The most recent appropriations for the Department of War expired at 11:59 p.m. EST on September 30, 2025. Military personnel will continue in a normal duty status without pay until such time as a continuing resolution or appropriations are passed by Congress and signed into law. Civilian personnel not engaged in excepted activities will be placed in a non-work, non-pay status.
If you have a scheduled appointment or other business at the MTF, please verify with your provider or applicable office within the MTF to ensure there are no changes in schedule. To learn how the lapse in appropriations affects your TRICARE benefit, visit 
tricare.mil/shutdown.

Health Services

Other



EDIS
Educational and Developmental Intervention Services (EDIS) provides early intervention services to infants and toddlers (0-36 months of age), who live in Puerto Rico, and are entitled to attend DoDEA-PR schools in Fort Buchanan and Ramey, under the Space-Required--Tuition-free category. 

IDES
Integrated Disability Evaluation System is a disability process that integrates the resources of the Department of Defense (DoD) and the Department of Veterans Affairs (VA) to evaluate both referred and claimed medical conditions.

Managed Care
Managed Care offers these services: Beneficiary Counseling and Assistance Coordinators (BCAC), Debt Collection Assistance Officers (DCAO), Utilization Management/Case Management (UM/CM) Nurse Services and Patient Representative Services. 
 

Access to Care


Performance Triad
The Performance Triad is a comprehensive plan to improve readiness and increase resilience through public health initiatives and leadership engagement. 


Patient Centered Medical Home
The Patient Centered Medical Home (PCMH) is a team-based model built around the premise that the best health care begins with a strong primary care foundation.
Don’t forget to keep your family’s information up to date in DEERS!