Foothold

What Is Foothold?

Foothold Technology provides human services software, offering EHR, case management, service delivery, housing, billing, reporting, HMIS, and analytics capabilities.

Its EHR platform, AWARDS, combines case management, client tracking, treatment planning, documentation, billing, and reporting to support service delivery across multiple programs. Service and treatment planning tools help agencies organize client goals and monitor progress, without relying on disconnected records scattered across different systems. Configurable forms and reporting tools let staff capture program-specific information and produce reports for operational and regulatory needs.

The platform supports solutions for housing and homelessness programs, including client tracking, coordinated entry, service documentation, and reporting required by the U.S. Department of Housing and Urban Development (HUD) through its Homeless Management Information System (HIMS) capabilities.

All in all, Foothold software gives human services organizations a configurable system for managing client information, service documentation, and administrative processes.

What Is Foothold Best For?

The software is noteworthy for its 'FormBuilder,' which lets human services programs create forms around the specific data required for service delivery, funding requirements, and reporting. Assessments and forms can be embedded directly into staff workflows, keeping frequently needed documentation accessible while working with clients. For practitioners, this means more control over what data gets collected and how it maps to funder requirements.

How Much Does Foothold Cost?

Foothold price is estimated to start at $2,000/feature/month, based on industry benchmarks for similar platforms. Actual costs vary and may depend on number of clinicians, size of the facility, capabilities selected, and more.

Additionally, user may incur potential extra costs. The following figures are estimated and may vary depending on provider terms:

• Implementation And Configuration: $5,000–$20,000
• Data Migration And Cleanup: $5,000–$25,000
• Custom Integrations: $3,000–$15,000/integration
• Custom Forms And Workflow Configuration: $2,000–$10,000
• Historical Document Import: $3,000–$15,000
• Custom Reporting And Analytics: $2,000–$10,000
• Staff Training Beyond Included Sessions: $500–$2,000/session
• Go-Live And Change Management Support: $2,000–$10,000
• Human Services Compliance Consulting: $2,000–$10,000

Users generally rate Foothold well for value for money, though some small facilities feel the subscription is expensive, and that paid add-ons can increase the overall cost.

Disclaimer: Pricing references are based on publicly available third-party information and industry benchmarks. Actual costs may vary.

Foothold Integrations

Foothold integrates with Quest and LabCorp (E-Labs), DrFirst Rcopia through the Surescripts network (E-Prescribing), MedAllies HISP for Direct messaging, and HIEs. Its FCM module also connects with Unite Us and FindHelp to support closed-loop referrals.

The solution also supports HL7, FHIR, and API-based connections.

How Does Foothold Work?

Here’s how to get started with the software after its successful installation:

• Log in to the platform and access the modules available for your role and organization
• Open the client management area to search for clients and review their records and service history
• Enter or update client information, assessments, admissions, and other EHR documentation
• Manage appointments, schedules, referrals, and service activities from the relevant workflow areas
• Create and update individualized treatment, service, and housing plans based on client needs
• Document delivered services, staff activities, progress notes, and other required client interactions
• Record billable services and review claims in the billing area
• Generate reports and review client, program, and operational data to monitor services and outcomes

Who Is Foothold For?

The platform supports organizations across several human services and care settings:

• Behavioral and mental health organizations
• Housing and homeless service programs
• Intellectual and developmental disability (I/DD) organizations
• Home and community-based services (HCBS) providers
• Residential care providers
• Community-based human services agencies
• Long-term services and supports (LTSS) providers

Foothold Use Cases

Based on our analysis of user feedback and Foothold software's current capabilities, we have identified some scenarios where the software may offer value:

Multi-Service Agency Keeping Clinical And Housing Records In One Place

When treatment notes sit in one system and housing records are housed separately, staff can be required to spend extra time piecing together a client’s full picture. Foothold manages clinical services, residential or supportive housing, progress tracking, billing, and compliance within a shared client record. This is particularly useful when multiple staff or programs contribute to the same client’s care and need consistent information.

Agencies Managing Multiple Programs And Funding Requirements

Foothold is suited to agencies operating several programs that collect different information or report to multiple funders. Configurable intake processes, FormBuilder, and ReportBuilder tools let organizations adapt data collection and reporting to individual program requirements. This gives agencies more flexibility to manage different service workflows without requiring every program to follow the same documentation and reporting structure.

Group-Home Provider Documenting Daily Care Across Residences

Agencies managing multiple group-home services can use the platform to centralize operational records that are difficult to maintain through paper-based processes. The platform provides ‘Daily Checklists,’ housing records for overnight absences, transportation tracking, supported-employment records, and centralized medical information. These tools allow staff to document daily activities. It also helps maintain visibility into individual goals, health information, and service-related activity across residential settings.

I/DD Agency Linking Service Documentation To Authorizations And Billing

Community-based I/DD agencies often bill across several service types, each with its own authorizations. BillingBuilder links documented services directly to claims and tracks authorizations, supporting billing for residential, day or community, employment, behavioral health, and respite services. This helps agencies manage documentation and reimbursement within the same system.

Is Foothold Right For You?

Human services agencies often have to manage complex client records, service documentation, billing, and reporting across multiple programs. Foothold Technology brings these functions together through configurable case management, treatment planning, billing, reporting, and EHR capabilities built specifically for human services providers.

Its AWARDS product is ONC-certified and supports Meaningful Use, while the platform also supports data protection using 256-bit encryption, granular permissions, and audit trails. Through its partnership with GreyCastle Security, it addresses PHI data security concerns and supports compliance with NIST, HIPAA, and other applicable regulatory requirements. Foothold also supports HIE connectivity, Direct messaging through MedAllies HISP, and HL7 and FHIR-based exchange. The vendor has not publicly announced TEFCA participation as of yet.

Overall, its experience across behavioral health, developmental disabilities, HCBS, supportive housing, and care coordination makes it particularly relevant to multi-service agencies.

Still unsure if it's the right choice for you? Call us at (661) 384-7070 and let our experienced team assist you in making an informed decision.