McCoy v. State, Department of Health & Welfare

TROUT, Justice.

This appeal arises from a denial of Medicaid coverage by the Idaho Department of Health and Welfare (Department) for a gastric bypass surgery deemed to be medically necessary by the appellant’s physicians. We vacate the order of the district court denying coverage and remand for further proceedings consistent with this opinion.

I

BACKGROUND

Sheila McCoy is disabled and receives aid under the Supplemental Security Income (SSI) program. As an SSI recipient, McCoy is also entitled to medical coverage under Medicaid. McCoy’s primary medical problem, from which she has suffered since…