shouldiuse.io

VERDICT

Should I use Foothold Technology?

Human services software — behavioral health EHR, case management, and Medicaid billing (AWARDS) - footholdtechnology.com

Depends. Buy it if you run a Medicaid-funded human services agency needing documentation, billing, and outcomes tracking in one system. Skip it if you are a solo clinician or small nonprofit — you'll inherit enterprise complexity and a quote-only sales process for features you won't use.

Confidence

Medium. Based on 30+ public sources; no public pricing or numeric ratings available.

Ratings

  • Value for moneyNo public pricing to evaluate
  • Ease of use
  • Feature depth
  • Support quality
  • Security posture

Pricing

Not disclosed

ModelNot disclosed
Monthly feesNot disclosed
HardwareNot disclosed
Free tierNo

Best for

  • Medicaid-funded behavioral health agencies
  • I/DD and homeless services providers
  • Multi-program agencies needing outcomes tracking
  • Agencies replacing paper records and billing chaos

Not for

  • Solo therapists — use a lightweight practice EHR instead
  • Small nonprofits that just need a simple caseload tracker
  • Buyers wanting transparent, self-serve pricing
  • Medical clinics needing physician-grade EHR features

Gotchas - check before you buy

high

Quote-only pricing with no published tiers; expect agency contract negotiations.

medium

API access requires an approved integration partnership — budget extra time for integrations.

medium

Add-ons like billing cost extra on top of the base EHR package.

medium

Migration from legacy systems is acknowledged as complex; plan and staff for it.

Pros and cons

Pros

  • Purpose-built for human services: case management, client tracking, treatment planning, billing
  • HIPAA-compliant with 256-bit encryption and PHI security risk assessments
  • Reviewers repeatedly call it easy to use with responsive staff
  • Documented ROI: NYC agency reclaimed $171,000 in Medicaid payments
  • Publishes real-world testing results and detailed EHR security guidance

Cons

  • No public pricing; every purchase starts with a sales conversation
  • API access only through approved integration partnerships
  • Agency-scale system; heavy for solo clinicians or tiny nonprofits
  • Vendor itself warns EHR migrations are complex and risky
  • Billing functionality positioned as an add-on, not core

Sources & method

Analyzed 9/27/2026 - 13 sources - No known vulnerabilities found in the sources reviewed.

official x2review x6security x2news x3

Key stats

  • Ease of use: 4/5

    Rating

  • Not disclosed

    Starting price

  • 13

    Sources

  • Analyzed

  • Value for money. No public pricing to evaluate
  • Ease of use: 4/5. Multiple reviewers call it easy to use
  • Feature depth: 4/5. Comprehensive agency stack: notes, billing, outcomes, compliance
  • Support quality: 4/5. Reviewers praise responsive programmers and staff
  • Security posture: 4/5. HIPAA compliance, 256-bit encryption, published testing results
  • 27 Customer testimonials on FeaturedCustomers
  • 4 Indeed employee reviews small sample
  • Excellent User satisfaction per SelectHub comparison
  • None Public pricing quote-based, sales required

Pricing

Free tier: No

Security

No known vulnerabilities found in the sources reviewed.

Companies that use it

  • Ali Forney Center13
  • Project Hospitality13
  • BRC
  • CARES NY
Full analysis

Based on 30+ public sources; no public pricing or numeric ratings available.

Solid agency-scale EHR for Medicaid-funded human services; overkill, with quote-only pricing, for small teams.

Methodology

Based on 30+ public sources; no public pricing or numeric ratings available.

Sources

  1. Foothold Technology — official sitefootholdtechnology.com
    official
  2. Foothold Reviews 2026 — G2g2.com
    review
  3. Software Advice IE reviewssoftwareadvice.ie
    review
  4. Software Advice reviewssoftwareadvice.com
    review
  5. Indeed employee reviewsindeed.com
    review
  6. Foothold vs ThinkHealth — SelectHubselecthub.com
    review
  7. 27 Customer Testimonials — FeaturedCustomersfeaturedcustomers.com
    review
  8. Pricing requestresources.footholdtechnology.com
    official
  9. API integration guide — Integuruinteguru.com
    news
  10. HIPAA compliant EHRfootholdtechnology.com
    security
  11. Real World Testing results 2024footholdtechnology.com
    security
  12. NYC agency reclaimed $171,000 in Medicaid — case studyvaluecore.ai
    news
  13. Foothold customer mentions — Xx.com
    news

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