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.

Getting Care

Integrated Referral Management and Appointing Center

The Integrated Referral Management and Appointing Center (IRMAC) is the first point of contact for beneficiaries looking for health care in the National Capital Region Market. The IRMAC helps beneficiaries navigate the direct care system. 

Appointments: 855-227-6331

Mission

  • We develop and promote best practices in appointing and referral management.
  • We actively create a positive patient experience by assertive and courteous outreach to optimize direct care system access for our beneficiaries requiring care.
  • We support and enhance a Medically Ready Force and Ready Medical Force by ensuring timely navigation and access to health care for our Nation’s Heroes and their families.
  • We encourage and sustain our National Capital Region Market by focusing on our shared beneficiaries and the integrated healthcare system.

Vision

We are recognized throughout the Military Health System as the model of excellence for appointing and referral management.

We are the coordinating authority for appointing and referral management throughout the National Capital Region Market.

Contact Us

Phone

855-227-6331

Hours

Monday–Friday: 6:30 a.m. to 6:30 p.m.
Weekends and Holidays: Closed

Don't forget to keep your family's information up to date in DEERS!