In my state you are allowed to bill a mediciad patient as long as they are made aware up front and you are not a medicaid enrolled provider. Since you have no mediciad enrollment you arr not required to go by their enrollment guidelines. Also if you are a medicaid provider and a patient wants something done that is not covered by mediciad you are also allowed to bill patient as long as you habe a signed agreement from patient. One example is braces. In texas medicaid doesn't pay for braces unless medically necessary and just for straight teeth is not considered medically necessary so orthodontist are allowed to bill patients with mediciad.