Detgen Ex Rel. Detgen v. Janek

JERRY E. SMITH, Circuit Judge:

The four plaintiffs are Medicaid beneficiaries with near total physical disabilities, requiring constant personal assistance and care. On the advice of professionals, they asked Texas’s Health and Human Services Commission to pay for ceiling lifts, which are classified as durable medical equipment (“DME”). Such lifts are expensive but would allow the disabled beneficiaries to move with straps attached to ceilings. Texas denied coverage under a categorical exclusion in the state’s implementing Medicaid regulations. The district court granted summary judgment for…