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11/05/2026
To support compliance with Electronic Visit Verification (EVV) requirements and Clinical Coverage Policy Standards, Alliance is implementing an EVV Location Addendum to member ISP. This serves to document additional service delivery locations, if they are not already captured in the client’s current ISP for mandated EVV services.
The EVV Location Addendum should only be completed in the following situations:
Important Reminders
Please return this completed form to the member’s care manager. If needed, contact Member & Recipient Services at 800-510-9132 to confirm the care manager assigned.
If you have questions regarding when to use the addendum or how to complete the form, please contact our EVV Provider Help Desk at ProviderEVV@alliancehealthplan.org.
Thank you for your partnership in supporting EVV compliance.