This topic is about finding Medicaid-approved suppliers for a specific type of ostomy system, the Coloplast SenSura Mio High-Output, which is crucial for someone dealing with short bowel syndrome and a high-output jejunostomy. Here are some helpful insights and advice for navigating this situation:

1. The Coloplast SenSura Mio 2-piece High-Output pouch, paired with Coloplast nighttime draining bags, has been effective in preventing leaks and burst bags for the person in need. However, due to the high output, each barrier only lasts 2-3 days, requiring a large monthly supply.

2. The challenge is obtaining these supplies through U.S. state Medicaid using the HCPCS code A4413. Many suppliers have indicated they cannot bill Medicaid for this product, creating an urgent need for a reliable supplier.

3. The search is focused on finding suppliers within the USA, as the UK NHS covers these products more widely, but U.S. options are needed.

4. To tackle this issue, consider the following strategies:
- Escalate the situation by reaching out to local or state politicians or media to highlight the medical necessity. Public attention can sometimes help overcome bureaucratic hurdles.
- Ensure you have a detailed prescription from your surgeon or WOC nurse. This should specify the exact product, quantities, and the HCPCS code A4413.
- Verify that each potential supplier is enrolled with Medicaid in your state. If they are, the quantity needed should not be an issue.
- When contacting suppliers, ask to speak directly with the Medicaid billing department to confirm they can process the HCPCS A4413 for Coloplast products.
- Be persistent and keep detailed notes of all supplier contacts. Sometimes, the key is reaching the right person who understands the specifics of ostomy billing.

5. Continue calling more suppliers and seek recommendations from others who have faced similar challenges.