Objective To conduct a scoping review of research on smart management of hospital-at-home services for disabled older people, and to provide references for future studies and interventions. Methods Relevant studies in domestic and international databases such as PubMed, Web of Science, China Knowledge Network, and Wanfang Data were searched by utilizing Mesh terms and free-text terms, and the search time frame was set from establishment of the database to June 30, 2022. Results Eight publications met the inclusion criteria. There were two types of smart hospital-at-home services:mobile health and telehealth. Services included clinical treatment, establishment of patient health records, guidance on device use, and alarm management. Strategies included building multidisciplinary teams, clarifying team members′ responsibilities, comprehensive assessment before entering hospital-at-home services, and dynamic grade assessment throughout the process. Evaluation indexes included patient outcomes, dependency on smart devices, patient satisfaction, compliance with and feasibility of the management program. Conclusion Research on smart home care for disabled older people has demonstrated diversity and effectiveness, however, there are lack of standardized and unified evaluation criteria and high-quality research data. Multi-center, large sample, and high-quality studies need to be strengthened to provide high-level evidence.