WISeR Changes Ahead: ALMSPLLC Steps Up for Arizona & Texas Facilities

HOUSTON - EntSun -- ALMSPLLC, a mobile wound care provider that has always operated with WISeR-level standards for documentation, evidence-based care and compliance, announced today that it is expanding capacity across Arizona and Texas in anticipation of widespread wound care provider shortages beginning January 1, 2026.

With CMS' launch of the WISeR Model (Wasteful and Inappropriate Service Reduction), wound care services in both states are expected to experience severe disruption. The upcoming payment reductions, strict LCDs, AI-driven medical necessity reviews and national flat-rate reimbursement policies are projected to force many outpatient and clinic-based wound care programs to scale back or discontinue services entirely.

"We are not preparing for WISeR. We've been operating at WISeR-ready standards for years," said ALMSPLLC's leadership team.

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"What we're preparing for is the collapse of access. Our responsibility is to ensure facilities are not left without advanced wound care."

Why Provider Drop-Offs Are Expected

Beginning in 2026, CMS will shift skin substitute payments from ASP to a national standardized rate, enforce unfied LCDs for DFUs/VLUs and increase documentation scrutiny through AI-enabled review systems. These changes are expected to:
- Reduce reimbursement by up to 80–90% for certain advanced wound treatments
- Shrink formularies to a limited, evidence-based list of approved products
- Increase claim denials, documentation burdens and administrative overhead
- Make it financially unsustainable for many physician offices and outpatient clinics to continue offering advanced modalities

These pressures will hit Texas and Arizona first, where WISeR is being piloted.

ALMSPLLC Is Expanding to Prevent Care Gaps

ALMSPLLC is scaling its mobile wound care operations to ensure facilities do not experience interruptions in treatment due to provider drop-offs. The company is:

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* Increasing clinical staffing throughout Arizona and Texas
* Strengthening documentation and AI-auditable charting workflows
* Expanding product access to include WISeR-approved CTPs
* Preparing partnerships with facilities anticipating service disruptions
* Enhancing on-site mobile support for high-acuity patients

"Facility administrators cannot wait until January 2026 to react," the leadership team added.
"Residents will suffer if access collapses and we will not let that happen."

About ALMSPLLC
ALMSPLLC provides mobile, high-acuity wound care to facilities and communities across multiple states. The company specializes in chronic wounds, diabetic foot ulcers, venous leg ulcers, pressure injuries, surgical wounds and advanced biologic therapies. ALMSPLLC focuses on compliance, continuity and evidence-based care to support better healing outcomes for vulnerable populations.

https://www.almspllc.com/