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U.S. Department of Health and Human Services

A Three-Pronged Approach

NDMS Definitive Care Reimbursement Program

The NDMS Definitive Care Program can be described as a three-pronged approach, without one, the other two components cannot function effectively.

NDMS Definitive Care Three-Pronged Approach


The National Disaster Claims Processing System has been defined by Federal Register, Vol. 70, No. 225/Wednesday, November 23, 2005. The primary purpose of the system is to justify and document payments for inpatient hospital and related practitioner services provided in connection to the NDMS. Apprio is our current NDMS Definitive Care contractor who supports NDMS with review of claims, submission, and reimbursement. Apprio works in concert with the NDMS Patient Movement Chief and Definitive Care Program Lead.

The NDMS Case Management System is managed by the NDMS Case Manager Lead, who provides training and coordination to our medical case managers and contractors who may be activated to support the tracking, movement, medical care management of federal patients and provide critical support during a national disaster as outlined under ESF #8 authorities. Case managers have a significate role in supporting medical case management to those federally designated patients and provide updates through JPATS which in turn provides pertinent information to Apprio with verifying medical claims during a disaster.

NDMS Healthcare Partners are supported not only by NDMS Patient Movement and Definitive Care, but also our interagency partnerships through VA and DoD Federal Coordinating Centers (FCCs). One of the primary missions of VA and DoD FCC’s is to partner with local health care facilities within each of their catchment area to build strong civilian coalitions to support federal patient movement and definitive care when needed through the enactment of a national emergency or military contingency.

  • This page last reviewed: May 10, 2021