Over the last month, your APWCA leaders have collaborated with the Alliance of Wound Stakeholders and other organizations on communication with the Centers for Medicare and Medicaid Services (CMS) regarding payment methodology for cellular and/or tissue based products for wounds (CTPs) provided in Hospital Outpatient Departments and Ambulatory Surgery Centers. CMS has expressed an interest in changing the current bundled payment mythology for these services and our communication has focused on protecting the interests of our members and our patients.