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  • ICHRA Individual Coverage Health Reimbursement Arrangements let employers fund an account for each employee.
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Health Insurance 101
We’ve outlined everything you need to know before diving into the health insurance shopping period.

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  • Glossary Insurance terms, made simple. Definitions of common phrases that are important to know for understanding health insurance coverage
  • FAQ Answers to frequently asked questions about eligibility, enrollment, member support and more
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Clinical Practice Guidelines

Provider Clinical Practice Guidelines are evidence-based peer-reviewed expert principles based on:
· Guidelines from nationally recognized health care organizations
· Peer-reviewed published medical journals
· Evidence-based consensus statements

Provider Clinical Practice Guidelines are evaluated and updated at least annually and are available to providers. Provider Clinical Practice Guidelines are complex and intended for use by healthcare professionals. They are not intended to provide medical advice or medical care. Medical advice and care should be discussed with the treating provider. Provider Clinical Practice Guidelines do not confirm benefit coverage. Specific care and treatment may vary depending on individual need and the benefits covered under member contract. Coverage is subject to the terms and conditions of the member benefit plan and state and federal law. Authorizations reviewed by Friday Health Plans are based on MCG (previously Milliman Care Guidelines), UpToDate, National Comprehensive Cancer Network (NCCN), and Friday Health Plans Policies & Procedures, which are written based on evidence-based guidelines. To confirm benefit coverage or request a copy of a clinical guideline used to support medical necessity decisions, please contact Member or Provider Services by calling 844-805-5000

Oklahoma Specific:

  • Oklahoma State Department of Health
    • Website contains the following:
      • COVID-19 and COVID-19 Vaccines
      • Mental Health & Substance Abuse
      • Immunizations
      • Family Health Services
      • Tribal Relations

Behavioral Health Agencies

Preventative Medicine

General:

COVID-19 & COVID-19 Vaccines
  • COVID-19 & Vaccines by Centers for Disease Control and Prevention (CDC)
    • Website contains topics including:
      • COVID-19 & COVID-19 Vaccines
      • Health Disparities
      • Integration of Health Literacy and Linguistic Disparity
      • Injury Prevention and Violence
      • Medical Conditions in Alphabetical Order
      • Healthy Living
      • Native Americans
  • Coronavirus Disease 2019 (COVID-19) & COVID-19 Vaccine by Indian Health Services (IHS)
    • Website contains topics including:
      • COVID-19 and vaccines
      • Clinical Resources

Guidelines used by Friday to Approve Authorizations

Behavioral Health Agencies

Cultural Diversity

  • US Department of Health and Human Services
    • Website includes topics on:
      • Cultural & Linguistic Competency 
      • Health and Literacy
      • Minority Population/American Indian/Alaskan Native
      • Health Equity/Disparity
      • Prevention/Wellness/Medical Conditions
      • Mental Health & Substance Abuse
      • COVID-19 and COVID-19 Vaccine
      • Immunization
      • Poison Help
      • Maternal and Child Health
      • Agencies: SAMHSA, CDC, FDA, Indian Health Services, HRSA, etc.
    • Standards of Care for the Health of Transgender and Gender Non-Conforming people. World Professional Association of Transgender Health (WPATH)
      • https://www.wpath.org/publications/soc

Native Americans

Preventative Medicine

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