETWorks?
For most IDD agencies, yes. Statewise is the Medicaid-native IDD platform end to end - a true native mobile app, full day-services support, GPS EVV, documentation, and AI claim scrubbing in one system. SETWorks is the better fit only when your core service is supported-employment or vocational case management.
What is the difference between Statewise and SETWorks?
SETWorks is cloud case-management software for disability agencies, strongest in employment and vocational programs, and runs from a mobile browser rather than a dedicated app. Statewise is a Medicaid-native IDD EHR with a true native mobile app, built-in GPS EVV, day-services and clinical documentation, and AI Medicaid billing.
Does SETWorks have a mobile app?
Statewise ships a true native iOS and Android app with offline visit capture and GPS EVV built in, so direct support staff can work in the field online or offline. If a dedicated native app matters to your team, confirm current mobile capabilities directly with SETWorks.
Can Statewise replace SETWorks?
For IDD agencies running day services, residential, community, and in-home programs, Statewise replaces SETWorks by combining a native mobile app, EVV, documentation, and Medicaid billing in one platform. Agencies whose core is supported-employment case management may still prefer SETWorks' program tooling.
How fast can Statewise adapt to new state rules?
Statewise builds new custom forms in about a week and ships configuration and state-rule changes in days, not multi-month cycles - and goes live in about 14 weeks versus SETWorks' reported 3-5 month onboarding.
See Statewise on your Medicaid workflows.
Book a 20-minute call. We'll walk through your EVV, documentation, and billing requirements and show you exactly how Statewise handles them - no generic demo.