This topic is about a sudden change in Medicaid coverage that has left someone with an insufficient supply of ostomy wafers. Previously, they received 20 wafers, 20 bags, and 20 barrier rings each month, as prescribed by their doctor. However, Medicaid unexpectedly reduced the wafer allowance to 10, while still providing 20 bags and 20 rings. This mismatch is problematic because the person needs to change their Hollister two-piece system every 2-3 days to avoid leaks and because the pouch starts to degrade after about three days. They actually need at least 15 wafers per month to maintain their routine.

Here are some helpful insights and advice for dealing with this situation:

1. Contact Medicaid directly with the doctor’s prescription to appeal the reduced wafer quantity. It may require persistence and possibly escalating the issue to get a resolution.

2. Medicaid rules can vary by state, so it’s important to find the right representative who can assist with your specific situation.

3. Consider trying different appliances, wafers, or accessories that might last longer than 2-3 days. Some users have found systems that last 5-7 days.

4. If your pouch is turning yellow after 2-3 days, this is not typical. Reach out to Hollister customer support to check for any material defects and to get advice. They can also confirm if the pouch has an internal plastic lining.

5. If you need temporary supply help, there are forum members who maintain donation closets and can send Hollister wafers if you provide your size and contact information.

Additionally, there are some other points to consider:

- The insurance in question is Medicaid, which is state-run, not Medicare.
- There is some confusion about whether Medicare Part A would cover an upcoming surgery, and there is a desire to avoid unexpected bills.
- There is curiosity about whether highly acidic output or medications might be causing the pouch discoloration.
- The person uses and likes Hollister brand two-piece products.
- The person's mother plans to call the supplier Byrum and Medicaid, although previous calls to Medicaid have resulted in inconsistent answers.