This topic is about navigating the challenges of managing ostomy care and prescriptions after losing Medicaid coverage and not having access to a stoma nurse. The person in this situation is seeking advice on how to continue receiving necessary supplies and care under a new insurance plan that local stoma nurses and doctors do not accept.

Here are some helpful insights and advice:

1. Any licensed healthcare provider can write prescriptions for ostomy supplies. This includes:
- Your primary-care physician, family doctor, or nurse practitioner.
- The surgeon who performed your ostomy or any follow-up surgeon.
- A gastroenterologist who is familiar with intestinal issues.

2. Work with your distributor to handle the paperwork:
- Distributors like 180 Medical and Edgepark can fax your order to the doctor for a signature.
- It can be helpful to call the distributor while you are in the doctor’s office to ensure everyone knows what needs to be listed.

3. Finding covered professionals:
- Before selecting a plan, ask the Marketplace representative which hospital systems and WOC (Wound-Ostomy-Continence) nurses are in-network.
- Your new insurer should be able to provide the name of an in-network hospital that employs WOC nurses.

4. Supplier support can be a substitute for nurse visits:
- Both 180 Medical and Edgepark have ostomy support staff who can answer questions about products and skin care.

5. Many people with ostomies manage well without routine access to a stoma nurse:
- Online forums and supplier help lines can often solve everyday issues.
- Save in-person visits with a WOC nurse for serious skin problems or persistent leaks.

6. Prescription logistics that others use:
- Some people haven’t seen their surgeon in years; the office simply renews prescriptions upon request.
- Nurse practitioners can fax prescriptions directly to suppliers.

7. Cost considerations with high deductibles:
- Meeting the deductible quickly through supply purchases means that later orders will be cheaper, so plan your cash flow accordingly.

8. Emotional support and empowerment:
- Leaving an abusive situation was the right decision, and the community encourages you that managing supplies and skin care without a regular stoma nurse is achievable.