Medicaid Patients: Freeman Regional has started to receive Medicaid denials for ‘no referring primary care provider’ for emergency room services. We have found that if Medicaid determines a visit was not emergent, the patient is liable and will be billed for the visit, due to the Medicaid denial. In an effort to keep our patients informed, below is a tip sheet from the Department of Social Services on when to make a trip to the Emergency Room, if you have Medicaid coverage.