PL-07_EB Trading Partners.docx

This document identifies enrollment broker trading partners and managed care organizations involved in Texas Medicaid and Healthcare Partnership (TMHP) operations under the Health and Human Services Commission (HHSC). The file outlines key system components and vendor relationships necessary for managing Medicaid enrollment and premium processing. The document references multiple trading partners including Enrollment Broker, Managed Care Organizations, HHSC, Premiums Payable System, TIERS, Vendor Drug, and state trading partners. It establishes the technological infrastructure through iBridge and identifies Center for Medicare Services (CMS) and Infocrossing as critical system vendors supporting the program's administrative and operational functions.

The document serves as a reference guide for the interconnected entities responsible for processing enrollments, managing premiums, and coordinating with federal oversight agencies. The inclusion of CMS indicates federal compliance and oversight requirements under Medicare provisions, while Infocrossing appears to provide technical infrastructure support. TMHP operates as the managing entity coordinating between HHSC, managed care organizations, and external vendors to ensure seamless enrollment, premium payment processing, and drug vendor management across the Texas Medicaid system.